Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, Pisa, Italy; Sub-Unit of Periodontology, Halitosis and Periodontal Medicine, University Hospital of Pisa, Pisa, Italy.
Department of Periodontology, School of Dental Medicine, University of Zagreb, Zagreb, Croatia.
Br Dent J. 2019 Oct;227(7):621-625. doi: 10.1038/s41415-019-0735-3.
While clinical indicators, or so-called surrogate outcomes in periodontology, allow us to assess periodontal health and evaluate outcomes of periodontal therapy from a clinician's perspective, they cannot be used to evaluate patients' subjective perceptions of their health status or satisfaction with the received treatment. These can be assessed through patient-based outcomes, such as quality of life. The aim of this paper is to give an overview of the multidimensional concept of oral health-related quality of life (OHRQoL), its measures and association with plaque-induced, inflammatory periodontal diseases. Periodontitis and its clinical consequences, such as tooth loss, have a considerable negative effect on OHRQoL, while periodontal treatment and alleviation of the symptoms can lead to improvement in OHRQoL. Implant rehabilitation of missing teeth also seems to positively influence OHRQoL.
虽然临床指标（即牙周病学中的所谓替代终点）可以让我们从临床医生的角度评估牙周健康状况和牙周治疗的效果，但它们不能用来评估患者对其健康状况的主观感知或对所接受治疗的满意度。这些可以通过基于患者的结果来评估，例如生活质量。本文的目的是概述口腔健康相关生活质量（OHRQoL）的多维概念、其测量方法以及与菌斑诱导的炎症性牙周疾病的关联。牙周炎及其临床后果，如牙齿缺失，对 OHRQoL 有相当大的负面影响，而牙周治疗和症状缓解可以改善 OHRQoL。缺失牙的种植修复似乎也对 OHRQoL 产生积极影响。
