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Abstract：
This study investigates the impact of nonsurgical periodontal treatment (NSPT) on oral health-related quality of life (OHRQoL) in patients with periodontitis stages (S)2 and S3, and the factors associated with the prediction of patient-reported outcomes. Periodontitis patients (n = 68) with moderately deep periodontal pockets were recruited. Responses to the Oral Health Impact Profile (OHIP)-14 questionnaire and clinical parameters including plaque index, bleeding on probing (BOP), probing pocket depth (PPD), and clinical attachment loss (CAL) were recorded. All patients received supra- and subgingival professional mechanical plaque removal. All clinical parameters and questionnaire responses were recorded again 3 months after NSPT. Clinical parameters and OHIP-14 scores for both stages of periodontitis were significantly improved 3 months after treatment. However, participants with periodontitis S3 had significantly higher total OHIP-14, physical pain, and functional limitation domains scores than periodontitis S2 cases. Baseline CAL, BOP, and the presence of PPD in anterior teeth were positively associated with increased OHIP-14 scores after NSPT. NSPT improved OHRQoL in participants with periodontitis S2 and S3. This was more pronounced in participants having periodontitis S3 than S2. Poorer OHRQoL could be anticipated in people having severe CAL, high BOP, and presence of pockets in the anterior teeth.
摘要：
这项研究调查了非手术牙周治疗（NSPT）对牙周炎（S）2期和S3期患者口腔健康相关生活质量（OHRQoL）的影响，以及与患者报告结局预测相关的因素。招募了牙周袋中等深的牙周炎患者（n=68）。对口腔健康影响概况（OHIP）-14问卷和包括菌斑指数在内的临床参数的反应，探查出血(BOP),探测袋深度（PPD），并记录临床附着丧失（CAL）。所有患者均接受专业的龈上和龈下机械牙菌斑去除。在NSPT后3个月再次记录所有临床参数和问卷响应。治疗后3个月，牙周炎的临床参数和OHIP-14评分均有明显改善。然而,患有牙周炎S3的参与者总OHIP-14，身体疼痛，和功能限制域评分比牙周炎S2例。基线CAL,防喷器,前牙中PPD的存在与NSPT后OHIP-14评分的增加呈正相关。NSPT改善牙周炎S2和S3参与者的OHRQoL。这在患有牙周炎S3的参与者中比S2更明显。在患有严重CAL的人中可以预期较差的OHRQoL，高防喷器,和前牙有口袋。
