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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).
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, R2=0.204; VASc, p=0.005, R2=0.084; VASh, p=0.012, R2=0.222) and compliance to SPC (VASe, p=0.032; R2=0.204), as well as a negative correlation for active smoking (VASc, p=0.012, R2=0.084), increased BOP (VASh, p=0.029, R2=0.222) at the start of SPC, and number of lost molars (VASh, p=0.008, R2=0.222).
CONCLUSIONS: 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.
CONCLUSIONS: 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.
BACKGROUND: NCT03048045.
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, R2=0.204; VASc, p=0.005, R2=0.084; VASh, p=0.012, R2=0.222) and compliance to SPC (VASe, p=0.032; R2=0.204), as well as a negative correlation for active smoking (VASc, p=0.012, R2=0.084), increased BOP (VASh, p=0.029, R2=0.222) at the start of SPC, and number of lost molars (VASh, p=0.008, R2=0.222).
CONCLUSIONS: 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.
CONCLUSIONS: 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.
BACKGROUND: NCT03048045.
摘要：
目的：这项回顾性研究的目的是评估10年的支持性牙周护理（SPC）后口腔健康相关生活质量（oHRQoL）和患者报告的预后指标（PROMs）。
方法：患者在积极牙周治疗后120±12个月复查。牙齿和牙周状态和oHRQoL通过完成口腔健康影响概况-G49（OHIP-G49）和通过标记视觉模拟量表（VAS）的自我感知美学（VASe），咀嚼功能（VASc），和卫生能力（VASh）进行评估。患者和牙齿相关因素(年龄，保险状况,SPC的数量,合规,治疗师的变化，吸烟,牙齿脱落,需要手术或抗生素摄入，探查出血(BOP),牙周发炎表面积）影响oHRQoL和PROMs进行了评估。
结果：108名牙周病患者（59名女性，平均年龄65.4±10.7岁）在SPC的10年内失去了135颗牙齿。在重新检查时，1.8%的站点显示PPD≥6mm。平均OHIP-G49总分为17.6±18.5，VAS评分为76.0±22.5（VASe），86.3±16.3(VASc)，和79.8±15.8（VASh）。线性回归分析发现，私人保险状态与oHRQoL和/或PROM呈正相关(OHIP-G49，p=0.015，R2=0.204；VASc，p=0.005，R2=0.084；VASh，p=0.012，R2=0.222)和符合SPC(VASe，p=0.032；R2=0.204），以及与主动吸烟的负相关(VASc，p=0.012,R2=0.084),增加防喷器(VASh，p=0.029，R2=0.222）在SPC开始时，和磨牙丢失的数量(VASh，p=0.008,R2=0.222)。
结论：在SPC治疗10年后，大多数患者获得令人满意的oHRQoL和PROM值是现实的。确定的因素可能有助于预测长期治疗过程中的患者满意度。
结论：牙周病患者的系统治疗在治疗后10年提供了oHRQoL和PROMs的有利范围。这应该鼓励牙医在日常工作中实施SPC。
背景：NCT03048045。
方法：患者在积极牙周治疗后120±12个月复查。牙齿和牙周状态和oHRQoL通过完成口腔健康影响概况-G49（OHIP-G49）和通过标记视觉模拟量表（VAS）的自我感知美学（VASe），咀嚼功能（VASc），和卫生能力（VASh）进行评估。患者和牙齿相关因素(年龄，保险状况,SPC的数量,合规,治疗师的变化，吸烟,牙齿脱落,需要手术或抗生素摄入，探查出血(BOP),牙周发炎表面积）影响oHRQoL和PROMs进行了评估。
结果：108名牙周病患者（59名女性，平均年龄65.4±10.7岁）在SPC的10年内失去了135颗牙齿。在重新检查时，1.8%的站点显示PPD≥6mm。平均OHIP-G49总分为17.6±18.5，VAS评分为76.0±22.5（VASe），86.3±16.3(VASc)，和79.8±15.8（VASh）。线性回归分析发现，私人保险状态与oHRQoL和/或PROM呈正相关(OHIP-G49，p=0.015，R2=0.204；VASc，p=0.005，R2=0.084；VASh，p=0.012，R2=0.222)和符合SPC(VASe，p=0.032；R2=0.204），以及与主动吸烟的负相关(VASc，p=0.012,R2=0.084),增加防喷器(VASh，p=0.029，R2=0.222）在SPC开始时，和磨牙丢失的数量(VASh，p=0.008,R2=0.222)。
结论：在SPC治疗10年后，大多数患者获得令人满意的oHRQoL和PROM值是现实的。确定的因素可能有助于预测长期治疗过程中的患者满意度。
结论：牙周病患者的系统治疗在治疗后10年提供了oHRQoL和PROMs的有利范围。这应该鼓励牙医在日常工作中实施SPC。
背景：NCT03048045。
