Naslov
Impact of rehabilitation versus edentulism in systemic health and quality of life in patients affected by periodontitis. A systematic review and meta-analysis
(Impact of rehabilitation versus edentulism in systemic health and quality of life in patients affected by periodontitis. A systematic review and meta-analysis)

Autori
Gennai, Stefano ; Izzetti, Rossana ; Pioli, Maria Chiara ; Musić, Larisa ; Graziani, Filippo

Izvornik
Journal of clinical periodontology (0303-6979) 49 (2022), Suppl. 24; 328-358

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
periodontitis stage IV ; edentulism ; quality of life ; systemic health

Sažetak
Aims: To investigate the effect of rehabilitation in fully/partially edentulous patients with stage IV periodontitis on oral health-related quality of life (OHRQoL) and systemic health. Materials and methods: A systematic electronic and manual search was conducted. Three authors independently reviewed, selected, and extracted data. Outcomes were OHRQoL (Oral Health Impact Profile, OHIP-14 and OHIP-49 ; General Oral Health Assessment Index, GOHAI ; visual analogue scale ; symptoms registration) and systemic health-related outcomes (incidence and prevalence of systemic diseases, values of systemic disease indicators). Qualitative data were synthesised for OHRQoL and systemic health-related outcomes. Meta-analysis was conducted on available quantitative data. Results: The search identified 59 articles (6724 subjects in total). OHRQoL improved across all the studies, irrespective of the number of missing teeth, their location or treatment modality. Meta- analysis showed significant improvement of OHIP-49 (36.86, p<0.01) in manuscripts including periodontitis-affected subjects, consistently with the remaining literature (score points reduction post-rehabilitation OHIP-14=10.52, OHIP-49=56.02, GOHAI=5.40, p<0.01 for all). Non-rehabilitated subjects exhibited inferior cognitive status, higher medication intake and frailty. However, data are limited and should be interpreted with caution. Conclusions: Oral rehabilitation improves OHRQoL and, potentially, systemic health in edentulous patients. It is unclear if these findings may be extrapolated to stage IV periodontitis patients.

Izvorni jezik
Engleski

Znanstvena područja
Dentalna medicina

POVEZANOST RADA