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Zahnheilkunde 17. Juni 2015

Gender aspects in oral health-related quality of life of oral lichen planus patients

Background: The aim of the present study was to evaluate the validity of the German version of the Oral Health Impact Profile (OHIP-G) in comparison with the Visual Analogue Scale (VAS) and to evaluate whether gender has a potential influence on OHIP scores and dimensions in oral lichen planus (OLP) patients.

Methods: Patients diagnosed with OLP between 2011 and 2013 at the Department of Oral Surgery, Medical University Vienna, were included in this cross-sectional prospective study. Patients were evaluated using the Clinical Severity Index (CSI) and OHIP.

Results: Out of 62 patients, 69 % were women with a mean age of 59 ± 11 years and 31 % men with a mean age of 59 ± 15 years. The mean CSI score was 2.6 ± 1.3 in women and 2.5 ± 1.3 in men. The OHIP-G score for women was 59.42 ± 39.26 and 37.84 ± 27.15 for men. Linear regression analysis showed a significant impact of disease severity and gender on total scores, the subscore physical pain, and the dimension orofacial pain. The four additional items in the German version were significantly influenced by gender.

Conclusions: Beside clinical severity, gender influences the perception of pain significantly. Therefore pain measures should be used to compare intraindividual changes.

Gabriella Dvorak, Babak Monshi, Markus Hof, Thomas Bernhart, Corinna Bruckmann, Klemens Rappersberger, international journal of stomatology & occlusion medicine 2/2015

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