The influence of management of tooth wear on oral health-related quality of life

• Published in: Clinical oral investigations Vol. 22; no. 7; pp. 2567 - 2573
• Main Authors: Sterenborg, Bernadette A. M. M., Bronkhorst, Ewald M., Wetselaar, Peter, Lobbezoo, Frank, Loomans, Bas A. C., Huysmans, Marie-Charlotte D. N. J. M.
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 01.09.2018; Springer Nature B.V
• Subjects: Adult; Counseling; Dental Restoration, Permanent; Dental restorative materials; Dentistry; Esthetics, Dental; Female; Humans; Male; Medicine; Oral Health; Oral hygiene; Original; Original Article; Quality of Life; Rehabilitation; Surveys and Questionnaires; Teeth; Tooth Wear - psychology; Tooth Wear - rehabilitation; Treatment Outcome; OHIP-49; Tooth wear; Management; OES; Oral health-related quality of life; Mouth rehabilitation
• ISSN: 1432-6981; 1436-3771
• DOI: 10.1007/s00784-018-2355-8

Objective The purpose of this study was to identify the level of oral health-related quality of life and orofacial appearance in patients with moderate to severe tooth wear. Patients with and without a request for restorative treatment were included. Methods One hundred twenty-four patients (98 men, 26 women, mean age: 40.5 ± 8.8 years) with moderate to severe tooth wear were included. Patients without a request for help received a non-restorative treatment of counseling and monitoring. Patients with a request for restorative treatment were treated with a full rehabilitation using composite resin restorations. Oral Health Impact Profile (OHIP-NL) and Orofacial Esthetic Scale (OES-NL) questionnaires were filled in at baseline and after 1 year. Results Counseling and monitoring group: baseline OHIP-NL score was 0.4 ± 0.3, baseline summary score of OES-NL was 48 ± 7.0, and baseline impression score was 7.1 ± 1.2. Scores had not changed significantly after 1 year ( p =  1.00 after Bonferroni correction).Restoration group: baseline OHIP-NL score was 0.8 ± 0.6, baseline summary score of OES-NL was 38 ± 10, and baseline impression score was 5.9 ± 1.5. Scores had improved significantly after 1 year ( p  < 0.001 after Bonferroni correction). Conclusions Counseling and monitoring did not result in a significant deterioration and restorative treatment resulted in a significant improvement of oral health-related quality of life (OHRQoL) and orofacial appearance in this patient group. Clinical significance In patients with moderate to severe tooth wear, without functional and esthetical problems, counseling and monitoring may be an appropriate treatment option. Restorative treatment in patients with a need for treatment results in an improved OHRQoL. OHIP and OES questionnaires may be used to monitor changes in clinically relevant symptoms.