Revista de Odontologia da UNESP
https://revodontolunesp.com.br/article/doi/10.1590/1807-2577.03024
Revista de Odontologia da UNESP
Original Article

The role of non-surgical periodontal treatment in enhancing quality of life for hypertensive patients with periodontitis

O papel da terapia periodontal não cirúrgica na melhoria da qualidade de vida de pacientes hipertensos com periodontite

João Victor Soares RODRIGUES; Mariella Boaretti DEROIDE; Amanda Paino SANT'ANA; Rafael Scaf DE MOLON; Leticia Helena THEODORO

http://dx.doi.org/10.1590/1807-2577.03024 Rev. odontol. UNESP, vol.53, e20240030, 2024
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Abstract

Introduction: Periodontitis is a known risk factor for hypertensive subjects, with evidence suggesting that general inflammation is linked to both disorders.

Objective: To investigate the influence of non-surgical periodontal therapy (NSPT) on the oral health-related quality of life in subjects with refractory arterial hypertension and periodontitis.

Material and method: 27 patients with refractory hypertension and stage III and/or IV, grade B periodontitis experienced NSPT. Clinical periodontal parameters, including probing depth (PD), clinical attachment level (CAL), bleeding on probing (BoP), and plaque index (PI), were assessed. Quality of life was assessed by the Oral Health Impact Profile questionnaire (OHIP-14). During the follow-up, 24 participants were evaluated at 90 days, and 22 participants at 180 days. Data were analyzed statistically (α=5%).

Result: Substantial enhancements were detected in periodontal parameters PD, BoP, and PI across the evaluated periods. Additionally, the sum of OHIP-14 score was significantly reduced at 180 days post-treatment. Notably, responses related to the subdomains "physical pain," "psychological disability," and "social disability" indicated an improvement in quality of life after 180 days of treatment.

Conclusion: These findings highlight the positive impact of NSPT on the quality of life of patients with refractory arterial hypertension and periodontitis.

Keywords

Quality of life; periodontitis; hypertension; dental scaling

Resumo

Introdução: A periodontite é um indicador de risco para pacientes hipertensos, e há indicações de que a inflamação sistêmica está associada a ambas as condições.

Objetivo: Investigar o impacto da terapia periodontal não cirúrgica (TPNC) na qualidade de vida relacionada à saúde bucal em pacientes com hipertensão arterial refratária e periodontite.

Material e método: 27 participantes com hipertensão arterial refratária e periodontite estágio III e IV, grau B receberam a TPNC. Os parâmetros clínicos periodontais avaliados foram profundidade de sondagem (PS), nível de inserção clínica (NIC), sangramento à sondagem (SS) e índice de placa (IP). A qualidade de vida foi mensurada através do questionário Oral Health Impact Profie (OHIP-14). No período de acompanhamento foram avaliados vinte e quatro participantes aos 90 dias e vinte e dois aos 180 dias. Os dados foram submetidos a análise estatística (α=5%).

Resultado: Os parâmetros clínicos periodontais PS, SS e IP apresentaram diferenças estatisticamente significativas entre os períodos avaliados. A pontuação da soma dos escores do OHIP-14 foi significativamente menor aos 180 dias após o tratamento. Os resultados demonstraram que houve melhora da qualidade de vida nos subdomínios de “dor física”, “deficiência psicológica” e “deficiência social” aos 180 dias pós-tratamento.

Conclusão: esses achados mostram o impacto positivo da TPNC na qualidade de vida de pacientes com hipertensão arterial refratária e periodontite.

Palavras-chave

Qualidade de vida; periodontite; hipertensão; raspagem dentária

References

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Submitted date:
10/17/2024

Accepted date:
10/22/2024

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