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非手术和手术牙周治疗对希腊人群口腔健康相关生活质量的短期影响——一项前瞻性队列研究

Short-Term Impact of Non-Surgical and Surgical Periodontal Therapy on Oral Health-Related Quality of Life in a Greek Population-A Prospective Cohort Study.

作者信息

Theodoridis Charis, Violesti Anastasia, Nikiforidou Maria, Menexes Georgios C, Vouros Ioannis D

机构信息

Department of Preventive Dentistry, Periodontology and Implant Biology, Dental School, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.

Laboratory of Agronomy, School of Agriculture, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.

出版信息

Dent J (Basel). 2020 May 25;8(2):54. doi: 10.3390/dj8020054.

Abstract

While periodontitis deteriorates patients' quality of life, non-surgical periodontal treatment seems to offer an improvement. The purpose of the present study was to evaluate the impact of non-surgical and surgical periodontal treatment on the oral health-related quality of life (OHRQoL) utilizing patient-centered assessments and surrogate clinical measurements in Greek adults. Eighty-three individuals with chronic periodontitis were enrolled in the study. Assessment of OHRQoL with the use of the Oral Health Impact Profile (OHIP-14) questionnaire in conjunction with clinical measurements of pocket probing depth (PPD), plaque index (PI) and bleeding on probing (BOP) were performed at baseline (t0), after non-surgical therapy (t1) and after periodontal surgery (t2). A statistically significant reduction of OHIP-14 score was recorded at t1 and t2 examination compared to baseline ( < 0.001) and a statistically significant improvement in all clinical parameter at all time points was recorded ( < 0.05). No correlation between the clinical parameters and the total score of OHIP-14 was recorded at any time point. Non-surgical periodontal treatment seemed to improve OHRQoL in terms of OHIP-14 scores, whilst supplementary surgical periodontal therapy did not offer any additional benefit. No correlation was found between patients' perception of quality of life expressed by OHIP-14 score and the surrogate clinical parameters.

摘要

虽然牙周炎会降低患者的生活质量,但非手术牙周治疗似乎能带来改善。本研究的目的是利用以患者为中心的评估和替代临床测量方法,评估非手术和手术牙周治疗对希腊成年人口腔健康相关生活质量(OHRQoL)的影响。83名患有慢性牙周炎的个体参与了该研究。在基线(t0)、非手术治疗后(t1)和牙周手术后(t2),使用口腔健康影响量表(OHIP-14)问卷评估OHRQoL,并结合临床测量探诊深度(PPD)、菌斑指数(PI)和探诊出血(BOP)。与基线相比,在t1和t2检查时记录到OHIP-14评分有统计学显著降低(<0.001),并且在所有时间点所有临床参数均有统计学显著改善(<0.05)。在任何时间点均未记录到临床参数与OHIP-14总分之间的相关性。就OHIP-14评分而言,非手术牙周治疗似乎改善了OHRQoL,而补充性手术牙周治疗并未带来任何额外益处。未发现OHIP-14评分所表达的患者生活质量感知与替代临床参数之间存在相关性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e427/7344508/17e730d574a8/dentistry-08-00054-g001.jpg

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