The Impact of Prosthetic Use on Oral Health-Related Quality of Life in Elderly Individuals

Öz

Objective: The primary objective of this investigation was to assess the influence of oral health on the quality of life among elderly individuals utilizing prosthetic devices, employing the OHIP-14-TR questionnaire, with particular emphasis on the physical, psychological, and social dimensions within the context of Eastern Anatolia. Materials and Methods: This research was executed at the Prosthetic Department of Ataturk University Dental Faculty, encompassing a cohort of 100 geriatric patients aged 65 years and above. All subjects were recipients of prosthetic teeth, which included total, partial, fixed, or removable dentures. The OHIP-14-TR questionnaire was administered to evaluate oral health-related quality of life (OHRQoL). The process of collecting data began in January 2024, and statistical scrutiny was undertaken using IBM SPSS Statistics v23.0, with the significance threshold determined at p < 0.05. Results: The most elevated mean scores were recorded in the domains of physical pain (OHIP Q4: 1.57 ± 1.41) and psychological discomfort. The Pearson correlation analysis revealed significant associations between physical pain and psychological discomfort (r = 0.645, p < 0.01), underscoring their contributory roles in shaping OHRQoL. Ill-fitting prostheses were correlated with heightened levels of both physical and psychological discomfort, adversely impacting the quality of life of the participants. Conclusion: The findings of this study indicated that physical pain and psychological discomfort emerged as the most significantly affected domains among elderly prosthetic users, exerting a profound influence on their OHRQoL. The necessity for adequate prosthetic rehabilitation is imperative to enhance oral functionality, mental health, and social welfare. The outcomes emphasize the essential role of tackling both the bodily and emotional elements in looking after elderly individuals with prosthetic needs.

Anahtar Kelimeler

• • Oral Health-Related Quality of Life (OHRQoL)
• Prosthetic Rehabilitation
• Elderly Patients
• OHIP-14-TR Questionnaire
• Physical Pain
• Psychological Discomfort
• Dental Prostheses.

Yaşlı Bireylerde Protez Kullanımının Ağız Sağlığı ile İlgili Yaşam Kalitesine Etkisi

Öz

Amaç: Bu araştırmanın temel amacı, OHIP-14-TR anketi kullanılarak protez cihazları kullanan yaşlı bireylerde ağız sağlığının yaşam kalitesi üzerindeki etkisini değerlendirmekti. Çalışmada, özellikle Doğu Anadolu bağlamında fiziksel, psikolojik ve sosyal boyutlara odaklanılmıştır. Gereç ve Yöntemler: Araştırma, Atatürk Üniversitesi Diş Hekimliği Fakültesi Protetik Diş Tedavisi Anabilim Dalı'nda yürütülmüş ve 65 yaş ve üzeri 100 geriatrik hastayı kapsamıştır. Tüm katılımcılar, tam, parsiyel, sabit veya hareketli protez gibi protez diş kullanıcılarından oluşmuştur. Katılımcılarda ağız sağlığı ile ilgili yaşam kalitesini değerlendirmek için OHIP-14-TR anketi uygulanmıştır. Veri toplama süreci Ocak 2024'te başlamış ve istatistiksel analiz IBM SPSS Statistics v23.0 kullanılarak gerçekleştirilmiş, anlamlılık düzeyi p < 0.05 olarak belirlenmiştir. Bulgular: En yüksek ortalama skorlar, fiziksel ağrı (OHIP Q4: 1.57 ± 1.41) ve psikolojik rahatsızlık alanlarında kaydedilmiştir. Pearson korelasyon analizi, fiziksel ağrı ile psikolojik rahatsızlık arasında anlamlı ilişkiler olduğunu ortaya koymuştur (r = 0.645, p < 0.01), bu alanların OHRQoL üzerindeki şekillendirici rollerini vurgulamaktadır. Uygun olmayan protezler, hem fiziksel hem de psikolojik rahatsızlık seviyelerinde artışla ilişkilendirilmiş ve katılımcıların yaşam kalitesini olumsuz yönde etkilemiştir. Sonuç: Bu çalışmanın bulguları, yaşlı protez kullanıcıları arasında fiziksel ağrı ve psikolojik rahatsızlığın en çok etkilenen alanlar olduğunu ve OHRQoL üzerinde derin bir etkiye sahip olduğunu göstermiştir. Yeterli protez rehabilitasyonu, ağız fonksiyonelliğini, ruh sağlığını ve sosyal refahı artırmak için gereklidir. Bu sonuçlar, protez gereksinimi olan yaşlı bireylerin bakımında hem bedensel hem de duygusal unsurların ele alınmasının temel bir öneme sahip olduğunu vurgulamaktadır.

Anahtar Kelimeler

• Ağız Sağlığı ile İlgili Yaşam Kalitesi (OHRQoL)
• Protez Rehabilitasyonu
• Yaşlı Hastalar
• OHIP-14-TR Anketi
• Fiziksel Ağrı
• Psikolojik Rahatsızlık
• Diş Protezleri.

Kaynakça

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