University of Khartoum

Quality of Life of Patients Wearing Maxillary Obturators

Quality of Life of Patients Wearing Maxillary Obturators

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Title: Quality of Life of Patients Wearing Maxillary Obturators
Author: Ali, Marwa Mohammed EL-Ameen Ibrahim
Abstract: Background: Maxillary defects predispose the patient to hypernasal speech, fluid leakage into the nasal cavity, impaired masticatory function and cosmetic deformity.The maxillofacial –prosthodontist aids significantly in improving quality of life for the affected patients by restoring masticatory function (deglutition & speech) and achieve normal oro-facial appearance. The aim of this study was to assess the quality of life (QoL) of patients with maxillary defects (acquired/congenital) wearing obturators. Methods: This was a descriptive cross sectional study of 30 patients aged between 16 and 78 years, who attended the prosthodontic clinic, Faculty of Dentistry and Khartoum dental teaching hospital, University of Khartoum, Sudan. Interviews were conducted to collect information pertaining to patients’; sociodemographics, self-reported functioning of obturator using Obturator Functioning Scale (OFS) , self evaluation of general health using Visual Analogue Scale (VAS),radiotherapy treatment, salivary gland removal, reconstructive surgery, neck dissection and length of time obturators were worn. Clinical examination included type of maxillectomy,Aramany classification of the defect, and evaluation of obturator function using the Kapur retention and stability scoring system. Result: Quality of life was affected significantly by marital status (p-value=0.026). Married patients had better quality of life 61.3% , followed by divorced patients 38.8%, widowed 37.3% and the least QoL was detected in single patients 36.5% .Significant association between the type of maxillectomy and QoL was detected( p-value=0.002). Retention of obturator prosthesis had a highly significant association with QoL in the present study, 60% of the patients had obturators with good retention (p-value=0.000). Type of maxillectomy had a significant relation with obturater retention (p-value =0.005), partial maxillectomy patients had the best retention, followed by hemimaxillectomy patients then subtotal maxillectomy patients. Stability had a significant correlation with QoL (p-value =0.022). Obturator wearer who were treated with radiotherapy had lower QoL 35.27% than those who were not treated with radiotherapy. Conclusion: Rehabilitation of patients with maxillary defects using obturator prosthesis is an appropriate and not invasive treatment modality. Results support that good obturators contribute to a better life quality.
Description: 84 Pages
URI: http://khartoumspace.uofk.edu/handle/123456789/20055
Date: 2016-03-24


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