Impact of Periodontal Diseases on Health-Related Quality of Life of Users of the Brazilian Unified Health System

Abstract

Objective. This study assessed the impact of periodontal diseases on health-related quality of life of adult users of the Brazilian Unified Health System. Study Design. A cross-sectional study was conducted on an outpatient basis. The sample included 151 adults treated in the Periodontics section at Dental Specialty Centres of Juiz de Fora (Minas Gerais, Brazil). The Oral Health Impact Profile (OHIP-14) measured the impact of periodontal disease on quality of life. Participants were interviewed to obtain self-perception of general and oral health and socioeconomic data, and dental records were consulted to obtain periodontal status data. The values of central tendency of the OHIP-14 were compared with socioeconomic, demographic, and self-reported health predictors using nonparametric tests. The final analysis was performed using multiple linear regressions. Results. The results showed that psychological discomfort and physical disability exhibited a negative impact. The following variables can explain approximately 27% of the impact of oral health conditions on health-related quality of life in this group: periodontal disease, self-perceived oral health, and the need to use or replace dental prosthesis. Conclusion. The need for prosthetic rehabilitation and worse periodontal status are associated with health-related quality of life, which can be predicted by the self-perception of health.

Are periodontal diseases really silent? A systematic review of their effect on quality of life

“…appearance, self-esteem, intimacy, communication) or to facets of pain and discomfort (e.g. acute or chronic; Ng & Leung 2006, Swoboda et al 2006, Brennan et al 2007, Acharya et al 2009, Wandera et al 2009, Bianco et al 2010, Li et al 2011, Al Habashneh et al 2012, de Pinho et al 2012, Durham et al 2013, Eltas & Uslu 2013, Palma et al 2013, Jansson et al 2014. Analyses within these subdomains revealed that the impairment perceived in physical aspects was most pronounced, impairment in psychosocial aspects was second most frequently mentioned, while impairment within the pain and discomfort subdomain was less frequent (Table 2).…”

“…Overall, 28 of the 37 studies documented a significant association between PDs and OHRQoL or OHRQoL subdomains (Srisilapanan & Sheiham 2001, Needleman et al 2004, Saletu et al 2005, Ng & Leung 2006, Swoboda et al 2006, Brennan et al 2007, Aslund et al 2008, Lawrence et al 2008, Mulligan et al 2008, Patel et al 2008, Acharya et al 2009, Jowett et al 2009, Wandera et al 2009, Bernab e & Marcenes 2010, Bianco et al 2010, Cohen-Carneiro et al 2010, Li et al 2011, Zhao et al 2011, Al Habashneh et al 2012, Deshmukh & Radke 2012, de Pinho et al 2012, Brauchle et al 2013, Durham et al 2013, Eltas & Uslu 2013, Palma et al 2013, Fotedar et al 2014, Jansson et al 2014 (Table 1). In all 11 studies which had a periodontally healthy control group included, impairment in OHRQoL was significantly greater in subjects diagnosed with PDs compared to healthy participants.…”

“…Among the 23 studies using FMR, 20 reported significant associations between PDs and OHRQoL parameters and/or OHRQoL subdomains (Srisilapanan & Sheiham 2001, Saletu et al 2005, Ng & Leung 2006, Swoboda et al 2006, Brennan et al 2007, Aslund et al 2008, Lawrence et al 2008, Patel et al 2008, Jowett et al 2009, Bernab e & Marcenes 2010, Li et al 2011, Zhao et al 2011, Al Habashneh et al 2012, Deshmukh & Radke 2012, de Pinho et al 2012, Durham et al 2013, Eltas & Uslu 2013, Palma et al 2013, Fotedar et al 2014, Jansson et al 2014, Tables 1 and 2). Conflicting data between OHRQoL and clinical measures were reported in three studies: associations were demonstrated between OHRQoL and CAL, but not with PPD (Srisilapanan & Sheiham 2001); between OHRQoL and the number of teeth with PPD 4-6 mm, but not with PPD ≥ 6 mm (Patel et al 2008); between PDs and OHRQoL severity (i.e.…”

Oral Health Related Quality of Life Impact in Dentistry

“…OHRQoL is a multidimensional paradigm that involves a subjective assessment of the individual's oral health, functional well-being, emotional well-being, expectations and satisfaction with care, and sense of self. Further researches needed in this domain to improve the quality of data that can enable researchers to draw solid conclusions [40][41][42][43][44][45][46][47][48][49][50][51][52][53][54][55].…”

Impact of Periodontal Disease on Quality of Life Among Periodontal Patients in Riyadh.

“…A recent Brazilian study, that included 151 periodontal patients, had shown that periodontal disease exhibited negative impacts on the psychological discomfort and physical disability domains of the OHIP-14 index 14 . Another recent study that examined 443 subjects clinically and radiographically, have concluded that patients with severe marginal bone loss experienced worse quality of life compared to individuals with no/minor marginal bone loss.…”