Relationship between Periodontitis and Psychosocial Impact in Patients with Systemic Sclerosis: A Clinical Study

IF 1.8 Q3 PSYCHOLOGY, CLINICAL

Mediterranean Journal of Clinical Psychology Pub Date : 2020-08-13 DOI:10.6092/2282-1619/MJCP-2509

Alessandro Polizzi, S. Santonocito, M. Vaccaro, G. Fichera, S. Torrisi, V. Ronsivalle, G. Palazzo, F. Sicari, F. Indelicato

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引用次数: 4

Abstract

Background: Systemic Sclerosis (SSc) is a multi-system disorder that can have significant adverse effects upon the oral health. The aim of this study was to analyze the associations between SSc, periodontal disease (PD) and tooth loss and oral health-related quality of life (OHRQoL). Methods : For the study were enrolled 70 patients affected by SSc and 75 non-diseased controls matched for age and gender. SSc was characterized in subtypes and with the mean duration of disease and the Modified Rodnan Skin Score [mRSS]. Patients were surveyed and examined through the evaluation of the periodontal parameters and the number of teeth and OHRQoL scores. Results : A logistic regression analysis showed that patients with SSc presented a higher number of missing teeth (p=0.001) and a 6.89-fold (95% CI 2.04 to 18.36) increased odds of CAL compared to the control group. Moreover, the less values of PPD was correlated with mRSS in the total SSc group and with the mean duration of disease in patients with limited SSc, even after adjusting this correlation with the presence of the major organ involvement. The OHIP sub-scale psychosocial impact differed significantly between groups (p= 0.002). The OHIP sum score was also significantly different between groups (p< 0.001). Conclusions : This study showed that patients with SSc presented an increased odds of PD and tooth loss compared to non-diseased controls. In SSc patients, the magnitude of PD was strongly associated with the mRSS and with the mean duration of the disease.

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系统性硬化患者牙周炎与心理社会影响的关系:一项临床研究

背景：系统性硬化症是一种多系统疾病，可对口腔健康产生重大不良影响。本研究的目的是分析SSc、牙周病（PD）、牙齿脱落和口腔健康相关生活质量（OHRQoL）之间的关系。方法：纳入70名SSc患者和75名年龄和性别匹配的非疾病对照。SSc具有亚型特征，具有疾病的平均持续时间和改良的Rodnan皮肤评分[mRSS]。通过评估牙周参数、牙齿数量和OHRQoL评分对患者进行调查和检查。结果：逻辑回归分析显示，与对照组相比，SSc患者的缺牙数量更高（p=0.001），CAL的发生几率增加了6.89倍（95%CI 2.04-18.36）。此外，在总SSc组中，PPD的较低值与mRSS相关，在SSc有限的患者中，与疾病的平均持续时间相关，即使在根据主要器官受累的存在调整了这种相关性之后也是如此。OHIP亚量表的心理社会影响在各组之间有显著差异（p=0.002）。OHIP总分在各组之间也有显著差异。结论：本研究表明，与非疾病对照组相比，SSc患者出现PD和牙齿脱落的几率增加。在SSc患者中，PD的程度与mRSS和疾病的平均持续时间密切相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Mediterranean Journal of Clinical Psychology PSYCHOLOGY, CLINICAL-

CiteScore

4.10

自引率

53.80%

发文量

审稿时长

4 weeks

期刊介绍： The MJCP is an Open Access Peer-Reviewed International Journal in Clinical Psychology. MJCP accepts research related to innovative and important areas of clinical research: 1. Clinical studies related to Clinical Psychology, 2. Psychopathology and Psychotherapy; 3. Basic studies pertaining to clinical psychology field as experimental psychology, psychoneuroendocrinology and psychoanalysis; 4. Growing application of clinical techniques in clinical psychology, psychology of health, clinical approaches in projective methods; 5. Forensic psychology in clinical research; 6. Psychology of art and religion; 7. Advanced in basic and clinical research methodology including qualitative and quantitative research and new research findings.