Periodontitis in a 65-year-old population: risk indicators and impact on oral health-related quality of life

Abstract

Aims The aims of the present study were to investigate socioeconomic and behavioral risk indicators for severe periodontitis in a 65-year-old Norwegian population, and to investigate how periodontitis impacts oral health-related quality of life. Material and methods A sample of 65-year-old residents in Oslo, born in 1954, was randomly selected for this study. The participants answered a questionnaire regarding country of birth, education, diabetes, smoking habits, dental attendance pattern, and tooth-brushing habits. In addition, oral health-related quality of life (OHRQoL) was assessed by the Oral Health Impact Profile-14 questionnaire (OHIP-14). Negative impact on OHRQoL was defined as responding “fairly often” or “very often” to at least one of the OHIP-14 items. The diagnosis of periodontitis was based on clinical and radiographic periodontal measurements and classified based on the consensus report from the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. Results Of 796 eligible participants, 460 individuals agreed to participate in the present study (response rate 58%). Seven participants were excluded from the analyses due to < 2 remaining teeth (n = 3) or missing questionnaire (n = 4), resulting in a study sample of 453 individuals (233 men and 220 women). An association was found between non-western country of birth, diabetes type 2, lower education, smoking, non-regular dental visits, and severe periodontitis (stage III or IV, n = 163) in bivariate analyses (Chi-square test). However, in the multiple logistic regression model, only non-western country of birth, diabetes type 2 and smoking (former and current), were associated with higher odds of severe periodontitis. The overall mean OHIP-14 total score was 3.6 (SD: 6.1). Participants with stage III or IV periodontitis reported a significantly higher OHIP-14 total score (mean: 4.7, SD: 7.4), indicating a lower OHRQoL, compared to non-periodontitis participants (mean: 2.9, SD: 4.9). Conclusions In the present study, non-western birth country, diabetes type 2, and smoking were found as significant risk indicators for severe periodontitis. Overall, results indicate a good OHRQoL among 65-year-olds in Oslo, however, a tendency of reduced OHRQoL with increasing severity of periodontitis was observed.

Association between periodontal health status and quality of life: a cross-sectional study

“…They also found that OHIP scores were significantly related to symptoms of periodontal disease such as bleeding gums, bad odor, and loose or drifting teeth. In a 65-year-old Norwegian population, a researcher found that reduced oral health–related quality came with increased severity of periodontitis ( 34 ), which confirmed earlier findings that the severity and progression rate of periodontitis are associated with poor quality of life ( 35 ). The good news for those patients is that when they undergo periodontal treatment and participate in a well-structured periodontal maintenance program, the quality of life can be improved and retained ( 36 ).…”

The Relationship Between Periodontal Status and Physical Activity, Nutrition and Quality of Life in an Elderly Population

“…Yapılan bir başka çalışmada, çalışmaya katılan hastalarda periodontitisin yol açabileceği en önemli problemler arasında psikolojik rahatsızlık, stres, kişilerarası ilişkilerde sorunlar ve hatta günlük aktivitelerde zorluklar sayılabileceği belirtilmiştir [27]. Bu Çalışma sonucunda sonuçlar Oslo'daki 65 yaşındakiler arasında iyi bir OHRQoL'ye işaret etmiş, ancak periodontitisin şiddeti arttıkça OHRQoL'de azalma eğilimi gözlenmiştir [28]. Periodontitisin evre ve derecesinin ve hasta tarafından bildirilen semptomların ağız sağlığıyla ilişkili yaşam kalitesi üzerindeki etkisini araştıran 2022 yılında yapılmış başka bir çalışmada OHRQoL değerlendirmek için OHIP-14' ün Türkçe versiyonu kullanılmış ve katılımcılardan periodontal hastalıklarla ilişkili semptomlarını belirtmeleri istenmiş ve Evre IV ve Derece C periodontitisli katılımcıların en yüksek toplam OHIP-14 skorlarına sahip olduğu bulunmuştur.…”

Periodontal disease and quality of life in patients with circulatory diseases

“…Periodontitis stages 1 and 2 (clinical attachment level ≤4mm and probing depth ≤5mm); Score 3. Periodontitis stages 3 and 4 (clinical attachment level ≥5mm and probing depth ≥6mm) 24 .…”