Oral health-related quality of life of removable partial
denture wearers and related factors
S. SHAGHAGHIAN*, M. TAGHVA
†
, J. ABDUO
‡
& R. BAGHERI
§
*Oral Public Health Depart-
ment, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, ,
†
Prosthodontic Department, School of Dentistry, Shiraz University
of Medical Sciences, Shiraz, Iran,
‡
Restorative Department, Melbourne Dental School, Melbourne University, Melbourne, Vic., Australia and
§
Dental Material Department and Biomaterial Research Centre, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
SUMMARY This study aims to investigate the oral
health-related quality of life (OHRQoL) in a group
of removable partial denture (RPD) wearers in
Shiraz (Iran), using the Persian version of the Oral
Health Impact Profile (OHIP-14). Two hundred
removable partial denture wearers had completed
a questionnaire regarding patients’ demographic
characteristics and denture-related factors. In
addition, the OHIP-14 questionnaire was filled out
by interviewing the patients. Two measures of
interpreting the OHIP-14 scales were utilised:
OHIP-14 sum and OHIP-14 prevalence. The
relationship of the patients’ demographic
characteristics and denture-related factors, with
their OHRQoL was investigated. The mean OHIP-
14 sum and OHIP-14 prevalence of RPD wearers
were 13Á80 (Æ10Á08) and 44Á5%, respectively. The
most problematic aspects of OHIP-14 were physical
disability and physical pain. Twenty-seven
percentage and 24% of participants had reported
meal interruption and eating discomfort,
respectively. OHIP-14 prevalence and OHIP-14 sum
were found to be significantly associated with
factors representing RPD wearer’s oral health such
as self-reported oral health and frequency of
denture cleaning. Furthermore, OHIP-14
prevalence and OHIP-14 sum were significantly
associated with factors related to frequency of
denture use such as hours of wearing the denture
during the day and wearing the denture while
eating and sleeping. Therefore, it can be concluded
that the OHRQoL of the patients of the study was
generally not optimal and found to be strongly
associated with oral health.
KEYWORDS: oral health, quality of life, removable,
partial, denture
Accepted for publication 30 July 2014
Introduction
Tooth loss is the outcome of various factors such as
caries, periodontal disease, pulpal pathology, trauma
and oral cancer and may result in chewing difficulties
that affect general health and quality of life (1). Sev-
eral treatment options, such as implant, fixed or
removable prostheses, can be proposed to replace the
missing teeth. Although the interest in dental
implants is continuously growing, many edentulous
patients are still treated by conventional removable
prostheses. The removable partial denture (RPD) is
selected by many partially edentulous patients
because it is conservative in nature, quickly provided
and economical (2).
Like other countries, Iran experienced improvement
in oral health parameters including reduction of eden-
tulous patients’ rate and, consequently, their need for
denture treatment. However, as the population is
growing in Iran, the number of edentulous patients
will increase. It has been estimated that by 2050, the
number of edentulous patients will increase by a fac-
tor of four in comparison with the edentulous
patients number reported in year 1975 (3). Therefore,
© 2014 John Wiley & Sons Ltd doi: 10.1111/joor.12221
Journal of Oral Rehabilitation 2015 42; 40--48
Journal of
Oral Rehabilitation