Page 72 - FINAL COMPENDIUM 2020-2021 27.2.2022

ORAL HEALTH RELATED QUALITY OF LIFE AFTER TREATMENT IN MAXILLOFACIAL
TRAUMA PATIENTS

Soh CL, Tan PG, Norasyikin MN
Objective: The aim of this study is to assess the impact of oral and maxillofacial fractures
and treatment on the quality of life (QoL) of patients referred to an Oral and Maxillofacial
Surgery Department in Malaysia. Materials and methods: This study involved 40
maxillofacial trauma patients who received treatment at a tertiary care centre in Malaysia.
Oral health related QoL was measured using a translated and validated Malaysian short
version of the Oral Health Impact Profile questionnaire; also known as S-OHIP. It is a self-
administered questionnaire which covers 7 domains: Functional limitation, physical pain,
psychological discomfort, physical disability, psychological disability, social disability and
handicap. Patients answered the questionnaire at 3 different timings: Pre-treatment, 1
month post-treatment and 3 months post treatment. Data were analysed using
independent T-test, one way ANOVA and repeated measures ANOVA. Higher S-OHIP(M)
scores indicates poorer oral health related QoL. Results: Preoperative QoL scores were
the highest (19.25 +/- 10.33) with improvement at one month post-treatment (13.23 +/-
8.51) and three months post-treatment (9.90 +/- 8.11). Lower S-OHIP(M) scores, were
seen at 1 month and 3 months post-treatment, regardless of fracture sustained and
treatment received. All OHIP domains showed statistically significant improvement
(p<0.05). Conclusion: Significant improvement in QoL from preoperative period to 3
months post operation was seen. Patients showed significant improvement in all OHIP
domains. Development of a QoL tool specific to maxillofacial trauma patients can be
considered in view of the lack of representation of symptoms within existing tools.

Published in J Oral Maxillofac Surg Med Pathol 2021(33): 267-271
Soh Chen Loong
Tan Peh Ge
Department of Oral and Maxillofacial Surgery
Hospital Tengku Ampuan Afzan
Kuantan, Pahang

Norasyikin Mohd Nor
Department of Oral and Maxillofacial Surgery
Hospital Ampang
Ampang Jaya, Selangor

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