Does recurrent aphthous stomatitis affect quality of life? A prospective study with 128 patients evaluating different treatment modalities

J Dermatolog Treat. 2011 Aug;22(4):215-20. doi: 10.3109/09546631003675450. Epub 2010 Aug 30.

Abstract

Introduction: Quality of life measures are increasingly being used in the evaluation of oral disease outcome. To date, there has been less focus on oral health-related quality of life (OHR-QoL) measures for oral diseases in dermatologic literature.

Objective: To test whether patients with recurrent aphthous stomatitis (RAS) report a lower OHR-QoL than the general population and to evaluate therapeutic regimens for RAS by using OHR-QoL measures.

Method: A total of 128 patients and 40 controls were enrolled. A questionnaire entitled the 14-item oral health impact profile (OHIP-14) was completed. Forty-three (33%) of the patients were followed-up and completed the OHIP-14 following treatment.

Results: The median total score of patients on colchicine before treatment was 21. Following use of colchicine, the total score was 10. There was a significant difference concerning the impact of oral health following use of oral colchicine. However, no reduction of OHIP-14 scores was observed in the topical treatment group.

Conclusion: When the influence of one of the most common oral diseases such as RAS on OHR-QoL was taken into consideration, OHR-QoL provides an additional dimension that may help to improve the impact of a disease on an individual's life. In relation to this, colchicine seems to be one of the most effective management strategies used in RAS.

Publication types

  • Comparative Study
  • Controlled Clinical Trial

MeSH terms

  • Adrenal Cortex Hormones / administration & dosage
  • Adrenal Cortex Hormones / therapeutic use
  • Adult
  • Colchicine / therapeutic use*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Mouthwashes / therapeutic use
  • Prospective Studies
  • Quality of Life*
  • Stomatitis, Aphthous / drug therapy*
  • Stomatitis, Aphthous / psychology*
  • Young Adult

Substances

  • Adrenal Cortex Hormones
  • Mouthwashes
  • Colchicine

Supplementary concepts

  • Sutton disease 2