Non‐surgical periodontal therapy effectively improves patient‐reported outcomes: A systematic review

Abstract

Aim Modern lifespan oral health research focuses on understanding the impact of periodontitis (or therapy) on clinical and patient‐based outcome measures to provide effective care, improve patient safety according to the quality standards. For better targeted intervention and effective disease management, this systematically review aimed to investigate the relationship between non‐surgical periodontal therapy and patient‐based outcomes using OHIP‐14. Methods Seven Databases were searched for studies on patient‐based outcomes responses to periodontal treatment. The time‐period defined from search was from January 1977 to January 2019. Two independent reviewers carried out data search, selection of studies, data extraction and quality assessment using Mixed Method Appraisal Tool. Prospective cohort studies, intervention studies and observational studies written in English demonstrating non‐surgical periodontal therapy response on the patient‐reported outcomes (using Oral Health Impact Profile 14) were included in the review. Results Thirteen studies were included in the review, which comprised of three randomised control trials, nine case series, and one was a quasi‐experimental study. Eleven out of the 13 studies reported significant improvement in OHIP‐14 scores amongst participants who had undergone non‐surgical periodontal therapy. Physical disability, psychological discomfort and functional limitation were domains that improved significantly after non‐surgical periodontal therapy in these studies. Physical pain was a common finding in short‐term follow‐up but improved significantly in long‐term follow‐up studies. Conclusion Based on clinical and patient‐based outcomes measurement, it is recommended that non‐surgical periodontal therapy is a “gold standard” approach towards improving patient‐based outcomes, reducing co‐morbidities and enhancing patient safely immediately and in long term.

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“…The results of this study gathered a wide range of biological and clinical data, which will possibly be part of future analyses comparing procedures, such as meta-analysis. This is also in good agreement with the current evidence about the effect of periodontal treatment on systemic diseases, as has been demonstrated in other studies and different systematic reviews [47,48].…”

Retrospective long‐term analysis of tooth loss over 20 years in a specialist practice setting: Periodontally healthy/gingivitis and compromised patients

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Patients’ illness perception before and after non‐surgical periodontal therapy: A pre‐post quasi‐experimental study

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