2020 年 64 巻 4 号 p. 397-400
Purpose: The purpose of this study was to evaluate the effect of oral rehabilitation (maxillofacial prosthetic intervention and oral hygiene instruction) on oral health-related Quality of Life (OHRQoL) and oral
hygiene condition in patients with maxillofacial defects and to explore the correlation between them in
these patients.
Methods: Twenty-five patients with maxillofacial defects who had been treated since April 2016 to March
2018 were included in this study. The scores of the Oral Health Impact Profile (OHIP) and O’Leary’s Plaque
Control Record (PCR) were also identified as the scores of OHRQoL and oral hygiene condition, respectively. Statistical analyses were performed to compare between the scores of “pre” and “post” prosthetic
treatment and to evaluate patient-related factors influencing these variables (age, the number of residual
teeth and occlusal supports, and occlusal units (OUs)). The effect of combined chemo-radiotherapy (CRT)
on each score was also assessed statistically. Furthermore, the correlation of OHIP and PCR scores was
explored statistically.
Results: Both oral rehabilitations could significantly improve OHIP and PCR scores. Significant correlations
of the change of OHIP scores with age and OUs were detected. CRT had no significant effect on OHIP and
PCR scores. No correlations between OHIP and PCR were observed.
Conclusions: Although oral rehabilitation such as maxillofacial prosthetic treatment and oral hygiene instruction would be highly effective for improvement of OHRQoL and oral hygiene condition in patients
with maxillofacial defects, there was no correlation between them.
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