Association of non-surgical periodontal therapy on patients' oral health-related quality of life-A multi-centre cohort study

J Clin Periodontol. 2019 May;46(5):529-538. doi: 10.1111/jcpe.13093. Epub 2019 Apr 22.

Abstract

Aim: The aim of this multi-centre cohort study was to investigate the association of non-surgical periodontal therapy (NST) on the oral health-related quality of life (OHRQoL) in general and related to severity of periodontal disease and treatment modalities.

Materials and methods: One hundred and seventy-two patients with periodontal disease from 18 dental practices were measured before and 6-8 weeks after NST using a standardized and validated OHRQoL instrument (Oral Health Impact Profile-G14, OHIP-G14). Another questionnaire was filled out by the dentists to evaluate the influence of treatment modalities and disease severity.

Results: Overall, the mean value of the OHIP baseline improved significantly after NST (p < 0.0001). Furthermore, a significant negative association between the severity of periodontitis and OHRQoL could be detected, and only patients with moderate and severe periodontitis showed a significant improvement of OHIP mean values (p < 0.0001). The results also indicated a significant association of the practitioners (p = 0.0362) as well as treatment modalities (favouring systemic antibiotics, p = 0.0066) regarding the improvement of the patients' OHRQoL.

Conclusion: This study showed that NST is positively associated with patients' oral health-related quality of life. This association seems to depend on the disease severity and caregiver and treatment modality.

Keywords: OHIP; air-powder devices; antibiotics; non-surgical periodontal therapy; quality of life.

MeSH terms

  • Cohort Studies
  • Humans
  • Oral Health
  • Periodontal Diseases*
  • Quality of Life*
  • Surveys and Questionnaires