Costa Fernando Oliveira, Cortelli José Roberto, Lima Rafael Paschoal Esteves, Costa Amanda Almeida, Cortelli Sheila Cavalca, Cota Luís Otávio Miranda
Department of Dental Clinics, Oral Pathology, and Oral Surgery,School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil. E-mail:
Departament of Dentistry, Periodontics Research Division, University of Taubaté,Taubaté, São Paulo, Brazil.
J Int Acad Periodontol. 2020 Apr 1;22(2):1-9.
The aim of this study was to evaluate the association between depressive disorders and periodontal condition and the recurrence of periodontitis, during periodontal maintenance therapy (PMT).
From a 6-year prospective cohort study with 268 individuals under PMT, 124 individuals had complete periodontal clinical data recorded between T1 (baseline) and T2 (final data at the last PMT appointment). Individuals were divided into two groups, being 35 individuals with depressive disorders (DD) and 89 individuals without DD (NDD). Full-mouth periodontal examination was evaluated at T1 and T2.
The periodontal status of NDD was significantly better then DD at T2. In the NDD group, the recurrence of periodontitis was 50.6% whereas in the DD group was 62.8%. Moreover, the following variables were significantly associated with recurrence of periodontitis in final multivariate logistic regression model: DD, age, co-habitation status without companion, smoking and the interaction between DD and smoking.
Individuals with DD undergoing PMT presented higher rates of recurrence of periodontitis and tooth loss when compared to individuals without DD. Additionally, the interaction between DD and smoking significantly increased the risk for the recurrence of periodontitis.
本研究旨在评估在牙周维护治疗（PMT）期间，抑郁症与牙周状况及牙周炎复发之间的关联。
在一项对268名接受PMT的个体进行的为期6年的前瞻性队列研究中，有124名个体在T1（基线）和T2（最后一次PMT预约时的最终数据）之间记录了完整的牙周临床数据。个体被分为两组，35名患有抑郁症（DD）的个体和89名无抑郁症（NDD）的个体。在T1和T2时对全口牙周检查进行评估。
在T2时，NDD组的牙周状况明显优于DD组。在NDD组中，牙周炎的复发率为50.6%，而在DD组中为62.8%。此外，在最终的多变量逻辑回归模型中，以下变量与牙周炎复发显著相关：DD、年龄、无伴侣的同居状况、吸烟以及DD与吸烟之间的相互作用。
与无DD的个体相比，接受PMT的DD个体牙周炎复发率和牙齿脱落率更高。此外，DD与吸烟之间的相互作用显著增加了牙周炎复发的风险。
