Department of Periodontology, Tokyo Dental College, Chiba, Japan.
J Clin Periodontol. 2011 Dec;38(12):1115-21. doi: 10.1111/j.1600-051X.2011.01796.x. Epub 2011 Oct 9.
To gain insight into the impact of periodontal surgery on oral health-related quality of life (QoL) of patients with periodontitis.
Study participants were recruited from moderate to severe periodontitis patients. After initial periodontal therapy, participants received periodontal surgery. Oral Health-related Quality of Life Model for Dental Hygiene (OHRQL) was used to assess participant's QoL at each time point of periodontal evaluation (baseline, at least 3 weeks after initial therapy and 3-4 months after surgery).
A total of 21 patients completed OHRQL assessment after surgery. Compared with baseline, a progressive improvement in periodontal parameters was observed during the periodontal therapy. The total mean OHRQL score at baseline (25.5 ± 11.4) was significantly reduced (improved) after initial therapy and after surgery (16.7 ± 9.5 and 15.0 ± 9.7, respectively; p < 0.01). However, no significant difference was found between the OHRQL score after initial therapy and that after surgery.
No significant differences in patients' oral health-related QoL were observed between post-initial therapy and post-surgery intervals, although a tendency of surgery to determine an improvement in QoL was observed when compared with post-initial treatment.
了解牙周手术后对牙周炎患者口腔健康相关生活质量(QoL)的影响。
研究参与者从中重度牙周炎患者中招募。在初始牙周治疗后,参与者接受牙周手术。使用口腔健康相关生活质量模型(OHRQL)评估每个牙周评估时间点(基线、初始治疗后至少 3 周和手术后 3-4 个月)的患者 QoL。
共有 21 名患者在手术后完成了 OHRQL 评估。与基线相比,牙周治疗期间牙周参数逐渐改善。基线时的总平均 OHRQL 评分(25.5±11.4)在初始治疗后和手术后显著降低(改善)(分别为 16.7±9.5 和 15.0±9.7;p<0.01)。然而,初始治疗后和手术后的 OHRQL 评分之间没有发现显著差异。
尽管与初始治疗后相比,手术有改善 QoL 的趋势,但在初始治疗后和手术后之间,患者口腔健康相关 QoL 没有显著差异。