Oral health-related quality of life and patient-reported outcome measures after 10 years of supportive periodontal care

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Abstract

Objective

The aim of this retrospective study was to evaluate the oral health-related quality of life (oHRQoL) and patient-reported outcome measures (PROMs) after 10 years of supportive periodontal care (SPC).

Material and methods

Patients were re-examined 120±12 months after active periodontal therapy. Dental and periodontal status and oHRQoL by completing Oral Health Impact Profile-G49 (OHIP-G49) and PROMs by marking a visual analogue scale (VAS) for self-perceived esthetics (VASe), chewing function (VASc), and hygiene ability (VASh) were assessed. Patient- and tooth-related factors (age, insurance status, number of SPC, compliance, change of therapist, smoking, tooth loss, need for surgery or antibiotic intake, bleeding on probing (BOP), periodontal inflamed surface area) influencing oHRQoL and PROMs were evaluated.

Results

One hundred eight periodontally compromised patients (59 female, mean age 65.4±10.7 years) lost 135 teeth during 10 years of SPC. At re-examination, 1.8% of all sites showed PPD ≥6mm. The mean OHIP-G49 sum score was 17.6±18.5, and VAS resulted in 76.0±22.5 (VASe), 86.3±16.3 (VASc), and 79.8±15.8 (VASh). Linear regression analyses identified a positive correlation with oHRQoL and/or PROMs for private insurance status (OHIP-G49, p=0.015, R ²=0.204; VASc, p=0.005, R ²=0.084; VASh, p=0.012, R ²=0.222) and compliance to SPC (VASe, p=0.032; R ²=0.204), as well as a negative correlation for active smoking (VASc, p=0.012, R ²=0.084), increased BOP (VASh, p=0.029, R ²=0.222) at the start of SPC, and number of lost molars (VASh, p=0.008, R ²=0.222).

Conclusion

It is realistic to obtain satisfactory oHRQoL and PROM values in most of the patients after 10 years of SPC. The identified factors may help to predict patient satisfaction in the long-term course of therapy.

Clinical relevance

Systematic therapy of periodontally compromised patients provides values for oHRQoL and PROMs in a favorable range 10 years after therapy. This should encourage dentists to implement SPC in their daily routine.

Clinical trial number

NCT03048045

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Most cited references 57

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What Is Value in Health Care?

Michael Porter (2010)

New England Journal of Medicine, 363(26), 2477-2481

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Development and evaluation of the Oral Health Impact Profile.

G D Slade, A J Spencer (1994)

The capacity of dental clinicians and researchers to assess oral health and to advocate for dental care has been hampered by limitations in measurements of the levels of dysfunction, discomfort and disability associated with oral disorders. The purpose of this research was to develop and test the Oral Health Impact Profile (OHIP), a scaled index of the social impact of oral disorders which draws on a theoretical hierarchy of oral health outcomes. Forty nine unique statements describing the consequences of oral disorders were initially derived from 535 statements obtained in interviews with 64 dental patients. The relative importance of statements within each of seven conceptual subscales was assessed by 328 persons using Thurstone's method of paired comparisons. The consistency of their judgements was confirmed (Kendall's mu, P < 0.05). The reliability of the instrument was evaluated in a cohort of 122 persons aged 60 years and over. Internal reliability of six subscales was high (Cronbach's alpha, 0.70-0.83) and test-retest reliability (intraclass correlation coefficient, 0.42-0.77) demonstrated stability. Validity was examined using longitudinal data from the 60 years and over cohort where the OHIP's capacity to detect previously observed associations with perceived need for a dental visit (ANOVA, p < 0.05 in five subscales) provided evidence of its construct validity. The Oral Health Impact Profile offers a reliable and valid instrument for detailed measurement of the social impact of oral disorders and has potential benefits for clinical decision-making and research.

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Development of a classification system for periodontal diseases and conditions.

Gary Armitage (1999)

Classification systems are necessary in order to provide a framework in which to scientifically study the etiology, pathogenesis, and treatment of diseases in an orderly fashion. In addition, such systems give clinicians a way to organize the health care needs of their patients. The last time scientists and clinicians in the field of periodontology and related areas agreed upon a classification system for periodontal diseases was in 1989 at the World Workshop in Clinical Periodontics. Subsequently, a simpler classification was agreed upon at the 1st European Workshop in Periodontology. These classification systems have been widely used by clinicians and research scientists throughout the world. Unfortunately, the 1989 classification had many shortcomings including: 1) considerable overlap in disease categories, 2) absence of a gingival disease component, 3) inappropriate emphasis on age of onset of disease and rates of progression, and 4) inadequate or unclear classification criteria. The 1993 European classification lacked the detail necessary for adequate characterization of the broad spectrum of periodontal diseases encountered in clinical practice. The need for a revised classification system for periodontal diseases was emphasized during the 1996 World Workshop in Periodontics. In 1997 the American Academy of Periodontology responded to this need and formed a committee to plan and organize an international workshop to revise the classification system for periodontal diseases. The proceedings in this volume are the result of this reclassification effort. The process involved development by the Organizing Committee of an outline for a new classification and identification of individuals to write state-of-the-science reviews for each of the items on the outline. The reviewers were encouraged to depart from the preliminary outline if there were data to support any modifications. On October 30-November 2, 1999, the International Workshop for a Classification of Periodontal Diseases and Conditions was held and a new classification was agreed upon (Fig. 1). This paper summarizes how the new classification for periodontal diseases and conditions presented in this volume differs from the classification system developed at the 1989 World Workshop in Clinical Periodontics. In addition, an analysis of the rationale is provided for each of the modifications and changes.

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Author and article information

Contributors

Hari Petsos: petsos@med.uni-frankfurt.de

Journal

Journal ID (nlm-ta): Clin Oral Investig

Journal ID (iso-abbrev): Clin Oral Investig

Title: Clinical Oral Investigations

Publisher: Springer Berlin Heidelberg (Berlin/Heidelberg )

ISSN (Print): 1432-6981

ISSN (Electronic): 1436-3771

Publication date (Electronic): 1 February 2023

Publication date PMC-release: 1 February 2023

Publication date (Print): 2023

Volume: 27

Issue: 6

Pages: 2851-2864

Affiliations

[1 ]Private practice, Hundemstraße 4, 57368 Lennestadt, Germany

[2 ]GRID grid.518363.a, ISNI 0000 0001 0209 3747, Dental Academy, ; Lorenzstraße 7, 76135 Karlsruhe, Germany

[3 ]GRID grid.7700.0, ISNI 0000 0001 2190 4373, Ruprecht-Karls-University Heidelberg, ; 69117 Heidelberg, Germany

[4 ]GRID grid.7839.5, ISNI 0000 0004 1936 9721, Department of Periodontology, Center of Dentistry and Oral Medicine (Carolinum), , Goethe-University Frankfurt, ; Theodor-Stern-Kai 7, 60596 Frankfurt/Main, Germany

[5 ]Private practice, An der Stuferklinik 2, 73557 Mutlangen, Germany

[6 ]Private practice, Talstraße 1a, 68259 Mannheim, Germany

[7 ]Private practice, Schloßstraße 25, 35510 Butzbach, Germany

Article

Publisher ID: 4876

DOI: 10.1007/s00784-023-04876-9

PMC ID: 10264521

PubMed ID: 36723714

SO-VID: ec02d236-f629-4790-858f-59bc5d9c52a3

License:

Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

History

Date received : 3 November 2022

Date accepted : 22 January 2023

Funding

Funded by: Johann Wolfgang Goethe-Universität, Frankfurt am Main (1022)

Open Access :

Open Access funding enabled and organized by Projekt DEAL.

Custom metadata

ScienceOpen disciplines: Dentistry

Keywords: periodontitis,supportive periodontal care,patient-reported outcome measures,oral health impact profile (ohip),oral health-related quality of life

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ScienceOpen disciplines: Dentistry

Keywords: periodontitis, supportive periodontal care, patient-reported outcome measures, oral health impact profile (ohip), oral health-related quality of life

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Oral health-related quality of life and patient-reported outcome measures after 10 years of supportive periodontal care

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Abstract

Objective

Material and methods

Results

Conclusion

Clinical relevance

Clinical trial number

Related collections

Arab Journal of Forensic Sciences & Forensic Medicine (AJFSFM)

Most cited references 57

What Is Value in Health Care?

Development and evaluation of the Oral Health Impact Profile.

Development of a classification system for periodontal diseases and conditions.

Author and article information

Contributors

Journal

Affiliations

Article

History

Funding

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Custom metadata

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Comment on this article

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Most referenced authors 720