Oral health‐related quality of life impacts are low 27 years after periodontal therapy
Aim This pilot study assessed the oral‐health‐related quality of life (OHRQoL) after long‐term periodontal therapy and explored OHRQoL differences along the 2018 Classification of Periodontal Diseases. Methods Sixty patients were examined before (T0) and after active periodontal therapy (APT/T1) and...
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Veröffentlicht in: | Journal of clinical periodontology 2020-08, Vol.47 (8), p.952-961 |
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creator | Graetz, Christian Schwalbach, Maike Seidel, Miriam Geiken, Antje Schwendicke, Falk |
description | Aim
This pilot study assessed the oral‐health‐related quality of life (OHRQoL) after long‐term periodontal therapy and explored OHRQoL differences along the 2018 Classification of Periodontal Diseases.
Methods
Sixty patients were examined before (T0) and after active periodontal therapy (APT/T1) and 32.0 ± 2.9 [range: 27–38] years of supportive periodontal therapy (SPT/T2). Periodontal diagnosis at T0 was assessed according to the 2018 Classification of Periodontal Diseases (stage 1/2/3/4: n = 1/3/44/13; grade n = A/B/C: 0/8/53). OHRQoL at T2 was measured using the Oral Health Impact Profile‐G14 (OHIP‐G14). Patients’ Eichner's classification, accumulated tooth loss and treatment outcomes (SSO criteria) were assessed at T2. Generalized linear modelling (GLM) assessed associations between different factors and OHrQoL.
Results
Mean OHIP‐G14 sum score was 3.7 (SD 5.6). There was no statistically significant association between OHIP‐G14 and gender, stage, SSO criteria and tooth loss. OHIP‐G14 was significantly lower in older patients (−0.2[−0.3;0] per year, p = .008), non‐smokers (−5.9[−9.9;‐1.9] p = .003) and former smokers (−7.4[−11.6;‐3.2]; p |
doi_str_mv | 10.1111/jcpe.13324 |
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This pilot study assessed the oral‐health‐related quality of life (OHRQoL) after long‐term periodontal therapy and explored OHRQoL differences along the 2018 Classification of Periodontal Diseases.
Methods
Sixty patients were examined before (T0) and after active periodontal therapy (APT/T1) and 32.0 ± 2.9 [range: 27–38] years of supportive periodontal therapy (SPT/T2). Periodontal diagnosis at T0 was assessed according to the 2018 Classification of Periodontal Diseases (stage 1/2/3/4: n = 1/3/44/13; grade n = A/B/C: 0/8/53). OHRQoL at T2 was measured using the Oral Health Impact Profile‐G14 (OHIP‐G14). Patients’ Eichner's classification, accumulated tooth loss and treatment outcomes (SSO criteria) were assessed at T2. Generalized linear modelling (GLM) assessed associations between different factors and OHrQoL.
Results
Mean OHIP‐G14 sum score was 3.7 (SD 5.6). There was no statistically significant association between OHIP‐G14 and gender, stage, SSO criteria and tooth loss. OHIP‐G14 was significantly lower in older patients (−0.2[−0.3;0] per year, p = .008), non‐smokers (−5.9[−9.9;‐1.9] p = .003) and former smokers (−7.4[−11.6;‐3.2]; p < .001) versus current smokers, patients with Eichner class A1–B2 versus C2 (p < .05), sufficient adherence during SPT (−2.3[−4.6;‐0.1], p = .044) versus insufficient ones. Patients with grade B (4.4[1.3;7.4]; p < .005) showed higher OHIP‐G14 than those with grade C.
Conclusion
A number of aspects, grounded in the initial diagnosis, the adherence to SPT, the resulting dentition, socio‐demographic and behavioural covariates, were associated with good OHrQoL.</description><identifier>ISSN: 0303-6979</identifier><identifier>EISSN: 1600-051X</identifier><identifier>DOI: 10.1111/jcpe.13324</identifier><identifier>PMID: 32473059</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Aged ; Classification ; Dentistry ; Dentition ; Diagnosis ; Gender ; Gum disease ; Humans ; Oral Health ; oral health‐related quality of life ; Oral hygiene ; Periodontal diseases ; Periodontal Diseases - therapy ; periodontitis ; Pilot Projects ; Quality of Life ; Statistical analysis ; supportive periodontal therapy ; Surveys and Questionnaires ; Teeth ; tooth loss</subject><ispartof>Journal of clinical periodontology, 2020-08, Vol.47 (8), p.952-961</ispartof><rights>2020 The Authors. published by John Wiley & Sons Ltd</rights><rights>2020 The Authors. Journal of Clinical Periodontology published by John Wiley & Sons Ltd.</rights><rights>2020. This article is published under http://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3934-8c7be96aced1ae8202c3a67a300cdf99f69027ea285e31d2616c81dd910c37823</citedby><cites>FETCH-LOGICAL-c3934-8c7be96aced1ae8202c3a67a300cdf99f69027ea285e31d2616c81dd910c37823</cites><orcidid>0000-0003-1223-1669 ; 0000-0002-8316-0565</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjcpe.13324$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjcpe.13324$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32473059$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Graetz, Christian</creatorcontrib><creatorcontrib>Schwalbach, Maike</creatorcontrib><creatorcontrib>Seidel, Miriam</creatorcontrib><creatorcontrib>Geiken, Antje</creatorcontrib><creatorcontrib>Schwendicke, Falk</creatorcontrib><title>Oral health‐related quality of life impacts are low 27 years after periodontal therapy</title><title>Journal of clinical periodontology</title><addtitle>J Clin Periodontol</addtitle><description>Aim
This pilot study assessed the oral‐health‐related quality of life (OHRQoL) after long‐term periodontal therapy and explored OHRQoL differences along the 2018 Classification of Periodontal Diseases.
Methods
Sixty patients were examined before (T0) and after active periodontal therapy (APT/T1) and 32.0 ± 2.9 [range: 27–38] years of supportive periodontal therapy (SPT/T2). Periodontal diagnosis at T0 was assessed according to the 2018 Classification of Periodontal Diseases (stage 1/2/3/4: n = 1/3/44/13; grade n = A/B/C: 0/8/53). OHRQoL at T2 was measured using the Oral Health Impact Profile‐G14 (OHIP‐G14). Patients’ Eichner's classification, accumulated tooth loss and treatment outcomes (SSO criteria) were assessed at T2. Generalized linear modelling (GLM) assessed associations between different factors and OHrQoL.
Results
Mean OHIP‐G14 sum score was 3.7 (SD 5.6). There was no statistically significant association between OHIP‐G14 and gender, stage, SSO criteria and tooth loss. OHIP‐G14 was significantly lower in older patients (−0.2[−0.3;0] per year, p = .008), non‐smokers (−5.9[−9.9;‐1.9] p = .003) and former smokers (−7.4[−11.6;‐3.2]; p < .001) versus current smokers, patients with Eichner class A1–B2 versus C2 (p < .05), sufficient adherence during SPT (−2.3[−4.6;‐0.1], p = .044) versus insufficient ones. Patients with grade B (4.4[1.3;7.4]; p < .005) showed higher OHIP‐G14 than those with grade C.
Conclusion
A number of aspects, grounded in the initial diagnosis, the adherence to SPT, the resulting dentition, socio‐demographic and behavioural covariates, were associated with good OHrQoL.</description><subject>Aged</subject><subject>Classification</subject><subject>Dentistry</subject><subject>Dentition</subject><subject>Diagnosis</subject><subject>Gender</subject><subject>Gum disease</subject><subject>Humans</subject><subject>Oral Health</subject><subject>oral health‐related quality of life</subject><subject>Oral hygiene</subject><subject>Periodontal diseases</subject><subject>Periodontal Diseases - therapy</subject><subject>periodontitis</subject><subject>Pilot Projects</subject><subject>Quality of Life</subject><subject>Statistical analysis</subject><subject>supportive periodontal therapy</subject><subject>Surveys and Questionnaires</subject><subject>Teeth</subject><subject>tooth loss</subject><issn>0303-6979</issn><issn>1600-051X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><recordid>eNp90E9LwzAYx_Egis7pxRcgAS8iVJ_k2dLmKMO_CHpQ8FZi-pR1ZGtNWkZvvgRfo6_EzKkHD-YSCB--hB9jBwJORTxnM9vQqUCUow02EAoggbF43mQDQMBE6VTvsN0QZgAiRcRtthNpijDWA_Z8743jUzKunX68vXtypqWCv3bGVW3P65K7qiRezRtj28CNJ-7qJZcp78n4-FC25HlDvqqLetHGVjslb5p-j22VxgXa_76H7Ony4nFyndzdX91Mzu8SixpHSWbTF9LKWCqEoUyCtGhUahDAFqXWpdIgUzIyGxOKQiqhbCaKQguwmGYSh-x43W18_dpRaPN5FSw5ZxZUdyGXI8iEzjSMIj36Q2d15xfxd1FJVChBqKhO1sr6OgRPZd74am58nwvIV3vnq73zr70jPvxOdi9zKn7pz8ARiDVYVo76f1L57eThYh39BAXMipA</recordid><startdate>202008</startdate><enddate>202008</enddate><creator>Graetz, Christian</creator><creator>Schwalbach, Maike</creator><creator>Seidel, Miriam</creator><creator>Geiken, Antje</creator><creator>Schwendicke, Falk</creator><general>Blackwell Publishing Ltd</general><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-1223-1669</orcidid><orcidid>https://orcid.org/0000-0002-8316-0565</orcidid></search><sort><creationdate>202008</creationdate><title>Oral health‐related quality of life impacts are low 27 years after periodontal therapy</title><author>Graetz, Christian ; Schwalbach, Maike ; Seidel, Miriam ; Geiken, Antje ; Schwendicke, Falk</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3934-8c7be96aced1ae8202c3a67a300cdf99f69027ea285e31d2616c81dd910c37823</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Aged</topic><topic>Classification</topic><topic>Dentistry</topic><topic>Dentition</topic><topic>Diagnosis</topic><topic>Gender</topic><topic>Gum disease</topic><topic>Humans</topic><topic>Oral Health</topic><topic>oral health‐related quality of life</topic><topic>Oral hygiene</topic><topic>Periodontal diseases</topic><topic>Periodontal Diseases - therapy</topic><topic>periodontitis</topic><topic>Pilot Projects</topic><topic>Quality of Life</topic><topic>Statistical analysis</topic><topic>supportive periodontal therapy</topic><topic>Surveys and Questionnaires</topic><topic>Teeth</topic><topic>tooth loss</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Graetz, Christian</creatorcontrib><creatorcontrib>Schwalbach, Maike</creatorcontrib><creatorcontrib>Seidel, Miriam</creatorcontrib><creatorcontrib>Geiken, Antje</creatorcontrib><creatorcontrib>Schwendicke, Falk</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Wiley Free Content</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical periodontology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Graetz, Christian</au><au>Schwalbach, Maike</au><au>Seidel, Miriam</au><au>Geiken, Antje</au><au>Schwendicke, Falk</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Oral health‐related quality of life impacts are low 27 years after periodontal therapy</atitle><jtitle>Journal of clinical periodontology</jtitle><addtitle>J Clin Periodontol</addtitle><date>2020-08</date><risdate>2020</risdate><volume>47</volume><issue>8</issue><spage>952</spage><epage>961</epage><pages>952-961</pages><issn>0303-6979</issn><eissn>1600-051X</eissn><abstract>Aim
This pilot study assessed the oral‐health‐related quality of life (OHRQoL) after long‐term periodontal therapy and explored OHRQoL differences along the 2018 Classification of Periodontal Diseases.
Methods
Sixty patients were examined before (T0) and after active periodontal therapy (APT/T1) and 32.0 ± 2.9 [range: 27–38] years of supportive periodontal therapy (SPT/T2). Periodontal diagnosis at T0 was assessed according to the 2018 Classification of Periodontal Diseases (stage 1/2/3/4: n = 1/3/44/13; grade n = A/B/C: 0/8/53). OHRQoL at T2 was measured using the Oral Health Impact Profile‐G14 (OHIP‐G14). Patients’ Eichner's classification, accumulated tooth loss and treatment outcomes (SSO criteria) were assessed at T2. Generalized linear modelling (GLM) assessed associations between different factors and OHrQoL.
Results
Mean OHIP‐G14 sum score was 3.7 (SD 5.6). There was no statistically significant association between OHIP‐G14 and gender, stage, SSO criteria and tooth loss. OHIP‐G14 was significantly lower in older patients (−0.2[−0.3;0] per year, p = .008), non‐smokers (−5.9[−9.9;‐1.9] p = .003) and former smokers (−7.4[−11.6;‐3.2]; p < .001) versus current smokers, patients with Eichner class A1–B2 versus C2 (p < .05), sufficient adherence during SPT (−2.3[−4.6;‐0.1], p = .044) versus insufficient ones. Patients with grade B (4.4[1.3;7.4]; p < .005) showed higher OHIP‐G14 than those with grade C.
Conclusion
A number of aspects, grounded in the initial diagnosis, the adherence to SPT, the resulting dentition, socio‐demographic and behavioural covariates, were associated with good OHrQoL.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>32473059</pmid><doi>10.1111/jcpe.13324</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-1223-1669</orcidid><orcidid>https://orcid.org/0000-0002-8316-0565</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Aged Classification Dentistry Dentition Diagnosis Gender Gum disease Humans Oral Health oral health‐related quality of life Oral hygiene Periodontal diseases Periodontal Diseases - therapy periodontitis Pilot Projects Quality of Life Statistical analysis supportive periodontal therapy Surveys and Questionnaires Teeth tooth loss |
title | Oral health‐related quality of life impacts are low 27 years after periodontal therapy |
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