Periodontitis and Oral Health-Related Quality of Life: A Systematic Review and Meta-Analysis.

IF 5.8 1区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Journal of Clinical Periodontology Pub Date : 2024-09-29 DOI:10.1111/jcpe.14074

Catiusse Crestani Del' Agnese, Caroline Schöffer, Karla Zanini Kantorski, Fabricio Batistin Zanatta, Cristiano Susin, Raquel Pippi Antoniazzi

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Abstract

Aim: To investigate the association between periodontitis and oral health-related quality of life (OHRQoL) in adults, and to compare OHRQoL across different severities of the disease.

Materials and methods: Searches were conducted in five electronic databases up to December 2023. Observational studies that provided a clear definition of periodontitis and used validated measures of OHRQoL were included. Meta-analyses were performed both overall and based on factors that could explain heterogeneity between studies.

Results: Sixty studies comprising 14,851 individuals were included in the review. Meta-analyses showed that periodontitis was associated with impaired OHRQoL: any OHRQoL instruments (n = 33 studies; SMD: 0.75, 95% CI: 0.53-0.93), solely using the OHIP-14 (n = 26 studies; MD: 5.14, 95% CI: 3.64-6.64), and risk assessment (n = 9 studies; adjusted RR: 1.42, 95% CI: 1.12-1.78). Stages III-IV periodontitis had a greater impact than Stages I-II periodontitis. Subgroup and meta-regression analyses indicated smaller effect size estimates for individuals with comorbidities.

Conclusions: Periodontitis negatively impacts OHRQoL, with a positive score-response relationship found between periodontitis severity and poorer OHRQoL. However, the magnitude of this association appears to be diminished in individuals with comorbidities.

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牙周炎与口腔健康相关的生活质量：系统回顾与元分析》。

目的：研究成人牙周炎与口腔健康相关生活质量（OHRQoL）之间的关系，并比较不同严重程度的牙周炎患者的口腔健康相关生活质量：对截至 2023 年 12 月的五个电子数据库进行了检索。纳入了对牙周炎有明确定义并使用有效的 OHRQoL 测量方法的观察性研究。对研究的总体情况以及可解释研究间异质性的因素进行了元分析：综述共纳入了 60 项研究，涉及 14 851 人。Meta分析表明，牙周炎与OHRQoL受损有关：任何OHRQoL工具（n = 33项研究；SMD：0.75，95% CI：0.53-0.93），仅使用OHIP-14（n = 26项研究；MD：5.14，95% CI：3.64-6.64），以及风险评估（n = 9项研究；调整RR：1.42，95% CI：1.12-1.78）。III-IV 期牙周炎比 I-II 期牙周炎的影响更大。分组和元回归分析表明，合并症患者的效应大小估计值较小：结论：牙周炎对 OHRQoL 有负面影响，牙周炎严重程度与较差的 OHRQoL 之间存在正的分数-反应关系。结论：牙周炎对 OHRQoL 有负面影响，牙周炎严重程度与 OHRQoL 较差之间存在正向的分数-反应关系，但在有合并症的患者中，这种关系的程度似乎有所降低。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Periodontology 医学-牙科与口腔外科

CiteScore

13.30

自引率

10.40%

发文量

175

审稿时长

3-8 weeks

期刊介绍： Journal of Clinical Periodontology was founded by the British, Dutch, French, German, Scandinavian, and Swiss Societies of Periodontology. The aim of the Journal of Clinical Periodontology is to provide the platform for exchange of scientific and clinical progress in the field of Periodontology and allied disciplines, and to do so at the highest possible level. The Journal also aims to facilitate the application of new scientific knowledge to the daily practice of the concerned disciplines and addresses both practicing clinicians and academics. The Journal is the official publication of the European Federation of Periodontology but wishes to retain its international scope. The Journal publishes original contributions of high scientific merit in the fields of periodontology and implant dentistry. Its scope encompasses the physiology and pathology of the periodontium, the tissue integration of dental implants, the biology and the modulation of periodontal and alveolar bone healing and regeneration, diagnosis, epidemiology, prevention and therapy of periodontal disease, the clinical aspects of tooth replacement with dental implants, and the comprehensive rehabilitation of the periodontal patient. Review articles by experts on new developments in basic and applied periodontal science and associated dental disciplines, advances in periodontal or implant techniques and procedures, and case reports which illustrate important new information are also welcome.