Quality of Life Research

, Volume 22, Issue 7, pp 1665–1674

The association of responsiveness in oral and general health-related quality of life with patients’ satisfaction of new complete dentures


DOI: 10.1007/s11136-012-0320-6

Cite this article as:
Kuo, HC., Kuo, YS., Lee, IC. et al. Qual Life Res (2013) 22: 1665. doi:10.1007/s11136-012-0320-6



The objective was to determine the responsiveness properties of the Oral Health Impact Profile (OHIP) short-forms and 36-item Short-Form (SF-36) in complete denture treatment, and further to evaluate the association between patients’ satisfaction and improvements in oral and general health-related quality of life (OHRQoL and HRQoL) after fitting of new, complete dentures.


Study data were obtained from the ‘Dentures for the Elders through Public Funding’ study conducted in Kaohsiung County. A total of 224 subjects received denture treatments with 6-month follow-up and pre-/post-treatment interviews by questionnaire. The OHIP and SF-36 were used to measure OHRQoL and HRQoL. In addition, specific questions investigating seven aspects of patients’ satisfaction were used to measure the patients’ perceptions of complete denture success. The responsiveness of all outcome measures and their dimensions were assessed by effect size (ES). Multivariable analysis was used to examine the association between patients’ satisfaction and OHIP/SF-36 while adjusting for demographic characteristics.


There were improvements with regard to the ‘physical pain’ (ES = 0.19) and ‘psychological discomfort’ (ES = 0.42) dimensions of the Taiwanese short-form OHIP (OHIP-14T) after new complete denture treatment, but only improvement in the ‘general health’ (ES = 0.17) dimension in the SF-36 measure. Patients satisfied with ‘comfort’ and ‘ease of cleaning’ of their new dentures were significantly associated with the improvement of the OHIP-49 and OHIP-14T.


This study suggests that denture treatments are associated with improvements of OHRQoL, but not in HRQoL. Furthermore, patients’ satisfaction was significantly associated with responsiveness of OHRQoL but less significantly associated with responsiveness of HRQoL.


Satisfaction Complete denture OHIP SF-36 Quality of life 



Oral health-related quality of life


General health-related quality of life


Oral Health Impact Profile


49-item Oral Health Impact Profile


Taiwanese version of short-form Oral Health Impact Profile


Original English version of short-form Oral Health Impact Profile


Shortened version of the Oral Health Impact Profile appropriate for use in edentulous patients


36-item Short-Form


World Health Organization Quality of Life Scale-Brief


Effect size


One-way analysis of variance

Copyright information

© Springer Science+Business Media Dordrecht 2012

Authors and Affiliations

  1. 1.School of Dentistry, College of Dental MedicineKaohsiung Medical University, Kaohsiung Medical University HospitalKaohsiungTaiwan
  2. 2.Health Promotion DivisionThe Health Bureau of Kaohsiung CountyKaohsiungTaiwan
  3. 3.Graduate Institute of Healthcare AdministrationKaohsiung Medical UniversityKaohsiungTaiwan
  4. 4.School of Pharmacy, College of PharmacyKaohsiung Medical UniversityKaohsiungTaiwan
  5. 5.Division of Statistical Analysis, Department of Clinical ResearchKaohsiung Medical University HospitalKaohsiungTaiwan

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