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Volume 18 , Issue 2
March/April 2005

Pages 106111

Oral Health Impact in Patients Wearing Removable Prostheses: Relations to Somatization, Pain Sensitivity, and Body Consciousness

Ulrich Klages, PhD/Markus Esch, DDS/Heinrich Wehrbein, DDS, MD, PhD

PMID: 15889657

Purpose: Previous studies investigating associations between patient personality traits and complaints related to wearing dental prostheses have been inconclusive. From the perspective of cognitive behavioral theory, the current study investigated whether pain sensitivity, body consciousness, and somatization affected the oral health of patients wearing removable dentures. Materials and Methods: Eighty-eight patients were supplied with removable partial and complete dentures. The Oral Health Impact Profile (OHIP), with six subscales measuring oral health impairment and disability during daily living, the Pain Sensitivity Index, the Private Body Consciousness scale, and the Somatization Scale of the SCL-90-R, were used. Results: The variables pain sensitivity, body consciousness, and somatization correlated significantly with all six OHIP subscales in removable denture wearers. In multiple hierarchic regression analyses, patient personality accounted for 38.0% of functional limitation and 41.5% of physical pain. Conclusion: Pain sensitivity and bodily preoccupation might be important factors in explaining the subjective oral health effects of removable denture wearing. Int J Prosthodont 2005;18:106111.

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