Introdução: Embora haja estudos sobre a qualidade de vida em pacientes com doença renal crônica (DRC) em relação aos seus impactos psicológicos e comportamentais, a ênfase da qualidade de vida relacionada à saúde bucal (QVRSB) em crianças e adolescentes portadores de DRC não existe na literatura. Por se tratar de uma doença sistêmica com repercussões clínicas bucais significativas, a avaliação do impacto das mesmas sobre a QVRSB se mostra essencial. Objetivo: Nosso objetivo foi avaliar a relação entre saúde bucal e QVRSB de crianças e adolescentes com DRC e comparar ao grupo controle de crianças e adolescentes sem manifestação clínica de DRC (saudáveis). Material e método: Este estudo transversal contou com a participação de 100 crianças e adolescentes com DRC cadastrados no Instituto da Criança (ICr/USP), com idade entre 8-18 anos (média ± desvio padrão = 13,04 ± 2,57), e 100 crianças e adolescentes saudáveis que foram pareados por gênero e idade aos nefropatas e selecionados na Faculdade de Odontologia da Universidade de São Paulo - FOUSP. A Saúde bucal foi caracterizada por meio da avaliação do Índice de sangramento gengival (ISG), Índice de placa (IP), Índice de dentes cariados, perdidos e obturados (CPO-D) e Índice de defeito de desenvolvimento do esmalte dentário (DDE). Para avaliação da QVRSB foi selecionado o instrumento Peds QL® - Escala de Saúde Bucal - relato da criança e adolescente. Resultados: Cada grupo era composto por 67 crianças e adolescentes (67%) do gênero masculino e 33 crianças e adolescentes (33%) do gênero feminino. Nas avaliações bucais observamos que, em geral, a maioria das crianças e adolescentes com DRC apresentaram inflamação gengival moderada a severa (77%), pobre higiene bucal (62%) e DDE (66%) significativamente maiores do que o grupo de crianças e adolescentes saudáveis, inflamação gengival moderada a severa (12%) (p< 0,001),pobre higiene bucal (6%)(p<0,001) e DDE (10%) (p<0,001). No entanto, em relação à experiência da doença cárie o grupo controle apresentou uma maior experiência da doença cárie comparado ao grupo de crianças com DRC (p< 0,001). Quando avaliamos os escores médios entre os dois grupos, observamos que os pacientes do grupo com DRC apresentaram pior percepção da QVRSB (59,25 ± 22,80) do que os pacientes do grupo controle (80,5 ± 16,63). O modelo multivariado mostrou a associação de menor experiência da doença cárie, inflamação gengival independente da intensidade com a QVRSB de crianças e adolescentes com DRC e no grupo controle a associação foi apenas com experiência da doença cárie com a QVRSB. Conclusão: Diante disso, intervenção odontológica precoce em pacientes com DRC deve ser realizada, sempre que possível, com o objetivo de planejar ações que melhorem a saúde bucal desses indivíduos, uma vez que desordens e doenças bucais podem afetar diretamente os aspectos da QVRSB de crianças e adolescentes com DRC. / Introduction: A few number of studies focusing on the quality of life of chronic kidney disease (CKD) individuals concerning psychological and behavioural impacts have been reported in the literature. Nevertheless, there are no studies focusing on the impact of oral health-related quality of life (OHRQoL) of CKD children and adolescents. CKD is a systemic disease that displays significant oral impact. Therefore, it has been essential to evaluate these impacts on the OHRQoL of this population. Aim: Evaluate the relationship between the oral health and OHRQoL of CKD children and adolescents, and compare it to a control group.Material and method: One hundred children and adolescents, aged 8-18 years (mean age ± SD = 13,04 ± 2,57), with definite medical diagnosis of CKD and attending the Children Institute of the Medical School - University of São Paulo (USP), comprised this cross-sectional study. The control group was comprised of 100 clinically healthy individuals attending the Dental School - University of São Paulo. Individuals were age and gender matched. Oral health was characterised by means of the gingival bleeding index (GBI), plaque index (PI), the decayed, missing, and filled teeth (DMFT) index and the developmental enamel defect (DDE) index. All children and adolescents answered the Peds QL® instrument- oral health scale. Results: Each group was composed of 67 male children and adolescents (67%) and 33 female (33%) individuals. Overall, oral health evaluation showed that 77% children and adolescents presented moderate to severe gingival inflammation, poor oral hygiene (62%) and DDE (66%) significantly higher than the control group that presented moderate to severe gingival inflammation (12%) (p< 0.001), poor oral hygiene (6%) (p< 0.001) and DDE (10%) (p<0.001). However, concerning dental caries experience, the control group showed greater values compared to the CKD group (p< 0.001). Evaluation of the mean score values between groups demonstrated that CKD individuals show worse perception of OHRQoL (59.25 ± 22.80) compared to the control group (80.5 ± 16.63). Multivariate analysis showed smaller association among dental caries experience, gingival inflammation (independent on the severity) with the OHRQoL of these individuals. In the control group, the association occurred only for the dental caries experience. Conclusion: Early dental intervention in CKD individuals should always occur, aiming action plans that improve their oral health, once oral manifestations can directly affect the aspects of the OHRQoL of these individuals.

Os objetivos foram: 1) traduzir e adaptar transculturalmente ao idioma português do Brasil a Scale of Oral Health Outcomes for 5-year-old children (SOHO-5); 2) avaliar as propriedades psicométricas (confiabilidade, validade e responsividade) da versão de pais e versão de crianças do SOHO-5; 3) avaliar o impacto da cárie dentária e leões dentárias traumáticas (LDT) na qualidade de vida relacionada à saúde bucal (QVRSB) da criança desde a percepção de pais e filhos; 4) avaliar a concordância entre relatos de pais e filhos sobre à QVRSB da criança. A adaptação transcultural do SOHO-5 foi testada em dois pilotos com 40 crianças de 5 e 6 anos de idade e seus pais. A validade e confiabilidade foram testadas em 193 crianças e pais. Das 193, 154 completaram o SOHO-5 de 7 a 14 dias após o tratamento odontológico da criança para analisar a responsividade. Para este fim eles também responderam julgamentos de transição global sobre a percepção de mudança na saúde bucal após tratamento. As medidas de responsividade incluíram tamanhos de efeito (TE) e médias de respostas padronizadas (MRP). Para avaliação do impacto, 335 pares de crianças e pais completaram o SOHO-5, e as crianças foram examinadas por três examinadores calibrados. A concordância entre relatos foi avaliada em 298 pares mãe-criança e 37 pares pai-criança. Os resultados obtidos indicam que a consistência interna pelo alfa de Cronbach foi de 0,90 e 0,77 para a versão da criança e dos pais, respectivamente. Para a confiabilidade teste-reteste, o Coeficiente de Correlação Intraclasse (CCI) do escore total da versão da criança foi 0,92 e dos pais 0,98. O SOHO-5 mostrou validade de construto e discriminante satisfatória. Em relação à responsividade, houve melhora na saúde bucal após o tratamento em ambas as versões (p<0,001). Houve diferença significativa entre os escores pré- e pós tratamento nos grupos que relataram ter melhorado um pouco e ter melhorado muito (p<0,05). Para ambas as versões, o TE e MRP das médias de escore de mudança para escores totais e para os julgamentos de transição global foram moderados a grandes. O modelo multivariado mostrou associação entre a cárie dentária e a pior QVRSB na criança, de acordo com as crianças e pais, RTR (Razão de Taxa Robusta) (IC 95%) = 6.37 (4,71; 8.62) e 10.81 (7,65; 15.27), respectivamente. A média da diferença direcional para escore total de -1,35 (IC 95% -2,330; -0,372) foi significativamente diferente entre os relatos de pares pai-criança. O CCI para escores totais foi de 0,84 (IC 95% 0,798; 0,867) e 0,67 (IC 95% 0,445; 0,814) entre pares mãe-criança e pai-criança, respectivamente. A versão brasileira do SOHO-5 é confiável, válida e responsiva para crianças de 5 e 6 anos de idade no Brasil. A cárie dentária na criança, mas não as LDT, está associada à pior QVRSB da criança de 5 e 6 anos de idade. As mães avaliaram a QVRSB dos seus filhos de forma similar às crianças, enquanto que os pais a subestimaram. / The aims were: 1) translate and cross-cultural adapt the Scale of Oral Health Outcomes for 5-year-old children (SOHO-5) to the Brazilian Portuguese language; 2) to assess the psychometric properties (reliability, validity and responsiveness) of self- and parental proxy-reports of the SOHO-5; 3) to assess the impact of dental caries and trauma dental injuries (TDI) on childrens oral health-related quality of life (OHRQoL) according to both self- and parental reports; 4) to assess the agreement among parents and children regarding the childs OHRQoL. We tested the cross-cultural adaptation in two pilots with 40 children aged 5- 6-years and their parents. Validity and reliability were tested on 193 children and parents. Of the 193, 154 completed the SOHO-5 7-14 days after the childs dental treatment to assess responsiveness. For this purpose, they also answered global transition judgments on subjects perceptions of change in their oral health following treatment. Measures of responsiveness included standardized effect sizes (ES) and standardized response mean (SRM). To assess the impact, 335 pairs of parents and children completed the SOHO-5 and three calibrated examiners performed the childrens oral examinations. Agreement among reports was assessed in 298 mother-child and 37 father-child pairs. The internal consistency by Cronbach\'s alpha coefficient was 0.90 and 0.77 for the children self- and for parental proxy- reports, respectively. For test-retest reliability, Intraclass Correlation Coefficient (ICC) for total score was 0.92 of of the child version and 0.98 of the parental version. The SOHO-5 showed satisfactory construct and discriminant validity. For responsiveness, there was an improvement of childrens oral health after treatment (p<0.001). There were significant differences in the pre- and post-treatment scores of those who reported improving a little and those who reported improving a lot (p<0.05). For both versions, the ES and SRM based on change scores mean for total scores and for categories of global transitions judgments were moderate to large. The multivariate model showed an association between dental caries and a worse childs OHRQoL, according to children and parents perceptions, (RR (Rate Ratio) (CI95%) = 6.37 (4.71; 8.62) e 10.81 (7.65; 15.27)), respectively. The mean directional difference of the total scores of -1.35 (CI95% -2.330; -0.372) was only significant for the father-child pairs. The ICC for total scores was 0.84 (CI 95% 0.798; 0.867) and 0.67 (CI 95% 0.445; 0.814) among mother-child and father-child pairs, respectively. The Brazilian version of the SOHO-5 is reliable, valid and responsive for 5-6 years-old children in Brazil. Dental caries, but not TDI, is associated with worse OHRQoL in children aged 5-6-years. Mothers do rate their young childrens OHRQoL similarly to childrens self-reports, while fathers tend to underreport.

Objectives: The primary objective was to assess the impact of two denture fabrication techniques, conventional and CAD/CAM, on oral health-related quality of life (OHRQoL) and patient satisfaction in complete denture wearers. The secondary objective was to compare the level of microorganisms present on complete dentures from the two fabrication techniques. Methods: Twenty-eight completely edentulous subjects (16 men and 21 women, age range from 49 to 87 years old.), who had been edentulous for at least 6 months, were wearing ill-fitting complete dentures, or unsatisfied with their existing complete dentures were recruited. Subjects were randomized to conventional and computer-aided design/ computer-aided manufacturing (CAD/CAM) treatment groups. Subjects in both groups were given the OHIP-EDENT (Oral Health Impact Profile for Edentulous Patients) and patient satisfaction questionnaires to record the data at baseline and at 1 month post-delivery of the new prostheses. Plaque samples were collected from intaglio surfaces of maxillary complete dentures at 1 month post-delivery to culture for any colonization of bacteria and/or yeasts. Results: There was a significant reduction in OHIP-EDENT scores within both treatment groups at the 1 month follow-up (p < 0.05). There was also a significant reduction in almost all OHIP-EDENT domains scores at 1 month. Gender was significantly associated with OHIP-EDENT score at baseline (p = 0.0419) and at 1 month (p = 0.0152). Female subjects tend to have higher OHIP-EDENT scores than male subjects. There was no significant difference in patient satisfaction between treatment groups both at baseline and at the 1 month visit for almost all aspects of satisfaction (p> 0.05). Appearance of maxillary denture was the only significant difference in patient satisfaction across treatment groups (p = 0.0213). The comparisons of microbial counts showed no significant difference between treatment groups. Conclusions: There were no significant difference on oral health-related quality of life (OHRQoL) and patient satisfaction between two treatment groups at baseline and 1 month. There was no significant difference in microbial counts between two treatment groups.

L’organisation mondiale de la santé et la fédération dentaire internationale appellent depuis plusieurs décennies les gouvernements à fédérer les actions de prévention des pathologies buccodentaires et des maladies chroniques. L’élaboration des programmes de promotion de la santé doit s’appuyer sur l’identification préalable des besoins des populations. L’objectif de ce travail est de recueillir les éléments nécessaires à la mise en place d’un programme de promotion de la santé buccodentaire en Nouvelle-Calédonie. Dans un premier temps, l’état buccodentaire et les déterminants sociaux, environnementaux et comportementaux qui sont liés à la santé orale ont été évalués dans un échantillon représentatif des enfants de 6 ans, 9 ans et 12 ans scolarisés en Nouvelle-Calédonie. Dans un deuxième temps, les déterminants de santé communs pour les maladies buccodentaires et métaboliques ont été recherchés chez les pré-adolescents de 12 ans, afin de vérifier la pertinence d’une approche préventive ciblée par facteurs de risque commun. De plus, dans le cadre de cette enquête, l’évaluation de la qualité de vie en relation avec la santé orale était nécessaire. Pour cela, le questionnaire Child Oral Health Impact Profile (COHIP) a été validé dans une version française adaptée au contexte néo-calédonien dans le cadre de ce travail. Enfin, en tenant compte des résultats de ces évaluations et des recommandations en promotion de la santé, ce travail propose qu’un programme de promotion de la santé orale soit intégré en complément des programmes de santé déjà existants en Nouvelle-Calédonie. / The World Health Organization and the World Dental Federation are calling for decades governments to unite actions to prevent oral diseases and chronic diseases. Curriculum development of health promotion programs should be based on prior identification of needs. The objective of this work is to gather the information needed to set up a program to promote oral health in New Caledonia. Initially, dental status and the social, environmental and behavioral determinants that are related to oral health were assessed in a representative sample of children aged 6, 9 and 12 years schooled in New Caledonia. Secondly, common determinants for oral and metabolic diseases were investigated in pre-teens, to verify the relevance of targeted preventive approach by common risk factors. In addition, as part of this investigation, the assessment of oral health related quality of life was necessary. For this, the questionnaire Child Oral Health Impact Profile (COHIP) was validated in a suitable French version for New Caledonia as part of this work. Finally, taking into account the results of these evaluations and recommendations for health promotion, this work proposes an oral health promotion program to be integrated with existing programs in New Caledonia.

Made available in DSpace on 2015-05-14T12:56:00Z (GMT). No. of bitstreams: 1 Arquivototal.pdf: 12440507 bytes, checksum: 4c602610a4947af78ebd9048d453e0e8 (MD5) Previous issue date: 2004-09-20 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / This study had two objectives. The main objective was to evaluate the association of the impact of temporomandibular disorders (TMD) on oral health related quality of life to the psychosocial and psychological factors. The specific objective was to validate the Portuguese version of Axis II questionnaire to Research Diagnostic Criteria for TMD (RDC/TMD) as preconized by Dworkin and LeResche at 1992. The sample was compounded by 156 patients, with TMD, who attempted at Orofacial Pain Control Center School of Dentistry of Pernambuco University, from July 2003 to February 2004. Data collection was done by the author using the following instruments: Simplified Anamnesis Index DMF for screening patients with TMD; RDC/TMD Axis I to evaluated clinically and to classify TMD and Axis II to evaluate psychosocial and psychological factors; the specific questionnaires to evaluated oral health related to quality of life, OIDP and OHIP-14. Two different types of studies were conducted: validation study and cross sectional study. The validation study consisted on the evaluation of internal consistence by alpha Crombach reliability test; reliability and reproducibility estimated by Kappa statistics and by Spearman correlation and also concurrent validity (Spearman). For the transversal study, one has used Kruskall Wallis to test OIDP and ANOVA to test OHIP-14. The Portuguese version for Axis II of RDC/TMD was considered consistent (Crombach a=0,72), reliable (Kappa 0,73-0,91; p<0,01) and valid (p<0,01). According to transversal study, among the variables for sample characterization, the impact on oral health related qualify of life was statistical associated to sex and scholarship, this factor exclusively for OHIP-14. On Axis I, using OIDP, the impact was associated to groups I and II, muscle and joint disorders, respectively. While for OHIP-14, only for group I (muscle disorders) the association was detected. On Axis II, psychological factors, as depression and somatization (inespecific organic symptoms with or without pain) and psychosocial factor of disability and pain were statically associated to the impact of oral health related quality of life, according to evaluation with OIDP and OHIP-14. The validity of Axis II of RDC/TMD followed the methodology proposed at the literature and showed reproducbility and validity for brazilian population. Temporomandibular disorders and psychosocial and psychological factors produced an important impact on oral health related quality of life, associated to psychosocial and psychological factors associated and proportional to their intensity. / O presente estudo teve dois objetivos. O objetivo geral foi avaliar a associação entre o impacto da disfunção temporomandibular (DTM) na qualidade de vida relacionada à saúde bucal, e os fatores psicossocial e psicológicos. O objetivo específico foi realizar a validação da versão em português do questionário Eixo II dos Critérios Diagnósticos de Pesquisa em DTM (RDC/TMD), preconizado por Dworkin e LeResche, em 1992. A amostra foi composta por 155 pacientes portadores de DTM que procuraram atendimento no Centro de Controle da Dor Orofacial da Faculdade de Odontologia da Universidade de Pernambuco no período de Julho de 2003 a Fevereiro de 2004. Para a coleta de dados foram utilizados os seguintes instrumentos: Índice Anamnésico Simplificado DMF para a triagem dos pacientes com DTM; RDC/TMD: Eixo I para avaliação clínica e classificação da DTM, e Eixo II para avaliação psicossocial e psicológica e os questionários específicos para avaliação da qualidade de vida relacionada à saúde bucal OIDP e OHIP-14. Foram realizados dois tipos de estudo: estudo de validação e transversal. O estudo de validação constou da avaliação da consistência interna pelo teste de confiabilidade alfa Crombach; confiabilidade e reprodutibilidade, estimada pela estatística Kappa e correlação de Spearman e validação concorrente (Spearman). No estudo transversal, para o OIDP, utilizouse o teste Kruskal-Wallis e para o OHIP-14 o teste ANOVA. Os resultados revelaram que a versão em português Eixo II do RDC/TMD foi considerada consistente (Crombach=0,72); reprodutível (Kappa 0,73-0,91; p<0,01) e válida (p<0,01). No estudo transversal, dentre as variáveis de caracterização amostral, o impacto da qualidade de vida relacionado à saúde bucal foi estatisticamente associado com gênero e escolaridade, sendo este último fator apenas evidenciado quando da utilização do OHIP-14. No Eixo I, usando o OIDP, o impacto teve associação com os grupos I e III, de desordem muscular e articular, respectivamente; com o OHIP-14, teve associação apenas para o grupo I (desordem muscular). No Eixo II, os fatores psicológicos, como depressão e somatização (sintomas físicos não específicos, com e sem itens de dor), e o fator psicossocial de incapacidade e intensidade da dor, foram estatisticamente associados ao impacto da qualidade de vida relacionado à saúde bucal, quando avaliados pelo OIDP e OHIP-14. Conclui-se que a validação do Eixo II do RDC/TMD seguiu metodologia proposta na literatura e mostrou-se reprodutível e válida para a população brasileira. A disfunção temporomandibular e os fatores psicossocial e psicológicos produzem importante impacto nos portadores de DTM, interferindo negativamente na qualidade de vida relacionada à saúde bucal, e este impacto também foi associado ao grau de severidade dos fatores psicossocial e psicológicos.

Bakgrund: För att halitosis ska tas på större allvar och för att de drabbade individerna ska få rätt sorts stöd är det av stor vikt att identifiera samt uppmärksamma halitosis eventuella effekter på livskvaliteten. Syftet: Syftet med studien var att identifiera och sammanställa kunskap kring halitosis eventuella effekter på upplevd livskvalitet med speciellt avseende på oralhälsorelaterad livskvalitet, social ångest och sociala relationer. Metod:Examensarbetet är en allmän litteraturstudie där systematiska och manuella sökningar användes för att finna artiklar. Resultat: Studiens resultat är baserat på 17 vetenskapliga originalartiklar. Gemensamt visar artiklarna en negativ korrelation mellan halitosis och oralhälsorelaterad livskvalitet, halitosis och social ångest eller halitosis och sociala relationer. Majoriteten av artiklarna visar att individer med halitosis anpassar sina sociala liv efter symptomet. Slutsats: Halitosis kan konstateras vara mer än bara dålig andedräkt. Genom att bland annat ha en negativ påverkan på en individs självförtroende kan halitosis leda till psykisk ohälsa i form av social ångest, försvårade sociala relationer och försämrad oral hälsorelaterad livskvalitet vilket kan påverka livskvaliteten. Det är därför av stor vikt att tandvårdspersonal beaktar den orala hälsan ur ett bredare perspektiv där halitosis kan uppmärksammas. / Background: In order for halitosis to be taken more seriously and for the affected individuals to receive the right kind of support, it is important to identify and pay attention to halitosis's possible effects on the quality of life. Aim:The aim of the study was to identify and compile knowledge about halitosis possible impact on perceived quality of life particulary regarding oral health related quality of life, social anxiety and social relationships. Method: The study was a general literature study where systematic and manual searches, in three different databases, were used to find articles. The selection of articles where made in three steps. Results: The study results is based on 17 scientific original articles. The articles mutually show a negative correlation between halitosis and oral health-related quality of life, halitosis and social anxiety or halitosis and social relationships. Conclusion:By affecting an individual's self- esteem, halitosis can lead to psychological distress in terms of social anxiety, impaired social relationships and impaired oral health related quality of life, which can affect the general quality of life. It is therefore at the utmost importance that dental professionals take oral health into account from a broader perspective where halitosis can be noted.

Title: System to support decission making in dental implantology - quality of life of patients with dental implants Author: MUDr. Pavel Kříž Department: Paediatric Stomatology of 2nd Medical School and Faculty Hospital Motol, V Úvalu 84, 150 06 Prague 5 Supervisor: Prof. MUDr. Taťjana Dostálová, DrSc., MBA Supervisor's e-mail: tatjana.dostalova@fnmotol.cz Dental implants are the method of choice in the treatment of missing tooth/teeth replacement. Implant therapy must be preceded by a detailed examination and the overall treatment plan. As an aid for decision-making for dentists was created decision-making scheme, which gradually, logically and schematically guides the dentists in this particular situation. Health is closely related to the quality of life. Our work evaluates the oral health-related quality of life (OHRQoL) of patients with dental implants. The aim of our study was to determine whether treatment with a dental implant(s) improve(s) OHRQoL. We created a questionnaire to determine the quality of life before and after implantation. In our study, we evaluated only patients who were treated by the only one implantological system to eliminate the influence of other systems on the quality of the results of the study; we evaluated a total of 297 implants. It was assessed a total of 97...

Philosophiae Doctor - PhD / Validation of the OHIP-14 for a South African adult population using CFA resulted in a 12-item scale (OHIP-12) with excellent reliability (α =0.94), but the structural pathway varied across the socio-economic groups. The prevalence of oral pain was 19.4%, and varied significantly only across area-level SEP. Cost of care over the six months was estimated at about one billion Rand. Of those residing in the lowest SEP areas, 20.8% reported that they “did nothing” to relieve their last pain episode. Oral pain resulted in an average of two days lost per person from work/school over a six months period. The prevalence of OHIP was 16.2%. Those who had never visited a dental clinic had significantly better OHRQoL and less pain experience compared to those who previously visited a dental clinic. Both individual-level and area-level SEP were associated with OHRQoL in the bi-variate analysis, but these effects did not remain significant in multivariable-adjusted analysis. In particular, the respondents‟ race completely attenuated the effect of individual-level SEP on OHRQoL, while the experience of oral pain in the past six months completely attenuated the effect of area-level SEP on OHRQoL. Both absolute and relative inequality in oral health among the South African adult population was greater in the highest SEP areas than in the areas of lowest SEP

Title: System to support decission making in dental implantology - quality of life of patients with dental implants Author: MUDr. Pavel Kříž Department: Paediatric Stomatology of 2nd Medical School and Faculty Hospital Motol, V Úvalu 84, 150 06 Prague 5 Supervisor: Prof. MUDr. Taťjana Dostálová, DrSc., MBA Supervisor's e-mail: tatjana.dostalova@fnmotol.cz Dental implants are the method of choice in the treatment of missing tooth/teeth replacement. Implant therapy must be preceded by a detailed examination and the overall treatment plan. As an aid for decision-making for dentists was created decision-making scheme, which gradually, logically and schematically guides the dentists in this particular situation. Health is closely related to the quality of life. Our work evaluates the oral health-related quality of life (OHRQoL) of patients with dental implants. The aim of our study was to determine whether treatment with a dental implant(s) improve(s) OHRQoL. We created a questionnaire to determine the quality of life before and after implantation. In our study, we evaluated only patients who were treated by the only one implantological system to eliminate the influence of other systems on the quality of the results of the study; we evaluated a total of 297 implants. It was assessed a total of 97...

Syfte: Syftet med studien är att undersöka sambandet mellan socioekonomiska faktorer, oral hälsa och oral hälsorelaterad livskvalitet. Material och metod: Det gjordes en systematisk litteratursökning som gav totalt 454 träffar varav 24 artiklar var relevanta. Artiklarna granskades efter relevans och kvalitet och inkluderades därefter i studien. Resultat: Socioekonomiska faktorerna inkomst, utbildning, yrke, social status, kön och etnicitet var associerade med oral hälsa, dock var inkomst och utbildning det som var mest korrelerat med oral hälsa. Sämre oral status kunde verifieras med klinisk undersökning som oftast undersökte antal tänder, karies och parodontit, vilket antogs kunna påverka oral hälsorelaterad livskvalitet. Detta tillsammans med patientens självskattade orala hälsa formar patientens egentliga orala hälsa ur ett biomedicinskt och biopsykosocialt perspektiv. Slutsats: Denna studie har beskrivit sambanden mellan oral hälsorelaterad livskvalitet, socioekonomiska faktorer och oralt hälsostatus. De socioekonomiska faktorer som har mest påverkan på oral hälsa är inkomst och utbildning för alla ålderskategorier. / Purpose: The purpose of this study is to examine the relationship between socio-economic factors, oral health and oral health-related quality of life. Material and methods: A systematic literature search yielded a total of 454 hits of which 24 articles were relevant. The articles were reviewed for relevance and quality before inclusion in the study. Results: Socio-economic factors such as income, education, occupation, social status, gender and ethnicity were associated with oral health status. However, income and education were strongly correlated with oral health status. Poorer oral health status such as fewer number of teeth, dental caries and periodontal disease could affect the oral health-related quality of life. This, together with the patient's self-rated oral health mold the patient's actual oral health from both a biomedical and biopsychosocial perspective. Conclusions: This study described links between oral health-related quality of life, socioeconomic factors and oral health status. The socio-economic factors that have the most impact on oral health in all age categories are income and education.