{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T09:28:55Z","timestamp":1786613335036,"version":"build-2736575974"},"reference-count":39,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T00:00:00Z","timestamp":1786579200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dent. J.","Dentistry Journal"],"abstract":"<jats:p>Objectives: This study aimed to investigate the sociodemographic factors influencing oral hygiene habits and oral health-related quality of life (OHRQoL) among complete denture wearers at Kuwait University Dental Clinic (KUDC). Methods: A cross-sectional observational study was conducted using a self-administered questionnaire and an Oral Health Impact Profile-19 (OHIP-19) instrument to assess oral hygiene habits and OHRQoL in 61 complete denture patients, treated by dental undergraduate students at KUDC, between January 2019 and December 2023. Additionally, a clinical assessment of denture hygiene was performed using the Budtz-J\u00f6rgensen denture plaque index for all patients (n = 61). Sociodemographic, general health status, oral hygiene habits, and OHRQoL-related data were collected. Results: A total of 37.7% of included participants were aged 51\u201360 years, with 75.4% being male. Most participants (81.96%) had a high school education or less. Caries was reported as the primary cause of tooth loss (83.6%), and 77.04% recorded irregular dental visits. Only 46.05% of participants demonstrated optimal and\/or good denture hygiene. Toothpaste was the most common cleaning method (79.21%), and 70.62% removed their dentures at night. A significant association was found between education level and denture wearing (p = 0.035), as well as between gender and the frequency of dental visits (p = 0.024). However, no significant relationship was observed between gender and denture hygiene (p = 0.52). The OHIP-19 results revealed that poor denture hygiene impacted OHRQoL across multiple domains, including functional limitation, physical pain, psychological discomfort, and social disability. Conclusions: Unsatisfactory denture hygiene was prevalent among participants, possibly due to limited awareness or inadequate instructions provided by dental health practitioners. Education level and gender influenced certain aspects of denture care, highlighting the need for targeted oral health education programs and improved patient guidance from dental practitioners. Additionally, poor denture hygiene was associated with reduced OHRQoL, emphasizing the importance of addressing both oral hygiene practices and their psychosocial impacts to improve overall well-being.<\/jats:p>","DOI":"10.3390\/dj14080515","type":"journal-article","created":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T08:06:16Z","timestamp":1786608376000},"page":"515","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Assessment of Oral Health-Related Quality of Life (OHRQoL) and Factors Influencing Oral Hygiene Habits in Complete Denture Patients"],"prefix":"10.3390","volume":"14","author":[{"given":"Alanoud","family":"Alotaibi","sequence":"first","affiliation":[{"name":"General Dentistry, Ministry of Health, Kuwait City 13001, Kuwait"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zaina","family":"Altahiri","sequence":"additional","affiliation":[{"name":"General Dentistry, Ministry of Health, Kuwait City 13001, Kuwait"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fajer","family":"Aljaser","sequence":"additional","affiliation":[{"name":"General Dentistry, Ministry of Health, Kuwait City 13001, Kuwait"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ghadeer","family":"Alenezi","sequence":"additional","affiliation":[{"name":"General Dentistry, Ministry of Health, Kuwait City 13001, Kuwait"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dena Kayed","family":"Ali","sequence":"additional","affiliation":[{"name":"Department of General Dental Practice, College of Dentistry, Kuwait University, P.O. Box 24923, Safat 13110, Kuwait"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2343-3787","authenticated-orcid":false,"given":"Mirza Rustum","family":"Baig","sequence":"additional","affiliation":[{"name":"Department of Restorative Sciences, College of Dentistry, Kuwait University, P.O. Box 24923, Safat 13110, Kuwait"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,8,13]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"362","DOI":"10.1177\/0022034520908533","article-title":"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","volume":"99","author":"Bernabe","year":"2020","journal-title":"J. Dent. Res."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"959","DOI":"10.1177\/0022034514546165","article-title":"Projections of U.S. edentulism prevalence following 5 decades of decline","volume":"93","author":"Slade","year":"2014","journal-title":"J. Dent. Res."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1016\/j.jobcr.2019.07.004","article-title":"Patient\u2019s oral health-related quality of life and satisfaction with implant-supported overdentures: A systematic review","volume":"9","author":"Mishra","year":"2019","journal-title":"J. Oral Biol. Craniofac. Res."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1177\/0022034517693566","article-title":"Global, regional, and national prevalence, incidence, and disability-adjusted life years for oral conditions for 195 countries, 1990\u20132015: A systematic analysis for the Global Burden of Disease Study","volume":"96","author":"Kassebaum","year":"2017","journal-title":"J. Dent. Res."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"570","DOI":"10.1067\/moe.2000.104477","article-title":"Insulin-dependent diabetes mellitus and oral soft tissue pathologies: II. Prevalence and characteristics of Candida and Candidal lesions","volume":"89","author":"Guggenheimer","year":"2000","journal-title":"Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1016\/j.jpor.2017.08.003","article-title":"Association between missing tooth count and mortality: A systematic review","volume":"62","author":"Koka","year":"2018","journal-title":"J. Prosthodont. Res."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"370","DOI":"10.1016\/j.jpor.2018.01.006","article-title":"Masticatory performance and oral health-related quality of life before and after complete denture treatment","volume":"62","author":"Yamamoto","year":"2018","journal-title":"J. Prosthodont. Res."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1111\/j.1447-0594.2010.00666.x","article-title":"Clinical survey of denture care in denture wearing edentulous patients of Indian population","volume":"11","author":"Chowdhary","year":"2011","journal-title":"Geriatr. Gerontol. Int."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1111\/j.1365-2842.1992.tb01089.x","article-title":"Age and maintenance of removable dentures in Finland","volume":"19","author":"Murtomaa","year":"1992","journal-title":"J. Oral Rehabil."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1038\/sj.bdj.4808788","article-title":"Denture cleansing the best approach","volume":"178","author":"Jagger","year":"1995","journal-title":"Br. Dent. J."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1016\/0022-3913(90)90152-3","article-title":"Investigation into the cleanliness of dentures in an elderly population","volume":"64","author":"Grant","year":"1990","journal-title":"J. Prosthet. Dent."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1046\/j.1365-2842.2002.00816.x","article-title":"Oral hygiene habits, denture cleanliness, presence of yeasts and stomatitis in elderly people","volume":"29","author":"Kazazoglu","year":"2002","journal-title":"J. Oral Rehabil."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1111\/j.1741-2358.2004.00026.x","article-title":"Self-reported denture hygiene of a sample of edentulous attendees at a university dental clinic and the relationship to the condition of the oral tissues","volume":"21","author":"Marchini","year":"2004","journal-title":"Gerodontology"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"e162","DOI":"10.1016\/j.archger.2012.01.003","article-title":"Tooth loss and edentulism in the Turkish elderly","volume":"54","year":"2012","journal-title":"Arch. Gerontol. Geriatr."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1016\/S0022-3913(96)90169-9","article-title":"Complete edentulism and denture use for elders in New England","volume":"76","author":"Marcus","year":"1996","journal-title":"J. Prosthet. Dent."},{"key":"ref_16","first-page":"1","article-title":"Recommendations for use and scoring of Oral Health Impact Profile versions","volume":"66","author":"John","year":"2022","journal-title":"J. Prosthodont. Res."},{"key":"ref_17","first-page":"273","article-title":"Effect of physical and psychological status on oral health quality of life in denture wearers: A prospective study","volume":"22","author":"Sharma","year":"2022","journal-title":"J. Indian. Prosthodont. Soc."},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Gabiec, K., Bagi\u0144ska, J., \u0141aguna, W., Rodakowska, E., Kami\u0144ska, I., Stachurska, Z., Dubat\u00f3wka, M., Kondraciuk, M., and Kami\u0144ski, K.A. (2022). Factors Associated with Tooth Loss in General Population of Bialystok, Poland. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19042369"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"550","DOI":"10.1002\/cre2.309","article-title":"The relationship of aging, complete tooth loss, and having a dental visit in the last 12\u2009months","volume":"6","author":"Lapane","year":"2020","journal-title":"Clin. Exp. Dent. Res."},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Kailembo, A., Preet, R., and Stewart Williams, J. (2017). Common risk factors and edentulism in adults, aged 50 years and over, in China, Ghana, India and South Africa: Results from the WHO Study on global AGEing and adult health (SAGE). BMC Oral Health, 17.","DOI":"10.1186\/s12903-016-0256-2"},{"key":"ref_21","first-page":"1","article-title":"Tobacco smoking and chronic destructive periodontal disease: Official journal of the society of the nippon dental university","volume":"92","year":"2004","journal-title":"Odontology"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"e004518","DOI":"10.1161\/JAHA.116.004518","article-title":"History of periodontitis diagnosis and edentulism as predictors of cardiovascular disease, stroke, and mortality in postmenopausal women","volume":"6","author":"Lamonte","year":"2017","journal-title":"J. Am. Heart Assoc."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1111\/jre.13061","article-title":"Periodontitis and edentulism as risk indicators for mortality: Results from a prospective cohort study with 20\u2009years of follow-up","volume":"58","author":"Antonoglou","year":"2023","journal-title":"J. Periodontal Res."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"468","DOI":"10.1111\/joor.13438","article-title":"Evaluation of the relationship between GOHAI, MNA and the dental hygiene of using denture wearers for older patients","volume":"50","year":"2023","journal-title":"J. Oral Rehabil."},{"key":"ref_25","first-page":"3","article-title":"Edentulism among diabetic patients compared to non-diabetic controls: A systematic review and meta-analysis","volume":"22","author":"Weijdijk","year":"2023","journal-title":"Int. J. Dent. Hyg."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"829","DOI":"10.1111\/cdoe.12771","article-title":"Income- and education-based inequalities of edentulism and dental services utilization in Brazil","volume":"51","author":"Ferreira","year":"2023","journal-title":"Community Dent. Oral Epidemiol."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1007\/s44445-026-00147-x","article-title":"Social determinants of oral health among adults in Saudi Arabia: A narrative review","volume":"38","author":"Alsaif","year":"2026","journal-title":"Saudi Dent. J."},{"key":"ref_28","first-page":"e1143","article-title":"Oral Health Knowledge in relation to educational level in an adult population in Spain","volume":"11","year":"2019","journal-title":"J. Clin. Exp. Dent."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"156","DOI":"10.54307\/NWMJ.2023.94830","article-title":"Evaluation of the hygiene habits and awareness of the removable denture wearer geriatric population: A cross-sectional survey study","volume":"3","year":"2023","journal-title":"Northwest. Med. J."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"558","DOI":"10.1016\/j.identj.2023.01.004","article-title":"Changes in Prevalence Over Time and Determinants of Dental Care Visits Amongst Tennessee Seniors","volume":"73","author":"Liu","year":"2023","journal-title":"Int. Dent. J."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"235","DOI":"10.2147\/CCIDE.S379171","article-title":"Gender differences in oral health knowledge and practices among adults in Jeddah, Saudi Arabia","volume":"14","author":"Rajeh","year":"2022","journal-title":"Clin. Cosmet. Investig. Dent."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1016\/j.archger.2008.08.010","article-title":"Self-reported denture hygiene habits and oral tissue conditions of complete denture wearers","volume":"49","author":"Baran","year":"2009","journal-title":"Arch. Gerontol. Geriatr."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"1161","DOI":"10.5005\/jp-journals-10024-1468","article-title":"Denture hygiene habits among elderly patients wearing complete dentures","volume":"14","author":"Shah","year":"2013","journal-title":"J. Contemp. Dent. Pract."},{"key":"ref_34","first-page":"107","article-title":"Oral Hygiene Habits of Complete Denture Wearers in Central Transylvania, Romania","volume":"19","author":"Bacali","year":"2021","journal-title":"Oral Health Prev. Dent."},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Lipsky, M.S., Singh, T., Zakeri, G., and Hung, M. (2024). Oral Health and Older Adults: A Narrative Review. Dent. J., 12.","DOI":"10.3390\/dj12020030"},{"key":"ref_36","first-page":"145","article-title":"Factors associated with the presence of denture-related stomatitis in complete denture wearers: A preliminary investigation","volume":"6","author":"Fenlon","year":"1998","journal-title":"Eur. J. Prosthodont. Restor. Dent."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"20792","DOI":"10.1038\/s41598-024-71785-6","article-title":"Oral health-related quality of life and its association with sense of coherence and social support among Yemeni immigrants in Malaysia","volume":"14","author":"Azzani","year":"2024","journal-title":"Sci. Rep."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"1000","DOI":"10.1016\/j.sdentj.2024.04.006","article-title":"Impact of prosthetic rehabilitation on oral health-related quality of life of Saudi Adults: A prospective observational study with pre-post design","volume":"36","author":"Fouda","year":"2024","journal-title":"Saudi Dent. J."},{"key":"ref_39","unstructured":"Oral Health and Quality of Life (2026, July 26). FDI World Dental Federation Report. Available online: https:\/\/www.fdiworlddental.org\/sites\/default\/files\/2020-11\/2018-fdi_annual_report_0_0.pdf."}],"container-title":["Dentistry Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2304-6767\/14\/8\/515\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T08:56:36Z","timestamp":1786611396000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2304-6767\/14\/8\/515"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,13]]},"references-count":39,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2026,8]]}},"alternative-id":["dj14080515"],"URL":"https:\/\/doi.org\/10.3390\/dj14080515","relation":{},"ISSN":["2304-6767"],"issn-type":[{"value":"2304-6767","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,13]]}}}