The role of non-surgical periodontal treatment in enhancing quality of life for hypertensive patients with periodontitis

Abstract

Introduction: Periodontitis is a known risk factor for hypertensive subjects, with evidence suggesting that general inflammation is linked to both disorders. Objective: To investigate the influence of non-surgical periodontal therapy (NSPT) on the oral health-related quality of life in subjects with refractory arterial hypertension and periodontitis. Material and method: 27 patients with refractory hypertension and stage III and/or IV, grade B periodontitis experienced NSPT. Clinical periodontal parameters, including probing depth (PD), clinical attachment level (CAL), bleeding on probing (BoP), and plaque index (PI), were assessed. Quality of life was assessed by the Oral Health Impact Profile questionnaire (OHIP-14). During the follow-up, 24 participants were evaluated at 90 days, and 22 participants at 180 days. Data were analyzed statistically (α=5%). Result: Substantial enhancements were detected in periodontal parameters PD, BoP, and PI across the evaluated periods. Additionally, the sum of OHIP-14 score was significantly reduced at 180 days post-treatment. Notably, responses related to the subdomains physical pain, psychological disability, and social disability indicated an improvement in quality of life after 180 days of treatment. Conclusion: These findings highlight the positive impact of NSPT on the quality of life of patients with refractory arterial hypertension and periodontitis.