Periodontology Department, Egas Moniz Dental Clinic, Egas Moniz, CRL, Monte de Caparica, Portugal.
Clinical Research Unit (CRU), Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Egas Moniz, CRL, Monte de Caparica, Portugal.
Clin Oral Investig. 2020 Feb;24(2):585-596. doi: 10.1007/s00784-019-03188-1. Epub 2020 Jan 4.
To estimate the impact of nonsurgical periodontal treatment (NSPT) on patients' oral health-related quality of life (OHRQoL). The focused question for this systematic review was: in adults patients with periodontitis, does NSPT improve oral health-related quality of life?
Five databases (PubMed, CIHNL, EMBASE, LILACS and CENTRAL) were searched up to April 2019 (PROSPERO CRD42018103393). Intervention trials and cohort studies assessing the OHRQoL data of adults with periodontitis, enduring non-surgical periodontal treatment (NSPT) were eligible for inclusion. Subgroup random-effects meta-analysis was conducted methodically.
Overall, 491 studies were retrieved, out of which 19 met the inclusion criteria. Two randomized clinical trials (RCTs) and ten cohort studies were further analysed. Seven cohort studies were included in the statistical analysis. Subgroup meta-analyses of cohort studies revealed that NSPT improves in average 2.49 (95% CI 0.95-4.02), 8.94 (95% CI 6.89-10.99) and 6.49 (95% CI 5.11-7.88) OHRQoL levels at 1-2 weeks, 3-4 weeks and 6-12 weeks of post-treatment, respectively.
NSPT procedures greatly improve the oral health-related quality of life within a short time, remaining stable after 3 months of treatment.
This systematic review brings forward summary evidence that NSPT improves the OHRQoL in adults with periodontitis from a patient-centred perception and remain stable in the short term.
评估非手术性牙周治疗（NSPT）对患者口腔健康相关生活质量（OHRQoL）的影响。本系统评价的重点问题是：在患有牙周炎的成年患者中，NSPT 是否能改善口腔健康相关生活质量？
检索了 5 个数据库（PubMed、CIHNL、EMBASE、LILACS 和 CENTRAL），检索时间截至 2019 年 4 月（PROSPERO CRD42018103393）。纳入评估成人牙周炎患者 OHRQoL 数据并接受非手术性牙周治疗（NSPT）的干预试验和队列研究。采用系统方法进行亚组随机效应荟萃分析。
共检索到 491 项研究，其中 19 项符合纳入标准。进一步分析了 2 项随机临床试验（RCT）和 10 项队列研究。有 7 项队列研究纳入了统计分析。队列研究的亚组荟萃分析显示，NSPT 在治疗后 1-2 周、3-4 周和 6-12 周，平均分别改善 2.49（95%CI 0.95-4.02）、8.94（95%CI 6.89-10.99）和 6.49（95%CI 5.11-7.88）的 OHRQoL 水平。
NSPT 程序在短时间内大大改善了口腔健康相关生活质量，在治疗 3 个月后保持稳定。
本系统评价提供了综合证据，表明 NSPT 从患者为中心的角度改善了成人牙周炎患者的 OHRQoL，并且在短期内保持稳定。
