Impact of gingivitis treatment for diabetic patients on quality of life related to periodontal objective parameters: A randomized controlled clinical trial |
| |
| Affiliation: | 1. Nucleus of Periodontal Research, Dental School, University of Taubaté, Expedicionário Ernesto Pereira, 110 − Taubaté, São Paulo, Brazil;2. Periodontal Department, Dental School, Federal University of Minas Gerais, Avenida Presidente Antônio Carlos, 6627 − Belo Horizonte, Minas Gerais, Brazil;1. Department of Periodontics and Implantology, BBD College of Dental Sciences, Lucknow, Uttar Pradesh, India;2. Professor and Dean, Department of Periodontics and Implantology, BBD College of Dental Sciences, Lucknow, Uttar Pradesh, India;3. Reader, Department of Periodontics and Implantology, BBD College of Dental Sciences, Lucknow, Uttar Pradesh, India;1. Division of Oral and Maxillofacial Surgery, College of Dentistry, University of Kentucky, Lexington, KY, USA;2. Center for Oral Health Research, College of Dentistry, University of Kentucky, Lexington, KY, USA;3. Department of Oral and Maxillofacial Surgery, University of Louisville School of Dentistry, Louisville, KY, USA;4. Division of Restorative Dentistry, College of Dentistry, University of Kentucky, Lexington, KY, USA;1. Department of Periodontics and Community Dentistry, College of Dentistry, King Saud University, Riyadh, Saudi Arabia;2. General Dental Practice, Doha, Qatar;3. Dental Health Department, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia;4. Department of Periodontology, Laboratory for Periodontal-, Implant-, Phototherapy (LA-PIP), School of Dental Medicine, Stony Brook University, Stony Brook, NY, USA;5. Department of Oral Restorative and Rehabilitative Sciences, UWA Dental School, The University of Western Australia (M512), 17 Monash Avenue, Nedlends, WA, 6009, Perth, Australia;1. Periodontics Unit, Department of Conservative Dentistry, Dental School, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil;2. Private Practice Dentist, Bagé, Rio Grande do Sul, Brazil;3. Graduate Program in Dentistry, Emphasis in Periodontics, Dental School, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil;4. Periodontics Unit, Department of Stomatology, Dental School, Federal University of Santa Maria, Santa Maria, Rio Grande do Sul, Brazil |
| |
| Abstract: | ![]()
ObjectivesPatients with diabetes have a poor oral health-related quality of life (OHRQoL). It is not clear if this situation could be changed with effective periodontal treatment. This study examined both patients with diabetes and systemically healthy individuals to discover the impact of a gingivitis treatment protocol on OHRQoL and its relation to objective periodontal parameters.DesignAfter ultrasonic debridement, patients were randomly assigned to an essential-oils (EO) or placebo mouthwash group. At baseline and 3 months, OHRQoL was assessed with the Oral Health and Quality of Life-United Kingdom questionnaire (OHQoL–UK) along with clinical, halitometric, microbiological and inflammatory objective parameters. The primary outcome was a change in OHQoL–UK scores. A factor analysis was performed and the impact of the extracted quality of life factor (QLF) and its interactions with diabetes, treatment, and time on the objective parameters, were tested by multiple linear regression models (p < 0.05). Chi-Square test compared questionnaire-answering profiles (p < 0.05).ResultsCombined treatment with EO provided OHQoL improvements in both systemic conditions. Positive effect of oral health status on quality of life increased in EO groups but not in placebo groups. Question I (self-confidence) showed the greatest factorial weight, while Question A (food intake) showed the lowest factorial weight. All patients who showed OHRQoL improvements and used the EO rinse showed the lowest plaque and gingival indices and lower levels of bacteria and volatile sulfur compounds.ConclusionsOHRQoL positively changed overtime. Most effective treatment protocols would provide better improvements in OHRQoL which is related to periodontal objective measures. |
| |
| Keywords: | Gingivitis Diabetes Mellitus Quality of Life Therapeutics Bacteria |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
