Assessment of Quality of Life in Dentistry
Keywords:
quality of life, oral health-related quality of life, OHRQoL, OHIP-14, DIDL, CPQ, dental health, children, questionnaireAbstract
Quality of life is an integral characteristic of a person’s physical, psychological, emotional and social functioning based on the subjective perception of their condition. In dentistry, it reflects the impact of oral health not only on chewing and speech but also on appearance, communication and psychological well-being. The aim of this study was to analyse and systematise the concepts and instruments used to assess oral health-related quality of life (OHRQoL). An analytical review of foreign and domestic literature was carried out using comparative analysis, generalisation and systematisation. The analysis showed that general quality-of-life questionnaires are insensitive to the effects of specific oral conditions, so special instruments are used in dentistry. Of the approximately ten indices developed since D. Locker’s conceptual framework, the most widely used are the Oral Health Impact Profile (OHIP and its short form OHIP-14) and the Dental Impacts on Daily Living (DIDL); for children, the Child Perceptions Questionnaire (CPQ11–14) has been developed. These instruments make it possible to assess treatment needs and the effectiveness of dental care from the patient’s perspective. In Uzbekistan, such studies have been conducted mainly in adults, which justifies research on the oral health-related quality of life of children and adolescents.
References
[1] L. Sischo and H. L. Broder, “Oral health-related quality of life: What, why, how, and future implications,” J. Dent. Res., vol. 90, no. 11, pp. 1264–1270, 2011, doi: 10.1177/0022034511399918.
[2] N. J. Kassebaum, E. Bernabé, M. Dahiya, B. Bhandari, C. J. L. Murray, and W. Marcenes, “Global burden of untreated caries: A systematic review and metaregression,” J. Dent. Res., vol. 94, no. 5, pp. 650–658, 2015, doi: 10.1177/0022034515573272.
[3] P. E. Petersen, “The World Oral Health Report 2003: Continuous improvement of oral health in the 21st century—The approach of the WHO Global Oral Health Programme,” Community Dent. Oral Epidemiol., vol. 31, suppl. 1, pp. 3–23, 2003, doi: 10.1046/j..2003.com122.x.
[4] P. F. Allen, “Assessment of oral health related quality of life,” Health Qual. Life Outcomes, vol. 1, Art. no. 40, 2003, doi: 10.1186/1477-7525-1-40.
[5] The WHOQOL Group, “The World Health Organization Quality of Life assessment (WHOQOL): Development and general psychometric properties,” Soc. Sci. Med., vol. 46, no. 12, pp. 1569–1585, 1998, doi: 10.1016/S0277-9536(98)00009-4.
[6] D. L. Patrick and R. A. Deyo, “Generic and disease-specific measures in assessing health status and quality of life,” Med. Care, vol. 27, no. 3, suppl., pp. S217–S232, 1989, doi: 10.1097/00005650-198903001-00018.
[7] World Health Organization, “Recent advances in oral health: Report of a WHO Expert Committee,” WHO, Geneva, Switzerland, WHO Technical Report Series, no. 826, 1992.
[8] D. Locker, “Measuring oral health: A conceptual framework,” Community Dent. Health, vol. 5, no. 1, pp. 3–18, 1988.
[9] G. D. Slade and A. J. Spencer, “Development and evaluation of the Oral Health Impact Profile,” Community Dent. Health, vol. 11, no. 1, pp. 3–11, 1994.
[10] G. D. Slade, “Derivation and validation of a short-form oral health impact profile,” Community Dent. Oral Epidemiol., vol. 25, no. 4, pp. 284–290, 1997, doi: 10.1111/j.1600-0528.1997.tb00941.x.
[11] A. Leao and A. Sheiham, “The development of a socio-dental measure of dental impacts on daily living,” Community Dent. Health, vol. 13, no. 1, pp. 22–26, 1996.
[12] K. A. Atchison and T. A. Dolan, “Development of the Geriatric Oral Health Assessment Index,” J. Dent. Educ., vol. 54, no. 11, pp. 680–687, 1990, doi: 10.1002/j.0022-0337.1990.54.11.tb02481.x.
[13] S. Adulyanon, J. Vourapukjaru, and A. Sheiham, “Oral impacts affecting daily performance in a low dental disease Thai population,” Community Dent. Oral Epidemiol., vol. 24, pp. 385–389, 1996, doi: 10.1111/j.1600-0528.1996.tb00884.x.
[14] A. Jokovic, D. Locker, M. Stephens, D. Kenny, B. Tompson, and G. Guyatt, “Validity and reliability of a questionnaire for measuring child oral-health-related quality of life,” J. Dent. Res., vol. 81, no. 7, pp. 459–463, 2002, doi: 10.1177/154405910208100705.
[15] A. Jokovic, D. Locker, B. Tompson, and G. Guyatt, “Questionnaire for measuring oral health-related quality of life in eight- to ten-year-old children,” Pediatr. Dent., vol. 26, no. 6, pp. 512–518, 2004.
[16] S. Gherunpong, G. Tsakos, and A. Sheiham, “Developing and evaluating an oral health-related quality of life index for children; the CHILD-OIDP,” Community Dent. Health, vol. 21, no. 2, pp. 161–169, 2004.
[17] F. Guillemin, C. Bombardier, and D. Beaton, “Cross-cultural adaptation of health-related quality of life measures: Literature review and proposed guidelines,” J. Clin. Epidemiol., vol. 46, no. 12, pp. 1417–1432, 1993, doi: 10.1016/0895-4356(93)90142-N.
[18] D. E. Beaton, C. Bombardier, F. Guillemin, and M. B. Ferraz, “Guidelines for the process of cross-cultural adaptation of self-report measures,” Spine, vol. 25, no. 24, pp. 3186–3191, 2000, doi: 10.1097/00007632-200012150-00014.
