Research Article
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Evaluation of the Effect of Non-Surgical Periodontal Treatment on Oral Health-Related Quality of Life in Patients with Periodontitis at Different Stages

Year 2022, Volume: 25 Issue: 3, 263 - 277, 01.10.2022
https://doi.org/10.7126/cumudj.1136819

Abstract

Aim: To determine the effect of non-surgical periodontal treatment (NSPT) on oral health-related-quality-of-life (OHRQoL) in individuals with periodontitis at different stages.
Materials and Methods: Full-mouth clinical periodontal parameters [plaque-index (PI), gingival-index (GI), probing-pocket-depth (PD), bleeding-on-probing (BOP), clinical-attachment-loss (CAL)] of 119 healthy individuals aged 24 to 64 years just before and six-weeks after NSPT were obtained and the mean was calculated. Oral hygiene instructions were given. The Oral-Health-Related-Quality-of-Life-United-Kingdom (OHRQoL-UK) scale was used to measure the positive and negative effects of NSPT on OHRQoL. Sociodemographic data (age, gender, education and income status, reason for admission to the hospital, use of toothbrush, other cleaning tools, removable prosthesis and smoking) of the participants were recorded using a multiple choice questionnaire.
Results: The use of toothbrushes and cleaning device increased in all phases after the treatment (p<0.01). Ages of individuals in stage-IV were higher than other stages (p>0.05). Individuals in stage-III (p=0.01) and IV had fewer teeth than other stages (p=0.01), while the use of removable prosthesis was higher (p<0.05). Clinical periodontal parameters decreased significantly in all stages after treatment and showed improvement (p<0.01). When all stages before and after treatment were compared within themselves, there were significant differences in the total score of OHRQoL between stages I-III, I-IV, II-III and II-IV (p<0.05). It was observed that all OHRQoL scores increased when compared before and after treatment in terms of symptoms, physical, psychological and social status (p<0.01).
Conclusion: NSPT provides a significant improvement in the OHRQoL of individuals in all stages of periodontitis.

References

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  • 2. Ng SK, Leung WK. Oral health-related quality of life and periodontal status. Community Dent Oral Epidemiol. 2006;34(2):114–122.
  • 3. Mehrstedt M, John MT, To¨nnies S, Micheelis W. Oral health-related quality of life in patients with dental anxiety. Community Dent Oral Epidemiol 2007;35(5): 357-363.
  • 4. Jowett AK, Orr MTS, Rawlinson A, Robinson PG. Psychosocial impact of periodontal disease and its treatment with 24-h root surface debridement. J Clin Periodontol. 2009;36(5):413–418.
  • 5. Brauchle F, Noack M, Reich E. Impact of periodontal disease and periodontal therapy on oral health-related quality of life. Int Dent J. 2013;63(6):306-311.
  • 6. K Ohrn, B Jönsson. A comparison of two questionnaires measuring oral health-related quality of life before and after dental hygiene treatment in patients with periodontal disease. Int J Dent Hyg. 2012;10(1):9-14.
  • 7. A Bajwa , T L P Watts, J T Newton. Health control beliefs and quality of life considerations before and during periodontal treatment. Oral Health Prev Dent. 2007;5(2):101-104.
  • 8. Ioannou AL, Kotsakis GA, Hinrichs JE. Prognostic factors in periodontal therapy and their association with treatment outcomes. World J Clin Cases. 2014;16;2(12):822–827.
  • 9. Saito A, Hosaka Y, Kikuchi M, Akamatsu M, Fukaya C, Matsumoto S, et al. Effect of initial periodontal therapy on oral health-related quality of life in patients with periodontitis in Japan. J Periodontol. 2010;81(7):1001–1009.
  • 10. Aslund M, Suvan J, Moles DR, D'Aiuto F, Tonetti MS. Effects of two different methods of non-surgical periodontal therapy on patient perception of pain and quality of life: a randomized controlled clinical trial. J Periodontol. 2008;79(6):1031-1040.
  • 11. Fardal Ø, Johannessen AC, Linden GJ. Patient perceptions of periodontal therapy completed in a periodontal practice. J Periodontol 2002;73(9):1060-1066.
  • 12. Locker D, Allen F. What do measures of ‘oral health-related quality of life’ measure? Commun Dent Oral Epidemiol. 2007;35(6):401–411.
  • 13. Atchison KA, Dolan TA. Development of the geriatric oral health assessment index. J Dent Educ. 1990;54(11):680-687.
  • 14. Slade GD, Spencer AJ. Development and evaluation of the Oral Health Impact Profile. Community Dent Health. 1994;11(1):3-11.
  • 15. McGrath C, Bedi R. Can dental attendance improve quality of life? Br Dent J. 2001;190(5):262-265.
  • 16. Adulyanon S, Sheiham A. Oral impacts on daily performances. Slade GD, editör. Measuring Oral Health and Quality of Life. Chapel Hill: University of North Carolina, Dental Ecology; 1997. p. 151–160,
  • 17. McGrath C, Bedi R. Population based norming of the UK oral health related quality of life measure (OHQoL-UK). Br Dent J. 2002;193(9):521-524, discussion 517.
  • 18. Needleman I, McGrath C, Floyd P, Biddle A. Impact of oral health on the life quality of periodontal patients. J Clin Periodontol. 2004;31(6):454–457.
  • 19. Durham J, Fraser HM, McCracken GI, Stone KM, John MT, Preshaw PM. Impact of periodontitis on oral healthrelated quality of life. J Dent. 2013;41(4):370–376.
  • 20. Tonetti MS, Greenwell H, Kornman KS. Staging and grading of periodontitis: framework and proposal of a new classification and case definition. J Clin Periodontol. 2018;45 Suppl 20:S149-S161.
  • 21. Goel K, Baral D. A Comparison of Impact of Chronic Periodontal Diseases and Nonsurgical Periodontal Therapy on Oral Health-Related Quality of Life. Int J Dent, 2017;2017:9352562.
  • 22. Shanbhag S, Dahiya M, Croucher R. The impact of periodontal therapy on oral health-related quality of life in adults: a systematic review. J Clin Periodontol.2012;39(8):725-735.
  • 23. Al Habashneh R, Khader YS, Salameh S. Use of the Arabic version of Oral Health Impact Profile-14 to evaluate the impact of periodontal disease on oral health-related quality of life among Jordanian adults. J Oral Sci. 2012;54(1):113-120.
  • 24. Jönsson B, Öhrn K. Evaluation of the effect of nonsurgical periodontal treatment on oral health-related quality of life: estimation of minimal important differences 1 year after treatment. J Clin Periodontol. 2014;41(3):275-282.
  • 25. McGrath C, Bedi R. Measuring the impact of oral health on quality of life in Britain using OHQoL-UK(W). J Public Health Dent. 2003;63(2):73-77.
  • 26. Halbertsma J, Heerkens YF, Hirs WM, de Kleijn-de Vrankrijker MW, Dorine Van Ravensberg CD, Napel HT. Towards a new ICIDH. International Classification of Impairments, Disabilities and Handicaps. Disabil Rehabil. 2000;22(3):144-156.
  • 27. McGrath C, Bedi R. An evaluation of a new measure of oral health related quality of life – OHQoL-UK(W). Community Dent Health. 2001;18(3):138-143.
  • 28. Mumcu G, Inanc N, Ergun T, Ikiz K, Gunes M, Islek U et al. Oral health related quality of life is affected by disease activity in Behcet's disease. Oral Dis. 2006;12(2):145‐151.
  • 29. Mendez M, Melchiors Angst P, Stadler A, Oppermann R, Gomes S. Impacts of supragingival and subgingival periodontal treatments on oral health-related quality of life. Int J Dent Hyg. 2017;15(2):135-141.
  • 30. Baker SR, Mat A, Robinson PG. What psychosocial factors influence adolescents' oral health? J Dent Res. 2010;89(11):1230‐1235.
  • 31. Daly B, Newton T, Batchelor P, Jones K. Oral health care needs and oral health‐related quality of life (OHIP‐14) in homeless people. Community Dent Oral Epidemiol. 2010;38(2):136‐144.
  • 32. Eltas A, Uslu MO. Evaluation of oral health‐related quality‐of‐life in patients with generalized aggressive periodontitis. Acta Odontol Scand. 2013;71(3–4):547‐552.
  • 33. Jönsson B, Öhrn K. Evaluation of the effect of non-surgical periodontal treatment on oral health-related quality of life: estimation of minimal important differences 1 year after treatment. J Clin Periodontol. 2014;41(3):275-82.
  • 34. Levin L, Zini A, Levine J, Weiss M, Lev RA, Hai A, et al. Dental anxiety and oral health‐related quality of life in aggressive periodontitis patients. Clin Oral Investig. 2018;22(3):1411‐1422.
  • 35. Badersten A, Nilveus R, Egelberg J. Effect of nonsurgical periodontal therapy (VIII). Probing attachment changes related to clinical characteristics. J Clin Periodontol. 1987;14(7):425-432.
Year 2022, Volume: 25 Issue: 3, 263 - 277, 01.10.2022
https://doi.org/10.7126/cumudj.1136819

Abstract

References

  • 1. Van der Velden U. What exactly distinguishes aggressive from chronic periodontitis: is it mainly a difference in the degree of bacterial invasiveness? Periodontol 2000. 2017;75(1):24‐44.
  • 2. Ng SK, Leung WK. Oral health-related quality of life and periodontal status. Community Dent Oral Epidemiol. 2006;34(2):114–122.
  • 3. Mehrstedt M, John MT, To¨nnies S, Micheelis W. Oral health-related quality of life in patients with dental anxiety. Community Dent Oral Epidemiol 2007;35(5): 357-363.
  • 4. Jowett AK, Orr MTS, Rawlinson A, Robinson PG. Psychosocial impact of periodontal disease and its treatment with 24-h root surface debridement. J Clin Periodontol. 2009;36(5):413–418.
  • 5. Brauchle F, Noack M, Reich E. Impact of periodontal disease and periodontal therapy on oral health-related quality of life. Int Dent J. 2013;63(6):306-311.
  • 6. K Ohrn, B Jönsson. A comparison of two questionnaires measuring oral health-related quality of life before and after dental hygiene treatment in patients with periodontal disease. Int J Dent Hyg. 2012;10(1):9-14.
  • 7. A Bajwa , T L P Watts, J T Newton. Health control beliefs and quality of life considerations before and during periodontal treatment. Oral Health Prev Dent. 2007;5(2):101-104.
  • 8. Ioannou AL, Kotsakis GA, Hinrichs JE. Prognostic factors in periodontal therapy and their association with treatment outcomes. World J Clin Cases. 2014;16;2(12):822–827.
  • 9. Saito A, Hosaka Y, Kikuchi M, Akamatsu M, Fukaya C, Matsumoto S, et al. Effect of initial periodontal therapy on oral health-related quality of life in patients with periodontitis in Japan. J Periodontol. 2010;81(7):1001–1009.
  • 10. Aslund M, Suvan J, Moles DR, D'Aiuto F, Tonetti MS. Effects of two different methods of non-surgical periodontal therapy on patient perception of pain and quality of life: a randomized controlled clinical trial. J Periodontol. 2008;79(6):1031-1040.
  • 11. Fardal Ø, Johannessen AC, Linden GJ. Patient perceptions of periodontal therapy completed in a periodontal practice. J Periodontol 2002;73(9):1060-1066.
  • 12. Locker D, Allen F. What do measures of ‘oral health-related quality of life’ measure? Commun Dent Oral Epidemiol. 2007;35(6):401–411.
  • 13. Atchison KA, Dolan TA. Development of the geriatric oral health assessment index. J Dent Educ. 1990;54(11):680-687.
  • 14. Slade GD, Spencer AJ. Development and evaluation of the Oral Health Impact Profile. Community Dent Health. 1994;11(1):3-11.
  • 15. McGrath C, Bedi R. Can dental attendance improve quality of life? Br Dent J. 2001;190(5):262-265.
  • 16. Adulyanon S, Sheiham A. Oral impacts on daily performances. Slade GD, editör. Measuring Oral Health and Quality of Life. Chapel Hill: University of North Carolina, Dental Ecology; 1997. p. 151–160,
  • 17. McGrath C, Bedi R. Population based norming of the UK oral health related quality of life measure (OHQoL-UK). Br Dent J. 2002;193(9):521-524, discussion 517.
  • 18. Needleman I, McGrath C, Floyd P, Biddle A. Impact of oral health on the life quality of periodontal patients. J Clin Periodontol. 2004;31(6):454–457.
  • 19. Durham J, Fraser HM, McCracken GI, Stone KM, John MT, Preshaw PM. Impact of periodontitis on oral healthrelated quality of life. J Dent. 2013;41(4):370–376.
  • 20. Tonetti MS, Greenwell H, Kornman KS. Staging and grading of periodontitis: framework and proposal of a new classification and case definition. J Clin Periodontol. 2018;45 Suppl 20:S149-S161.
  • 21. Goel K, Baral D. A Comparison of Impact of Chronic Periodontal Diseases and Nonsurgical Periodontal Therapy on Oral Health-Related Quality of Life. Int J Dent, 2017;2017:9352562.
  • 22. Shanbhag S, Dahiya M, Croucher R. The impact of periodontal therapy on oral health-related quality of life in adults: a systematic review. J Clin Periodontol.2012;39(8):725-735.
  • 23. Al Habashneh R, Khader YS, Salameh S. Use of the Arabic version of Oral Health Impact Profile-14 to evaluate the impact of periodontal disease on oral health-related quality of life among Jordanian adults. J Oral Sci. 2012;54(1):113-120.
  • 24. Jönsson B, Öhrn K. Evaluation of the effect of nonsurgical periodontal treatment on oral health-related quality of life: estimation of minimal important differences 1 year after treatment. J Clin Periodontol. 2014;41(3):275-282.
  • 25. McGrath C, Bedi R. Measuring the impact of oral health on quality of life in Britain using OHQoL-UK(W). J Public Health Dent. 2003;63(2):73-77.
  • 26. Halbertsma J, Heerkens YF, Hirs WM, de Kleijn-de Vrankrijker MW, Dorine Van Ravensberg CD, Napel HT. Towards a new ICIDH. International Classification of Impairments, Disabilities and Handicaps. Disabil Rehabil. 2000;22(3):144-156.
  • 27. McGrath C, Bedi R. An evaluation of a new measure of oral health related quality of life – OHQoL-UK(W). Community Dent Health. 2001;18(3):138-143.
  • 28. Mumcu G, Inanc N, Ergun T, Ikiz K, Gunes M, Islek U et al. Oral health related quality of life is affected by disease activity in Behcet's disease. Oral Dis. 2006;12(2):145‐151.
  • 29. Mendez M, Melchiors Angst P, Stadler A, Oppermann R, Gomes S. Impacts of supragingival and subgingival periodontal treatments on oral health-related quality of life. Int J Dent Hyg. 2017;15(2):135-141.
  • 30. Baker SR, Mat A, Robinson PG. What psychosocial factors influence adolescents' oral health? J Dent Res. 2010;89(11):1230‐1235.
  • 31. Daly B, Newton T, Batchelor P, Jones K. Oral health care needs and oral health‐related quality of life (OHIP‐14) in homeless people. Community Dent Oral Epidemiol. 2010;38(2):136‐144.
  • 32. Eltas A, Uslu MO. Evaluation of oral health‐related quality‐of‐life in patients with generalized aggressive periodontitis. Acta Odontol Scand. 2013;71(3–4):547‐552.
  • 33. Jönsson B, Öhrn K. Evaluation of the effect of non-surgical periodontal treatment on oral health-related quality of life: estimation of minimal important differences 1 year after treatment. J Clin Periodontol. 2014;41(3):275-82.
  • 34. Levin L, Zini A, Levine J, Weiss M, Lev RA, Hai A, et al. Dental anxiety and oral health‐related quality of life in aggressive periodontitis patients. Clin Oral Investig. 2018;22(3):1411‐1422.
  • 35. Badersten A, Nilveus R, Egelberg J. Effect of nonsurgical periodontal therapy (VIII). Probing attachment changes related to clinical characteristics. J Clin Periodontol. 1987;14(7):425-432.
There are 35 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Research Articles
Authors

Mahmure Ayşe Tayman 0000-0001-8924-6725

Publication Date October 1, 2022
Submission Date June 28, 2022
Published in Issue Year 2022Volume: 25 Issue: 3

Cite

EndNote Tayman MA (October 1, 2022) Evaluation of the Effect of Non-Surgical Periodontal Treatment on Oral Health-Related Quality of Life in Patients with Periodontitis at Different Stages. Cumhuriyet Dental Journal 25 3 263–277.

Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.


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