Department of Dentistry, Periodontics Research Division, University of Taubaté, R. dos Operários, 09, Centro, Taubaté, São Paulo, 12020-340, Brazil.
School of Dentistry, Department of Periodontology, Federal University of Minas Gerais, Belo Horizonte, Brazil.
Odontology. 2021 Oct;109(4):956-964. doi: 10.1007/s10266-021-00617-0. Epub 2021 May 23.
Oral diseases such as periodontitis can have a more negative influence on the quality of life of obese than in normal-weight patients. The objective of the present study was to assess the impact of one-stage full-mouth disinfection (OSFMD) therapy on the oral health-related quality of life (OHRQL) of obese and non-obese individuals with periodontitis. Fifty-five obese and thirty-nine non-obese patients were evaluated. The questionnaires oral impacts on daily performance (OIDP) and oral health and quality of life (OHQoL) were given to all patients at baseline and 6 months after periodontal treatment by the OSFMD protocol. For statistical analysis, Chi-square, the two-factor repeated-measures ANOVA, and correlation tests were used. At baseline, mean global OHQoL and OIDP scores were similar for both groups (p > 0.05). At 6 months, OSFMD resulted in OHQoL and OIDP global scores improvements in both groups (p < 0.05), with no significant difference between groups. The most impaired activity at baseline was eating and cleaning teeth for both groups. Periodontal parameters were associated with worse values in the OHQoL and OIDP questionnaires only in obese patients. In conclusion, OSFMD yielded similar improvements in overall OHRQL in both obese and non-obese individuals. Periodontal parameters were associated with a worse quality of life in obese patients. Periodontal treatment can be an important component to improve the OHRQL of obese individuals, and clinicians should expect similar results as those obtained with non-obese patients.
口腔疾病,如牙周炎,对肥胖患者的生活质量的负面影响可能比体重正常的患者更大。本研究的目的是评估单阶段全口消毒(OSFMD)疗法对肥胖和非肥胖牙周炎患者口腔健康相关生活质量(OHRQL)的影响。评估了 55 名肥胖患者和 39 名非肥胖患者。在基线和牙周治疗后 6 个月,通过 OSFMD 方案,所有患者均接受了口腔日常活动影响问卷(OIDP)和口腔健康和生活质量(OHQoL)问卷评估。为了进行统计分析,使用了卡方检验、双因素重复测量方差分析和相关性检验。基线时,两组的平均全球 OHQoL 和 OIDP 评分相似(p>0.05)。6 个月后,OSFMD 导致两组的 OHQoL 和 OIDP 总体评分均有所改善(p<0.05),两组之间无显著差异。基线时,两组最受影响的活动均为进食和刷牙。牙周参数仅与肥胖患者的 OHQoL 和 OIDP 问卷的较差值相关。结论:OSFMD 使肥胖和非肥胖个体的整体 OHRQL 均得到相似的改善。牙周参数与肥胖患者的生活质量较差相关。牙周治疗可以成为改善肥胖患者 OHRQL 的重要组成部分,临床医生应期望获得与非肥胖患者相似的结果。