Psychosocial and Behavioral Impact of Three Clinical Presentations of Oligodontia in a Tertiary Hospital.

Wendy Nicholls, Steven Singer
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Abstract

Purpose: To investigate the psychosocial and behavioral impact of oligodontia across three presentation types and determine if presentation type can infer impact.

Materials and methods: Thirty patients who had been diagnosed and treated for oligodontia between 2006 and 2021 were identified from hospital records. Patients received two questionnaires: (1) a modified version of a condition-specific questionnaire- the Cleft Research Questionnaire (CRQ), used to investigate demographic, life, and treatment details and impacts-and (2) the Oral Health Impact Profile (OHIP-14), used to investigate the oral health-related quality of life. Patients were assigned to three presentations (Types 1 to 3) of oligodontia, identified according to the edentulous space present and complexity of prosthodontic treatment required. The hypothesis that there is a relationship between oligodontia type and study variables was tested.

Results: Twenty-two questionnaires were completed and returned. There were 13 men and 9 women. The age range was from 16 to 32 years. In total, 18 patients had nonsyndromic oligodontia and 4 had oligodontia associated with anhidrotic ectodermal dysplasia (AED). The main areas of impact were patient-reported: life less satisfying (64.5%, n = 14; pretreatment), making friends (45%, n = 10), school participation (45%, n = 10), and public speaking (45%, n = 10). No relationship was discovered between the degree of physical effect of the presentation type and study variables, including the degree of psychosocial impact or life satisfaction.

Conclusions: Oligodontia can have a negative functional and social impact on a patient prior to prosthodontic treatment. Prosthodontic treatment improved the life satisfaction for most patients. Psychosocial outcomes could not be inferred by the presentation type of oligodontia.

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某三级医院少齿症三种临床表现的社会心理和行为影响
目的:研究少齿症在三种表现类型中的社会心理和行为影响,并确定表现类型是否可以推断影响。材料/方法:从医院记录中确定的30例2006年至2021年间诊断和治疗的少齿症患者。患者收到两份问卷;第一个是修改后的条件特定问卷,唇裂研究问卷(CRQ),用于调查人口统计,生活和治疗细节及其影响,第二个是口腔健康影响概况(OHIP-14),用于调查口腔健康相关的生活质量。根据无牙空间的存在和修复治疗的复杂性,患者被分配到三种类型(1至3型)的少牙症。假设检验,以确定是否有少齿症类型和研究变量之间的关系。结果:共完成问卷22份。有9名女性。年龄范围从16岁到32岁。无汗性外胚层发育不良18例无综合征,4例缺牙。影响的主要领域是患者报告的生活满意度下降(64.5%,n=14)(治疗前),交友(45%,n=10),学校参与(45%,n=10)和公共演讲(45%,n=10)。没有发现表现类型的身体影响程度与研究变量(包括心理社会影响程度或生活满意度)之间的关系。结论:牙少症会对患者进行修复治疗前的功能和社会产生负面影响。修复治疗提高了大多数患者的生活满意度。社会心理结果不能通过少齿症的表现类型来推断。
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