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治疗后超过 5 年的侵袭性牙周炎患者的口腔健康相关生活质量和治疗标准。

Oral health-related quality of life and standard of treatment in aggressive periodontitis patients more than 5 years after therapy.

机构信息

Section of Periodontology, Department of Conservative Dentistry, Clinic for Oral, Dental and Maxillofacial Diseases, University Hospital Heidelberg, Heidelberg, Germany.

Private Practice, Bielefeld, Germany.

出版信息

J Clin Periodontol. 2018 Nov;45(11):1347-1355. doi: 10.1111/jcpe.13011. Epub 2018 Oct 21.

Abstract

OBJECTIVES

To assess OHRQoL in patients with aggressive periodontitis (AgP) after periodontal treatment using the Oral Health Impact Profile-49 (OHIP-49) and compare to patients' dental status.

MATERIAL AND METHODS

More than 5 years after therapy, 71 patients were examined and answered the OHIP-questionnaire. The dental and periodontal status were assessed according to the SSO (Swiss Dental Society) criteria. Descriptive statistics were performed with SPSS, correlation analysis and tests for differences using R 3.2.2.

RESULTS

More than 90% of all patients showed no probing depths (PD) >5 mm, a bleeding on probing (BOP) index below 35%, and a sufficient function. Four patients showed no visible plaque, PDs ≤ 3 mm, a BOP below 10%, and an optimum function. Non-smoking and compliant patients exhibited a more favourable status. The OHIP-49 added up to 24.9 points, representing a comparatively high satisfaction of AgP-patients with their oral status. The subscale which most patients reported impairment in was "functional limitation." A correlation between quality standard and the OHIP-49G could only be shown in the psychological disability subscale.

CONCLUSION

After treatment, a moderate to high quality level can be retained over more than 5 years. Most patients are satisfied with their oral health. Correlations between the objective and subjective view could not be found, apart from the subscale "psychological disability."

摘要

目的

使用口腔健康影响程度量表(OHIP-49)评估侵袭性牙周炎(AgP)患者牙周治疗后的口腔健康相关生活质量(OHRQoL),并将其与患者的口腔状况进行比较。

材料和方法

治疗后超过 5 年,对 71 名患者进行了检查并回答了 OHIP-49 问卷。根据 SSO(瑞士牙科协会)标准评估牙齿和牙周状况。使用 SPSS 进行描述性统计,使用 R 3.2.2 进行相关性分析和差异检验。

结果

超过 90%的患者所有探诊深度(PD)均>5mm,探诊出血(BOP)指数<35%,功能充足。4 名患者无可见菌斑,PDs≤3mm,BOP<10%,功能最佳。不吸烟和依从性好的患者表现出更有利的状态。OHIP-49 总分为 24.9 分,表明 AgP 患者对其口腔状况的满意度较高。大多数患者报告受损的子量表是“功能受限”。仅在心理障碍子量表中才能显示质量标准与 OHIP-49G 之间的相关性。

结论

治疗后,超过 5 年仍能保持中等到高水平的质量。大多数患者对其口腔健康状况满意。除了“心理障碍”子量表外,未发现客观和主观观点之间的相关性。

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