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Are periodontal diseases really silent? A systematic review of their effect on quality of life.
Periodontal diseases may play an important role in the effect oral health status has on a person’s quality of life. The objective was to investigate the influence of periodontal diseases (gingivitis and periodontitis) on oral health related quality of life by systematically reviewing the literature.
MATERIALS AND METHODS:
Studies using clinical periodontal examinations and validated survey instruments were included. Among 1,134 citations initially identified through electronic and hand searching, 37 were eligible and data were extracted from full texts. A vote counting method was used for synthesis of the results.
Included studies were published between 2001 and 2014 and revealed considerable heterogeneity in participant selection, clinical assessments, and oral health related quality of life measures. A significant association between periodontal diseases and oral health related quality of life was reported in 28 studies, of which eight reported increasing impact with greater disease severity or extent.
Within the limits of the available literature, oral health related quality of life was affected by clinically assessed periodontal diseases. There was evidence for increased impairment with greater severity and extent of periodontal diseases, and the recognition of the association was increased when full mouth recording protocols were applied.