Masticatory satisfaction, ability, and performance in partially dentate patients after periodontal therapy

SOARES, Fábio Gonçalves; PORTELLA, Fernando Freitas; FRASCA, Luis Carlos da Fontoura; BAVARESCO, Caren Serra; RIVALDO, Elken Gomes

doi:10.1590/1807-2577.13118

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Revista de Odontologia da UNESP

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ORIGINAL ARTICLE • Rev. Odontol. UNESP 47 (6) • Dec 2018 • https://doi.org/10.1590/1807-2577.13118 copy

Masticatory satisfaction, ability, and performance in partially dentate patients after periodontal therapy

Satisfação, capacidade e performance mastigatória em pacientes parcialmente dentados após terapia periodontal

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Introduction

Understanding the effects of periodontal therapy is essential in performance and satisfaction of partially dentate patients.

Objective

To assess the effect of subgingival periodontal treatment in performance and masticatory satisfaction and ability as reported by partially dentate patients with untreated chronic periodontitis.

Materials and method

Patients were given nonsurgical periodontal treatment and masticatory satisfaction, ability, and performance were evaluated before and after treatment. Performance was assessed based on sieving chewed standardized chewable material, while satisfaction and ability were analyzed using a questionnaire based on OHIP-EDENT.

Result

Mean numbers of functional tooth units were 10.36 ± 1.43 anterior and 6.73 ± 0.79 posterior teeth. Masticatory performance did not vary significantly (p = 0.075), and mean particle sizes before and after treatment were 4.23 ± 1.84 mm and 3.90 ± 0.75 mm, respectively. Overall satisfaction and ability scores after treatment were higher (p > 0.05) compared with scores prior to the periodontal intervention.

Conclusion

Periodontal treatment improves masticatory satisfaction and ability with no effect on performance.

Descriptors:
Clinical study; mastication; periodontitis; periodontal disease

	Before treatment	After treatment	p
	Median (p25-p75)	Median (p25-p75)	p
Satisfaction with mastication
Do you think pleasure in feeding today differs from what you felt before periodontal disease?	29 (25-95)	78 (49-81)	0.182
Are you happy with your current masticatory condition?	13 (0-44)	74 (44-82)	0.033 ^* * Statistically significant difference between groups.
Are you happy with the current esthetic condition of your teeth?	3 (0-50)	50 (27-68)	0.182
Are you happy with your current level of comfort concerning your teeth?	16 (13-35)	68 (47-81)	0.033*
Are you happy with your current level of self-assurance concerning your teeth?	25 (4-35)	63 (48-83)	0.026*
Are you happy with your emotions concerning your oral condition?	24 (13-52)	79 (65-98)	0.021*
Are you happy with your performance at work concerning your oral condition?	30 (15-69)	78 (39-86)	0.050
How would you rank your satisfaction with your masticatory condition?	21 (6-53)	59 (48-86)	0.011*
Do you think that periodontal disease affects your mastication?	88 (12-96)	41 (22-86)	0.260
Based on the quality of your teeth (comfort, self-assurance, and esthetics), how do you rank your current oral condition?	40 (9-50)	70 (60-87)	0.003*
Masticatory ability
Do you feel that it is impossible to chew foods you like eating?	70 (9-86)	13 (9-55)	0.126
Do you find it difficult to bite some foods included in your daily diet?	41 (6-82)	14 (9-40)	0.213
Do you need to take special measures concerning foods to chew them? (cooking, chopping, soaking).	45 (20-52)	23 (5-49)	0.374
Do you feel that your teeth are firm when you chew harder foods?	35 (10-53)	85 (61-88)	0.062
Do you need to make extra effort to swallow food after chewing?	25 (2-50)	13 (8-24)	0.444
Do you think that you manage to chew foods to bits that are small enough before swallowing them?	38 (18-64)	78 (52-86)	0.053
Do you feel any discomfort in your teeth when chewing?	40 (33-75)	19 (8-50)	0.091
Do you ever have to stop chewing during a meal due to problems with your teeth?	24 (3-59)	11 (2-17)	0.075
Compared with your oral condition before periodontal disease, do you feel that you take longer to chew foods?	57 (23-86)	15 (5-58)	0.062
Do you worry due to the lack of self-assurance concerning stability of your teeth?	51 (3-87)	9 (3-23)	0.045*
Are you ashamed of consuming food in the company of other people?	18 (2-56)	7 (2-27)	0.248
Do you feel annoyed when you have to consume food in the company of other people?	42 (9-55)	12 (2-21)	0.018*
Do you feel prevented from feeding due to your current oral health condition?	18 (0-57)	7 (1-13)	0.553
Based on the answers to the questions above, how do you rank your masticatory ability to chew soft or hard foods?	40 (11-60)	80 (70-84)	0.005*

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[1] CONFLICTS OF INTERESTS The authors declare no conflicts of interest.