Section of Periodontology, Department of Conservative Dentistry, Clinic for Oral-, Dental- and Maxillofacial Diseases, University Hospital Heidelberg, Heidelberg, Germany.
Institute of Medical Biometry and Informatics, Ruprecht-Karls-University of Heidelberg, Heidelberg, Germany.
J Clin Periodontol. 2021 Jun;48(6):816-825. doi: 10.1111/jcpe.13454. Epub 2021 Mar 17.
To compare the Oral Health-Related Quality of Life (OHRQoL) of patients with mobile mandibular incisors before and after full-mouth disinfection (FMD) with and without splinting.
Thirty-four periodontitis patients with ≥1 mobile mandibular incisor (degree II/III) were randomly allocated to the test or control group. All patients received FMD and the test group additional splinting of teeth 33-43. OHRQoL was assessed before (BL) and 3 months after FMD (RE) using the Oral Health Impact Profile (OHIP)-14. Data were compared within and between the groups (Wilcoxon test/Mann-Whitney U test).
Twenty-eight patients (13 test group/15 control group) were re-evaluated. FMD led to a reduction of the mean probing pocket depth (PPD; in mm) (test group: BL-PPD 3.89 ± 1.03, RE-PPD 2.82 ± 0.53; control group: BL-PPD 3.58 ± 0.66, RE-PPD 2.77 ± 0.59; each p ≤ .001), the mean clinical attachment level (CAL; in mm) (test group: BL-CAL 5.22 ± 1.38, RE-CAL 4.79 ± 0.85; control group: BL-CAL 4.58 ± 1.10, RE-CAL 4.41 ± 0.96; each p ≤ .05), and the mean OHIP-14 summary scores (test group: BL-OHIP 21.7 ± 11.06, RE-OHIP 9.9 ± 8.96, p = .0046; control group: BL-OHIP 16.8 ± 8.27, RE-OHIP 11.7 ± 8.55; p = .0217). The reduction of the OHIP-G14 scores was considerably higher in the test group but statistically not significant (p = .080).
The results show a positive impact of non-surgical periodontal treatment on OHRQoL and a possible tendency for further improvement by splinting mobile mandibular incisors.
比较全口消毒（FMD）前后带或不带夹板固定的活动下颌切牙患者的口腔健康相关生活质量（OHRQoL）。
34 名患有≥1 颗活动下颌切牙（II/III 度）的牙周炎患者被随机分配到试验组或对照组。所有患者均接受 FMD 治疗，试验组额外固定 33-43 颗牙齿。使用口腔健康影响简表（OHIP）-14 在治疗前（BL）和 FMD 治疗后 3 个月（RE）评估 OHRQoL。使用 Wilcoxon 检验/曼-惠特尼 U 检验对组内和组间数据进行比较。
28 名患者（试验组 13 名/对照组 15 名）接受了重新评估。FMD 导致平均探诊牙周袋深度（PPD；mm）（试验组：BL-PPD 3.89±1.03，RE-PPD 2.82±0.53；对照组：BL-PPD 3.58±0.66，RE-PPD 2.77±0.59；均 p≤0.001）、平均临床附着水平（CAL；mm）（试验组：BL-CAL 5.22±1.38，RE-CAL 4.79±0.85；对照组：BL-CAL 4.58±1.10，RE-CAL 4.41±0.96；均 p≤0.05）和平均 OHIP-14 综合评分（试验组：BL-OHIP 21.7±11.06，RE-OHIP 9.9±8.96，p=0.0046；对照组：BL-OHIP 16.8±8.27，RE-OHIP 11.7±8.55；p=0.0217）均降低。试验组 OHIP-G14 评分的降低幅度明显较高，但统计学上无显著差异（p=0.080）。
结果表明，非手术牙周治疗对 OHRQoL 有积极影响，通过固定活动下颌切牙可能进一步改善 OHRQoL。
