Quality of life analysis in patients diagnosed with stage III periodontitis after periodontal treatment

Authors

  • Andreana Filsinger et al.

Keywords:

periodontitis, periodontal treatment, quality of life

Abstract

Objective: Concepts of periodontal disease and treatment have recently been modified, emphasizing the patient as a unit suffering from periodontal disease (PD). We set out to investigate how periodontal treatment impacts patients' quality of life who underwent non-surgical periodontal treatment, to rethink treatment guidelines about physical-psychosocial well-being. Methods: From March 2019 to March 2020, 52 patients were selected for a descriptive and cross-sectional study, who consecutively attended Cátedra B of Periodoncia of the Facultad de Odontologia de la Universidad Nacional de Córdoba diagnosed with PD in Stage III. At the 3-month maintenance visit, they were invited to answer the OHIP-14 (Oral Health Impact Profile) questionnaire. The Infostat P/2008 program was used for data analysis with a p<0.05. Results 6% of the patients perceived problems pronouncing words, and 48% informed that they occasionally have problems with biting food. 53% perceived that a tooth did not look good, and 42% felt that their appearance was affected by problems with their teeth. 80% responded with food retention between their teeth. 35% often perceived headaches associated with bite problems and 24% presented sensitivity to cold and heat. 62% have felt tense due to problems with their teeth, and 47% perceived that sleep was interrupted. 6% have avoided going out with friends or a partner. Conclusion/s: The main problem detected is related to psychological discomfort and discourage as well as physical pain in some sectors of their mouth and sensitivity to temperature changes, altering their quality of life. Periodontal therapy should be planned to take into account the patient in their psychological and social aspects.

Downloads

Download data is not yet available.

References

Savage A, Eaton KA, Moles DR, Needleman I. A systematic review of definitions of periodontitis and methods that have been used to identify this disease. J Clin Periodontol 2009; 36: 458–467

Hujoel PP. Endpoints in periodontal trials: the need for an evidence-based research approach. Periodontol 2000 2004; 36: 196–204 3. Locker D, Allen F. What do measures of ‘oral health related quality of life’measure? Community Dent Oral Epidemiol 2007; 35: 401–411.

Graziani F, Karapetsa D, Alonso B, Herrera D. Nonsurgical and surgical treatment of periodontitis: how many options for one disease? Periodontol 2000. 2017; 75: 152–188.

Jönsson B, Öhrn K. Evaluation of the effect of non-surgical periodontal treatment on oral healthrelated quality of life: Estimation of minimal important differences 1 year after

Cortelli SC, Costa FO, Gargioni-Filho A, Aquino DR, Cota LOM, Scherma AP, Miranda TB, Cortelli JR. Impact of gingivitis treatment for diabetic patients on quality of life related to periodontal objective parameters: A randomized controlled clinical trial. Arch Oral Biol. 2018; 86:80-86. doi: 10.1016/j.archoralbio.2017.11.010.

Wong RM, Ng SK, Corbet EF, Keung Leung W. Nonsurgical periodontal therapy improves oral health-related quality of life. J Clin Periodontol 2012; 39 (1): 53–61

Goel K, Baral D. A comparison of impact of chronic periodontal diseases and nonsurgical periodontal therapy on oral health-related quality of life. Int J Dent 2017; 9352562. DOI: 10.1155/2017/9352562. 9. Papapanou PN, Sanz M, Buduneli N, Dietrich T, Feres M, Fine DH, Flemmig TF, Garcia R, Giannobile WV, Graziani F, Greenwell H, Herrera D, Kao RT, Kebschull M, Kinane DF, Kirkwood KL, Kocher T, Kornman KS, Kumar PS, Loos BG, Machtei E, Meng H, Mombelli A, Needleman I, Offenbacher S, Seymour GJ, Teles R, Tonetti MS. Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol. 2018;89 Suppl 1:S173-S182. doi: 10.1002/JPER.17-0721. 10. Lopez R, Baelum V. Spanish version of the Oral Health Impact Profile (OHIP-Sp). BMC Oral Health. 2006; 7(6):11. doi: 10.1186/1472-6831-6-11 11. Paśnik-Chwalik B, Konopka T. Impact of periodontitis on the Oral Health Impact Profile: A systematic review and meta-analysis. Dent Med Probl. 2020;57(4):423-431. doi: 10.17219/dmp/125028.

Castrejón-Pérez RC, Borges-Yáñez SA, Irigoyen-Camacho ME. Validación de un instrumento para medir el efecto de la salud bucal en la calidad de vida de adultos mayores mexicanos. Rev Panam Salud Pública. 2010;27(5):321–329. 13. Breinbauer H, Varela C, Núñez M, Ugarte S, Garfias R, Fonseca X. Encuesta de síntomas SNOT-20 para rinitis alérgica y rinosinusitis: validación en Chile. Rev Med Chile. 2011; 139: 886-895 http://dx.doi.org/10.4067/S0034-98872011000700009

Tonetti MS et al. Impact of the global burden of periodontal diseases on health, nutrition and wellbeing of mankind: A call for global action. J Clin Periodontol 2017; 44: 456–462 15. Marcenes W, Kassebaum NJ, Bernabé E, Flaxman A, Naghavi M, Lopez A, Murray CJ. Global burden of oral conditions in 1990-2010: a systematic analysis. J Dent Res. 2013;92(7):592-597. doi: 10.1177/0022034513490168.

Paśnik-Chwalik B, Konopka T. Impact of periodontitis on the Oral Health Impact Profile: A systematic review and meta-analysis. Dent Med Probl. 2020;57(4):423–431. doi:10.17219/dmp/125028

Meusel DRDZ, Ramacciato JC, Motta RHL, Junior RBB, Florio FM. Impact of the severity of chronic periodontal disease on quality of life. J Oral Sci 2015; 57:87–94

Buset SL. Walter C, Friedmann A, Weiger R. Borgnakke WS, Zitzmann, NU. Are periodontal diseases really silent? Asystematic review of their effect on quality of life. J. Clin. Periodontol. 2016, 43, 333–344 19. Lazureanu PC, Popescu FG, Stef L, Focsa M, Vaida MA, Mihaila R. The Influence of Periodontal Disease on Oral Health Quality of Life in Patients with Cardiovascular Disease: A Cross-Sectional Observational Single-Center Study. Medicina (Kaunas). 2022; 24;58(5):584. doi: 10.3390/medicina58050584.

Shanbhag S. Dahiya M. Croucher, R. The impact of periodontal therapy on oral health-related quality of life in adults: A systematic review. J. Clin. Periodontol. 2012, 39, 725–735. 21. Discepoli N, Marruganti C, Mirra R, Pettinari G, Ferrari Cagidiaco E, Ferrari M. Patients' illness perception before and after non-surgical periodontal therapy: A pre-post quasi-experimental study. J Periodontol. 2022;93(1):123-134. doi: 10.1002/JPER.21-0052 22. Keogh KM, Smith SM, White P, McGilloway S, Kelly A, Gibney J, O'Dowd T. Psychological family intervention for poorly controlled type 2 diabetes. Am J Manag Care. 2011;17(2):105-113. PMID: 21473660. 23. David Herrera D, Meyle J, Renvert S, Jin, L. White Paper on Prevention and Management of Periodontal Diseases for Oral Health and General Health FDI Global Periodontal Health Project Task Oral Health Atlas: World Dental Federation; 2018 www.fdiworlddental.org

Published

2023-08-03