Percepción de la calidad de vida relacionada con la salud oral antes del primer paso y después del segundo paso de la terapia periodontal
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dic 29, 2023
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Resumen
Antecedentes: La investigación en enfermedad periodontal se ha centrado en resultados clínicos y, en menor medida, en resultados reportados por el paciente. Objetivo: Los objetivos de este estudio fueron 1) determinar la calidad de vida relacionada con la salud oral (CVRSO) antes del primer paso y después del segundo paso del tratamiento periodontal y 2) comparar características sociodemográficas y clínicas con cambios en CVRSO. Métodos: Se reclutaron pacientes con periodontitis que nunca habían sido tratados con instrumentación subgingival. Se registraron parámetros clínicos. Se aplicó un cuestionario para recoger datos sociodemográficos, sobre tabaquismo y dolor. Se utilizó el Perfil de Impacto en la Salud Oral-14 (OHIP-14) para evaluar la CVRSO antes del primer paso y después del segundo paso del tratamiento periodontal. Resultados: Cincuenta y un participantes completaron el estudio, promedio de edad 46,88 años ± 11,16. La puntuación total del OHIP-14 disminuyó de 16,98 ± 11,48 a 8,41 ± 9,06. Mejoró el dolor físico, malestar psicológico, discapacidad física, discapacidad psicológica, discapacidad social y discapacidad. El estadio más frecuente fue el III. En cuanto al grado, 16 (31.37 %) participantes fueron diagnosticados grado A, grado B 16 (31.37 %), y grado C 17 (33.33 %). El índice de placa fue 61,4 % ± 17,6 antes del primer paso y 22,8 % ± 10,6 después. El dolor en el último mes disminuyó después del tratamiento. No se detectaron diferencias en CVRSO al comparar edad, género y nivel educativo. Los no fumadores reportaron mejores puntajes (p = 0,003). Conclusión: El tratamiento periodontal tiene un impacto positivo en la autopercepción de calidad de vida de los pacientes.
Keywords
delivery of health care, dental care, dentistry, indicators of quality of life, patient-reported outcome measures, perception, periodontitis, quality of lifeatención a la salud, atención odontológica, calidad de vida, indicadores de calidad de vida, medición de resultados informados por el paciente, odontología, percepción, periodontitiscuidados de saúde, cuidado dental, indicadores de qualidade de vida, medição dos resultados relatados pelos pacientes, odontologia, percepção, periodontite, qualidade de vida
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2. Oral Health. Geneva, Switzerland: World Health Organization; 2018.
3. Eke PI, Dye BA, Wei L, Slade GD, Thornton-Evans GO, Borgnakke WS, Taylor GW, Page RC, Beck JD, Genco RJ. Update on Prevalence of Periodontitis in Adults in the United States: NHANES 2009 to 2012. J Periodontol. 2015 May; 86(5): 611-622. https://dx.doi.org/10.1902/jop.2015.140520
4. Ortiz FR, Sfreddo CS, Coradini AGM, Fagundes MLB, Ardenghi TM. Gingivitis influences oral health-related quality of life in adolescents: findings from a cohort study. Rev Bras Epidemiol. 2020 Jun 5; 23: e200051. https://dx.doi.org/10.1590/1980-549720200051
5. Buset SL, Walter C, Friedmann A, Weiger R, Borgnakke WS, Zitzmann NU. Are periodontal diseases really silent? A systematic review of their effect on quality of life. J Clin Periodontol. 2016 Apr; 43(4): 333-44. https://dx.doi.org/10.1111/jcpe.12517
6. Herrera D, Sanz M, Shapira L, Brotons C, Chapple I, Frese T, Graziani F, Hobbs FDR, Huck O, Hummers E, Jepsen S, Kravtchenko O, Madianos P, Molina A, Ungan M, Vilaseca J, Windak A, Vinker S. Association between periodontal diseases and cardiovascular diseases, diabetes and respiratory diseases: Consensus report of the Joint Workshop by the European Federation of Periodontology (EFP) and the European arm of the World Organization of Family Doctors (WONCA Europe). J Clin Periodontol. 2023 Jun; 50(6): 819-841. https://dx.doi.org/10.1111/jcpe.13807
7. Oliveira LM, de David SC, Ardenghi TM, Moreira CHC, Zanatta FB. Gingival inflammation influences oral health-related quality of life in individuals living in a rural area of southern Brazil. J Clin Periodontol. 2020 Sep; 47(9): 1028-1039. https://dx.doi.org/10.1111/jcpe.13333
8. Caton JG, Armitage G, Berglundh T, Chapple ILC, Jepsen S, Kornman KS, Mealey BL, Papapanou PN, Sanz M, Tonetti MS. A new classification scheme for periodontal and peri-implant diseases and conditions - Introduction and key changes from the 1999 classification. J Clin Periodontol. 2018 Jun; 45 Suppl 20: S1-S8. https://dx.doi.org/10.1111/jcpe.12935
9. Tonetti MS, Greenwell H, Kornman KS. Staging and grading of periodontitis: Framework and proposal of a new classification and case definition. J Periodontol. 2018 Jun;89 Suppl 1:S159-S172. doi: 10.1002/JPER.18-0006. Erratum in: J Periodontol. 2018 Dec; 89(12): 1475.
10. Sanz M, Herrera D, Kebschull M, Chapple I, Jepsen S, Beglundh T, Sculean A, Tonetti MS; EFP Workshop Participants and Methodological Consultants. Treatment of stage I-III periodontitis-The EFP S3 level clinical practice guideline. J Clin Periodontol. 2020 Jul; 47 Suppl 22(Suppl 22): 4-60. https://doi.org/10.1111/jcpe.13290 . Erratum in: J Clin Periodontol. 2021 Jan; 48(1): 163
11. Herrera D, Sanz M, Kebschull M, Jepsen S, Sculean A, Berglundh T, Papapanou PN, Chapple I, Tonetti MS; EFP Workshop Participants and Methodological Consultant. Treatment of stage IV periodontitis: The EFP S3 level clinical practice guideline. J Clin Periodontol. 2022 Jun; 49 Suppl 24: 4-71. https://doi.org/10.1111/jcpe.13639
12. . Sanz I, Alonso B, Carasol M, Herrera D, Sanz M. Nonsurgical treatment of periodontitis. J Evid Based Dent Pract. 2012 Sep; 12(3 Suppl): 76-86. https://doi.org/10.1016/S1532-3382(12)70019-2
13. Mariotti A, Hefti AF. Defining periodontal health. BMC Oral Health. 2015;15 Suppl 1(Suppl 1):S6. https://doi.org/10.1186/1472-6831-15-S1-S6
14. Tan WC, Krishnaswamy G, Ong MM, Lang NP. Patient-reported outcome measures after routine periodontal and implant surgical procedures. J Clin Periodontol. 2014 Jun; 41(6): 618-624. https://doi.org/10.1111/jcpe.12248
15. Prieto D, Vásquez P, Ortega MA, Cáceres F, Meléndez C, Nally M, Jazanovich D. Patient experience and non-surgical periodontal therapy in a postgraduate periodontal training program: A qualitative study. International journal of interdisciplinary dentistry. 2022 Apr;15(1):16-19. https://.doi.org/10.4067/S2452-55882022000100016
16. Liss A, Wennström JL, Welander M, Tomasi C, Petzold M, Abrahamsson KH. Patient-reported experiences and outcomes following two different approaches for non-surgical periodontal treatment: a randomized field study. BMC Oral Health. 2021 Dec 15; 21(1): 645. https://.doi.org/10.1186/s12903-021-02001-4
17. Okunseri C, Chattopadhyay A, Lugo RI, McGrath C. Pilot survey of oral health-related quality of life: a cross-sectional study of adults in Benin City, Edo State, Nigeria. BMC Oral Health. 2005 Jul 25; 5: 7. https://.doi.org/10.1186/1472-6831-5-7
18. Pajpani M, Patel K, Robinson E, Suffern R, Stenhouse P. Assessing the impact of an urgent dental care centre on the oral health-related quality of life of patients during the COVID-19 pandemic. Advances in Oral and Maxillofacial Surgery. 2021 April-June; 2: 100040. https://doi.org/10.1016/j.adoms.2021.100040
19. Chaffee BW, Rodrigues PH, Kramer PF, Vítolo MR, Feldens CA. Oral health-related quality-of-life scores differ by socioeconomic status and caries experience. Community Dent Oral Epidemiol. 2017 Jun; 45(3): 216-224. https://doi.org/10.1111/cdoe.12279
20. Gerritsen AE, Allen PF, Witter DJ, Bronkhorst EM, Creugers NH. Tooth loss and oral health-related quality of life: a systematic review and meta-analysis. Health Qual Life Outcomes. 2010 Nov 5; 8: 126. https://doi.org/10.1186/1477-7525-8-126
21. Sischo L, Broder HL. Oral health-related quality of life: what, why, how, and future implications. J Dent Res. 2011 Nov; 90(11): 1264-1270. https://doi.org/10.1177/0022034511399918
22. Durham J, Fraser HM, McCracken GI, Stone KM, John MT, Preshaw PM. Impact of periodontitis on oral health-related quality of life. J Dent. 2013 Apr; 41(4): 370-376. https://doi.org/10.1016/j.jdent.2013.01.008
23. Paśnik-Chwalik B, Konopka T. Impact of periodontitis on the Oral Health Impact Profile: A systematic review and meta-analysis. Dent Med Probl. 2020 Oct-Dec; 57(4): 423-431. https://doi.org/10.17219/dmp/125028
24. Levin L, Zini A, Levine J, Weiss M, Lev R, Chebath Taub D, Hai A, Almoznino G. Demographic profile, Oral Health Impact Profile and Dental Anxiety Scale in patients with chronic periodontitis: a case-control study. Int Dent J. 2018 Aug; 68(4): 269-278. English. https://doi.org/10.1111/idj.12381
25. Levin L, Zini A, Levine J, Weiss M, Lev RA, Hai A, Chebath-Taub D, Almoznino G. Dental anxiety and oral health-related quality of life in aggressive periodontitis patients. Clin Oral Investig. 2018 Apr; 22(3): 1411-1422. https://doi.org/10.1007/s00784-017-2234-8
26. Fuller J, Donos N, Suvan J, Tsakos G, Nibali L. Association of oral health-related quality of life measures with aggressive and chronic periodontitis. J Periodontal Res. 2020 Aug; 55(4): 574-580. https://doi.org/10.1111/jre.12745
27. Needleman I, McGrath C, Floyd P, Biddle A. Impact of oral health on the life quality of periodontal patients. J Clin Periodontol. 2004 Jun;31(6):454-7. https://doi.org/10.1111/j.1600-051X.2004.00498.x
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Cómo citar
Fernández-Gudiño, A., Cruz-Morera, M. A., Vega-Cruz, M., Quesada-Romero, S., Alvarado-Echeverría, J. I., Vargas-Godínez, M., Piedra-Hernández, L., Gómez-Fernández, A., & Ramírez, K. (2023). Percepción de la calidad de vida relacionada con la salud oral antes del primer paso y después del segundo paso de la terapia periodontal. Universitas Odontologica, 42. https://doi.org/10.11144/Javeriana.uo42.pohq
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Dossier: Semilleros de Investigación en Odontología
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