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The impact of nonsurgical periodontal treatment on oral health-related quality of life: a systematic review and meta-analysis

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Abstract

Objective

To estimate the impact of nonsurgical periodontal treatment (NSPT) on patients’ oral health-related quality of life (OHRQoL). The focused question for this systematic review was: in adults patients with periodontitis, does NSPT improve oral health-related quality of life?

Material and methods

Five databases (PubMed, CIHNL, EMBASE, LILACS and CENTRAL) were searched up to April 2019 (PROSPERO CRD42018103393). Intervention trials and cohort studies assessing the OHRQoL data of adults with periodontitis, enduring non-surgical periodontal treatment (NSPT) were eligible for inclusion. Subgroup random-effects meta-analysis was conducted methodically.

Results

Overall, 491 studies were retrieved, out of which 19 met the inclusion criteria. Two randomized clinical trials (RCTs) and ten cohort studies were further analysed. Seven cohort studies were included in the statistical analysis. Subgroup meta-analyses of cohort studies revealed that NSPT improves in average 2.49 (95% CI 0.95–4.02), 8.94 (95% CI 6.89–10.99) and 6.49 (95% CI 5.11–7.88) OHRQoL levels at 1–2 weeks, 3–4 weeks and 6–12 weeks of post-treatment, respectively.

Conclusions

NSPT procedures greatly improve the oral health-related quality of life within a short time, remaining stable after 3 months of treatment.

Clinical relevance

This systematic review brings forward summary evidence that NSPT improves the OHRQoL in adults with periodontitis from a patient-centred perception and remain stable in the short term.

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Author information

Authors and Affiliations

  1. Periodontology Department, Egas Moniz Dental Clinic, Egas Moniz, CRL, Monte de Caparica, Portugal

    João Botelho & Vanessa Machado

  2. Clinical Research Unit (CRU), Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Egas Moniz, CRL, Monte de Caparica, Portugal

    João Botelho, Vanessa Machado, Gil Alcoforado & José João Mendes

  3. Quantitative Methods for Health Research Unit (MQIS), CiiEM, Egas Moniz, CRL, Monte de Caparica, Portugal

    Luís Proença

  4. School of Dentistry, Ibirapuera University, São Paulo, SP, Brazil

    Danilo Horie Bellini & Leandro Chambrone

  5. Unit of Basic Oral Investigation (UIBO), El Bosque University, Bogota, Colombia

    Leandro Chambrone

Authors
  1. João Botelho
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  7. José João Mendes
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Contributions

All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by João Botelho, Vanessa Machado and Leandro Chambrone. The first draft of the manuscript was written by João Botelho and Vanessa Machado, and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Leandro Chambrone.

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Botelho, J., Machado, V., Proença, L. et al. The impact of nonsurgical periodontal treatment on oral health-related quality of life: a systematic review and meta-analysis. Clin Oral Invest 24, 585–596 (2020). https://doi.org/10.1007/s00784-019-03188-1

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  • DOI: https://doi.org/10.1007/s00784-019-03188-1

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