Patient-reported outcome measures after periodontal surgery
Objectives The present study aimed to explore the impact of different periodontal surgical treatments on the quality of life and postoperative morbidity. Materials and methods The present study is a single-center, prospective, observational cohort trial. One hundred fifty-five patients, referred to...
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| Published in | Clinical oral investigations Vol. 27; no. 12; pp. 7715 - 7724 |
|---|---|
| Main Authors | , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Berlin/Heidelberg
Springer Berlin Heidelberg
01.12.2023
Springer Nature B.V |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1436-3771 1432-6981 1436-3771 |
| DOI | 10.1007/s00784-023-05362-y |
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| Abstract | Objectives
The present study aimed to explore the impact of different periodontal surgical treatments on the quality of life and postoperative morbidity.
Materials and methods
The present study is a single-center, prospective, observational cohort trial. One hundred fifty-five patients, referred to the Periodontal Department of Bologna University who needed periodontal surgical treatment, were recruited. The self-reported perception of the postoperative course was assessed using the following anonymous questionnaires: Italian oral health impact profile (I-OHIP-14), visual analog scale (VAS) to evaluate the intensity of the pain, and 5-point Likert scale.
Results
Patients reported a mean OHIP-14 total score of 9.87±8.5 (range 0–42), significantly influenced by the female sex, flap extension, and periodontal dressing. A mean VAS score of 2.96±2.39 (range 0–9) was calculated, and was found to be influenced by the presence of vertical releasing incisions and palatal flap extension. Of the 155 subjects, 40 (25.8%) patients reported bleeding as a post-surgical complication, 96 (61.9%) swelling, 105 (67.7%) eating discomfort, and 44 (28.4%) reported speech discomfort.
Conclusions
Within the limitations of the nature of the present study, periodontal surgical procedures have a low impact on patients’ quality of life evaluated through the OHIP-14 and VAS pain questionnaires.
Clinical relevance
Periodontal surgical procedures are safe procedures, with a limited duration of postoperative discomfort as well as the incidence of complications. |
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| AbstractList | The present study aimed to explore the impact of different periodontal surgical treatments on the quality of life and postoperative morbidity.OBJECTIVESThe present study aimed to explore the impact of different periodontal surgical treatments on the quality of life and postoperative morbidity.The present study is a single-center, prospective, observational cohort trial. One hundred fifty-five patients, referred to the Periodontal Department of Bologna University who needed periodontal surgical treatment, were recruited. The self-reported perception of the postoperative course was assessed using the following anonymous questionnaires: Italian oral health impact profile (I-OHIP-14), visual analog scale (VAS) to evaluate the intensity of the pain, and 5-point Likert scale.MATERIALS AND METHODSThe present study is a single-center, prospective, observational cohort trial. One hundred fifty-five patients, referred to the Periodontal Department of Bologna University who needed periodontal surgical treatment, were recruited. The self-reported perception of the postoperative course was assessed using the following anonymous questionnaires: Italian oral health impact profile (I-OHIP-14), visual analog scale (VAS) to evaluate the intensity of the pain, and 5-point Likert scale.Patients reported a mean OHIP-14 total score of 9.87±8.5 (range 0-42), significantly influenced by the female sex, flap extension, and periodontal dressing. A mean VAS score of 2.96±2.39 (range 0-9) was calculated, and was found to be influenced by the presence of vertical releasing incisions and palatal flap extension. Of the 155 subjects, 40 (25.8%) patients reported bleeding as a post-surgical complication, 96 (61.9%) swelling, 105 (67.7%) eating discomfort, and 44 (28.4%) reported speech discomfort.RESULTSPatients reported a mean OHIP-14 total score of 9.87±8.5 (range 0-42), significantly influenced by the female sex, flap extension, and periodontal dressing. A mean VAS score of 2.96±2.39 (range 0-9) was calculated, and was found to be influenced by the presence of vertical releasing incisions and palatal flap extension. Of the 155 subjects, 40 (25.8%) patients reported bleeding as a post-surgical complication, 96 (61.9%) swelling, 105 (67.7%) eating discomfort, and 44 (28.4%) reported speech discomfort.Within the limitations of the nature of the present study, periodontal surgical procedures have a low impact on patients' quality of life evaluated through the OHIP-14 and VAS pain questionnaires.CONCLUSIONSWithin the limitations of the nature of the present study, periodontal surgical procedures have a low impact on patients' quality of life evaluated through the OHIP-14 and VAS pain questionnaires.Periodontal surgical procedures are safe procedures, with a limited duration of postoperative discomfort as well as the incidence of complications.CLINICAL RELEVANCEPeriodontal surgical procedures are safe procedures, with a limited duration of postoperative discomfort as well as the incidence of complications. The present study aimed to explore the impact of different periodontal surgical treatments on the quality of life and postoperative morbidity. The present study is a single-center, prospective, observational cohort trial. One hundred fifty-five patients, referred to the Periodontal Department of Bologna University who needed periodontal surgical treatment, were recruited. The self-reported perception of the postoperative course was assessed using the following anonymous questionnaires: Italian oral health impact profile (I-OHIP-14), visual analog scale (VAS) to evaluate the intensity of the pain, and 5-point Likert scale. Patients reported a mean OHIP-14 total score of 9.87±8.5 (range 0-42), significantly influenced by the female sex, flap extension, and periodontal dressing. A mean VAS score of 2.96±2.39 (range 0-9) was calculated, and was found to be influenced by the presence of vertical releasing incisions and palatal flap extension. Of the 155 subjects, 40 (25.8%) patients reported bleeding as a post-surgical complication, 96 (61.9%) swelling, 105 (67.7%) eating discomfort, and 44 (28.4%) reported speech discomfort. Within the limitations of the nature of the present study, periodontal surgical procedures have a low impact on patients' quality of life evaluated through the OHIP-14 and VAS pain questionnaires. Periodontal surgical procedures are safe procedures, with a limited duration of postoperative discomfort as well as the incidence of complications. Objectives The present study aimed to explore the impact of different periodontal surgical treatments on the quality of life and postoperative morbidity. Materials and methods The present study is a single-center, prospective, observational cohort trial. One hundred fifty-five patients, referred to the Periodontal Department of Bologna University who needed periodontal surgical treatment, were recruited. The self-reported perception of the postoperative course was assessed using the following anonymous questionnaires: Italian oral health impact profile (I-OHIP-14), visual analog scale (VAS) to evaluate the intensity of the pain, and 5-point Likert scale. Results Patients reported a mean OHIP-14 total score of 9.87±8.5 (range 0–42), significantly influenced by the female sex, flap extension, and periodontal dressing. A mean VAS score of 2.96±2.39 (range 0–9) was calculated, and was found to be influenced by the presence of vertical releasing incisions and palatal flap extension. Of the 155 subjects, 40 (25.8%) patients reported bleeding as a post-surgical complication, 96 (61.9%) swelling, 105 (67.7%) eating discomfort, and 44 (28.4%) reported speech discomfort. Conclusions Within the limitations of the nature of the present study, periodontal surgical procedures have a low impact on patients’ quality of life evaluated through the OHIP-14 and VAS pain questionnaires. Clinical relevance Periodontal surgical procedures are safe procedures, with a limited duration of postoperative discomfort as well as the incidence of complications. ObjectivesThe present study aimed to explore the impact of different periodontal surgical treatments on the quality of life and postoperative morbidity.Materials and methodsThe present study is a single-center, prospective, observational cohort trial. One hundred fifty-five patients, referred to the Periodontal Department of Bologna University who needed periodontal surgical treatment, were recruited. The self-reported perception of the postoperative course was assessed using the following anonymous questionnaires: Italian oral health impact profile (I-OHIP-14), visual analog scale (VAS) to evaluate the intensity of the pain, and 5-point Likert scale.ResultsPatients reported a mean OHIP-14 total score of 9.87±8.5 (range 0–42), significantly influenced by the female sex, flap extension, and periodontal dressing. A mean VAS score of 2.96±2.39 (range 0–9) was calculated, and was found to be influenced by the presence of vertical releasing incisions and palatal flap extension. Of the 155 subjects, 40 (25.8%) patients reported bleeding as a post-surgical complication, 96 (61.9%) swelling, 105 (67.7%) eating discomfort, and 44 (28.4%) reported speech discomfort.ConclusionsWithin the limitations of the nature of the present study, periodontal surgical procedures have a low impact on patients’ quality of life evaluated through the OHIP-14 and VAS pain questionnaires.Clinical relevancePeriodontal surgical procedures are safe procedures, with a limited duration of postoperative discomfort as well as the incidence of complications. |
| Author | Maiani, Francesco Mele, Monica Rendón, Alexandra Gissi, Davide B. Mazzotti, Claudio Sangiorgi, Matteo Bentivogli, Valentina Mounssif, Ilham Zucchelli, Giovanni Stefanini, Martina |
| Author_xml | – sequence: 1 givenname: Ilham surname: Mounssif fullname: Mounssif, Ilham organization: Department of Biomedical and Neuromotor Sciences, University of Bologna – sequence: 2 givenname: Valentina surname: Bentivogli fullname: Bentivogli, Valentina email: valentin.bentivogli3@unibo.it organization: Department of Biomedical and Neuromotor Sciences, University of Bologna – sequence: 3 givenname: Alexandra surname: Rendón fullname: Rendón, Alexandra organization: Department of Biomedical and Neuromotor Sciences, University of Bologna – sequence: 4 givenname: Davide B. surname: Gissi fullname: Gissi, Davide B. organization: Department of Biomedical and Neuromotor Sciences, University of Bologna – sequence: 5 givenname: Francesco surname: Maiani fullname: Maiani, Francesco organization: Department of Biomedical and Neuromotor Sciences, University of Bologna – sequence: 6 givenname: Claudio surname: Mazzotti fullname: Mazzotti, Claudio organization: Department of Biomedical and Neuromotor Sciences, University of Bologna – sequence: 7 givenname: Monica surname: Mele fullname: Mele, Monica organization: Department of Biomedical and Neuromotor Sciences, University of Bologna – sequence: 8 givenname: Matteo surname: Sangiorgi fullname: Sangiorgi, Matteo organization: Department of Biomedical and Neuromotor Sciences, University of Bologna – sequence: 9 givenname: Giovanni surname: Zucchelli fullname: Zucchelli, Giovanni organization: Department of Biomedical and Neuromotor Sciences, University of Bologna – sequence: 10 givenname: Martina surname: Stefanini fullname: Stefanini, Martina organization: Department of Biomedical and Neuromotor Sciences, University of Bologna |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/37940683$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_3390_healthcare12131288 crossref_primary_10_1016_j_adaj_2024_12_011 crossref_primary_10_3390_medicina61030464 crossref_primary_10_61186_jrds_21_3_181 |
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| Keywords | Periodontal surgery OHIP-14 Questionnaire Postoperative morbidity OHIP VAS PROMS |
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| References_xml | – reference: MeiCCLeeFYYehHCAssessment of pain perception following periodontal and implant surgeriesJ Clin Periodontol201643121151115910.1111/jcpe.1261827554366 – reference: TavelliLAsa’adFAcunzoRPagniGConsonniDRasperiniGMinimizing patient morbidity following palatal gingival harvesting: a randomized controlled clinical studyInt J Periodontics Restorative Dent. Nov/Dec2018386e127e13410.11607/prd.3581 – reference: TonettiMSCortelliniPPellegriniGNieriMBonacciniDAllegriMBouchardPCairoFConfortiGFourmousisIGrazianiFGuerreroAHalbenJMaletJRasperiniGTopollHWachtelHWallkammBZabaleguiIZuhrOXenogenic collagen matrix or autologous connective tissue graft as adjunct to coronally advanced flaps for coverage of multiple adjacent gingival recession: randomized trial assessing non-inferiority in root coverage and superiority in oral health-related quality of lifeJ Clin Periodontol2018451788810.1111/jcpe.1283429087001 – reference: AllenPFMcMillanASWalshawDLockerDA comparison of the validity of generic- and disease-specific measures in the assessment of oral health-related quality of lifeCommun Dent Oral Epidemiol1999275344521:STN:280:DyaK1MvjtFWhsg%3D%3D10.1111/j.1600-0528.1999.tb02031.x – reference: EliISchwartz-AradDBahtRBen-TuvimHEffect of anxiety on the experience of pain in implant insertionClin Oral Implants Res2003141115810.1034/j.1600-0501.2003.140115.x12562373 – reference: GreensteinGGreensteinBCavallaroJElianNTarnowDFlap advancement: practical techniques to attain tension-free primary closureJ Periodontol200980141510.1902/jop.2009.08034419228084 – reference: MatthewsDCMcCullochCAEvaluating patient perceptions as short-term outcomes of periodontal treatment: a comparison of surgical and non-surgical therapyJ Periodontol1993641099071:STN:280:DyaK2c7gtl2hsw%3D%3D10.1902/jop.1993.64.10.9908277410 – reference: Canakçi CF, Canakçi V (2007) Pain experienced by patients undergoing different periodontal therapies. J Am Dent Assoc 138(12):1563-73. 10.14219jada.archive.2007.0105 – reference: SaitoAHosakaYKikuchiMEffect of initial periodontal therapy on oral health-related quality of life in patients with periodontitis in JapanJ Periodontol20108171001100910.1902/jop.2010.09066320214442 – reference: WongRMNgSKCorbetEFKeungLeung WNon-surgical periodontal therapy improves oral health-related quality of lifeJ Clin Periodontol2012391536110.1111/j.1600-051X.2011.01797.x22092418 – reference: YıldırımSÖzenerHODoğanBKuruBEffect of topically applied hyaluronic acid on pain and palatal epithelial wound healing: an examiner-masked, randomized, controlled clinical trialJ Periodontol201889136451:CAS:528:DC%2BC1cXjs1Knur0%3D10.1902/jop.2017.17010528914592 – reference: American Academy PeriodontologyGlossary of periodontal terms2001Chicago, ILAmerican Academy of Periodontology – reference: PackPDHaberJThe incidence of clinical infection after periodontal surgery. A retrospective studyJ Periodontol1983544414431:STN:280:DyaL3s3ptl2rsw%3D%3D10.1902/jop.1983.54.7.4416577181 – reference: TheodoridisCViolestiANikiforidouMMenexesGCVourosIDShort-term impact of non-surgical and surgical periodontal therapy on oral health-related quality of life in a Greek population—a prospective cohort studyDent J2020825410.3390/dj8020054 – reference: SladeGDDerivation and validation of a short-form oral health impact profileCommunity Dent Oral Epidemiol1997254284901:STN:280:DyaK2svntl2lsQ%3D%3D10.1111/j.1600-0528.1997.tb00941.x9332805 – reference: Food and Drug Administration (FDA) Guidance Document (2009) Guidance for Industry. Patient-reported outcome measures: use in medical product development to support labeling claims. https://www.fda.gov/regulatory-information/search-fda-guidance-documents/patient-reported-outcome-measures-use-medical-product-development-support-labeling-claims – reference: LópezANartJSantosAAlcázarJFreixaOAssessment of morbidity after periodontal resective surgeryJ Periodontol201182111563910.1902/jop.2011.11003221513468 – reference: Mazzotti C, Mounssif I, Rendón A, Mele M, Sangiorgi M, Stefanini M, Zucchelli G (2023) Complications and treatment errors in root coverage procedures. Periodontol 2000 92(1):62–89. https://doi.org/10.1111/prd.12468 – reference: TanWCKrishnaswamyGOngMMALangNPPatient-reported outcome measures after routine periodontal and implant surgical proceduresJ Clin Periodontol20144161862410.1111/jcpe.1224824593854 – reference: VeríssimoAHRibeiroAKCMartinsARLAGurgelBCVLinsRDAUComparative analysis of the hemostatic, analgesic and healing effects of cyanoacrylate on free gingival graft surgical wounds in donor and recipient areas: a systematic reviewJ Mater Sci Mater Med2021329981:CAS:528:DC%2BB3MXhvVaisLfL10.1007/s10856-021-06573-z344064928373739 – reference: Tonetti MS, Jepsen S; Working Group 2 of the European Workshop on Periodontology (2014) Clinical efficacy of periodontal plastic surgery procedures: consensus report of Group 2 of the 10th European Workshop on Periodontology. J Clin Periodontol 41 (Suppl 15):S36-43. https://doi.org/10.1111/jcpe.12219 – reference: WeisenseeWScheerMMüllerLRothamelDKistlerFBayerGJöhrenPNeugebauerJImpact of anxiety parameters on prospective and experienced pain intensity in implant surgeryImplant Dent2012216502610.1097/ID.0b013e3182703a4423085688 – reference: TavelliLBarootchiSDi GianfilippoRKneifatiAMajzoubJStefaniniMZucchelliGWangHLPatient experience of autogenous soft tissue grafting has an implication for future treatment: a 10- to 15-year cross-sectional studyJ Periodontol202192563764710.1002/JPER.20-035032946124 – reference: Cunha-CruzJHujoelPPKressinNROral health-related quality of life of periodontal patientsJ Periodontal Res2007422169761:STN:280:DC%2BD2s7gvVOhsQ%3D%3D10.1111/j.1600-0765.2006.00930.x17305876 – reference: AskarHDi GianfilippoRRavidaATattanMMajzoubJWangHLIncidence and severity of postoperative complications following oral, periodontal, and implant surgeries: a retrospective studyJ Periodontol201990111270127810.1002/JPER.18-065831177525 – reference: SeymourRAThe use of pain scales in assessing the efficacy of analgesics in postoperative dental painEur J Clin Pharmacol19822354414441:STN:280:DyaL3s7gsFaqtA%3D%3D10.1007/BF006059957151849 – reference: PowellCAMealeyBLDeasDEMcDonnellHTMoritzAJPost-surgical infections: prevalence associated with various periodontal surgical proceduresJ Periodontol20057633293310.1902/jop.2005.76.3.32915857064 – reference: EliIBahtRKozlovskyASimonHEffect of gender on acute pain prediction and memory in periodontal surgeryOur J Oral Sci20001082991031:STN:280:DC%2BD3c3ivFajug%3D%3D10.1034/j.1600-0722.2000.00777.x – reference: CurtisJWJrMcLainJBHutchinsonRAThe incidence and severity of complications and pain following periodontal surgeryJ Periodontol19855659760110.1902/jop.1985.56.10.5973863909 – reference: Al-HamdanKAl-KhabbazAKGriffinTJPain perception following different periodontal proceduresPak Oral Dent J2009296368 – reference: SoheilifarSBidgoliMFaradmalJSoheilifarSEffect of periodontal dressing on wound healing and patient satisfaction following periodontal flap surgeryJ Dent20151221516 – reference: ChecchiLTrombelliLPostoperative pain and discomfort with and without periodontal dressing in conjunction with 0.2% chlorhexidine mouthwash after apically positioned flap procedureJ Periodontol199364121238421:STN:280:DyaK2c7kvFGnsQ%3D%3D10.1902/jop.1993.64.12.12388106952 – reference: UrbanTWenzelADiscomfort experienced after immediate implant placement associated with three different regenerative techniquesClin Oral Implants Res201021111271710.1111/j.1600-0501.2010.01943.x20528891 – reference: GriffinTJCheungWSZavrasAIDamoulisPDPostoperative complications following gingival augmentation proceduresJ Periodontol2006772070207910.1902/jop.2006.05029617209793 – reference: de CarvalhoEBSFerreiraRAzuagaBOHissanoWSDamanteCAde RezendeMLRSant‘ AnaACPZangrandoMSRImpact of subepithelial connective tissue for root coverage on Brazilian patients’ quality of life: a longitudinal clinical studyJ Int Acad Periodontol20212329910533929810 – reference: ApplemanMDSutterVLSimsTNValue of antibiotic prophylaxis in periodontal surgeryJ Periodontol1982533193241:STN:280:DyaL383hs1aqtg%3D%3D10.1902/jop.1982.53.5.3196953230 – reference: LockerDOral health and quality of lifeOral Health Prev Dent.20042Suppl 12475315646581 – reference: CroogSHBaumeRMNalbandianJPre-surgery psychological characteristics, pain response, and activities impairment in female patients with repeated periodontal surgeryJ Psychosom Res199539139511:STN:280:DyaK2M3otVakug%3D%3D10.1016/0022-3999(94)00089-n7760302 – reference: LockerDQuiñonezCFunctional and psychosocial impacts of oral disorders in Canadian adults: a national population surveyJ Can Dent Assoc200975752119744362 – reference: LopezANartJSantosAAlcazarJFreixaOAssessment of morbidity after periodontal resective surgeryJ Periodontol2011821563156910.1902/jop.2011.11003221513468 – reference: PendrillKReddyJThe use of prophylactic penicillin in periodontal surgeryJ Periodontol19805114481:STN:280:DyaL3c7jvFKntA%3D%3D10.1902/jop.1980.51.1.446767012 – reference: SladeGDSpencerAJDevelopment and evaluation of the oral health impact profileCommun Dent Health19941113111:STN:280:DyaK2c3ltFKktw%3D%3D – reference: KiefferJMvan WijkAJHoJPLindeboomJAHThe internal responsiveness of the Oral Health Impact Profile-14 to detect differences in clinical parameters related to surgical third molar removalQual Life Re2012217124171:STN:280:DC%2BC38zmtF2rsg%3D%3D10.1007/s11136-011-0022-5 – reference: OzcelikOHaytacMCSeydaogluGImmediate post-operative effects of different periodontal treatment modalities on oral health-related quality of life: a randomized clinical trialJ Clin Periodontol20073497889610.1111/j.1600-051X.2007.01120.x17716314 – reference: MendezMMelchiors AngstPDStadlerAFOppermannRVGomesSImpacts of supragingival and subgingival periodontal treatments on oral health-related quality of lifeInt J Dent Hyg20171521351411:STN:280:DC%2BC28njtFenuw%3D%3D10.1111/idh.1219326799625 – reference: Al-KhabbazAKGriffinTJAl-ShammariKFAssessment of pain associated with the surgical placement of dental implantsJ Periodontol20077822394610.1902/jop.2007.06003217274712 – reference: LockerDJokovicAClarkeMAssessing the responsiveness of measures of oral health-related quality of lifeCommun Dent Oral Epidemiol200432110810.1111/j.1600-0528.2004.00114.x – reference: FardalOMcCullochCAImpact of anxiety on pain perception associated with periodontal and implant surgery in a private practiceJ Periodontol201283910798510.1902/jop.2011.11056222181682 – reference: CorridoreDCampusGGuerraFRipariFSaleSOttolenghiLValidation of the Italian version of the Oral Health Impact Profile-14 (IOHIP-14)Ann Stomatol201443–4239243 – volume: 83 start-page: 1079 issue: 9 year: 2012 ident: 5362_CR36 publication-title: J Periodontol doi: 10.1902/jop.2011.110562 – volume: 45 start-page: 78 issue: 1 year: 2018 ident: 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The present study aimed to explore the impact of different periodontal surgical treatments on the quality of life and postoperative morbidity.... The present study aimed to explore the impact of different periodontal surgical treatments on the quality of life and postoperative morbidity. The present... ObjectivesThe present study aimed to explore the impact of different periodontal surgical treatments on the quality of life and postoperative... The present study aimed to explore the impact of different periodontal surgical treatments on the quality of life and postoperative morbidity.OBJECTIVESThe... |
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| SubjectTerms | Clinical outcomes Dentistry Maxillofacial surgery Medicine Morbidity Oral hygiene Pain Patients Periodontics Postoperative period Quality of life Questionnaires Speech perception Surgical outcomes |
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| Title | Patient-reported outcome measures after periodontal surgery |
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