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2期和3期牙周炎非手术治疗对口腔健康相关生活质量的影响。

Impact of Nonsurgical Periodontal Treatment of Periodontitis Stages 2 and 3 on Oral Health-Related Quality of Life.

作者信息

Al-Sharqi Ali J B, Abdulkareem Ali A, Gul Sarhang, Rawlinson Andrew

机构信息

Department of Periodontics, College of Dentistry, University of Baghdad, Bab Al Mudam, Baghdad P.O. Box 1417, Iraq.

Medical Laboratory Department, College of Health and Medical Technology, Sulaimani Polytechnic University, Sulaymaniyah P.O. Box 70-236, Iraq.

出版信息

Healthcare (Basel). 2024 Jul 17;12(14):1430. doi: 10.3390/healthcare12141430.

Abstract

This study investigates the impact of nonsurgical periodontal treatment (NSPT) on oral health-related quality of life (OHRQoL) in patients with periodontitis stages (S)2 and S3, and the factors associated with the prediction of patient-reported outcomes. Periodontitis patients (n = 68) with moderately deep periodontal pockets were recruited. Responses to the Oral Health Impact Profile (OHIP)-14 questionnaire and clinical parameters including plaque index, bleeding on probing (BOP), probing pocket depth (PPD), and clinical attachment loss (CAL) were recorded. All patients received supra- and subgingival professional mechanical plaque removal. All clinical parameters and questionnaire responses were recorded again 3 months after NSPT. Clinical parameters and OHIP-14 scores for both stages of periodontitis were significantly improved 3 months after treatment. However, participants with periodontitis S3 had significantly higher total OHIP-14, physical pain, and functional limitation domains scores than periodontitis S2 cases. Baseline CAL, BOP, and the presence of PPD in anterior teeth were positively associated with increased OHIP-14 scores after NSPT. NSPT improved OHRQoL in participants with periodontitis S2 and S3. This was more pronounced in participants having periodontitis S3 than S2. Poorer OHRQoL could be anticipated in people having severe CAL, high BOP, and presence of pockets in the anterior teeth.

摘要

本研究调查了非手术牙周治疗(NSPT)对牙周炎2期(S2)和3期(S3)患者口腔健康相关生活质量(OHRQoL)的影响,以及与患者报告结局预测相关的因素。招募了68名患有中度深牙周袋的牙周炎患者。记录了对口腔健康影响量表(OHIP)-14问卷的回答以及包括菌斑指数、探诊出血(BOP)、探诊袋深度(PPD)和临床附着丧失(CAL)在内的临床参数。所有患者均接受了龈上和龈下专业机械性菌斑清除。NSPT治疗3个月后再次记录所有临床参数和问卷回答。治疗3个月后,两个牙周炎阶段的临床参数和OHIP-14评分均有显著改善。然而,牙周炎S3期患者的OHIP-14总分、身体疼痛和功能受限领域得分显著高于牙周炎S2期患者。基线时的CAL、BOP以及前牙PPD的存在与NSPT后OHIP-14评分升高呈正相关。NSPT改善了牙周炎S2和S3期参与者的OHRQoL。这在牙周炎S3期参与者中比S2期更明显。对于患有严重CAL、高BOP以及前牙有牙周袋的人,可以预期其OHRQoL较差。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f198/11276705/c8d5aae71d60/healthcare-12-01430-g001.jpg

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