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All Journal Journal of Dentistry Indonesia Makara Journal of Health Research Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Abdul Aziz, Aznida Firzah
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Dentistry Health Professions Public Health

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Impact of Tooth Loss and Preferences for Tooth Replacement Among Clinic Attendees at a Public University Fang, Hew Pei; En, Lee Jia; Meei, Tew In; Ahmad, Rohana; Abdul Aziz, Aznida Firzah; Said, Shahida Mohd; Mohd Dom, Tuti Ningseh
Journal of Dentistry Indonesia Vol. 25, No. 2
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Tooth loss is considered a major end-point sequela of preventable oral diseases. In Malaysia, tooth mortality is a common oral health problem. Objective: To assess the impact of tooth loss, preferences for tooth replacement, and the relationship between impact of tooth loss and number of missing teeth. Methods: This descriptive cross-sectional survey involved 244 patients attending a primary health center and dental clinic at a public university. The respondents completed self-administered questionnaires on personal background, tooth replacement status, impact of tooth loss using a 12-item modified Geriatric Oral Health Assessment Index (GOHAI), and preferences for tooth replacement. A dental examination was performed to determine the number of missing teeth. Results: The mean age of the respondents was 56.2 years (standard deviation [SD], 8.1 years). The mean number of missing teeth was 8.3; 62.7% of patients had at least 20 natural teeth. The majority were not wearing a dental prosthesis. The mean GOHAI score was 16.3. Of the patients, 66.0% experienced some food biting difficulty, 59.4% worried about oral health, and 57.8% experienced eating discomfort. Dental implants were the most preferred replacement option (38.9%). The GOHAI scores were not related to the number of missing teeth. Conclusion: Tooth loss and use of dental prostheses had some impact on quality of life, although the impact was not high.
Oral health related quality of life in stroke survivors at community-based rehabilitation centre: A pilot study Tew, In Meei; Goo, Chui Ling; Said, Shahida Mohd; Zahari, Hafizul Izwan; Ali, Noor Amalina; Masawi, Fatin Athirah; Abdul Aziz, Aznida Firzah; Mohd Dom, Tuti Ningseh
Makara Journal of Health Research Vol. 24, No. 1
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Background: Despite being a common problem, long-term disability following stroke often improves after survivors receive regular rehabilitative therapy. This study aimed to assess the oral health-related quality of life (OHRQoL) of stroke survivors who had access to a community-based rehabilitation centre after hospital discharge. Methods: Dentate post-stroke patients receiving regular rehabilitative care with slight to moderate dependency (Barthel Index >70) and without severe cognitive impairment were involved in this study. The OHRQoL parameters were measured using the Oral Health Impact Profile-14 (OHIP-14) and EuroQol five dimensions (EQ-5D-5L) questionnaires. Results: Thirty one patients were recruited in this study. Majority of the patients hardly ever or never had problems in all functional, physical, psychological and social domains, including eating discomfort and having to avoid eating, difficulty in chewing food and presumably having bad breath (58.1%, 61.3% and 71.0% respectively). Other than gender, age, ethnicity, co-morbidities and oral hygiene practices, education level was the only variable found to significantly affect patients’ OHRQoL (p = 0.028). Most of the patients had no or slight problem(s) in self-care (87.1%) and carrying out usual activities (57.1%), pain/discomfort (3.2%) and anxiety/depression (6.5%). Conclusion: Stroke survivors under regular rehabilitative care perceived have good oral health-related quality of life.
Exploring Informal Caregivers’ Perspectives on Oral Care for Stroke Patients Rani, Haslina; Zamzuri, Saidatul Najibah Muhammad; Omar, Ezzah; Mohd-Dom, Tuti Ningseh; Abdul Aziz, Aznida Firzah; Ali, Mohd Fairuz
Kesmas Vol. 19, No. 3
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Stroke often results in physical disability and functional impairment, which may severely limit patients' ability to care for personal hygiene, including oral care. This study aimed to identify the challenges faced by informal caregivers in managing the oral health of stroke patients. This study conducted semi-structured individual interviews with eight home-based caregivers of stroke patients recruited from a community-based clinic facility of a public university in Malaysia. The interviews took 30-45 minutes to complete and were transcribed verbatim. Transcripts were analyzed thematically using a phenomenological approach. Relevant themes that emerged were variations in oral hygiene care, caregivers’ concerns in providing oral care, dental clinic utilization, and caregivers’ perceived educational and training needs. This study highlights the challenges faced by caregivers in managing the oral health of stroke patients. Improving access to dental services for stroke patients and tailoring educational programs to suit the specific learning needs of caregivers, as identified in this study, may result in improved health outcomes for stroke patients.
Co-Authors Ahmad, Rohana Ali, Mohd Fairuz Ali, Noor Amalina En, Lee Jia Fang, Hew Pei Goo, Chui Ling Masawi, Fatin Athirah Meei, Tew In Mohd Dom, Tuti Ningseh Mohd-Dom, Tuti Ningseh Omar, Ezzah Rani, Haslina Shahida Mohd Said, Shahida Mohd Tew, In Meei Zahari, Hafizul Izwan Zamzuri, Saidatul Najibah Muhammad