Periodontitis, Adult Clinical Trial
Official title:
Association of Periodontitis With Oral Health Related Quality of Life
Objective: The aim of this study was to investigate the impact of periodontitis on oral
health-related quality of life (OHQoL) and the factors may associated with OHQoL.
Methods: 50 untreated periodontitis patients and 50 individuals without periodontitis were
enrolled in the study. All subjects underwent detailed periodontal examination and probing
depth (PD), clinical attachment level (CAL) measurements were performed. OHRQoL was assessed
through the Oral Health Quality of Life-United Kingdom (OHRQoL-UK) scale. Symptoms of
periodontitis was determined by Visual Analogue Scale (VAS). Socio-demographic
characteristics, medical history, smoking status, hygiene habits of the all individuals were
recorded.
The primary aim of the present study was to compare the scores of OHQoL-UK of patients with
periodontitis to who didn't have periodontitis/healthy controls. Our second aim was
investigate the factors (education, smoking, gender, periodontal clinical parameters) may
related to oral health related quality of life).
Materials and methods Study group The present clinical study was conducted with a study group
of 50 untreated periodontitis patients and a control group of 50 individuals without
periodontitis (age and gender matched) who applied to Hacettepe University Faculty of
Dentistry Department of Periodontology. Clinical examination and evaluation of patients'
complaint All participants underwent comprehensive periodontal examination by a calibrated
and masked examiner. probing pocket depth (PPD = distance between gingival margin and bottom
of the periodontal pocket) and clinical attachment level (CAL = distance between the
cement-enamel junction and bottom of the periodontal pocket) were evaluated. All periodontal
measurements were recorded at six sites around each tooth by a periodontal probe excluding
third molar.The patients' complaints/symptoms associated with periodontitis (gingival
bleeding and edema, halitosis, flaring, mobile teeth, gingival hyperemia, bad taste,
dentin/root sensitivity) were also evaluated by using Visual Analogue Scale [VAS (0-10)]. In
the evaluation with VAS, a straight line of 100 mm was used on the vertical axis and the
starting and ending points were numbered 0 and 100. Individuals were asked to what extent
they perceived the symptoms of periodontitis and were asked to make an evaluation between 0
and 100 on the scale and to put an x mark on the scale. In the evaluation of the scale, the
marking point of the patient was measured with a caliper from the beginning of the scale.
Assesment of OHRQoL OHRQoL was assessed using the Oral-Dental Health-Related Quality of
Life-United Kingdom (OHRQoL-UK) scale. It consists of 4 different categories and 16 questions
evaluating the effects of OHRQoL in positive and negative areas. These categories are as
follows; symptoms (2 questions), physical status (5 questions), psychological status (5
questions), social status (4 questions) ' Questions on the OHRQoL-UK scale were scored using
the Likert-type scale as 'very bad effect-score 1, bad effect-score 2, no effect-score 3,
good effect-score 4, very good effect-score 5. The scores obtained from all questions were
summed to give the scores of the 4 sub-categories separately and the total OHRQoL score. A
higher total score indicates a higher OHRQoL.
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