Periodontal treatment, psychological factors and oral health‐related quality of life

Rawlinson, Āndrew; Vettore, Mário Vianna; Baker, Sarah R.; Robinson, Peter G.

doi:10.1111/jcpe.13405

Cited by 12 publications

(8 citation statements)

References 59 publications

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“…Periodontitis is a disease of the gums surrounding the teeth, and is influenced by many interacting factors, including the host immune response, the inflammatory response and the subgingival microbes [ 4 ]. Patients with periodontitis are at increased risk of swollen or bleeding gums, bad breath, tooth loss and edentulism, which adversely impact oral related quality of life [ 5 ]. Furthermore, periodontitis is known to have a mutual impact on systemic health and may negatively influence diseases such as diabetes, the overall cancer risk or cardiovascular disease [ 6 , 7 ] and is a possible risk factor for the development of peri-implantitis.…”

Section: Introductionmentioning

confidence: 99%

Antiplanktonic and Antibiofilm Activity of Rheum palmatum Against Streptococcus oralis and Porphyromonas gingivalis

et al. 2022

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Periodontitis and peri-implantitis are inflammatory conditions with a high global prevalence. Oral pathogens such as Porphyromonas gingivalis play a crucial role in the development of dysbiotic biofilms associated with both diseases. The aim of our study was to identify plant-derived substances which mainly inhibit the growth of “disease promoting bacteria”, by comparing the effect of Rheum palmatum root extract against P. gingivalis and the commensal species Streptococcus oralis. Antiplanktonic activity was determined by measuring optical density and metabolic activity. Antibiofilm activity was quantified using metabolic activity assays and live/dead fluorescence staining combined with confocal laser scanning microscopy. At concentrations of 3.9 mg/L, R. palmatum root extract selectively inhibited planktonic growth of the oral pathogen P. gingivalis, while not inhibiting growth of S. oralis. Selective effects also occurred in mature biofilms, as P. gingivalis was significantly more stressed and inhibited than S. oralis. Our studies show that low concentrations of R. palmatum root extract specifically inhibit P. gingivalis growth, and offer a promising approach for the development of a potential topical agent to prevent alterations in the microbiome due to overgrowth of pathogenic P. gingivalis.

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Section: Introductionmentioning

confidence: 99%

Antiplanktonic and Antibiofilm Activity of Rheum palmatum Against Streptococcus oralis and Porphyromonas gingivalis

et al. 2022

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“…The major limitations of the current study include the crosssectional design that precludes causal inferences, the small sample size, and possible effects of unaddressed predictors such as nutritional status, lifestyle-related risk factors, genotype, the possibility of occult infection, level of antenatal care level, physical activity, weight gain, sleep, psychological status, among others (16,(55)(56)(57)(58)(59)(60). To compensate in part, a SEM model was thus designed to construct and model unobserved or latent dimensions and has been previously applied in periodontal research (61)(62)(63)(64)(65). Furthermore, this study design fails to address the possible syndemic nature of the association between periodontal inflammation and systemic state, whereby vulnerable subsets may be affected by both periodontal and other inflammatory conditions (66).…”

Section: Discussionmentioning

confidence: 99%

Periodontal Inflamed Surface Area Is Associated With Increased Gestational Blood Pressure and Uric Acid Levels Among Pregnant Women From Rural North China

Jiang

et al. 2022

Front. Cardiovasc. Med.

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BackgroundPeriodontal disease has been associated with gestational complications and both conditions have a high prevalence in rural populations from developing regions. A cross-sectional study was carried out to explore the relationship between periodontal inflamed surface area (PISA), blood pressure (BP), and, serum uric acid levels (UA) in a group of rural North Chinese pregnant women in the third trimester of pregnancy.MethodsThree hundred and thirty-five rural women aged 20–34 years, with normal body mass index (BMI) were examined in a cross-sectional study during their third trimester of gestation. Exclusion criteria were history of pregnancy complications, multiple pregnancy, smoking habits, diabetes, hypertension or any known infectious disease. Socio-demographic variables, including age and socioeconomic status (SES), systolic blood pressure (SBP) and diastolic blood pressure (DBP) readings, serum UA levels, and PISA values were recorded. A structural equation model was implemented with two constructed latent variables including “Dem” (comprising of age and SES category to represent unobserved demographic variables) and, “BP” (comprising of SBP and DBP to account for measurement error and lack of multiple BP readings). The model accounted for co-variance of BP and UA, and implemented simultaneous regressions for BP and UA as outcomes, upon Dem and PISA values as exogenous variables.ResultsThe median PISA score was 1,081.7 (IQR = 835.01), reflecting high levels of periodontal inflammation in the sample. SEM showed a significant association of PISA with BP (estimate = 0.011, 95% CI = 0.009–0.012 p < 0.001) and UA (estimate = 0.001, 95% CI = 0.001–0.001, p < 0.001).ConclusionHigher PISA values were significantly associated with higher blood pressure and uric acid levels among rural pregnant women in a cross-sectional sample from a center in North China after accounting for a latent demographic construct derived from age and SES.

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“…Conversely, the proposed predictive model highlighted an inverse relationship between emotional response and the proportion of pockets closed after NST. Previous evidence highlighted how patients’ higher levels of stress and anxiety were associated with an impaired periodontal tissue healing after NST 41,42 . In fact such psychological features may trigger physiological processes leading to decreased immune function 43 through an altered cytokines production and an imbalance between T Helper phenotypes 44 …”

Section: Discussionmentioning

confidence: 99%

Patients’ illness perception before and after non‐surgical periodontal therapy: A pre‐post quasi‐experimental study

Discepoli

Marruganti

Mirra

et al. 2021

Journal of Periodontology

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Background Patient's illness perception, assessed through the Brief‐Illness Perception Questionnaire (Brief‐IPQ), plays a decisive role in the treatment effectiveness of a wide range of chronic diseases; nonetheless, evidence is still lacking regarding periodontitis. The aim of the present pre‐post quasi‐experimental study was to evaluate the change in the Brief‐IPQ before and after non‐surgical periodontal treatment (NST) and to evaluate its ability to foresee the efficacy of NST. Methods A total of 126 periodontitis participants starting NST were asked to participate in the study. The nine‐item Brief‐IPQ together with a full periodontal chart were recorded at baseline and at the 3‐month follow up (reevaluation) after NST. Pre‐post comparisons of psychometric and periodontal variables were carried out through the Wilcoxon signed‐rank test (α = 0.05). A predictive model was built to test the ability of the Brief‐IPQ items to foresee the efficacy of NST. Results NST led to a significant reduction in all periodontal parameters (P < 0.001); the proportion of pockets closed was 64.18%. Although the overall sum score of the Brief‐IPQ remained fairly stable (P = 0.0673), significant changes occurred for items seven (“understanding”) (P < 0.001) and 8 (“emotional response”) (P < 0.05). The best model (R2 = 0.068, F = 2.15, P = 0.033) obtained from the multivariate linear regression analysis demonstrated that item five (“identity”) (β = 2.340, P = 0.017) and item eight (“emotional response”) (β = ‐2.569, P = 0.008) significantly predict the efficacy of NST (i.e., the proportion of pockets closed at reevaluation). Conclusions NST significantly ameliorates patient's understanding and emotional burden related to periodontitis. Baseline values of perceived symptoms and emotional response are predictive for the short‐term efficacy of NST.

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Periodontal treatment, psychological factors and oral health‐related quality of life

Cited by 12 publications

References 59 publications

Antiplanktonic and Antibiofilm Activity of Rheum palmatum Against Streptococcus oralis and Porphyromonas gingivalis

Antiplanktonic and Antibiofilm Activity of Rheum palmatum Against Streptococcus oralis and Porphyromonas gingivalis

Periodontal Inflamed Surface Area Is Associated With Increased Gestational Blood Pressure and Uric Acid Levels Among Pregnant Women From Rural North China

Patients’ illness perception before and after non‐surgical periodontal therapy: A pre‐post quasi‐experimental study

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