Psychological Impact of Tooth Loss

Overview

Tooth loss impact on daily living, mood and self-perceived well-being. However, psychological impact of teeth loss has not been evaluated. Present study aims to evaluate the psychological conditions of patients pending complete tooth extraction before and shortly after tooth loss using Hospital Anxiety and Depression scale (HAD) and Geriatric Oral Health Assessment Index (GOHAI).

Full Title of Study: “Short Term Psychological Impact of Tooth Loss in Patients Consulting in a University Dental Clinic”

Study Type

  • Study Type: Observational
  • Study Design
    • Time Perspective: Prospective
  • Study Primary Completion Date: December 2019

Detailed Description

Patients will be interviewed concerning their psychological conditions (HADS) and their oral health related quality of life (GOHAI) before tooth extraction and one month after complete tooth loss.

Arms, Groups and Cohorts

  • Patients pending complete tooth loss
    • Will be recruited patients pending tooth loss, ages between 18 and 65 years, whose dental conditions have previously been identified

Clinical Trial Outcome Measures

Primary Measures

  • Change in Hospital anxiety and depression (HAD) score
    • Time Frame: 1 month (change in score from baseline (before tooth extraction) to 1 month after tooth extraction)
    • The HADS is a 14-item self-assessment scale designed to evaluate emotional stress induced by chronic pain in non-psychiatric populations. HAD-A assessed anxiety and HAD-D evaluated depression. Scores of greater than 10 were indicative of anxiety or depression, scores of 7 or less were indicative of no significant anxiety and depression, and scores of 8 to 10 indicated borderline anxiety or depression.

Secondary Measures

  • Change in General oral health assessment index (GOHAI)
    • Time Frame: 1 month (change in score from baseline (before tooth extraction) to 1 month after tooth extraction)
    • The General oral health assessment index (GOHAI) is a questionnaire about the impact of oral health on quality of life. It includes 12 items evaluating three dimensions of oral health with respect to quality of life: (1) functional field (eating, speaking, and swallowing); (2) psychological field (appearance, social relationship); (3) pain or discomfort concerning gums or teeth. Each item has a score ranging from 1 to 5. The GOHAI-add score corresponds to the sum of the scores and ranges from 12 to 60 (20 for functional field, 25 for psychological field, and 15 for comfort/pain field). A score higher than 57 is high and indicates a satisfactory oral quality of life. A score from 51 to 56 is average and a score of 50 or less is low, reflecting a poor oral quality of life.
  • Gender
    • Time Frame: at date of inclusion (up to 24h)
    • Respondents complete a questionnaire identifying their gender (man or woman)
  • Age
    • Time Frame: at date of inclusion (Up to 24h)
    • Respondents complete a questionnaire identifying their age (in years)
  • Educational level
    • Time Frame: at date of inclusion (Up to 24h)
    • Respondents complete a questionnaire identifying their educational level : last degree (no degree at al, French General Certificate Secondary Education, High School Diploma, Vocational Training Certificate taken at Secondary School, university degree)
  • Income
    • Time Frame: at date of inclusion (Up to 24h)
    • Respondents completed a questionnaire identifying their income level each month (in euros)
  • General health
    • Time Frame: at date of inclusion (Up to 24h)
    • Respondents complete a questionnaire indentifying their general heath and the existence of disease
  • Dental status
    • Time Frame: at date of inclusion (Up to 24h)
    • Dental Examination is done by a dental practioner

Participating in This Clinical Trial

Inclusion Criteria

  • willing to participate to the study – dental status identified Exclusion Criteria:

  • uncooperative ou patient not able to complete the questionary – adult patients under protection

Gender Eligibility: All

Minimum Age: 18 Years

Maximum Age: 65 Years

Are Healthy Volunteers Accepted: No

Investigator Details

  • Lead Sponsor
    • Assistance Publique – Hôpitaux de Paris
  • Provider of Information About this Clinical Study
    • Sponsor
  • Overall Official(s)
    • Adeline Braud, Study Director, APHP
  • Overall Contact(s)
    • Adeline Braud, 01 40 19 39 87, adeline.braud@aphp.fr

Clinical trials entries are delivered from the US National Institutes of Health and are not reviewed separately by this site. Please see the identifier information above for retrieving further details from the government database.

At TrialBulletin.com, we keep tabs on over 200,000 clinical trials in the US and abroad, using medical data supplied directly by the US National Institutes of Health. Please see the About and Contact page for details.