Oral health‐related quality of life impacts are low 27 years after periodontal therapy

Graetz, Christian; Schwalbach, Maike; Seidel, Miriam; Geiken, Antje; Schwendicke, Falk

doi:10.1111/jcpe.13324

Cited by 23 publications

(20 citation statements)

References 35 publications

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“…Therefore, these parameters were not considered further. However, it should be noted that a recent study found a statistically significant difference between OHIP-G14 summary scores of SPT-patients with Eichner class A1-B2 versus C2 (Graetz et al, 2020) and that the number of antagonistic contacts is a possible confounder of the present study. Although PT achieved an improvement of the periodontal situation in both groups, persisting PPD ≥6 mm and/or furcation involvement ≥degree II were still present in a high number of patients.…”

Section: Discussioncontrasting

confidence: 62%

The impact of splinting mobile mandibular incisors on Oral Health‐Related Quality of Life—Preliminary observations from a randomized clinical trial

Sonnenschein

Ziegler

Ciardo

et al. 2021

J Clinic Periodontology

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Aim To compare the Oral Health‐Related Quality of Life (OHRQoL) of patients with mobile mandibular incisors before and after full‐mouth disinfection (FMD) with and without splinting. Material and methods Thirty‐four periodontitis patients with ≥1 mobile mandibular incisor (degree II/III) were randomly allocated to the test or control group. All patients received FMD and the test group additional splinting of teeth 33–43. OHRQoL was assessed before (BL) and 3 months after FMD (RE) using the Oral Health Impact Profile (OHIP)‐14. Data were compared within and between the groups (Wilcoxon test/Mann–Whitney U test). Results Twenty‐eight patients (13 test group/15 control group) were re‐evaluated. FMD led to a reduction of the mean probing pocket depth (PPD; in mm) (test group: BL‐PPD 3.89 ± 1.03, RE‐PPD 2.82 ± 0.53; control group: BL‐PPD 3.58 ± 0.66, RE‐PPD 2.77 ± 0.59; each p ≤ .001), the mean clinical attachment level (CAL; in mm) (test group: BL‐CAL 5.22 ± 1.38, RE‐CAL 4.79 ± 0.85; control group: BL‐CAL 4.58 ± 1.10, RE‐CAL 4.41 ± 0.96; each p ≤ .05), and the mean OHIP‐14 summary scores (test group: BL‐OHIP 21.7 ± 11.06, RE‐OHIP 9.9 ± 8.96, p = .0046; control group: BL‐OHIP 16.8 ± 8.27, RE‐OHIP 11.7 ± 8.55; p = .0217). The reduction of the OHIP‐G14 scores was considerably higher in the test group but statistically not significant (p = .080). Conclusions The results show a positive impact of non‐surgical periodontal treatment on OHRQoL and a possible tendency for further improvement by splinting mobile mandibular incisors.

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Section: Discussioncontrasting

confidence: 62%

The impact of splinting mobile mandibular incisors on Oral Health‐Related Quality of Life—Preliminary observations from a randomized clinical trial

Sonnenschein

Ziegler

Ciardo

et al. 2021

J Clinic Periodontology

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“…The treatment needs of the patients should not be hampered during this pandemic, but instead should be further prioritized, as there are restrictions of movement, limited access to dental care, and fear of cross-infections from dental clinics. Resolving this issue would offer more benefits than containing the progression of periodontal disease in the population, as it would also improve the quality of life of patients ( 57 , 58 ) with long-term supportive care ( 55 ).…”

Section: Discussionmentioning

confidence: 99%

“…ucsf.edu/trial/NCT04409873, https://clinicaltrials.gov/ct2/show/ NCT04341688) that could help provide safe alternatives to dental practices and healthcare for the public at large. Continuous periodontal care for periodontitis patients is of the utmost importance and must be done in a timely manner to prevent progression and reinfection of the disease, especially among high-risk individuals (53)(54)(55)(56). Progression and reinfection of periodontal pockets does not only have implications for oral health, but also systemic health, given the bidirectional link between periodontal disease and common non-communicable diseases such as diabetes mellitus, rheumatoid arthritis, and hypertension, and those who are immune suppressed.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Pre-procedural Mouth Rinses in Reducing Aerosol Contamination During Periodontal Prophylaxis: A Systematic Review

et al. 2021

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Background: Aerosol-producing dental procedures are of concern in the spread of infections, especially during the COVID-19 pandemic. Periodontal prophylaxis is the most common aerosol-producing procedure conducted in dental practice globally. During COVID-19, many national and international organizations advocated the use of pre-procedural mouth rinsing to prevent the spread of infections from aerosol-generating procedures in the dental setting; however, many questioned the scientific basis for such recommendations.Objective: This systematic review aimed to evaluate the effectiveness of pre-procedural rinsing when preforming periodontal prophylaxis in reducing aerosol contamination in the dental setting.Methods: A comprehensive standardized search strategy was employed, informed by a defined PICO question across four electronic databases. The review of the literature was conducted using the PRISMA framework. Agreement between assessors was determined throughout. Synthesis of study characteristics and key outcomes were conducted. Cochrane's risk-of-bias tool for randomized trials (RoB 2) was employed to assess the quality/bias among studies.Results: The initial search yielded 731 citations across the four databases; 95 potentially effective studies were identified, with 56 effective studies found. Thirty randomized control trial studies were identified, 21 with a focus on effectiveness of pre-procedural mouth rinsing, involving 984 participants (aged 18–70). Agreement between assessors was high (Kappa >0.80). Various pre-procedural mouth rinses were tested, most frequently chlorhexidine (CHX) in 18 studies. The concentrations, volume, and prescribed duration of rinsing varied among studies, hampering meta-analyses. Nonetheless, all studies identified significant reductions in bacterial contamination, as measured by colony forming units (cfu). The effectiveness of CHX over other agents was evident with more than half of the studies (7/15) reporting over a 70% reduction in bacterial contamination (cfu). There were concerns over the risk of bias in most studies (76.2%); 19.0% had a high risk of bias and 4.8% were of low risk of bias.Conclusion: There is substantial evidence to support pre-procedural mouth rinsing, such as with chlorohexidine, to effectively reduce aerosol contamination when performing periodontal prophylaxis compared to mouth rinsing with water or not rinsing.

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“…Responses can be summed up in each domain and overall. The total OHIP-14Sp sum score can range from 0 to 56, and higher scores indicate a poorer OHRQoL (Graetz et al, 2020).…”

Section: Data Collectionmentioning

confidence: 99%

Clinical signs, symptoms, perceptions, and impact on quality of life in patients suffering from peri‐implant diseases: a university‐representative cross‐sectional study

Romandini

Lima

Pedrinaci

et al. 2020

Clinical Oral Implants Res

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ObjectivesTo study the symptoms and perception reported by patients with peri‐implant diseases, as well as their signs and their potential impact on the oral health quality of life.Material and MethodsTwo hundred and forty randomly selected patients were invited to participate. As part of the history assessment, the patient OHIP‐14Sp was evaluated together with, for each implant, the patient perception regarding the peri‐implant health status and the history of pain, spontaneous discomfort, bleeding, suppuration, swelling, and discomfort during brushing. As part of the clinical examination, the following potential signs of peri‐implant diseases were collected: probing pocket depth (PPD), mucosal dehiscence (MD), extent of BoP, presence of SoP, and visual signs of redness and swelling. Those parameters were analyzed in relation to the actual peri‐implant health diagnosis.ResultsNinety‐nine patients with a total of 458 dental implants were studied. Even in case of peri‐implantitis, 88.9% of the implants were perceived by the patients as healthy. The total OHIP‐14Sp sum score did not differ in relation to the peri‐implant health diagnosis. Increased reports of spontaneous discomfort, bleeding, swelling, and discomfort during brushing were observed in presence of disease. However, only a minor proportion of implants with peri‐implant diseases presented symptoms. PPD ≥ 6 mm was more frequent in diseased than in healthy implants (p < .01), while PPD ≥ 8 in pre‐peri‐implantitis/peri‐implantitis than in healthy/mucositis implants (p < .01). Implants with peri‐implantitis showed higher MD than implants without peri‐implantitis (p < .01).ConclusionPeri‐implant diseases are in most cases asymptomatic and not perceived by the patients. Despite being unable to accurately discriminate between peri‐implant mucositis and peri‐implantitis, PPD and MD resulted as the only two clinical signs associated with pre‐peri‐implantitis/peri‐implantitis.

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Oral health‐related quality of life impacts are low 27 years after periodontal therapy

Abstract: This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

Cited by 23 publications

References 35 publications

The impact of splinting mobile mandibular incisors on Oral Health‐Related Quality of Life—Preliminary observations from a randomized clinical trial

The impact of splinting mobile mandibular incisors on Oral Health‐Related Quality of Life—Preliminary observations from a randomized clinical trial

Effectiveness of Pre-procedural Mouth Rinses in Reducing Aerosol Contamination During Periodontal Prophylaxis: A Systematic Review

Clinical signs, symptoms, perceptions, and impact on quality of life in patients suffering from peri‐implant diseases: a university‐representative cross‐sectional study

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