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Purpose: The aim of this study was to develop a shortened version of the Oral Health
Impact Profile (OHIP) appropriate for use in edentulous patients and to evaluate its
measurement properties. Materials and Methods: Data were collected from the Ontario
Study of Older Adults and a longitudinal clinical trial of implant-retained prostheses
undertaken in Newcastle Dental Hospital, UK. All subjects completed an OHIP at
baseline, and UK subjects also completed an OHIP posttreatment. Using an item impact
reduction method, a shortened version of the OHIP (called OHIP-EDENT) was derived
from both datasets. Discriminant validity and responsiveness properties of this modified
version were compared with OHIP-14 and OHIP-49. Results: Using an item impact
method of reducing the 49 OHIP items produced very similar subsets in both Canadian
and British populations; the modified version had little overlap with the current short
version (OHIP-14). Discriminant validity properties of OHIP-EDENT were similar to
OHIP-14 and OHIP-49. Using effect sizes to assess sensitivity to change, OHIP-EDENT
exhibited less susceptibility to floor effects than OHIP-14 and appeared to measure
change as effectively as OHIP-49. Conclusion: The modified shortened version of the
OHIP derived in this study has measurement properties comparable with the full 49-item
version. This modified shortened version may be more appropriate for use in edentulous
patients than the current short version (OHIP-14). Int J Prosthodont 2002;15:446–450.
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