Psychosocial effects of periodontal disease on the quality of life of patients of the School of Dentistry (UdelaR) A qualitative-quantitative study
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Keywords

quality of life, periodontal diseases, biopsychosocial impact

How to Cite

Psychosocial effects of periodontal disease on the quality of life of patients of the School of Dentistry (UdelaR) A qualitative-quantitative study. (2021). Odontoestomatología, 23(37), e201. https://doi.org/10.22592/ode2021n37a1

Abstract

Objectives: To identify the psychosocial factors of periodontal disease and their impact on the quality of life of patients.

Methods: A mixed quantitative and qualitative study was conducted at the School of Dentistry, UdelaR. The instruments used were a semi-structured interview based on grounded theory and the application of the OHIP-14 (Oral Health Impact Profile) questionnaire that measures the degree of impairment of quality of life (Locker’s theoretical model).

Results: This population’s psychosocial factors are identified, as well as the emotional and social effects of periodontal disease diagnosis. The results show a 1.46 impact on people’s quality of life on a scale of 0-4, where 4 is the maximum impact. Women showed a higher level of impairment in quality of life (1.54) than men (1.36). The higher the educational level, the more the quality of life is affected.

Conclusions: The limitations of the biomedical approach to dental patient care and the need for a comprehensive approach in periodontal disease patients are clear. Dental professionals need a biopsychosocial care approach given the complexity of periodontal disease.

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References

1. Papapanou PN, Sanz M, Buduneli N, Dietrich T, Feres M, Fine DH, Flemmig TF, Garcia R, Giannobile WV, Graziani F, Greenwell H, Herrera D, Kao RT, Kebschull M, Kinane DF, Kirkwood KL, Kocher T, Kornman KS, Kumar PS, Loos BG, Machtei E, Meng H, Mombelli A, Needleman I, Offenbacher S, Seymour GJ, Teles R, Tonetti MS. Periodontitis: Consensus reporto of Workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Disesases and Conditions. J Clin Periodontol 2018; 45(20):162-170
2. Pihlstrom BL, Michalowicz BS, Johnson NW. Periodontal diseases. The Lancet. 2005; 366(9499): 1809-20.
3. Lorenzo S, Alvarez R, Andrade E, Piccardo V, Francia A, Massa F, Correa MB, Peres MA. Periodontal conditions and associated factors among adults and the elderly: findings from the first National Oral Health Survey in Uruguay. Cad Saúde Pública. 2015; 31(11): 2425 36.
4. Graves D, Zhenjiang D, Yingming Y. The impact of diabetes on periodontal diseases. Periodontology 2000 2020; 82: 214–224.
5. Carrizales E, Ordaz A, Vera R, Flores R. Periodontal disease, systemic inflammation and the risk of cardiovascular disease. Heart Lung Circ. 2018 Nov;27(11):1327-1334
6. Martinez M 1, Silvestre J, Silvestre F. Association between obesity and periodontal disease. A systematic review of epidemiological studies and controlled clinical trials. Med Oral Patol Oral Cir Bucal. 2017; 22 (6): 708-15.
7. Wong L, Yap A, Allen P. Periodontal disease and quality of life: Umbrella review of systematic reviews. J. Periodont. Res.. 2020;00:1–17 10.1111/jre.12805
8. Kaplan BH, Cassel JC, Gore S. Social support and health. Med Care. 1997; 15 :47-58
9. Elter J, White A, Gaynes B, Bader J. Relationship of Clinical Depression to Periodontal Treatment Outcome. J Periodontol. 2002; 73: 441-449.
10. Warren KR, Postolache TT, Groer ME, Pinjari O, Kelly DL, Reynolds MA. Role of chronic stress and depression in periodontal diseases. Periodontol 2000. 2014; 64(1): 127-38.
11. Dapueto J, Varela B. Modelos y praxis psicológicos en la medicina. Montevideo: Psicología Médica, 2016
12. Tizón García JL. Componentes psicológicos de la práctica médica, una perspectiva desde la atención primaria. Barcelona: Doyma, 1988. 272p
13. Martín Alfonso L. Aplicaciones de la psicología en el proceso salud enfermedad. Rev Cub Salud Pública 2003; 29(3): 275–281.
14. Peruzzo DC, Benatti BB, Ambrosano GM, Nogueira-Filho GR, Sallum EA, Casati MZ, Nociti FH Jr. A systematic review of stress and psychological factors as possible risk factors for periodontal disease. J Periodontol 2007; 78: 1491-1504
15. Moss ME. Exploratory case-control analysis of psychosocial factors and adult periodontitis. J Periodontol. 1996; 67(10): 1060-9.
16. Goffman E. Estigma. La identidad deteriorada. Buenos Aires: Amorrortu, 1963
17. Abrahamsson K, Wennströma J, Hallbergc U. Patients’ Views on Periodontal Disease; Attitudes to Oral Health and Expectancy of Periodontal Treatment: A Qualitative Interview Study. Oral Health Prev Dent 2008; 6: 209–216.
18. Locker D, Allen F. What do measures of “oral health-related quality of life”measure? Community Dent Oral Epidemiol. 2007 Dec;35(6):401-11
19. Meeberg GA. Quality of life: A concept analysis. J Adv Nurs 1993; 18: 32- 38.
20. García-Viniegras C, González Benítez I. La categoría bienestar psicológico. Su relación con otras categorías sociales. Rev Cubana Med Gen Integr 2000;16(6):586-92
21. Walker A. Understanding Quality Of Life in Old Age. Berkshire England: Open University Press, 2005.
22. Declaración de Helsinki de la Asociación Médica Mundial. Gac Med Mex 2001; 137(4): 387-390
23. Montero J, Bravo M, Albaladejo A, Hernández L, Rosel E. Validation the oral health impact profile (OHIP-14sp) for adults in Spain. Med.Oral Patol Oral Cir Bucal 2009;14(1): 44-50
24. Decker A, Askar H, Tattan M, Taichman R, Wang HL. The assessment of stress, depression, and inflammation as a collective risk factor for periodontal diseases: a systematic review. Clin Oral Investing 2020; 24(1): 1-12.
25. Lacopino A. Relationship between stress, depression and periodontal disease J Can Dent Assoc 2009 Jun;75(5):329-30
26. Morales Calatayud F. Psicología de la salud. Realizaciones e interrogantes tras cuatro décadas de desarrollo. Rev. Latinoamericana de Ciencia Psicológica. 2012; 4(2): 98-104.
27. Strauss A, Corbin J. Grounded theory methodology: An overview. En: N. K. Denzin & Y. S. Lincoln (Eds.), Handbook of qualitative research 1994; p. 273–285.
28. Slade GD. Derivation and validation of a short-fortn oral health impact profile. Community Dent Oral Epidemiol 1997; 25(4):284-90
29. Slade GD. Measuring Oral Health and Quality of Life.: Chapel Hill: University of North Carolina. Department of Dental Ecology School of Dentistry. 1997 Disponible en: https://www.adelaide.edu.au/arcpoh/downloads/publications/reports/miscellaneous/measuring-oral-health-and-quality-of-life.pdf
30. Arrivillaga M, Salazar I, Gómez I. Prácticas, creencias y factores del contexto relacionados con estilos de vida de jóvenes y adultos. Pontificia Universidad Javeriana. Psicología Conductual. 2005;13(1): 19-36
31. Cavallo F, Zambon A, Borraccino A, Raven-Sieberer U, Torsheim T, Lemma P. HBSC Positive Health Group. Girls growing through adolescence have a higher risk of poor health. Qual Life Res 2006;15: 1577-85.
32. Serra-Sutton V, Rajmil L, Aymerich M. Estrada MD. Desigualtats de genero en la percepció de la salut durant l´adolescencia. Annals de Medicina. 2004; 87: 25-9.
33. Muñiz E. Pensar el cuerpo de las mujeres: cuerpo, belleza y feminidad. Una necesaria miranda feminista. Soc. Estado 2014; 29(2). Disponible en: https://doi.org/10.1590/S0102-69922014000200006
34. Solano F, Ortiz V. La estetización del mercado laboral: modelos estéticos demandados por el trabajo en las sociedades contemporáneas. Antropol. Sociol. 2015; 17(2): 15-36
35. León S, Bravo-Cavicchioli D, Correa-Beltrán G, Giacaman R. Validation of the spanish version of the Oral Health Impact Profile (OHIP-14Sp) in elderly Chileans. BMC Oral Health. 2014; 14:95
36. Slade GD, Sanders AE. The paradox of better subjective oral health in older age. J Dent Res 2011; 90 (11): 1279-1285
37. Oppermann R, Hass A, Kuchenbecker C, Susin C. Epidemiology of periodontal diseases in adults from Latin America. Perodontol.2000 2015; 67(1):13-33.