Effect of a comprehensive plan for periodontal disease care on oral health-related quality of life in patients with periodontal disease in Taiwan

Abstract

A comprehensive plan for periodontal disease (PD) care in Taiwan provides non-surgical and supportive periodontal treatment. The aim of this study was to determine whether the care plan could improve the oral health-related quality of life of patients with PD.This study was conducted by purposive sampling and a quasi-experimental design. Patients with PD were assigned to either comprehensive periodontal treatment (n = 32) or a simple cleaning regimen (n = 32). Their oral health-related quality of life (OHRQoL) was measured using the Taiwanese version of the Brief World Health Organization Quality of Life (WHOQOL-BREF) scale (general QoL) and the Oral Health Impact Profile (OHIP-14) (OHRQoL). Both scales were completed 14, 28, and 90 days after the initial assessment. The extent of PD in the experimental group was determined again at the end of the study.On the 28-item WHOQOL-BREF scale, the scores of the experimental group were higher than those of the control group on 5 items and the environmental domain at 14 days. There was a significant improvement in the experimental group on 2 items at 28 days and at 90 days after periodontal treatment (both P < .05). No difference was found between the 2 groups in score on the OHIP-14; however, there was a significant improvement in the experimental group in total score at 28 and 90 days after periodontal treatment (both P < .05). The number of teeth with probing depth ≥5 mm and the percentage of dental plaque were both significantly reduced after the intervention (both P < .001).Patients with a comprehensive plan for PD care showed some improvement in QoL, including in the environmental domain, and on the total score for OHRQoL. Comprehensive periodontal treatment also alleviated periodontal symptoms.

Periodontal disease and quality of life: Umbrella review of systematic reviews

“…There were 12 studies included for analysis 39,40,42,43,50,52,53,108‐112 . Meta‐analysis was conducted on seven of the studies, 39,52,108‐112 and the results showed an improvement of 2.49 in OHRQoL level at 1 to 2 weeks, 8.94 at 3‐4 weeks and 6.49 at 6‐12 weeks after non‐surgical therapy, respectively. The SR concluded that non‐surgical periodontal therapy improves OHRQoL within a short timeframe and it remains stable three months later.…”

“…21 There were 12 studies included for analysis. 39,40,42,43,50,52,53,[108][109][110][111][112] Meta-analysis was conducted on seven of the studies, 39,52,[108][109][110][111][112] 9/11 studies showed significant improvement in OHRQoL after periodontal therapy Most affected OHRQoL domains at baseline and improved after non-surgical therapy were "functional," "psychological" and "physical" Surgical therapy showed a lower impact on OHRQoL than non-surgical therapy 3/5 studies showed significant correlation of OHRQOL outcomes with clinical parameters…”

<i>In vitro</i> bone sialoprotein-I expression in combined gingival stromal cells and platelet rich fibrin during osteogenic differentiation

“…Severe periodontitis constitutes the sixth most prevalent disease (11.2 %) with around 743 million people affected worldwide and experienced annual increases between 1990 and 2010 of 57.3 % [1,2]. Periodontal disease constitutes the second most prevalent dental health problem in Indonesia after caries and malocclusion.…”

Application of the Integrated Behavioral Model to oral self‐care behavior of community‐dwelling middle‐aged and older people in Taiwan

“…A recent study documented a significant positive correlation between oral health conditions and quality of life (QOL) among community‐dwelling adults in Taiwan (Wang, Fang, Hsiao, & Chou, ). Oral self‐care behavior is a modifying factor that is related to oral health conditions (Dumitrescu, Wagle, Dogaru, & Manolescu, ; Guevara‐Canales et al, ); however, few studies have explored oral self‐care behavior and relevant factors including literacy, attitude, and environmental constraints, which could lead to oral self‐care behavior change.…”

“…(Horowitz & Kleinman, ; Naghibi Sistani, Virtanen, Yazdani, & Murtomaa, ). Health, QOL, oral health conditions, and oral self‐care behavior are all interrelated, but there are various factors that could be explained by models such as IBM that potentially determine whether daily oral self‐care can be correctly implemented (Dumitrescu et al, ; Kato, Abrahamsson, Wide, & Hakeberg, ; Wang et al, ).…”