Oral health status and health-related quality of life: a systematic review

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  • Naito Mariko
    Department of Preventive Medicine/Biostatistics and Medical Decision Making, Nagoya University Graduate School of Medicine
  • Yuasa Hidemichi
    Department of Oral and Maxillofacial Surgery, Central Hospital of Tokai Medical Institute
  • Nomura Yoshiaki
    Department of Preventive Dentistry and Public Health, Tsurumi University School of Dental Medicine
  • Nakayama Takeo
    Department of Health Informatics, Kyoto University School of Public Health
  • Hamajima Nobuyuki
    Department of Preventive Medicine/Biostatistics and Medical Decision Making, Nagoya University Graduate School of Medicine
  • Hanada Nobuhiro
    Department of Oral Health, National Institute of Public Health Ministry of Health, Labor and Welfare

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Abstract

This study was conducted in order to identify the literature on oral health status and health-related QOL, review the findings systematically, and assess the association between them. We performed a literature search of reports published between January 1973 and June 2004, using five databases including MEDLINE. Only studies that used validated generic health-related QOL instruments were selected. The reviewers evaluated selected articles independently and resolved disagreements by consensus. A total of 1,726 articles were retrieved and seven were selected for the review; five observational studies and two intervention studies. Four studies showed significant associations between oral health status and health-related QOL. Temporomandibular disorders were highly associated with reduced health-related QOL. Poor oral status linked to both craniomandibular and cervical spinal pain was associated with increased impairment of health-related QOL. Dissatisfaction with the teeth and mouth, and a sensation of dry mouth contributed to reduce health-related QOL. Providing edentulous patients with implant-supported full dentures contributed to improve health-related QOL. Assessment of health-related QOL in relation to oral health with validated instruments remains insufficient. The present findings suggest that oral health status could affect health-related QOL in some settings; however, further evidence is needed to support this interpretation. (J. Oral Sci. 48, 1-7, 2006)

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