Impact of Periodontal Disease Experience on Oral Health–Related Quality of Life

Jansson, Henrik; Wåhlin, Åke; Johansson, Veronica; Åkerman, Sigvard; Lundegren, Nina; Isberg, Per‐Erik; Norderyd, Ola

doi:10.1902/jop.2013.130188

Cited by 84 publications

(109 citation statements)

References 32 publications

(42 reference statements)

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“…Our results corroborate those of Borges et al (27) and Jansson et al (32), all of whom reported that periodontal disease severity was inversely associated with QoL.…”

Section: Discussionsupporting

confidence: 93%

“…The increasing availability of instruments for psychological assessment has enabled studies of the impact of oral health on individual QoL. One such instrument, the Oral Health Impact Profile (OHIP-14), is very frequently used (8,9,12,13,15,19,22,26,(29)(30)(31)(32) and has adequate validity and sensitivity for health-related research. The OHIP-14 was selected for this study because it is a good indicator of self-perception and individual feelings about oral health and because it can assess the adverse aspects of the relation between oral health and QoL.…”

Section: Discussionmentioning

confidence: 99%

“…Regarding physical incapacity, loss of function, such as compromised eating or need to interrupt a meal, was reported by 35% of the present participants and was also associated with disease severity. Periodontal disease may result in clinical signs and symptoms, including bleeding, tooth mobility, gingival recession, and teeth loss, which explains the adverse impact on daily life (9,11,16,26,27,29,32).…”

Section: Discussionmentioning

confidence: 99%

“…Some previous studies found that only CAL greater than 5 mm, as occurs in severe periodontitis, was associated with self-perception of oral disease (7,10,13,15,27,33,38). Bedos et al (18) and Jansson et al (32) described the great value people place on the appearance of their teeth and the potentially devastating impacts of oral disease on self-esteem, social interactions, and employability, which could result in multiple extractions and full dentures. One of the most important reported adverse impacts in Brazil (2) was reluctance to smile, which was confirmed in this study.…”

Section: Discussionmentioning

confidence: 99%

“…In practice, combining measures of self-perception with traditional measures may help in educating and informing individuals, particularly when planning public health services, interventions, oral health promotion, and community-based oral health strategies. Difficulties in developing effective strategies to motivate and promote health in patients with chronic diseases is not an issue exclusive to Brazil, as other parts of the world have reported similar deficiencies (14,18,19,21,23,29,32,34,39).…”

Section: Discussionmentioning

confidence: 99%

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Impact of the severity of chronic periodontal disease on quality of life

et al. 2015

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Abstract:We examined the impact of the severity of periodontal disease on quality of life in adults with chronic periodontitis. One hundred patients (age, 30-58 years) who were assisted at the Basic Health Care Unit in the city of Passo Fundo, RS, Brazil underwent clinical examination of all standing teeth, including gingival bleeding on probing, probing depth, and clinical attachment level, and were divided into those with mild/moderate (n = 49; group G1) and severe (n = 51; group G2) chronic periodontitis. The participants were then interviewed, using a structured questionnaire. The Brazilian Oral Health Impact Profile (OHIP-14Br) questionnaire was used to assess oral health-related quality of life. Associations were investigated, and those with a P value of less than 0.2 were tested using multiple logistic regression models. Those with a P value of 0.05 or less were considered significant. There was a significant association between G2 and education level (P = 0.00051). OHIP-14Br score was higher for G2 (24.1) than for G1 (18.2) (P = 0.0455). Severe chronic periodontitis was associated with low education level (≤8 years) (odds ratio [

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“…Our results corroborate those of Borges et al (27) and Jansson et al (32), all of whom reported that periodontal disease severity was inversely associated with QoL.…”

Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Impact of the severity of chronic periodontal disease on quality of life

et al. 2015

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Prevalence of furcation‐involved molars in a Swedish adult population. A radiographic epidemiological study

Najim¹,

Slotte

Norderyd

2016

Clinical & Exp Dental Res

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The purpose of this study was to identify the prevalence of molars with furcation involvements grades II and III in adults participating in the Jönköping Oral Health Study 2003. The second aim was to study correlations between different variables and the presence of furcation involvement in these individuals. The present study was performed using bitewing and apical radiographs from 329 subjects. Furcations were considered healthy if the furcation was filled with bone up to the fornix. Two thousand fourteen molars fulfilled the inclusion criteria. The prevalence of molars with furcation involvements was 8.3%. Univariate analysis showed that plaque, age, and presence of periodontal pockets were significantly correlated with furcation‐involved molar/s (P ˂ 0.0001). Gingivitis and education were also significantly correlated to the presence of furcation involvement (P ˂ 0.006) and (P ≤ 0.01), respectively. Gender had no association with presence of involvements. Multivariate analysis showed that age and presence of periodontal pockets were significantly correlated with furcation involvement (P ˂ 0.0001). Smoking was also found to be associated with furcation involvement (P ˂ 0.04). The tooth most frequently and least likely displaying furcation involvement was the maxillary first molar and the mandibular second molar, respectively. Periodontal pockets, age, and smoking were risk indicators for furcation involvement.

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Periodontitis and bone metabolism in patients with advanced heart failure and after heart transplantation

et al. 2017

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Aims Heart failure (HF) is a multiorgan, pro-inflammatory syndrome that impairs bone metabolism. Pro-inflammatory cytokines and bone catabolism enhance periodontal disease, a local inflammatory, bacteria-induced disease that causes bone loss and periodontal soft tissue destruction. Methods and resultsMedical and dental examinations were performed on patients with HF (n = 39), following heart transplantation (post-HTx, n = 38) and controls (n = 32). Blood, saliva, and gingival crevicular fluid were analysed for bone metabolism and inflammation markers. HF average New York Heart Association classification was III. Average time since HTx was 1414 days. Pro-inflammatory tumour necrosis factor-alpha was higher in HF and HTx as compared with controls (P < 0.05). Both HF and HTx participants had higher levels of bone resorption marker C-terminal telopeptide and parathyroid hormone with subjects in the HF group having the highest serum levels of all groups (P ≤ 0.05). In contrast, 25-hydroxyvitamin D was lowest in HF. HF patients had greater clinical attachment loss, cumulative pockets depth (greater than 3 mm) and probing depth (P < 0.05) as compared with controls. Cumulative pockets depth correlated significantly with measures of the inflammatory burden, β-glucuronidase in saliva (r = 0.4863, P < 0.01), interleukin-1b in saliva (r = 0.5149, P < 0.01), and gingival crevicular fluid (r = 0.6056, P < 0.001) in HF. However, adjustment of periodontal results for measures of oral hygiene (plaque, bleeding on probing), systemic 25-hydroxyvitamin D, and race attenuated significant differences between groups.Conclusions Patients with HF exhibit more severe periodontal disease associated with increased bone turnover markers when compared with control patients. However, local and systemic factors may account for this association and should be evaluated in future studies.

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Impact of Periodontal Disease Experience on Oral Health–Related Quality of Life

Abstract: The BL+ individuals experienced reduced quality of life, expressed as the OHIP-14 score, compared with the BL and BL- participants.

Cited by 84 publications

References 32 publications

Impact of the severity of chronic periodontal disease on quality of life

Impact of the severity of chronic periodontal disease on quality of life

Prevalence of furcation‐involved molars in a Swedish adult population. A radiographic epidemiological study

Periodontitis and bone metabolism in patients with advanced heart failure and after heart transplantation

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