Periodontal Treatment, Psychological Factors and Oral Health Related Quality of Life

Andrew Rawlinson, Mario V Vettore, Sarah R Baker, Peter G Robinson

Research output: Contribution to journalArticle (Academic Journal)peer-review

Abstract

Aims: To determine changes in OHRQoL and clinical status after periodontal treatment and the factors predicting these changes.

Methods: Cohort of 140 patients with chronic periodontitis receiving non-surgical treatment. Participants self-completed questionnaires: Sense of Coherence, Locus of Control, Self-esteem and Task-specific Self-efficacy before treatment, and Oral Health Impact Profile at treatment, oral hygiene review and end of study. Relationships between OHRQoL, clinical data, individual and environmental characteristics were analysed with structural equation modelling guided by the Wilson and Cleary model.

Results: OHRQoL and the periodontal status improved after treatment. Greater sense of coherence and age, better periodontal status, lower DMFT and being male predicted better OHRQoL after treatment. Better task-specific self-efficacy and self-esteem, but worse plaque score predicted better end periodontal status.

Conclusions: OHRQoL and periodontal status improved after periodontal treatment, and this was predicted by individual demographic and psychological factors. These factors may assist with case selection and as possible points for intervention to improve clinical and subjective outcomes of periodontal treatment.
Original languageEnglish
Pages (from-to)226-236
Number of pages11
JournalJournal of Clinical Periodontology
Volume48
Issue number2
Early online date15 Dec 2020
DOIs
Publication statusPublished - 13 Jan 2021

Bibliographical note

Publisher Copyright:
© 2020 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd

Keywords

  • non-surgical
  • oral health related quality of life
  • outcome predictors
  • periodontal treatment

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