Med Oral Patol Oral Cir Bucal. 2019 May 1;24 (3):e392-7. Oral health in chronic liver disease
e392
Journal section: Medically compromised patients in Dentistry
Publication Types: Research
Quality of life, work ability and oral health
among patients with chronic liver diseases
Inácio Aguiar
1
, Liliane Lins-Kusterer
2
, Larissa-Souza-Santos Lins
3
, Raymundo Paraná
4
, Jorge Bastos
4
,
Fernando-Martins Carvalho
5
1
Odontólogo, Mestre em Medicina e Saúde, Universidade Federal da Bahia, Salvador, Bahia, Brasil
2
Associate Professor, Doutora em Patologia Humana, Departmento de Medicina Preventiva e Social, Universidade Federal da
Bahia, Salvador, Bahia, Brasil
3
Estudante de Odontologia, Escola de Odontologia, Universidade Federal da Bahia, Salvador, Bahia, Brasil
4
Professor Titular, Departmento de Medicina, Universidade Federal da Bahia, Salvador, Bahia, Brasil
5
Professor Titular, Departmento de Medicina Preventiva e Social, Universidade Federal da Bahia, Salvador, Bahia, Brasil
Correspondence:
Praça XV de Novembro
Largo do Terreiro de Jesus s/n
CEP 400260-10 Salvador, Bahia Brasil,
liliane.lins@ufba.br
Received: 04/12/2018
Accepted: 04/02/2019
Abstract
Background: This study aimed to explore the associations between health-related quality of life and work ability
with the oral health status of patients with chronic liver disease.
Material and Methods: A cross-sectional study included 150 patients with chronic liver disease, consecutively
seen at University Hospital, Salvador, Brazil. Oral health was evaluated by the Decayed, Missing, and Filled Teeth
(DMFT) index and by the presence of gingivitis and periodontitis. Salivary fow was “reduced” when <1.0 mL/
min. Health-related quality of life was evaluated by using the 36-Item Short Form Health Survey questionnaire
(SF-36); work ability was evaluated by the Work Ability Index questionnaire.
Results: All health-related quality of life indicators were systematically lower among the 99 patients with reduced
salivary fow than among the 51 patients with normal salivary fow. Physical Functioning, Role-Physical, and
Physical Component Summary scores were strongly correlated (P < 0.005 or less) with the number of Missing
Teeth and with DMFT index. Reduced salivary fow was associated (P < 0.05) with poor work ability. Patients
with poor or moderate work ability presented higher (P < 0.001) means of the DMFT index than those with good
or excellent work ability.
Conclusions: Patients with chronic liver disease who present poor oral health presented low health-related quality
of life and poor work ability. These fndings reinforce the need of these patients for specialized stomatological
care.
Key words: Xerostomia, dental health surveys, hepatitis, alcoholic liver disease.
doi:10.4317/medoral.22918
http://dx.doi.org/doi:10.4317/medoral.22918
Aguiar I, Lins-Kusterer L, Lins LSS, Paraná R, Bastos J, Carvalho FM.
Quality of life, work ability and oral health among patients with chronic
liver diseases. Med Oral Patol Oral Cir Bucal. 2019 May 1;24 (3):e392-7.
http://www.medicinaoral.com/medoralfree01/v24i3/medoralv24i3p392.pdf
Article Number: 22918 http://www.medicinaoral.com/
© Medicina Oral S. L. C.I.F. B 96689336 - pISSN 1698-4447 - eISSN: 1698-6946
eMail: medicina@medicinaoral.com
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