Advertisement

Journal of Maxillofacial and Oral Surgery

, Volume 18, Issue 2, pp 260–265 | Cite as

Impact of Oral Submucous Fibrosis on Quality of Life: A Cross-Sectional Study

  • Kirti Chaudhry
  • Rishi Bali
  • Arun Kumar PatnanaEmail author
  • Sukhvinder Bindra
  • Gaurav Jain
  • Prem Prakash Sharma
Original Article

Abstract

Background

Oral submucous fibrosis (OSMF) is a chronic disease of the oral cavity which presents clinically with burning sensation, leathery consistency of oral mucosa with palpable fibrous bands leading to reduced mouth opening. Though the evaluation of quality of life (QOL) in health care is gaining importance, researches regarding the evaluation of QOL in OSMF individuals are very sparse.

Aim

The aim of the present study is to evaluate the QOL assessment in OSMF patients through WHOQOL-BREF questionnaire.

Methodology

The study includes a total of 300 participants recruited from the outpatient department. The quality of life was assessed using the WHOQOL-BREF questionnaire. The raw scores for the physical health, psychological health, social relationships and environmental health domains were done on 4–20 scale suggested by the WHOQOL procedural manual. The analysis of variance (ANOVA) was used for the simultaneous comparison of mean scores for the four domains, and independent t test was used for the comparison of two means of domain scores.

Results

The participants with OSMF have a significant negative impact on the quality of life when compared with the participants without OSMF (P = 0.002). The environmental factors in the WHOQOL-BREF have shown a significant difference in the QOL of participants with OSMF than without OSMF (P = 0.001).

Conclusion

The oral submucous fibrosis has a negative impact on the quality of life in participants with OSMF specifically in social and environmental domains of the WHOQOL-BREF questionnaire.

Keywords

Oral submucous fibrosis Quality of life WHOQOL-BREF Oral premalignant condition Environmental health 

References

  1. 1.
    Ranganathan K, Devi MU, Joshua E et al (2004) Oral submucous fibrosis: a case control study in Chennai, South India. J Oral Pathol Med 33:274–277.  https://doi.org/10.1111/j.0904-2512.2004.00116.x CrossRefGoogle Scholar
  2. 2.
    Caniff JP, Harvey W (1981) The etiology of oral submucous fibrosis: the stimulation of collagen synthesis by extracts of areca nut. Int J Oral Surg 10:163–167Google Scholar
  3. 3.
    Gupta PC, Sinor PN, Bhonsle RB et al (1998) Oral submucous fibrosis in India: A new epidemic? Natl Med J India 11:113–116Google Scholar
  4. 4.
    Shah N, Sharma PP (1998) Role of chewing and smoking habits in the etiology of oral submucous fibrosis (OSMF): a case control study. J Oral Pathol Med 27:475–479CrossRefGoogle Scholar
  5. 5.
    Shahid RA (2010) Coming to America: betel nut and oral submucous fibrosis. JADA 141:423–428Google Scholar
  6. 6.
    Rajendran R (1994) Oral submucous fibrosis: etiology, pathogenesis and future research. WHO Bull OMS 72:986–996Google Scholar
  7. 7.
    Gupta SC, Singh M, Khanna S et al (2004) Oralsubmucous fibrosis with its possible effect on Eustachiantube functions: a tympanometric study. Indian J Otolaryngol Head Neck Surg 56:183–185.  https://doi.org/10.1007/BF02974346 Google Scholar
  8. 8.
    Pindborg JJ, Mehta FS, Gupta PC et al (1968) Prevalence of oral submucous fibrosis among 50,915 Indian villagers. Br J Cancer 22:646–654CrossRefGoogle Scholar
  9. 9.
    Olweny CL (1992) Quality of life in developing countries. J Palliat Care 8:25–30Google Scholar
  10. 10.
    Szabo S (1996) The world health organisation quality of life (WHOQOL) assessment instrument. In: Spilker B (ed) Quality of life and pharmaeconomics in clinical trials, 2nd edn. Lippincott-Raven Publishers, PhiladelphiaGoogle Scholar
  11. 11.
    Gill TM, Feinstein AR (1994) A critical appraisal of the quality of quality-of-life measurements. JAMA 272:619–626CrossRefGoogle Scholar
  12. 12.
    Nigam NK, Aravinda K, Dhillon M et al (2014) Prevalence of oral submucous fibrosis among habitual gutkha and areca nut chewers in Moradabad district. J Oral Biol Craniofac Res 4:8–13.  https://doi.org/10.1016/j.jobcr.2013.10.005 CrossRefGoogle Scholar
  13. 13.
    Heutte N, Plisson L, Lange M et al (2014) Quality of life tools in head and neck oncology. Eur Ann Otorhinolaryngol Head Neck Dis 131:33–47CrossRefGoogle Scholar
  14. 14.
    Riordain RN, McCreary C (2011) Validity and reliability of a newly developed quality of life questionnaire for patients with chronic oral mucosal diseases. J Oral Pathol Med 40(8):604–609.  https://doi.org/10.1111/j.1600-0714.2011.01021.x CrossRefGoogle Scholar
  15. 15.
    Striner DL, Norman GR (2008) Health measurement scales: a practical guide to their development and use, 4th edn. Oxford University Press Inc, New YorkCrossRefGoogle Scholar
  16. 16.
    Ritva K, Pekka R, Harri S (2000) Agreement between a generic and disease-specific quality-of-life instrument: the 15D and the SGRQ in asth-matic patients. Qual Life Res 9(9):997–1003.  https://doi.org/10.1023/A:1016698818258 CrossRefGoogle Scholar
  17. 17.
    Lopez JP, Camacho AF, Lucero BM (2009) Measuring the impact of chronic oral mucosal disease on quality of life. Eur J Dermatol 19(6):603–606.  https://doi.org/10.1684/ejd.2009.0762 Google Scholar
  18. 18.
    Suliman NM, Johannessen AC, Ali RW et al (2012) Influence of oral mucosal lesions and oral symptoms on oral health related quality of life in dermatological patients: a cross sectional study in Sudan. BMC Oral Health 8:12–19.  https://doi.org/10.1186/1472-6831-12-19 Google Scholar
  19. 19.
    Villanueva-Vilchis MD, Lopez-Rios P, Garcia IM et al (2016) Impact of oral mucosa lesions on the quality of life related to oral health. An etiopathogenic study. Med Oral Patol Oral Cir Bucal 21(2):e178–e184CrossRefGoogle Scholar
  20. 20.
    Tadakamadla J, Kumar S, Lalloo R et al (2017) Qualitative analysis of the impact of oral potentially malignant disorders on daily life activities. PLoS ONE 12(4):e0175531.  https://doi.org/10.1371/journal.pone.0175531 CrossRefGoogle Scholar
  21. 21.
    Tabolli S, Bergamo F, Alessandroni L et al (2009) Quality of life and psychological problems of patients with oral mucosal disease in dermatological practice. Dermatology 218:314–320.  https://doi.org/10.1159/000196973 CrossRefGoogle Scholar
  22. 22.
    Lopez-Jornet P, Camacho-Alonso F, Lucero Berdugo M (2009) Measuring the impact of oral mucosa disease on quality of life. Eur J Dermatol 19(6):603–606.  https://doi.org/10.1684/ejd.2009.0762 Google Scholar
  23. 23.
    Chu NS (2001) Effects of betel chewing on the central and autonomic nervous systems. J Biomed Sci 8:229–236.  https://doi.org/10.1159/000054038 CrossRefGoogle Scholar
  24. 24.
    Gupta PC, Warnakulasuriya S (2002) Global epidemiology of areca nut usage. Addict Biol 7:77–83.  https://doi.org/10.1080/13556210020091437 CrossRefGoogle Scholar
  25. 25.
    Kandelman D, Petersen PE, Ueda H (2008) Oral health, general health, and quality of life in older people. Spec Care Dentist 28(6):224–236.  https://doi.org/10.1111/j.1754-4505.2008.00045.x CrossRefGoogle Scholar

Copyright information

© The Association of Oral and Maxillofacial Surgeons of India 2018

Authors and Affiliations

  1. 1.Department of DentistryAIIMSJodhpurIndia
  2. 2.PG Department of Oral and Maxillofacial SurgeryDAV Centenary Dental College and General HospitalYamunanagarIndia
  3. 3.ARMY Dental College and HospitalHyderabadIndia
  4. 4.Department of Public Health DentistryAIIMSJodhpurIndia

Personalised recommendations