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Associação entre periodontite, halitose e valores de saúde oral : estudo transversal
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Introdução: A periodontite é a segunda causa mais frequente de halitose intraoral, pela produção de compostos sulfurosos voláteis (CSVs) e associada a um impacto pscicossocial negativo. Compreender a autoperceção dos doentes é fundamental para reforçar a consciência e a adesão aos tratamentos dentários.
Objetivos: Investigar a associação entre a periodontite e a halitose, o seu impacto na qualidade de vida e na auto-percepção da saúde oral.
Materiais e Métodos: Estudo piloto transversal que incluiu doentes do departamento de periodontologia da clínica dentária Egas Moniz (Monte da Caparica, Portugal). Foram elegíveis participantes (18- 65 anos), com diagnóstico de periodontite segundo a classificação de 2018 da FEP/AAP. A halitose foi quantificada com auxílio do monitor de sulfuretos. As avaliações psicométricas incluíram o Oral Health Impact Profile (OHIP-14) e a Oral Health Values Scale (OHVS). Os dados foram analisados na plataforma de software R e a significância foi definida a p < 0.05.
Resultados: A média de idades dos 48 participantes (25 homens, 23 mulheres) foi de 57.2 ± 12.0. A média do Halimeter® foi de 61.5 ± 42.2 ppb. Os valores médios do OHVS-PT e do OHIP-14 foram respetivamente, 45.0 ± 5.9 e 12.0 ± 8.6. Verificou-se uma associação significativa entre o grau de periodontite e a pontuação OHVS-PT (p = 0.014), sugerindo que o grau de progressão da periodontite influencia o valor atribuído pelos doentes em relação à saúde oral. Não se observam associações significativas entre as medições do Halimeter® e os valores do OHVS e do OHIP-14 (p > 0.05).
Conclusão: Embora a halitose seja uma preocupação frequente em doentes periodontais, nesta amostra, não foi demonstrada correlação com o impacto na qualidade de vida. Contudo, a associação observada entre a progressão da periodontite e os OHV reforça a necessidade de aumentar a consciencialização e promover comportamentos de autocuidado por parte dos pacientes.
Background: Periodontitis is the second most common cause of intraoral halitosis, due to the production of volatile sulphur compounds (VSCs), associated with a psychosocial impact. Understanding patients' self-perception is essential to improve awareness and adherence to treatment. Objectives: To investigate the association between periodontitis and halitosis, its impact on quality of life and self-perception of oral health. Materials and Methods: A cross-sectional pilot study that included patients from the periodontology department of the Egas Moniz dental clinic (Monte da Caparica, Portugal). Participants (aged 18-65) diagnosed with periodontitis according to the 2018 FEP/AAP classification were eligible. Halitosis was quantified using a sulphide monitor. Psychometric assessments included the Oral Health Impact Profile (OHIP-14) and the Oral Health Values Scale (OHVS). Data were analysed using the R software platform, and significance was set at p < 0.05. Results: Of the 48 participants (25 men, 23 women), the mean age was 57.2 ± 12.0. The mean Halimeter® score was 61.5 ± 42.2 ppb. The mean OHVS-PT and OHIP-14 scores were 45.0 ± 5.9 and 12.0 ± 8.6, respectively. A significant association was found between the degree of periodontitis and the OHVS-PT score (p = 0.014), suggesting that the progression of periodontitis influences the value attributed by patients to oral health. No significant associations were observed between halitosis, OHVS and OHIP-14 scores (p > 0.05). Conclusion: Although halitosis is a frequent concern in periodontal patients, in this sample, no correlation with the impact on quality of life was demonstrated. However, the association observed between periodontitis progression and OHV reinforces the need to raise awareness and promote self-care behaviours among patients.
Background: Periodontitis is the second most common cause of intraoral halitosis, due to the production of volatile sulphur compounds (VSCs), associated with a psychosocial impact. Understanding patients' self-perception is essential to improve awareness and adherence to treatment. Objectives: To investigate the association between periodontitis and halitosis, its impact on quality of life and self-perception of oral health. Materials and Methods: A cross-sectional pilot study that included patients from the periodontology department of the Egas Moniz dental clinic (Monte da Caparica, Portugal). Participants (aged 18-65) diagnosed with periodontitis according to the 2018 FEP/AAP classification were eligible. Halitosis was quantified using a sulphide monitor. Psychometric assessments included the Oral Health Impact Profile (OHIP-14) and the Oral Health Values Scale (OHVS). Data were analysed using the R software platform, and significance was set at p < 0.05. Results: Of the 48 participants (25 men, 23 women), the mean age was 57.2 ± 12.0. The mean Halimeter® score was 61.5 ± 42.2 ppb. The mean OHVS-PT and OHIP-14 scores were 45.0 ± 5.9 and 12.0 ± 8.6, respectively. A significant association was found between the degree of periodontitis and the OHVS-PT score (p = 0.014), suggesting that the progression of periodontitis influences the value attributed by patients to oral health. No significant associations were observed between halitosis, OHVS and OHIP-14 scores (p > 0.05). Conclusion: Although halitosis is a frequent concern in periodontal patients, in this sample, no correlation with the impact on quality of life was demonstrated. However, the association observed between periodontitis progression and OHV reinforces the need to raise awareness and promote self-care behaviours among patients.
Descrição
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Palavras-chave
Periodontite Halitose OHVS Valores de saúde oral