Comparison of oral health-related quality of life among patients with osteoporosis and healthy individuals

authors:

avatar hodis ehsani , avatar Maede Salehi ORCID , avatar Jamshid Yazdani Charati ORCID , avatar Fatemeh Niksolat , avatar Amir Soltantouyeh , avatar Mehdi Aryana , avatar Tahere Molania ORCID , *

Koomesh: Vol.24, issue 4; 469-476
article type: issue_documents_importer
received: April 02, 2021
accepted: January 01, 2022

how to cite: ehsani H, Salehi M, Yazdani Charati J, Niksolat F, Soltantouyeh A, et al. Comparison of oral health-related quality of life among patients with osteoporosis and healthy individuals. koomesh. 2024;24(4):e152755. 

Abstract

Introduction: Osteoporosis is the most common chronic metabolic bone disease associated with decreased bone mass and structural disorders. Complications of osteoporosis affect the quality of life by affecting the psychological and physical dimensions of life. Osteoporosis can affect the oral health of middle-aged and older people. This study compared the oral health-related quality of life (OHIP) in patients with osteoporosis with healthy individuals. Materials and Methods: In this descriptive comparative study, demographic information and questions related to medication and years of being affected as well as xerostomia and oral health-related quality of life (OHIP-14) questionnaires were asked in case and control groups (each group including 70 people). Oral health indicators including gingival index (GI), plaque index (PI), sulcus bleeding index (SBI), and DMFT were assessed on Ramfjord teeth of patients. Results: There was a statistically significant relationship between OHIP, PI, GI, SBI, DMFT, and xerostomia between the group with osteoporosis and healthy individuals (P

References

  • 1.

    Cortet B, Blotman F, Debiais F, Huas D, Mercier F, Rousseaux C, et al. Management of osteoporosis and associated quality of life in post menopausal women. BMC Musculoskelet Disord 2011; 12: 1-12.https://doi.org/10.1186/1471-2474-12-7PMid:21226917 PMCid:PMC3034724.

  • 2.

    Rachner TD, Khosla S, Hofbauer LC. Osteoporosis: now and the future. The Lancet 2011; 377: 1276-1287.https://doi.org/10.1016/S0140-6736(10)62349-5.

  • 3.

    Ferreira RV, Roizenblatt S, Szejnfeld VL. Dentists' knowledge about osteoporosis and their ability to identify the disease. Adv Rheumatol 2021; 61: 1-7.https://doi.org/10.1186/s42358-021-00206-3PMid:34372946.

  • 4.

    Cosman F, de Beur SJ, LeBoff M, Lewiecki E, Tanner B, Randall S, et al. Clinician's guide to prevention and treatment of osteoporosis. Osteoporos Int 2014; 25: 2359-2381.https://doi.org/10.1007/s00198-014-2794-2PMid:25182228 PMCid:PMC4176573.

  • 5.

    Burge R, DawsonHughes B, Solomon DH, Wong JB, King A, Tosteson A. Incidence and economic burden of osteoporosisrelated fractures in the United States, 2005-2025. J Bone Miner Res 2007; 22: 465-475.https://doi.org/10.1359/jbmr.061113PMid:17144789.

  • 6.

    Heshmati H, Behnampour N, Haji-Ebrahimi MH, Charkazi A, Asadi Z, Dehnadi A. Elderly hygiene status in rural areas of Golestan Province in Iran. Iran J Agein 2012; 7: 25-33. (Persian).

  • 7.

    Li SS, He SH, Xie PY, Li W, Zhang XX, Li TF, et al. Recent progresses in the treatment of osteoporosis. Front Pharmacol 2021; 12.https://doi.org/10.3389/fphar.2021.717065PMid:34366868 PMCid:PMC8339209.

  • 8.

    Lorentzon M, Johansson H, Harvey N, Liu E, Vandenput L, McCloskey E, et al. Osteoporosis and fractures in women: the burden of disease. Climacteric 2021; 1-7.https://doi.org/10.1080/13697137.2021.1951206PMid:34319208.

  • 9.

    Foundation NO. Osteoporosis: review of the evidence for prevention, diagnosis and treatment and cost-effective analysis. Osteoporos Int 1998; 8: S7-S80.https://doi.org/10.1007/PL00022721.

  • 10.

    Cotts KG, Cifu AS. Treatment of osteoporosis. JAMA 2018; 319: 1040-1041.https://doi.org/10.1001/jama.2017.21995PMid:29536084.

  • 11.

    Shirazi Khah M, Mousavi M, Sahaf R. Study of Health and social indicators of elderly women in Iran. Iran J Agein 2012; 6: 66-78. (Persian).

  • 12.

    Bagheri P, Haghdoost A, Dortaj RE, Halimi L, Vafaei Z, Farhangnia M, et al. Ultra analysis of prevalence of osteoporosis in iranian women. 2011. (Persian).

  • 13.

    Agha-Hosseini F, Mirzaii-Dizgah I, Moosavi MS. Relationship of lumbar spine bone mineral density and oral dryness feeling in menopause. Menopause 2011; 18: 625-628.https://doi.org/10.1097/gme.0b013e31820285b2PMid:21358351.

  • 14.

    Marya C, Dhingra C. Effect of osteoporosis on oral health. Arch Med 2015; 8: 1-8.

  • 15.

    Nourelahi M, Ghorbani R, Kameli S, Ghabel F, Mirkamali H, Sahraniush E. Periodontal disease and some related factors in the Iranian population. Koomesh 2018; 20: 713-718. (Persian).

  • 16.

    Sagalla N, Lee R, Sloane R, Lyles K, ColnEmeric C. Factors associated with adherence to osteoporosis medications among male Veterans. JBMR Plus 2020.https://doi.org/10.1002/jbm4.10498PMid:34368605 PMCid:PMC8328795.

  • 17.

    Johnell O, Kanis J. Epidemiology of osteoporotic fractures. Osteoporos Int 2005; 16: S3-S7.https://doi.org/10.1007/s00198-004-1702-6PMid:15365697.

  • 18.

    Dorner T, Weichselbaum E, Lawrence K, Stein KV, Rieder A. Austrian osteoporosis report: epidemiology, lifestyle factors, public health strategies. Wien Med Wochenschr 2009; 159: 221-229.https://doi.org/10.1007/s10354-009-0649-9PMid:19484204.

  • 19.

    Morgan SL. Calcium and vitamin D in osteoporosis. Rheum Dis Clin North Am 2001; 27: 101-130.https://doi.org/10.1016/S0889-857X(05)70189-7.

  • 20.

    Fayers PM, Machin D. Quality of life: the assessment, analysis and interpretation of patient-reported outcomes: John Wiley & Sons; 2013.

  • 21.

    Fallah Mehrabadi E, Pakgohar M, Asadi S, Haghani H. Lifestyle of elderly people with osteoporosis and its related factors. Iran J Agein 2017; 12: 132-145. (Persian).https://doi.org/10.21859/sija-1202132.

  • 22.

    Jabarifar SE, Birjandi N, Khadem P, Farsam T, Falinezhad F, Moshref-Javadi F. Relationship between quality of life and oral health in 18-45 year-old subjects referring to Khorasgan School of Dentistry in 2010-2011. J Isfahan Dent Sch 2012; 8: 68-74. (Persian).

  • 23.

    General USPHSOotS, Dental NIo, Research C. Oral health in America: a report of the Surgeon General: US Public Health Service, Department of Health and Human Services; 2000.

  • 24.

    Bennadi D, Reddy C. Oral health related quality of life. J Int Soc Prev Commun Dent 2013; 3: 1.https://doi.org/10.4103/2231-0762.115700PMid:24478972 PMCid:PMC3894098.

  • 25.

    Mohammadbeigi A, Hassanzadeh J, Mohammadsalehi N, Nasimi B, Ranjbar-Omrani G. Impacts of osteoporosis on quality of life in elderly women. Chronic Dis J 2013; 1: 13-17.

  • 26.

    Ma L, Li Y, Wang J, Zhu H, Yang W, Cao R, et al. Quality of life is related to social support in elderly osteoporosis patients in a Chinese population. PloS One 2015; 10: e0127849.https://doi.org/10.1371/journal.pone.0127849PMid:26061550 PMCid:PMC4465171.

  • 27.

    Motallebnezhad M, Moosavi S, KHafri S, Baharvand M, Yarmand F, CHangiz S. Evaluation of mental health and oral health related quality of life in patients with oral lichen planus. Res Dent Sci 2014; 10: 252-259.

  • 28.

    Motallebnejad M, Hadian H, Mehdizadeh S, Hajiahmadi M. Validity and reliability of the Persian version of the oral health impact profile (OHIP)-14. Caspian J Int Med 2011; 2: 314.

  • 29.

    Van der Weijden G, Timmerman M, Nijboer A, Reijerse E, Van der Velden U. Comparison of different approaches to assess bleeding on probing as indicators of gingivitis. J Clin Oeriodontol 1994; 21: 589-594.https://doi.org/10.1111/j.1600-051X.1994.tb00748.xPMid:7806674.

  • 30.

    Nikbin A, Bayani M, Jenabian N, Motallebnejad M. Oral health-related quality of life in diabetic patients: comparison of the Persian version of Geriatric oral health assessment index and oral health impact profile: A descriptive-analytic study. J Diabetes Metab Disord 2014; 13: 1-10.https://doi.org/10.1186/2251-6581-13-32PMid:24495383 PMCid:PMC4015305.

  • 31.

    Badia X, Dez-Prez A, Alvarez-Sanz C, Daz-Lpez B, Diaz-Curiel M, Guilln F, et al. Measuring quality of life in women with vertebral fractures due to osteoporosis: a comparison of the OQLQ and QUALEFFO. Qual Life Res 2001; 10: 307-317.https://doi.org/10.1023/A:1012200508847PMid:11763244.

  • 32.

    Tosteson A, Gabriel S, Grove M, Moncur M, Kneeland T, Melton Iii L. Impact of hip and vertebral fractures on quality-adjusted life years. Osteoporos Int 2001; 12: 1042-1049.https://doi.org/10.1007/s001980170015PMid:11846331.

  • 33.

    Bianchi ML, Orsini MR, Saraifoger S, Ortolani S, Radaelli G, Betti S. Quality of life in post-menopausal osteoporosis. Health Qual Life Outcomes 2005; 3: 1-7.https://doi.org/10.1186/1477-7525-3-1https://doi.org/10.1186/1477-7525-3-78PMid:16321148 PMCid:PMC1325273.

  • 34.

    Lips P, Cooper C, Agnusdei D, Caulin F, Egger P, Johnell O, et al. Quality of life in patients with vertebral fractures: validation of the quality of life questionnaire of the European Foundation for Osteoporosis (QUALEFFO). Osteoporos Int 1999; 10: 150-160.https://doi.org/10.1007/s001980050210PMid:10501796.

  • 35.

    Madarina A, Kusdhany LS, Mahiddin FG. Mandibular bone osteoporosis and oral health-related quality of life in the elderly. J Int Dent Med Res 2017; 10: 423-428.

  • 36.

    NicopoulouKarayianni K, Tzoutzoukos P, Mitsea A, Karayiannis A, Tsiklakis K, Jacobs R, et al. Tooth loss and osteoporosis: the OSTEODENT Study. J Clin Periodontol 2009; 36: 190-197.https://doi.org/10.1111/j.1600-051X.2008.01365.xPMid:19236531.

  • 37.

    Haas AN, Rsing CK, Oppermann RV, Albandar JM, Susin C. Association among menopause, hormone replacement therapy, and periodontal attachment loss in southern Brazilian women. J Periodontol 2009; 80: 1380-1387.https://doi.org/10.1902/jop.2009.090082PMid:19722786.

  • 38.

    Haghighati F, Nasri A. A comparative study of relationship between osteoporosis and periodontal disease. J Dent Med 2007; 20: 239-244.

  • 39.

    Puranik M, Shrivastava A. Association between osteoporosis and periodontal disease among postmenopausal Indian women. J Invest Clin Dentist 2016; 8.https://doi.org/10.1111/jicd.12223PMid:27339765.

  • 40.

    Kusdhany LS, Sundjaja Y, Fardaniah S, Ismail RI. Oral health related quality of life in Indonesian middle-aged and elderly women. Med J Indonesia 2011; 20: 62-65.https://doi.org/10.13181/mji.v20i1.430.

  • 41.

    Passos-Soares JdS, Vianna MIP, Gomes-Filho IS, Cruz SS, Barreto ML, Adan LF, et al. Association between osteoporosis treatment and severe periodontitis in postmenopausal women. Menopause 2017; 24: 789-795.https://doi.org/10.1097/GME.0000000000000830PMid:28225430.

  • 42.

    WactawskiWende J, Hausmann E, Hovey K, Trevisan M, Grossi S, Genco RJ. The association between osteoporosis and alveolar crestal height in postmenopausal women. J Periodontol 2005; 76: 2116-2124.https://doi.org/10.1902/jop.2005.76.11-S.2116.

  • 43.

    Brennan-Calanan R, Genco R, Wilding G, Hovey K, Trevisan M, Wactawski-Wende J. Osteoporosis and oral infection: independent risk factors for oral bone loss. J Dent Res 2008; 87: 323-327.https://doi.org/10.1177/154405910808700403PMid:18362312.

  • 44.

    Renvert S, Berglund J, Persson RE, Persson GR. Osteoporosis and periodontitis in older subjects participating in the Swedish National Survey on Aging and Care (SNAC-Blekinge). Acta Odontol Scand 2011; 69: 201-207.https://doi.org/10.3109/00016357.2010.549501PMid:21254955.

  • 45.

    Inagaki K, Kurosu Y, Yoshinari N, Noguchi T, Krall E, Garcia R. Efficacy of periodontal disease and tooth loss to screen for low bone mineral density in Japanese women. Calcif Tissue Int 2005; 77: 9-14.https://doi.org/10.1007/s00223-004-0275-xPMid:16007480.

  • 46.

    Weyant RJ, Pearlstein ME, Churak AP, Forrest K, Famili P, Cauley JA. The association between osteopenia and periodontal attachment loss in older women. J Periodontol 1999; 70: 982-991.https://doi.org/10.1902/jop.1999.70.9.982PMid:10505800.

  • 47.

    WactawskiWende J. Periodontal diseases and osteoporosis: association and mechanisms. Annal Periodontol 2001; 6: 197-208.https://doi.org/10.1902/annals.2001.6.1.197PMid:11887465.

  • 48.

    Arbabi-Kalati F, Mohammadi A, Ghaemi Hesaroeeh S. Assessment the relationship between osteoporosis and oral dryness in postmenopausal women. J Mashhad Dent Sch 2015; 39: 117-122. (Persian).

  • 49.

    Murjan J. Investigating the relationship between osteoporosis, tooth loss and dry mouth in women referring to the bone densitometry center of the city of Fasa: case-control study. J Fasa Univ Med Sci 2017; 7: 337-343. (Persian).