INTRODUCTION: Patients after lung transplantation (LuTx) were found to present oral health deficiencies. The investigation of potentially underlying or influencing factors appears to be of clinical relevance. OBJECTIVES: Aim of this study was to evaluate the oral health related quality of life (OHRQoL) in a group of patients after LuTx and compare this to a healthy control group (HC). Furthermore, the influence of dental and periodontal condition, as well as specific factors like immunosuppression, time after LuTx and causal underlying disease should be investigated. METHODS: The OHRQoL was assessed using the German short form of the Oral Health Impact Profile (OHIP G14). Dental examination included the decayed (D-), missing (M-), and filled (F-) teeth index (DMF-T). Periodontal condition was classified based on clinical attachment loss and/or pocket depth as no/mild or moderate/severe periodontitis. STATISTICAL ANALYSIS: Mann-Whitney-U-test, Kruskal-Wallis test (P < .05). RESULTS: A total of 60 patients after LuTx and 70 HC were included. The DMF-T, D-T, and M-T as well as periodontal disease severity was significantly higher in LuTx group (P < .01). The OHIP G14 differed neither clinically relevant, nor statistically significant (LuTx: 1.70 ± 2.70, HC: 1.54 ± 2.86, P = .15). While in HC the DMF-T, M-T, and periodontal condition had an influence on OHIP G14 values (P < .05), in LuTx no influence was detected for dental and periodontal condition as well as specific factors investigated. CONCLUSIONS: The oral health perception of LuTx patients does not reflect the apparent oral health deficiencies. Consequently, sensitization and motivation for an increased dental behavior is needed.
INTRODUCTION:Patients after lung transplantation (LuTx) were found to present oral health deficiencies. The investigation of potentially underlying or influencing factors appears to be of clinical relevance. OBJECTIVES: Aim of this study was to evaluate the oral health related quality of life (OHRQoL) in a group of patients after LuTx and compare this to a healthy control group (HC). Furthermore, the influence of dental and periodontal condition, as well as specific factors like immunosuppression, time after LuTx and causal underlying disease should be investigated. METHODS: The OHRQoL was assessed using the German short form of the Oral Health Impact Profile (OHIP G14). Dental examination included the decayed (D-), missing (M-), and filled (F-) teeth index (DMF-T). Periodontal condition was classified based on clinical attachment loss and/or pocket depth as no/mild or moderate/severe periodontitis. STATISTICAL ANALYSIS: Mann-Whitney-U-test, Kruskal-Wallis test (P < .05). RESULTS: A total of 60 patients after LuTx and 70 HC were included. The DMF-T, D-T, and M-T as well as periodontal disease severity was significantly higher in LuTx group (P < .01). The OHIP G14 differed neither clinically relevant, nor statistically significant (LuTx: 1.70 ± 2.70, HC: 1.54 ± 2.86, P = .15). While in HC the DMF-T, M-T, and periodontal condition had an influence on OHIP G14 values (P < .05), in LuTx no influence was detected for dental and periodontal condition as well as specific factors investigated. CONCLUSIONS: The oral health perception of LuTxpatients does not reflect the apparent oral health deficiencies. Consequently, sensitization and motivation for an increased dental behavior is needed.
Authors: Gerhard Schmalz; Donya Douglas; David Douglas; Susann Patschan; Daniel Patschan; Gerhard A Müller; Rainer Haak; Jan Schmickler; Dirk Ziebolz Journal: Clin Oral Investig Date: 2018-02-07 Impact factor: 3.573
Authors: Dirk Ziebolz; Sylvia Friedrich; Christian Binner; Josephine Rast; Mirjam Eisner; Justus Wagner; Jan Schmickler; Tanja Kottmann; Rainer Haak; Michael A Borger; Sven Lehmann; Andreas Oberbach; Jens Garbade; Gerhard Schmalz Journal: J Clin Med Date: 2020-01-27 Impact factor: 4.241
Authors: Mortimer Gierthmuehlen; Nadja Jarc; Dennis T T Plachta; Claudia Schmoor; Christian Scheiwe; Petra Christine Gierthmuehlen Journal: Acta Neurochir (Wien) Date: 2021-10-19 Impact factor: 2.816
Authors: G Schmalz; M Dietl; R Vasko; G-A Müller; L Rothermund; F Keller; D Ziebolz; F-M Rasche Journal: Med Oral Patol Oral Cir Bucal Date: 2018-11-01