Arifin Fadil Abdillah, Matsuda Yuhei, Natsir Nurhayaty, Kanno Takahiro
Department of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine, 89-1 Enya-cho, Izumo, Shimane, 693-8501, Japan.
Department of Conservative Dentistry, Faculty of Dentistry, Universitas Muslim Indonesia, Makassar, Indonesia.
Odontology. 2025 Apr;113(2):844-856. doi: 10.1007/s10266-024-01011-2. Epub 2024 Oct 1.
This prospective cohort study aimed to clarify differences in the longitudinal effects on oral health-related quality of life (OHRQoL) among patients undergoing endodontic treatment for irreversible pulpitis and for pulp necrosis, using a newly developed oral health-related endodontic patient's quality of life (OHQE) scale. This study included 131 patients diagnosed with irreversible pulpitis and pulp necrosis. Comprehensive data regarding the patient's background, medical history, and dental history were collected. The OHQE was administered three times to each patient: before and after endodontic treatment, as well as 2 weeks after endodontic treatment as a follow-up. Statistical analysis was performed using a linear mixed model for repeated measurements of changes in the OHQE score over time in cases of irreversible pulpitis and pulp necrosis. The patients consisted of 48 (36.6%) males and 83 (63.4%) females with a mean age of 36.2 (standard deviation, 12.6) years. Of these, 62 (47.3%) had irreversible pulpitis, and 69 (52.7%) had pulp necrosis. Intragroup comparisons showed an improvement in the OHQE scores over time in both groups (p < 0.001). Group comparisons revealed no significant differences at any time point. No interactions or changes over time were observed between the two groups. No difference in the improvement of quality of life after endodontic treatment was seen in the two disease groups, and both groups improved over time. However, patients' expectations of receiving endodontic treatment remained unchanged after treatment. Therefore, dental providers should consider explaining the value of endodontic treatment to patients and address the measures that contribute to patient satisfaction.
这项前瞻性队列研究旨在使用新开发的口腔健康相关牙髓病患者生活质量（OHQE）量表，阐明不可逆性牙髓炎和牙髓坏死患者在牙髓治疗过程中对口腔健康相关生活质量（OHRQoL）的纵向影响差异。本研究纳入了131例被诊断为不可逆性牙髓炎和牙髓坏死的患者。收集了有关患者背景、病史和牙科病史的综合数据。对每位患者进行三次OHQE评估：牙髓治疗前、治疗后以及牙髓治疗后2周作为随访。采用线性混合模型对不可逆性牙髓炎和牙髓坏死病例中OHQE评分随时间的变化进行重复测量的统计分析。患者包括48名（36.6%）男性和83名（63.4%）女性，平均年龄为36.2岁（标准差12.6）。其中，62例（47.3%）患有不可逆性牙髓炎，69例（52.7%）患有牙髓坏死。组内比较显示两组的OHQE评分均随时间有所改善（p < 0.001）。组间比较在任何时间点均未显示出显著差异。两组之间未观察到交互作用或随时间的变化。两种疾病组在牙髓治疗后生活质量的改善方面没有差异，且两组均随时间有所改善。然而，患者接受牙髓治疗后的期望在治疗后保持不变。因此，牙科医疗人员应考虑向患者解释牙髓治疗的价值，并采取有助于提高患者满意度的措施。
