Evaluation of the oral health-related quality of life in patients with odontogenic fascial space abscesses and underlyin

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RESEARCH

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Evaluation of the oral health-related quality of life in patients with odontogenic fascial space abscesses and underlying conditions – a prospective questionnaire-based study Lara Schorn1, Felix Schrader1*, Rita Depprich1, Julian Lommen1, Norbert R. Kübler1 and Henrik Holtmann2

Abstract Background: Oral Health-Related Quality of Life (OHRQoL) is an important aspect of quality of life. Acute illnesses, as well as chronic diseases, can have a strong, persisting impact on an individual’s quality of life. This study evaluates OHRQoL of patients with odontogenic fascial space abscesses, the underlying conditions, and its consequences for clinical routines. Methods: The research group consisted of patients presenting themselves to the emergency room or elective clinic of the Department for Cranio-Maxillofacial and Plastic Surgery (n = 94). The validated German version of the Oral Health Impact Profile (OHIP-G) and additional questions (including habits and routines in oral hygiene) with an anamnestic recall period of 1 month was used to evaluate OHRQoL shortly after emergency treatment (baseline) and again after 3– 6 months’ follow-up. Ninety-four patients completed the questionnaire at baseline, 54 completed both questionnaires. Additionally, OHIP-G scores were compared to those of the non-impacted general German population. Results: Results showed a significant difference in OHIP-G scores from baseline to follow-up (p = 0.001). Overall a mean of 55.24 (±37.02) points was scored at baseline and a mean of 37.02 (±35.79) points was scored at follow-up. Patients scored higher than participants of a representative study of the general German population. Conclusion: Overall results suggest an increase in OHRQoL 3–6 months after acute treatment. Nevertheless, OHRQoL of patients suffering from odontogenic fascial space abscesses seems to remain generally lower than the OHRQoL of the general German population. Trial registration: Trial registration: Central Study Register of the University Hospital Duesseldorf, Registration-ID: 2016085405. Registered 24 August 2016. Keywords: Oral health-related quality of life, OHIP, OHIP-G, Odontogenic abscess, Fascial space abscess

Background The World Health Organization defines quality of life as “an individual’s perception of their position in life in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards and concerns” (http://www.who.int/healthinfo/survey/ whoqol-qualityoflife/en/). Oral Health-Related Quality of * Correspondence: [email protected] 1 Department of Oral-, Maxillo- and Plastic Facial Surgery, Heinrich-Heine-University Duesseldorf, Moorenstr. 5, 40225 Duesseldorf, Germany Full list of author information is available at the end of the article

Life (OHRQoL) as a part of quality of life is a constant topic in maxillofacial research [1]. Tools like the dental impact profile or the General Oral Health Assessment Index (GOHAI) have been developed in order to make OHRQoL