| Summary: | 碩士 === 高雄醫學大學 === 口腔衛生學系碩士在職專班 === 105 === Objectives:
To investigate the influence of outcomes of non-surgical periodontal treatment and oral health-related quality of life related to risk for smoking continuously.
Methods:
Prospective study. A total of 150 patients (including 47 smokers and 96 non-smokers) with chronic periodontitis were treated in Tainan Municipal Hospital Dentistry Department from February 1, 2016 to January 31, 2017. Clinical periodontal examinations(PPD,BOP) were performed at baseline (before treatment), one month (after treatment), and three months (after treatment).The patients fill in the first questionnaire (first measurement of adult oral health questionnaire) at baseline, covering basic information, smoking behavior, oral health behavior, oral health attitude, oral health knowledge, oral care and quality of life.One month after treatment ,they fill in the second questionnaire (second measurement of adult oral health questionnaire), covering oral health behavior.And three months after treatment ,they fill in the third questionnaire (third measurement of adult oral health questionnaire), covering oral care and quality of life. Finally, comparing with the difference of PPD, BOP and OHIP before and after treatment by independent t-test of SPSS statistical system and Linear regression of Generalized Estimating Equation
Results:
The results showed that the average PPD (± SD) was 3.02 mm (± 0.47) in the smoking group and 2.84 mm (± 0.45) in the nonsmoking group one month after treatment. The average PPD was 2.95 mm (± 0.52) in the smoking group and 2.73 mm (± 0.38) in the non-smoking group three months after treatment. There were significant differences between the two groups (P = 0.032, 0.007). The depth of the periodontal pocket decreasing was 0.48 mm (± 0.43) in the smoking group and 0.36 mm (± 0.28) in the non-smoking group over anterior region of maxilla. There was a statistically significant difference (P-value = 0.036) between these two groups too. Bleeding on probing(Bop) index decreasing 0.12 (±0.11) surface in the smoking group and 0.18 (±0.13) surface in the non-smoking group, with significant difference (P-value = 0.017).
The average Oral health-related quality of life decreasing 3.16 points(±8.74) in the smoking group,with significant differences(P-value =0.004) and decreasing 4.24 points(±7.03) in the non-smoking group after treatment, with significant differences (P-value =<0.001). But there were no significant differences between the two groups (P-value =0.450).
The level of psychological pain (in quality of life classification) improved 0.07 points (± 2.59) in the smoking group and 0.86 points (± 1.89) in the non-smoking group after periodontal treatment. There were significant differences between the two groups (P- value = 0.022)
Conclusions:
Smoking status has influence on the improvement of PPD, BOP, and quality of life in patients after taking NSPT. The periodontal disease index (PPD、BOP) will improve after treatment in smoking group, but the level of improvement is less than non-smoking group. Suggest that smokers can quit smoking temporarily during treatment to achieve better results. The results found that the periodontal pocket depth, gingival bleeding index and the improvement of oral health-related quality of life are positive correlation. The quality of life of Smokers and non-smokers will improve after NSPT both, representing patients which having periodontal disease with or without smoking are recommended to accept NSPT, in order to improve the oral health-related quality of life.
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