Improving Dental Health - Is Improving Quality of Life: Wiadomości Lekarskie, VOLUME LXXIV, ISSUE 3 PART 2, MARCH 2021

Wiadomości Lekarskie, VOLUME LXXIV, ISSUE 3 PART 2, MARCH 2021 © Aluna Publishing
ORIGINAL ARTICLE
IMPROVING DENTAL HEALTH – IS IMPROVING QUALITY OF LIFE

DOI: 10.36740/WLek202103229
Nataliia I. Zhachko1, Tamara S. Nespriadko-Monborgne2, Iryna L. Skrypnyk1, Maksym S. Zhachko3

1
DEPARTMENT OF ORTHODONTICS AND PROPEDEUTICS OF PROSTHETIC DENTISTRY, BOGOMOLETS NATIONAL MEDICAL UNIVERSITY, KYIV, UKRAINE
2
DEPARTMENT OF PROSTHETIC DENTISTRY, BOGOMOLETS NATIONAL MEDICAL UNIVERSITY, KYIV, UKRAINE
ABSTRACT
The aim: To assess the impact of dental status on the quality of life of the adult population in the presence of periodontal disease in combination with musculoskeletal dysfunction
in patients with dental anomalies and deformities.
Materials and methods: To study this goal, we examined 283 patients who complained of an aesthetic defect of the dentition, combined with the presence of joint pain and
periodontal disease of varying severity.
Results: received a complete analysis of factors that significantly affected the quality of life of patients with a lot of diseases of the oral cavity.
Conclusions: Oral health deficiencies reduce the quality of life of our patients, and the treatment significantly changes its quality depending on age, sex and method. But the
best results in achieving positive changes in the quality of life of the patient dentists can expect only by conducting a comprehensive treatment.
KEY WORDS: quality of life, dental health correction
Wiad Lek. 2021;74(3 p.II):722-725
INTRODUCTION apparatus, which affects on aesthetics of the face and smile;

Quality of life of the population is one of the generally 4. The condition of the dental-maxillary apparatus, which
accepted and important indicators that define the real affects on them function.
opportunities of people that they need for a comfortable An important role is played by the maxillofacial area in
life. The characteristics of quality of life include all living the matter of human communication. Therefore, the most
conditions, factors and problems. important areas and defects that are associated with the
The search for and development of methods for deter- communication process – defects in the frontal area, smile,
mining the quality of life is an urgent problem of foreign pronunciation changes, splashing saliva during conversa-
and domestic medicine and the state of dental health is tion – all these signs accompany a number of abnormal
given a very important role [2]. processes, namely abnormalities in the location of indi-
Dental or oral health includes a condition that allows vidual teeth and occlusion can lead to joint trauma (acute,
a person to eat, improve communication, restore the subacute: Nespryadko V.P., Tereshchuk O.G., Skrypnyk
aesthetic function of the mouth and face, and increase I.L.), which due to the pain symptom adds difficulties with
self-esteem [3]. prolonged chewing – especially in public places.
In the 1980s, Reisine S.T. drew attention to the impact Therefore, it is clear that all these situations rapidly re-
of pathological conditions in the oral cavity on human duce the quality of life of people with similar problems and
social and psychological well-being, which was the impe- due to mass dental diseases: periodontal disease, dysfunc-
tus for the development and implementation of tools for tion of the temporomandibular joint, occlusal pathology,
measuring the quality of life associated with the state of can be considered as one of the important influencing the
dental health [4]. quality of life and gives the opportunity to search for us
In studying the state of the problem from the point of to improve it.
view of dental health, 4 types of factors were identified that
are directly related to the quality of life of patients:
1. Pathology of the dental-maxillary system, which THE AIM
quantitatively and qualitatively affect оn quality of human Therefore, the aim of our study was: to assess the impact of
nutrition; dental status on the quality of life of the adult population
2. The state of the dental-maxillary system that affects in the presence of periodontal disease in combination
on communicative function of man; with musculoskeletal dysfunction in patients with dental
3. Influence of the condition of the dental-maxillary anomalies and deformities.
722
Fig. 1. Dependence of quality of

life change from age, after correc-
tion of dental health.
Fig. 2. Changes in quality of life

after correction of the TMJ (Tem-
poromandibular joint).
MATERIALS AND METHODS During the analysis the results of a study on the quality of life
To study this goal, we examined 283 patients who com- related to food intake, concerns were expressed at the first visit, but
plained of an aesthetic defect of the dentition, combined it turned out that it was more psychological in nature. What really
with the presence of joint pain and periodontal disease of affected, first of all, the quality of life was the age of the patients.
varying severity. In patients aged 21-41 years, the quality of life after dental
All patients were called for a repeat visit after 6 months, treatment increased 1.5 times, while in older patients – 2.3
but only 173 people showed up. The age of the subjects var- times (Fig. 1).
ied from 21 to 60 years, among them 83 men. All patients I will note that before the start of treatment the quality
lived in Kyiv and Kyiv region. of life of patients in the older group was the worst – after
Quality of life was examined by a special questionnaire treatment – it became better.
with the degree of measurement on the scale OHIP-14 (The The second social factor that significantly affects the
Oral Health Impact Profile) [1]. quality of life after the aesthetic restoration of occlusion was
gender. At the beginning of the examination, the difference
in this feature was not detected, but 6 months after com-
RESULTS AND DISCUSSION pletion of treatment, the quality of life for men improved
After the treatment, which consisted of restoration of oc- 1.6 times, and for women – 1.9 – this is as in the previous
clusion by gnathological preparation, prosthetic restoration case due to improved process food intake.
of the destroyed areas in combination with orthodontic After the treatment, the quality improved to the highest
correction of anomalies and periodontal support? extent, 2.5 times in those who underwent gnathological
723
Nataliia I. Zhachko et al.

depending on the location of the
defect and occlusion anomaly.

depending from the type of cor-
rection provided.
stage with the help of splint therapy before the prosthetic prosthetic restoration, with orthodontic correction. In
stage, than those who underwent prosthetics and un- addition to the medical advantage, he had the highest level
derwent orthodontic treatment without this stage – 1.9 of improvement in the quality of life of patients 2.5 times on
times – and was not important it was only a relaxing or the lower jaw and 2.7 times – on the upper jaw (Fig. 4).
repositioning splint. At the initial examination, joint pain
showed the worst quality of life (Fig. 2).
Another clinical factor influencing the quality of life was CONCLUSIONS
the localization of occlusion anomalies and abnormal lo- Accordingly, it can be concluded that the deficiencies as-
cation of individual teeth. When changing the appearance sociated with oral health reduce the quality of life of our
of the frontal area, the quality of life improved 2.3 times, patients, and the treatment significantly changes its quality
while the latent (for the patient) manifestations of occlusion depending on age, gender and method. But the best results
pathology in the presence of a problem in the lateral – im- in achieving positive changes in the patient's quality of
proved 1.5 times as in other studies, the subjective feelings life dentists can expect only by conducting a comprehen-
of patients (Fig. 3). sive, pathogenetically justified – in this case consisting of
The next clinical factor influencing the quality of life was periodontal treatment, orthodontic occlusion correction,
the type of treatment – namely, the best quality of life was gnathological preparation with subsequent prosthetic
found in the comprehensive rehabilitation of oral health, restoration of occlusal contacts, which also has long-term
by periodontal and gnathological preparation before functional aesthetic result of treatment.
724
REFERENCES ORCID and contributionship:

1. Vedeneeva E.N., Gurevich K.G., Vagner V.D. et al. Sochialnaya Nataliia I. Zhachko: 0000-0001-5333-0191 A, B, D, E, F
harakteristika i kachestvo zhizni patsientov, obrashchayushchihsya Tamara S. Nespriadko-Monborgne: 0000-0002-3102-8634 A, B, D, F
v kliniku esteticheskoy stomatologii. [Social description and quality Iryna L. Skrypnyk: 0000-00023-3393-4649 A, D, E, F
of life of patients circulating in the clinic of aesthetic stomatology] Maksym S. Zhachko: 0000-0003-4054-6211 A, C, D, E
Kremlevskaya med. 2009; 2: 149-151. (In Russian).
2. Beskaravaynaya A.V., Ovodova G.F., Kuzmina L.N. Opredelenie faktorov, Conflict of interest:
imeyushchih otnoshenie k kachestvu zhizni vrachey stomatologov. The Authors declare no conflict of interest.
[Determination of factors, relating to quality of life of doctors of
stomatologies]. Bul. Sev. gos. med. un-ta. 2008; 1: 138-139. (In
Russian).
2. Opravin A.S., Ovodova G.F., Kuzmina L.N. et al. Professionalnaya CORRESPONDING AUTHOR
deyatelnost vrachey stomatologov v aspekte osnovnyh pokazateley Nataliia I. Zhachko
kachestvu zhizni [Professional activity of doctors of stomatologies is Bogomolets National Medical University
in the aspect of basic indexes of quality of life]. Ekologiya cheloveka. 13 T. Shevchenko blvd., 01601 Kiev, Ukraine
2008; 4: 16-18. (In Russian). tel: +380964411448
3. Greenstein G., Cavallaro J., Tarnow D. When to save or extract a tooth e-mail:[email protected]
in the esthetic zone: a commentary. Compend Contin Educ Dent. 2008;
29: 3: 136 – 145. Received: 20.12.2020
Accepted: 05.03.2021
A – Work concept and design, B – Data collection and analysis, C – Responsibility for statistical analysis,
D – Writing the article, E – Critical review, F – Final approval of the article
725

Improving Dental Health - Is Improving Quality of Life: Wiadomości Lekarskie, VOLUME LXXIV, ISSUE 3 PART 2, MARCH 2021

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Wiadomości Lekarskie, VOLUME LXXIV, ISSUE 3 PART 2, MARCH 2021 © Aluna Publishing

IMPROVING DENTAL HEALTH – IS IMPROVING QUALITY OF LIFE

Nataliia I. Zhachko1, Tamara S. Nespriadko-Monborgne2, Iryna L. Skrypnyk1, Maksym S. Zhachko3

Wiad Lek. 2021;74(3 p.II):722-725

INTRODUCTION apparatus, which affects on aesthetics of the face and smile;

Fig. 1. Dependence of quality of

Fig. 2. Changes in quality of life

Fig. 3. Changes in quality of life

Fig. 4. Changes in quality of life

REFERENCES ORCID and contributionship:

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