Evaluation of Knowledge Levels and Comparative Quality of Life (OHIP-14) Between Denture Wearers and Non-Wearers among the Elderly at Panti Sosial Tresna Werdha Budi Luhur Jambi City

Authors

  • Siti Risa Maqdisa Master of Dental Material Science and Technology, Universitas Padjadjaran, West Java Author
  • Deby Fajar Mardhian Department of Dental Material Science and Technology, Universitas Padjadjaran, West Java Author
  • Renny Febrida Oral Biomaterials Research Center, Universitas Padjadjaran Author

DOI:

https://doi.org/10.22437/jkmj.v10i3.56965

Keywords:

Denture, Elderly, Knowledge, OHIP-14, Quality of Life

Abstract

Tooth loss in the elderly significantly impacts their quality of life. Low oral health literacy often acts as a major barrier to prosthetic rehabilitation. This study aimed to analyze the effect of an educational intervention on oral health literacy and to compare oral health-related quality of life between denture wearers and non-wearers among the elderly at Panti Sosial Tresna Werdha (PSTW) Budi Luhur, Jambi. A pre-experimental study with a one-group pretest-posttest design was conducted on 45 elderly participants. Oral health literacy levels were measured before and after an educational intervention and analyzed using the Wilcoxon Signed-Rank Test, while quality of life was evaluated using the Oral Health Impact Profile-14 (OHIP-14) instrument and compared between denture wearers and non-wearers using the Independent Samples t-test/Mann-Whitney U Test. The mean oral health literacy score increased significantly from 3.98 to 6.27 (p=0.000). A significant difference in quality of life was found between denture wearers (score 6.33) and non-wearers (score 39.68) with p=0.000, though this cross-sectional comparison cannot establish a causal relationship. The educational intervention is effective in improving elderly oral health literacy, and denture use is strongly correlated with a better quality of life. Integrated prosthetic rehabilitation programs are highly recommended to enhance the well-being of the elderly.

References

1. Glick M, Williams DM. FDI Vision 2030: Delivering Optimal Oral Health for All. International Dental Journal. Elsevier B.V.; 2021. p. 3–4. https://doi.org/10.1016/j.identj.2020.12.026

2. Peres MA, Macpherson LMD, Weyant RJ, Daly B, Venturelli R, Mathur MR, et al. Oral diseases: a global public health challenge. The Lancet. Lancet Publishing Group; 2019. p. 249–60. https://doi.org/10.1016/s0140-6736(19)31146-8

3. Watt RG, Daly B, Allison P, Macpherson LMD, Venturelli R, Listl S, et al. Ending the neglect of global oral health: time for radical action. The Lancet. Lancet Publishing Group; 2019. p. 261–72. https://doi.org/10.1016/s0140-6736(19)31133-x

4. Salazar J, Andersen C, Øzhayat EB. Effect of oral health interventions for dependent older people—A systematic review. Gerodontology. John Wiley and Sons Inc; 2024. p. 200–19. https://doi.org/10.1111/ger.12720

5. World Health Organization. Global Oral Health Status Report: Towards Universal Health Coverage for Oral Health by 2030 [Internet]. 2022. Available from: https://apps.who.int/bookorders.

6. Petersen PE, Yamamoto T. Improving the oral health of older people: the approach of the WHO global oral health programme. Community Dent Oral Epidemiol. 2005 Nov;33:81–92. https://doi.org/10.1111/j.1600-0528.2004.00219.x

7. Thahirah N, Nasution ID. Salivary flow rate and masticatory performance in pre-elderly and elderly complete denture wearers: a cross-sectional study. Jurnal Kedokteran Gigi Universitas Padjadjaran. 2024 Jan 8;35(3):275–80. https://doi.org/10.24198/jkg.v35i3.50347

8. Toniazzo MP, Amorim P de SA, Muniz FWMG, Weidlich P. Relationship of nutritional status and oral health in the elderly: Systematic review with meta-analysis. Clinical Nutrition. 2018 Jun 1;37(3):824–30. https://doi.org/10.1016/j.clnu.2017.03.014

9. Al-Rafee M. The epidemiology of edentulism and the associated factors: A literature Review. J Family Med Prim Care. 2020;9(4):1841. https://doi.org/10.4103/jfmpc.jfmpc_1181_19

10. Jaber AA, Alshame AMJ, Abdalla KO, Natarajan M. The Association between Teeth Loss and Oral Health Problems. 1892 Indian Journal of Forensic Medicine & Toxicology. https://doi.org/10.37506/ijfmt.v15i2.14608

11. Bernabe E, Marcenes W, Hernandez CR, Bailey J, Abreu LG, Alipour V, et al. Global, Regional, and National Levels and Trends in Burden of Oral Conditions from 1990 to 2017: A Systematic Analysis for the Global Burden of Disease 2017 Study. Journal of Dental Research. SAGE Publications Inc.; 2020. p. 362–73. https://doi.org/10.1177/0022034520908533

12. Saxena S, Orley J. Division of Mental Health and Prevention of Substance Abuse, World Health Organization. Eur Psychiatry [Internet]. 1997 [cited 2026 Aug 1]. Available from: https://iris.who.int/server/api/core/bitstreams/4c5cd94a-599e-450f-9141-4a21a7b74849/content

13. Feng Y, Lu JJ, Ouyang ZY, Xue LX, Li T, Chen Y, et al. The Chinese version of the Oral Health Impact Profile-14 (OHIP-14) questionnaire among college students: factor structure and measurement invariance across genders. BMC Oral Health. 2022 Dec 1;22(1). https://doi.org/10.1186/s12903-022-02441-6

14. Slade GD. Community Dentistry and Oral Epidemiology Derivation and validation of a short-form oral health impact profile. Cotnmunity Detit Oral Epidemiol. 1997;25:284–90. doi:https://doi.org/10.1111/j.1600-0528.1997.tb00941.x

15. Ministry of Health of the Republic of Indonesia. Indonesian Health Survey (SKI) in Numbers [Internet]. Jakarta; 2023 [cited 2025 Mar 17]. Available from: https://repository.badankebijakan.kemkes.go.id/id/eprint/5539/

16. Adjani R, Sarwono AP. Level of Community Knowledge regarding the Use of Dentures: Study at Ages 46-65. Vol. 11. 2023;11(2):183–8. https://doi.org/10.35790/eg.v11i2.45625

17. Jongbloed-Zoet C. Soon after the previous issue of the International Journal on Dental Hygiene, the world has changed. International Journal of Dental Hygiene. Blackwell Publishing Inc.; 2020. p. https://doi.org/10.1111/idh.12456

18. Wahyuni LA, Nurilawaty V, Widiyastuti R, Purnama T. Knowledge about the causes and impact of tooth loss on the incidence of tooth loss in the elderly. JDHT Journal of Dental Hygiene and Therapy. 2021 Oct 4;2(2):52–7. https://doi.org/10.36082/jdht.v2i2.335

19. Ratnawidya W, Rahmayanti F, Irmagita Soegiyant A, Mandasari M, Indah Wardhany I. Indonesian short version of the oral health impact profile (OHIP-14). J Int Dent Med Res [Internet]. 2018. Available from: https://www.jidmr.com/journal/wp-content/uploads/2019/01/56_D18_610_Febrina_Rahmayanti.pdf

20. Mujiwati M, Wiyanti SW, Fitriyanti F. Efforts to increase knowledge and understanding of dentures for the elderly and elderly Posyandu cadres in Kemuning 1, Menteng Atas Subdistrict, South Jakarta. Poltekita: Jurnal Pengabdian Masyarakat. 2023 Dec 31;4(4):968–78. https://doi.org/10.33860/pjpm.v4i4.2493

21. Tosun B, Uysal N. Examination of oral health quality of life and patient satisfaction in removable denture wearers with OHIP-14 scale and visual analog scale: a cross-sectional study. BMC Oral Health. 2024 Dec 1;24(1). https://doi.org/10.1186/s12903-024-05124-6

22. Caetano-Santos I, Canales GD, La T, Proença L, Polido M, Mendes JJ, Canhão H, et al. Oral health behaviors and associated factors in older adults: a cross-sectional study. Frontiers in Oral Health. 2026;6. https://doi.org/10.3389/froh.2025.1716964

23. Yu S, Huang S, Song S, Lin J, Liu F. Impact of oral health literacy on oral health behaviors and outcomes among the older adults: a scoping review. BMC Geriatr. 2024 Dec 1;24(1). https://doi.org/10.1186/s12877-024-05469-1

24. Lopez-Chaichio L, Padial-Molina M, O’Valle F, Gil-Montoya JA, Catena A, Galindo-Moreno P. Oral health and healthy chewing for healthy cognitive ageing: A comprehensive narrative review. Gerodontology. Blackwell Munksgaard; 2021. p. 126–35. https://doi.org/10.1111/ger.12510

25. Linn TT, Khaohoen A, Thu KM, Rungsiyakull P. Oral-Health-Related Quality of Life in Elderly Edentulous Patients with Full-Arch Rehabilitation Treatments: A Systematic Review. Journal of Clinical Medicine. Multidisciplinary Digital Publishing Institute (MDPI); 2024. https://doi.org/10.3390/jcm13123391

26. Bashirian S, Khoshravesh S, Ayubi E, Karimi-Shahanjarini A, Shirahmadi S, Solaymani PF. The impact of health education interventions on oral health promotion among older people: a systematic review. BMC Geriatr. 2023 Dec 1;23(1). https://doi.org/10.1186/s12877-023-04259-5

27. Umezaki Y, Motomura H, Uezato A, Naito T, Toyofuku A. The similarities and differences between oral cenesthopathy and burning mouth syndrome in the elderly. Gerodontology. John Wiley and Sons Inc; 2021. p. 321–2. https://doi.org/10.1111/ger.12564

28. Bana KFMA, Shadab S, Hakeem S, Ilyas F. Comparing oral health-related quality of life (ohip-14) and masticatory efficiency with complete denture treatment. Journal of the College of Physicians and Surgeons Pakistan. 2021 Jun 1;31(6):694–8. https://doi.org/10.29271/jcpsp.2021.06.694

29. Thomson WM, Barak Y. Tooth Loss and Dementia: A Critical Examination. J Dent Res. 2021 Mar 1;100(3):226–31. https://doi.org/10.1177/0022034520957233

30. Suharyono S, Peluru HN, Yuniarly E. The behavior of maintenance of removable partial dentures with the incidence of gingivitis in the elderly. JDHT Journal of Dental Hygiene and Therapy. 2023 Apr 4;4(1):82–7. https://doi.org/10.36082/jdht.v4i1.1006

31. Lipsky MS, Singh T, Zakeri G, Hung M. Oral Health and Older Adults: A Narrative Review. Dentistry Journal. Multidisciplinary Digital Publishing Institute (MDPI); 2024. https://doi.org/10.3390/dj12020030

32. Gill TM, Bhasin S, Reuben DB, Latham NK, Araujo K, Ganz DA, et al. Effect of a Multifactorial Fall Injury Prevention Intervention on Patient Well-Being: The STRIDE Study. J Am Geriatr Soc. 2021 Jan 1;69(1):173–9. https://doi.org/10.1111/jgs.16854

33. Björkman L, Musial F, Alræk T, Werner EL, Weidenhammer W, Hamre HJ. Removal of dental amalgam restorations in patients with health complaints attributed to amalgam: A prospective cohort study. J Oral Rehabil. 2020 Nov 1;47(11):1422–34. https://doi.org/10.1111/joor.13080

34. Halim J, Elias S, Astoeti TE, Anggraini W. Relationship between the masticatory ability of complete denture wearers with bite force, thickness of muscle masseter, cognitive function, and quality of life in elderly. Jurnal Kedokteran Gigi Universitas Padjadjaran. 2021 Dec 27;33(3):222. https://doi.org/10.24198/jkg.v33i3.35336

35. Telford CT, Bystrom C, Fox T, Holland DP, Wiggins-Benn S, Mandani A, et al. COVID-19 Infection Prevention and Control Adherence in Long-Term Care Facilities, Atlanta, Georgia. J Am Geriatr Soc. 2021 Mar 1;69(3):581–6. https://doi.org/10.1111/jgs.17001

36. Kotronia E, Brown H, Papacosta AO, Lennon LT, Weyant RJ, Whincup PH, et al. Poor oral health and the association with diet quality and intake in older people in two studies in the UK and USA. British Journal of Nutrition. 2021 Jul 14;126(1):118–30. https://doi.org/10.1017/s0007114521000180

37. Choi JH, Kim MJ, Kho HS. Oral health-related quality of life and associated factors in patients with burning mouth syndrome. J Oral Rehabil. 2021 Feb 1;48(2):150–9. https://doi.org/10.1111/joor.13110

38. Apriza Yanti C, Djuwita R, Martha E. Hypertension patients’ knowledge, attitudes, and control measures in Buktittinggi: A qualitative study. Jurnal Kesehatan Masyarakat Jambi. 2025 Mar;9(1):9–19 https://doi.org/10.22437/jkmj.v9i1.42240

39. Coimbra FCT, Rocha MM, Oliveira VC, Macedo AP, Pagnano VO, Silva-Lovato CH, et al. Antimicrobial activity of effervescent denture tablets on multispecies biofilms. Gerodontology. 2021 Mar 1;38(1):87–94. https://doi.org/10.1111/ger.12500

40. Allison JR, Currie CC, Edwards DC, Bowes C, Coulter J, Pickering K, et al. Evaluating aerosol and splatter following dental procedures: Addressing new challenges for oral health care and rehabilitation. J Oral Rehabil. 2021 Jan 1;48(1):61–72. https://doi.org/10.1111/joor.13098

Downloads

Published

2026-08-05