Short-Term Impact of Non-Surgical and Surgical Periodontal Therapy on Oral Health-Related Quality of Life in a Greek Population-A Prospective Cohort Study.

Georgios C. Menexes,Maria Nikiforidou,Charis Theodoridis,Ioannis D. Vouros,Anastasia Violesti

doi:10.3390/dj8020054

Georgios C. Menexes, Maria Nikiforidou + Show 3 more

Open Access

https://doi.org/10.3390/dj8020054

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Journal: Dentistry journal	Publication Date: May 25, 2020
Citations: 13	License type: CC BY 4.0

Affiliation: Aristotle University of Thessaloniki

Abstract

While periodontitis deteriorates patients’ quality of life, non-surgical periodontal treatment seems to offer an improvement. The purpose of the present study was to evaluate the impact of non-surgical and surgical periodontal treatment on the oral health-related quality of life (OHRQoL) utilizing patient-centered assessments and surrogate clinical measurements in Greek adults. Eighty-three individuals with chronic periodontitis were enrolled in the study. Assessment of OHRQoL with the use of the Oral Health Impact Profile (OHIP-14) questionnaire in conjunction with clinical measurements of pocket probing depth (PPD), plaque index (PI) and bleeding on probing (BOP) were performed at baseline (t0), after non-surgical therapy (t1) and after periodontal surgery (t2). A statistically significant reduction of OHIP-14 score was recorded at t1 and t2 examination compared to baseline (p < 0.001) and a statistically significant improvement in all clinical parameter at all time points was recorded (p < 0.05). No correlation between the clinical parameters and the total score of OHIP-14 was recorded at any time point. Non-surgical periodontal treatment seemed to improve OHRQoL in terms of OHIP-14 scores, whilst supplementary surgical periodontal therapy did not offer any additional benefit. No correlation was found between patients’ perception of quality of life expressed by OHIP-14 score and the surrogate clinical parameters.

Highlights

During the last decades, research on periodontal health and pathology has been based on a biomedical approach to disease
Periodontal disease is a condition that undoubtfully affects patients’ well-being and quality of life (QoL) but only a few studies have reported on the effects of mechanical non-surgical periodontal treatment in conjunction with periodontal surgery on the oral health-related quality of life (OHRQoL) of periodontally compromised patients by using Oral Health Impact Profile (OHIP-14)
A statistically significant reduction in the total score of the OHIP-14 after initial cause related therapy was observed, which indicates that initial mechanical treatment produced a positive impact on the OHRQoL and H0 may be rejected

Summary

Introduction

Research on periodontal health and pathology has been based on a biomedical approach to disease. The clinical signs of chronic periodontitis, such as clinical attachment loss, probing pocket depth and bleeding on probing have been overemphasized by the clinicians, as they provide evidence on both disease severity and effectiveness of periodontal therapy but offer little insight into more subjective patient-based outcomes, such as quality of life. According to the World Health Organization (WHO) [1], quality of life (QoL) is defined as individuals’ perception of position in life in the context of the culture and value system in which they live and in relationship to their goals, expectations, standards and concerns. J. 2020, 8, 54 health-related quality of life’ (OHRQoL) characterizes an individuals’ perception of how oral health conditions impact on the overall QoL [2,3,4]

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