Berceste GÜLER, Yasemin ÖZKAN, Mehmet Akif GÜLER, Banu ÇUKURLUOZ BAYINDIR

Comparison for oral health-related quality of life infibromyalgia subgroups according to fibromyalgia impactquestionnaire: A preliminary study

Aim: This study aimed to compare the relationship between the severity of fibromyalgia and oral health-related quality of life inparticipant subgroups according to the fibromyalgia impact questionnaire..Materials and Methods: Forty female participants aged 46.18±8.91 years old who were diagnosed with fibromyalgia were includedin the study. Demographic data, education status, smoking, systemic anamnesis, employment status was recorded. Decayed,missing and filled teeth index values, periodontal situation and removable prosthesis conditions were evaluated. Participants wereasked to fill three self-reported questionnaires: the fibromyalgia impact questionnaire, oral health impact profile-14 and general oralhealth assessment ındex scores. Fibromyalgia subgroups were classified as FM-Type I and FM-Type II according to the Souza etal classification. The primary outcome of which relationship between subcategorize of oral health related quality of life indexes andfibromyalgia impact questionnaire values were evaluated with Spearman correlation analysis.Results: The total value of oral health impact profile-14 was found to be 12.25±9.17 in the FM-Type I group and 19.74±10.48 inthe FM-Type II group. There was a statistically significant relationship between fibromyalgia subgroups and oral health impactprofile-14 psychological impacts (p=0.031) and total values (p=0.023). The values of total fibromyalgia impact questionnaire scoreswere obtained on a wide scale between 34.08 and 93.34, and the mean value was measured as 67.06 ± 16.06. The fibromyalgiaimpact questionnaire median cut-off score was detected as 66.42 according to ROC analysis. Conclusion: The higher negative oral health related quality of life values were observed in participants more severely affected byfibromyalgia. In addition to medical and psychiatric treatment of fibromyalgia participants, evaluation of dental conditions may besuggested.

PDF

___

1. Queiroz LP. Worldwide epidemiology of fibromyalgia. Curr Pain Headache Rep 2013;17:356.
2. Wolfe F, Brahler E, Hinz A, et al. Fibromyalgia prevalence, somatic symptom reporting, and the dimensionality of polysymptomatic distress: results from a survey of the general population. Arthritis Care Res (Hoboken) 2013;65:777-85.
3. Wolfe F, Ross K, Anderson J, et al. The prevalence and characteristics of fibromyalgia in the general population. Arthritis Rheum 1995;38:19-28.
4. Naito M, Yuasa H, Nomura Y, Nakayama T, et al. Oral health status and health-related quality of life: a systematic review. J Oral Sci 2006;48:1-7.
5. McGrath C, Bedi R. Understanding the value of oral health to people in Britain-importance to life quality. Community Dent Health 2002;19:211-4.
6. Frisch M. Quality of life therapy and assessment in health care. Clin Psychol (New York) 1998;5:19-40.
7. Allen PF. Assessment of oral health related quality of life. Health Qual Life Outcomes 2003;1:40.
8. Larson JS. The conceptualization of health. Med Care Res Rev 1999;56:123-6.
9. Slade GD. Derivation and validation of a short-form oral health impact profile. Community Dent Oral Epidemiol 1997;25:284-90.
10. Atchison KA, Gift HC. Perceived oral health in a diverse sample. Adv Dent Res 1997;11:272-80.
11. Locker D, Matear D, Stephens M, et al. Comparison of the GOHAI and OHIP-14 as measures of the oral health-related quality of life of the elderly. Community Dent Oral Epidemiol 2001;29:373-381.
12. de Azevedo Branco LG, Oliveira SR, Correa JD, et al. Oral health-related quality of life among individuals with rheumatoid arthritis. Clin Rheumatol 2019;38:2433- 41.
13. Einarsdottir ER, Gunnsteinsdóttir H, Hallsdóttir MH, et al. Dental health of patients with Parkinson's disease in Iceland. Spec Care Dentist 2009;29:123-7.
14. Ribeiro GR, Campos CH, Garcia RC. Oral health in elders with parkinson's disease. Braz Dent J 2016;27:340-4.
15. Wolfe F, Clauw DJ, Fitzcharles MA, et al. Revisions to the 2010/2011 fibromyalgia diagnostic criteria. Semin Arthritis Rheum 2016;46:319-29.
16. Organization WH. Oral health surveys: basic methods - 5th edition. 2013
17. Burckhardt CS, Clark SR, Bennett RM. The fibromyalgia impact questionnaire: development and validation. J Rheumatol 1991;18:728-33.
18. Sarmer S, Ergin S, Yavuzer G. The validity and reliability of the Turkish version of the Fibromyalgia Impact Questionnaire. Rheumatol Int. 2000;20:9-12.
19. Birtane M, Uzunca K, Tastekin N, et al. The evaluation of quality of life in fibromyalgia syndrome: a comparison with rheumatoid arthritis by using SF-36 Health Survey. Clin Rheumatol 2007;26:679-84.
20. de Souza JB, Goffaux P, Julien N, et al. Fibromyalgia subgroups: profiling distinct subgroups using the Fibromyalgia Impact Questionnaire. A preliminary study. Rheumatol Int 2009;29:509-15.
21. Başol ME, Karağaçlıoğlu L, Yılmaz B. Developing a Turkish Oral Health Impact Profile-OHIP-14-TR. Turkiye Klinikleri J Dental Sci 2014;20:85-92.
22. Ergul S, Akar GC. Reliability and validity of the Geriatric Oral Health Assessment Index in Turkey. J Gerontol Nurs 2008;34:33-9.
23. Ozcelik O, Haytac MC, Seydaoglu G. Immediate post-operative effects of different periodontal treatment modalities on oral health-related quality of life: a randomized clinical trial. J Clin Periodontol 2007;34:788-96.
24. Wolfe F, Smythe HA, Yunus MB, et al. The American College of Rheumatology 1990 Criteria for the Classification of Fibromyalgia. Report of the Multicenter Criteria Committee. Arthritis Rheum 1990;33:160-72.
25. Demirbag BC, Bulut A. Demographic characteristics, clinical findings and functional status in patients with fibromyalgia syndrome. J Pak Med Assoc 2018;68:1043-7.
26. Galvez-Sánchez CM, Montoro CI, Duschek S, et al. Pain catastrophizing mediates the negative influence of pain and trait-anxiety on health-related quality of life in fibromyalgia. Qual Life Res. 2020 (In press)
27. Needleman I, McGrath C, Floyd P, Biddle A. Impact of oral health on the life quality of periodontal patients. J Clin Periodontol 2004;31:454-7.
28. Santos-García R, Sánchez-Domínguez B, Cordero MD, Rios-Santos JV, Jaramillo-Santos MR, Mariano H, et al. Utility of Periodontal exploration in patients with Fibromyalgia. J Clin Exp Dent 2012;4:40–2.
29. Yuce HB, Inanır A, Gokturk O, et al. Prevalence of Chronic Periodontitis, Bruxism and Temporomandibular Joint Disorders in Patients with Fibromyalgia Syndrome. Meandros Med Dent J 2017;18:47-54.
30. Bennett RM, Bushmakin AG, Cappelleri JC, et al. Minimal clinically important difference in the fibromyalgia impact questionnaire. J Rheumatol 2009;36:1304-1311.
31. Pimentel MJ, Gui MS, Martins de Aquino LM, et al. Features of temporomandibular disorders in fibromyalgia syndrome. Cranio 2013;31:40-5.
32. Di Venere D, Corsalini M, Stefanachi G, et al. Quality of life in fibromyalgia patients with craniomandibular disorders. Open Dent J 2015;9:9-14.
33. Blaizot A, Monsarrat P, Constantin A, et al. Oral health-related quality of life among outpatients with rheumatoid arthritis. Int Dent J 2013;63:145-53.
34. Ilhan B, Cal E, Dundar N, et al. Oral health-related quality of life among institutionalized patients after dental rehabilitation. Geriatr Gerontol Int 2015;15:1151-7.
35. Guzeldemir E, Toygar HU, Tasdelen B, et al. Oral healthrelated quality of life and periodontal health status in patients undergoing hemodialysis. J Am Dent Assoc 2009;140:1283-93.
36. Martinez JE, Barauna Filho IS, Kubokawa K, et al. Evaluation of the quality of life in Brazilian women with fibromyalgia, through the medical outcome survey 36 item short-form study. Disabil Rehabil 2001;23:64-8.
37. Giesecke T, Williams DA, Harris RE, et al. Subgrouping of fibromyalgia patients on the basis of pressure-pain thresholds and psychological factors. Arthritis Rheum 2003;48:2916-22.
38. Carta MG, Moro MF, Pinna FL, et al. The impact of fibromyalgia syndrome and the role of comorbidity with mood and post-traumatic stress disorder in worsening the quality of life. Int J Soc Psychiatry 2018;64:647-55.
39. Jiao J, Vincent A, Cha SS, et al. Physical trauma and infection as precipitating factors in patients with fibromyalgia. Am J Phys Med Rehabil 2015;94:1075- 82.