School of Dentistry, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
Dental Advisor Denplan, The Stables, Heritage Ct, Clifton Reynes, Olney, UK.
J Clin Periodontol. 2018 Dec;45(12):1440-1447. doi: 10.1111/jcpe.13022. Epub 2018 Nov 5.
To explore the associations between periodontal status and patient-reported outcomes (PROs) in a large cohort of patients based in non-specialist general dental practice.
Analysis was conducted using data from 14,620 patients, in 233 non-specialist dental practices across the UK. As part of routine clinical care, data on periodontal probing depths (PPD), alveolar bone loss (ABL), bleeding on probing (BoP) as well as PROs (oral pain/discomfort, dietary restrictions and dental appearance) were recorded using an online database. The associations between periodontal status and PROs were investigated using logistic regression analysis, adjusting for confounders.
We found a positive association between worse periodontal health and the prevalence of PROs. After adjustment for confounders, 13.8% of patients in the healthiest category (PPD < 5 mm, ABL < 2 mm, no BoP) reported pain/discomfort, compared to 20.7% of patients in the worst category (PPD > 7 mm, ABL > 4 mm). A similar trend was seen with reporting a restricted diet and unhappiness with appearance.
This study provides novel insights into the associations between periodontal status and PROs in a non-specialist, general dental practice, highlighting the benefits of prevention and management of periodontitis.
在英国 233 家非专科牙科诊所的 14620 名患者中，基于大型队列研究，探究牙周状况与患者报告结局（PROs）之间的相关性。
分析使用了来自英国 233 家非专科牙科诊所的 14620 名患者的数据。作为常规临床护理的一部分，使用在线数据库记录了牙周探诊深度（PPD）、牙槽骨丧失（ABL）、探诊出血（BoP）以及 PROs（口腔疼痛/不适、饮食限制和牙齿外观）的数据。使用逻辑回归分析调整混杂因素后，研究了牙周状况与 PROs 之间的相关性。
我们发现牙周健康状况越差，与 PROs 的患病率之间存在正相关关系。调整混杂因素后，在牙周最健康的组（PPD<5mm，ABL<2mm，无 BoP）中，有 13.8%的患者报告疼痛/不适，而在牙周状况最差的组（PPD>7mm，ABL>4mm）中，有 20.7%的患者报告疼痛/不适。在报告饮食受限和对外观不满意方面也存在类似的趋势。
本研究提供了非专科普通牙科实践中牙周状况与 PROs 之间相关性的新见解，强调了预防和管理牙周炎的益处。
