Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/68761
Type: Artigo de Periódico
Title: Impact of gingivitis treatment for diabetic patients on quality of life related to periodontal objective parameters: a randomized controlled clinical trial
Authors: Sheila Cavalca Cortelli
Fernando de Oliveira Costa
Antonio Gargioni Filho
Davi Romeiro Aquino
Luís Otávio Miranda Cota
Alexandre Prado Scherma
Taís Browne de Miranda
José Roberto Cortelli
Abstract: Objectives Patients with diabetes have a poor oral health-related quality of life (OHRQoL). It is not clear if this situation could be changed with effective periodontal treatment. This study examined both patients with diabetes and systemically healthy individuals to discover the impact of a gingivitis treatment protocol on OHRQoL and its relation to objective periodontal parameters. Design After ultrasonic debridement, patients were randomly assigned to an essential-oils (EO) or placebo mouthwash group. At baseline and 3 months, OHRQoL was assessed with the Oral Health and Quality of Life-United Kingdom questionnaire (OHQoL–UK) along with clinical, halitometric, microbiological and inflammatory objective parameters. The primary outcome was a change in OHQoL–UK scores. A factor analysis was performed and the impact of the extracted quality of life factor (QLF) and its interactions with diabetes, treatment, and time on the objective parameters, were tested by multiple linear regression models (p < 0.05). Chi-Square test compared questionnaire-answering profiles (p < 0.05). Results Combined treatment with EO provided OHQoL improvements in both systemic conditions. Positive effect of oral health status on quality of life increased in EO groups but not in placebo groups. Question I (self-confidence) showed the greatest factorial weight, while Question A (food intake) showed the lowest factorial weight. All patients who showed OHRQoL improvements and used the EO rinse showed the lowest plaque and gingival indices and lower levels of bacteria and volatile sulfur compounds. Conclusions OHRQoL positively changed overtime. Most effective treatment protocols would provide better improvements in OHRQoL which is related to periodontal objective measures.
Subject: Bacteria
Diabetes Mellitus
Gingivitis
Quality of life
Therapeutics
Oils, volatile
language: eng
metadata.dc.publisher.country: Brasil
Publisher: Universidade Federal de Minas Gerais
Publisher Initials: UFMG
metadata.dc.publisher.department: FAO - DEPARTAMENTO DE CLÍNICA
Rights: Acesso Restrito
metadata.dc.identifier.doi: https://doi.org/10.1016/j.archoralbio.2017.11.010
URI: http://hdl.handle.net/1843/68761
Issue Date: Feb-2018
metadata.dc.url.externa: https://www.sciencedirect.com/science/article/pii/S0003996917303734
metadata.dc.relation.ispartof: Archives of Oral Biology
Appears in Collections:Artigo de Periódico

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