Abstract
Objective. This study assessed the impact of periodontal diseases on health-related quality of life of adult users of the Brazilian Unified Health System. Study Design. A cross-sectional study was conducted on an outpatient basis. The sample included 151 adults treated in the Periodontics section at Dental Specialty Centres of Juiz de Fora (Minas Gerais, Brazil). The Oral Health Impact Profile (OHIP-14) measured the impact of periodontal disease on quality of life. Participants were interviewed to obtain self-perception of general and oral health and socioeconomic data, and dental records were consulted to obtain periodontal status data. The values of central tendency of the OHIP-14 were compared with socioeconomic, demographic, and self-reported health predictors using nonparametric tests. The final analysis was performed using multiple linear regressions. Results. The results showed that psychological discomfort and physical disability exhibited a negative impact. The following variables can explain approximately 27% of the impact of oral health conditions on health-related quality of life in this group: periodontal disease, self-perceived oral health, and the need to use or replace dental prosthesis. Conclusion. The need for prosthetic rehabilitation and worse periodontal status are associated with health-related quality of life, which can be predicted by the self-perception of health.
Highlights
Diseases that affect the teeth are as old as man himself, but epidemiological surveys of oral health conditions began in the 1960s
The study sample included adult users of the CEOs who were treated in the Periodontics section of the Sistema Unico de Saude (SUS) network, Juiz de Fora, state of Minas Gerais (MG), Brazil, who underwent basic clinical dental care and signed an informed consent form
Three cases received a Periodontal Screening and Recording (PSR) code one; 35 cases received a code two; 104 cases received a code three; and eight cases were classified as code four
Summary
Diseases that affect the teeth are as old as man himself, but epidemiological surveys of oral health conditions began in the 1960s. An experimental study on gingivitis in humans [1] showed that the build-up of bacterial plaque led to the development of gingival inflammation (gingivitis), and its removal eliminated the lesions. The worldwide prevalence of periodontal disease is 5– 20% in the adult population. Periodontitis is the second largest oral health problem, affecting 10–15% of the world’s population [2]. The most severe forms of periodontal disease significantly affect adults (35–44 years old) with a prevalence of 19%. Gum problems in the elderly have a reduced impact at the population level due to the reduced number of present teeth [3]
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