Pupovac Aleksandar, Kuiš Davor, Mišković Ivana, Prpić Jelena
Department of Periodontology, Faculty of Dental Medicine, University of Rijeka, Rijeka, Croatia.
Department of Periodontology, Clinic of Dental Medicine, Clinical Hospital Center Rijeka, Rijeka, Croatia.
Eur J Dent. 2024 Oct;18(4):1172-1178. doi: 10.1055/s-0044-1785534. Epub 2024 Aug 5.
The aim of this study was to translate and validate the condition-specific Oral Health Impact Profile (OHIP) in the Croatian cultural context and assess the impact of periodontal diseases and nonsurgical periodontal therapy on quality of life (QoL).
A cross-sectional study was carried out on 150 individuals: 50 periodontally healthy, 50 with gingivitis, and 50 with periodontitis who self-administrated the OHIP. The participants' age ranged between 18 and 71 years, with the median age of 45 (34-57) years. Forty-seven percent of the participants were females. The validity and reliability of the Croatian OHIP version were tested. The impact of gingivitis and periodontitis on QoL was assessed. Changes in QoL induced by nonsurgical periodontal therapy in 20 patients with periodontitis were analyzed.
Categorical data were presented by absolute and relative frequencies. The normality of the distribution of continuous variables was tested by the Shapiro-Wilk test. Continuous data were described by the median and the limits of the interquartile range (IQR). Differences in continuous variables between two independent groups were tested with the Mann-Whitney test, and between three groups with the Kruskal-Wallis test (post hoc Conover). The Wilcoxon signed-rank test was used to examine the differences in the total score before and after therapy. All values were two-sided. The level of significance was set at alpha of 0.05.
The analysis detected a single-factor structure that explained for the 56.9% of the variance. Cronbach's alpha value was 0.937, which indicated an excellent internal consistency. Overall OHIP score reported a strong correlation with the subjective estimate of periodontal problems (Rho = 0.92; < 0.001). Test-retest reliability was high ( = 0.984; < 0.001). The periodontitis group had the highest OHIP score (28 [23-34]), followed by the gingivitis group (14 [12-20]) and the periodontally healthy group (9 [5-11]; < 0.001). Nonsurgical periodontal therapy significantly improved the QoL in those with periodontitis ( < 0.001).
The condition-specific Croatian version of the OHIP instrument can be considered adequate to measure the impact of periodontal diseases on oral health-related QoL. Periodontal diseases, especially periodontitis, have a negative effect on the patient's QoL. Nonsurgical periodontal treatment can improve patients' QoL.
本研究旨在将特定病情的口腔健康影响程度量表（OHIP）翻译并验证至克罗地亚文化背景下，同时评估牙周疾病及非手术牙周治疗对生活质量（QoL）的影响。
对150名个体进行了一项横断面研究，其中50名牙周健康者、50名牙龈炎患者和50名牙周炎患者自行填写OHIP量表。参与者年龄在18至71岁之间，中位年龄为45（34 - 57）岁。47%的参与者为女性。对克罗地亚语版OHIP的有效性和可靠性进行了测试。评估了牙龈炎和牙周炎对生活质量的影响。分析了20名牙周炎患者经非手术牙周治疗后生活质量的变化。
分类数据以绝对和相对频率呈现。连续变量分布的正态性通过Shapiro-Wilk检验进行测试。连续数据用中位数和四分位数间距（IQR）的范围来描述。两组独立样本连续变量的差异用Mann-Whitney检验，三组之间的差异用Kruskal-Wallis检验（事后Conover检验）。Wilcoxon符号秩检验用于检验治疗前后总分的差异。所有P值均为双侧。显著性水平设定为α = 0.05。
分析检测到一个单因素结构，该结构解释了56.9%的方差。Cronbach's alpha值为0.937，表明具有出色的内部一致性。OHIP总分与牙周问题的主观评估呈强相关（Rho = 0.92；P < 0.001）。重测信度较高（P = 0.984；P < 0.001）。牙周炎组的OHIP得分最高（28 [23 - 34]），其次是牙龈炎组（14 [12 - 20]）和牙周健康组（9 [5 - 11]；P < 0.001）。非手术牙周治疗显著改善了牙周炎患者的生活质量（P < 0.001）。
特定病情的克罗地亚语版OHIP工具可被认为足以测量牙周疾病对口腔健康相关生活质量的影响。牙周疾病，尤其是牙周炎，对患者的生活质量有负面影响。非手术牙周治疗可改善患者的生活质量。
