Comparison of oral-health-related quality of life in patients in the short- and long-term period following lower-facial injury and fractures – preliminary report

摘要

Abstract Background . Post-traumatic craniofacial injuries associated with bone fractures lead to serious morphological, functional and aesthetic complications which may negatively affect the physical and mental condition of the patient throughout the recovery period. Objectives . The aim of this study was the evaluation of complaints and well-being in patients during the shortand long-term period following injury to the lower face, as well as an assessment of the effects of age and sex in the examined parameters. Material and Methods . The research group included 42 patients with injury to the lower face. The patients’ well-being and the most common functional problems following treatment were assessed using Oral Health Impact Profile-14 (OHIP-14). Statistical analyses were performed using the Mann-Whitney U test and Spearman’s rank correlation coefficient, with significance level assumed at p < 0.05. Results . A period of 8 months following injury of the lower face was sufficient for the patients to achieve significant improvement in the quality of life. Improvement in well-being, according to OHIP-14, by approx. 11.9 points ±11.7 points, was highly significant (p < 0.001). The most frequent complaints included pain in the maxillofacial area, difficulties with consumption of food and dissatisfaction due to the necessary change of diet. The factors of age (p = 0.2839) and sex (p = 0.6047) did not significantly affect improvement in well-being. Conclusion . During both the shortand long-term period following injury of the lower face, the most frequent complaints included pain in the maxillofacial region, problems with eating food and dissatisfaction due to change in diet. The study has shown that during the period of 8 months after the injury, there was a significant improvement in the quality of life assessed with OHIP-14. Age and gender do not significantly affect the quality of life after injury to the lower face.