Masticatory performance and quality of life before and after the extraction of periodontally hopeless teeth

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Published: Oct 24, 2023
Keywords:
chronic periodontitis, mastication, quality of life, tooth extraction

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Pitchaporn Dangsee
Division of Oral Biology, Department of Oral Biomedical Science, Faculty of Dentistry, Khon Kaen University, Khon Kaen, Thailand
Nawarat Wara-aswapati
Division of Periodontology, Department of Oral Biomedical Science, Faculty of Dentistry, Khon Kaen University, Khon Kaen, Thailand
Waranuch Pitiphat
Division of Dental Public Health, Department of Preventive Dentistry, Faculty of Dentistry, Khon Kaen University, Khon Kaen, Thailand
Jarin Paphangkorakit
Master of Science (Dentistry) Major: Periodontology, Faculty of Dentistry, Khon Kaen University, Khon Kaen, Thailand

Abstract

Objective: While there have been studies on the effect of periodontal disease on masticatory function, none of them appears to investigate the impact of periodontally hopeless teeth, specifically diagnosed using strict criteria, on masticatory function. This prospective study aimed to compare masticatory performance and quality of life before and after extraction of periodontally hopeless teeth.


Materials and Methods: The study included 11 dental patients. Periodontal status, pain level (Visual Analogue Scale), maximum bite force, masticatory performance based on a* (color in the green-red axis) and ΔE (mean difference between two colors in the CIELAB color space) of a color-changeable chewing gum, and Oral Health Impact Profile-14 (OHIP-14) scores were recorded before and 2 weeks after the extraction of periodontally hopeless teeth. Wilcoxon signed-rank and paired t-tests were used to compare the parameters before and after extraction (p<0.05).


Results: Significant reductions in pain VAS (p=0.005) during chewing (34.2±25.4 vs. 4.9±13.8 mm) and OHIP-14 (16.9±10.0 vs. 9.9±8.8) after the extraction (p=0.03) were found. Additionally, there was a notable improvement in masticatory performance on the side with periodontally hopeless teeth (a*: 14.2±9.5 vs 19.4±4.0 and ΔE: 36.3±12.3 vs 42.6±6.1).


Conclusion: Extraction of periodontally hopeless teeth was associated with a reduction in pain, a positive impact on masticatory performance, and an overall improvement in the quality of life for the patients. The present study was limited by the small sample size; however, the findings could still be beneficial in advising patients of the advantages of extracting periodontally hopeless teeth.

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How to Cite
1.
Dangsee P, Wara-aswapati N, Pitiphat W, Paphangkorakit J. Masticatory performance and quality of life before and after the extraction of periodontally hopeless teeth. M Dent J [Internet]. 2023 Oct. 24 [cited 2024 May 22];43(suppl):S105-S112. Available from: https://he02.tci-thaijo.org/index.php/mdentjournal/article/view/264769
Issue
Vol. 43 No. suppl (2023): (October)
Section
Oral Presentation(MDRD2024)
Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

References

Avila G, Galindo-Moreno P, Soehren S, Misch CE, Morelli T, Wang HL. A novel decision-making process for tooth retention or extraction. J Periodontol. 2009 Mar;80(3):476-491. doi:10.1902/jop.2009.080454.

Machtei EE, Zubrey Y, Ben Yehuda A, Soskolne WA. Proximal bone loss adjacent to periodontally "hopeless" teeth with and without extraction. J Periodontol. 1989 Sep;60(9):512-515. doi:10.1902/jop.1989.60.9.512.

DeVore CH, Beck FM, Horton JE. Retained "hopeless" teeth. Effects on the proximal periodontium of adjacent teeth. J Periodontol. 1988 Oct;59(10):647-651. doi:10.1902/jop.1988.59.10.647.

Palinkas M, Borges TF, Junior MT, Monteiro SAC, Bottacin FS, Mestriner-Junior W, et al. Alterations in masticatory cycle efficiency and bite force in individuals with periodontitis. Int J Health Sci (Qassim). 2019 Jan-Feb;13(1):25-29.

Johansson AS, Svensson KG, Trulsson M. Impaired Masticatory Behavior in Subjects With Reduced Periodontal Tissue Support. J Periodontol. 2006 Sep;77(9):1491-1497. doi:10.1902/jop.2006.050355.

Borges TdeF, Regalo SC, Taba M Jr, Siéssere S, Mestriner W Jr, Semprini M. Changes in Masticatory Performance and Quality of Life in Individuals With Chronic Periodontitis. J Periodontol. 2013 Mar;84(3):325-331. doi:10.1902/jop.2012.120069.

Pereira LJ, Gazolla CM, Magalhães IB, Ramos-Jorge ML, Marques LS, Gameiro GH, et al. Treatment of Chronic Periodontitis and Its Impact on Mastication. J Periodontol. 2011 Feb;82(2):243-250. doi:10.1902/jop.2010.100178.

Becker W, Becker BE, Berg LE. Periodontal treatment without maintenance. A retrospective study in 44 patients. J Periodontol. 1984 Sep;55(9):505-509. doi:10.1902/jop.1984.55.9.505.

Becker W, Berg L, Becker BE. The long term evaluation of periodontal treatment and maintenance in 95 patients. Int J Periodontics Restorative Dent. 1984;4(2):54-71.

Flaherty SA. Pain measurement tools for clinical practice and research. AANA J. 1996 Apr;64(2):133-140.

Kamiyama M, Kanazawa M, Fujinami Y, Minakuchi S. Validity and reliability of a Self-Implementable method to evaluate masticatory performance: use of color-changeable chewing gum and a color scale. J Prosthodont Res. 2010 Jan;54(1):24-28. doi:10.1016/j.jpor.2009.08.001.

Slade GD. Derivation and validation of a short-form oral health impact profile. Community Dent Oral Epidemiol. 1997 Aug;25(4):284-290. doi:10.1111/j.1600-0528.1997.tb00941.x.

Chatalongkorn S. Psychometric Properties of Thai Version of the Oral Health Impact Profile (OHIP-14Thai). J Prapokklao Hosp Clin Med Educat Center. 2017 Jul-Sep;34(3):158-170.

Wojcik MS, DeVore CH, Beck FM, Horton JE. Retained "Hopeless" Teeth: Lack of Effect Periodontally-Treated Teeth Have on the Proximal Periodontium of Adjacent Teeth 8-Years Later. J Periodontol. 1992 Aug;63(8):663-666. doi:10.1902/jop.1992.63.8.663.

Tarkowska A, Katzer L, Ahlers MO. Assessment of masticatory performance by means of a color-changeable chewing gum. J Prosthodont Res. 2017 Jan;61(1):9-19. doi:10.1016/j.jpor.2016.04.004.

Kosaka T, Ono T, Yoshimuta Y, Kida M, Kikui M, Nokubi T, et al. The effect of periodontal status and occlusal support on masticatory performance: the Suita study. J Clin Periodontol. 2014 May;41(5):497-503. doi:10.1111/jcpe.12241.

Lund JP, Lamarre Y. The importance of positive feedback from periodontal pressoreceptors during voluntary isometric contraction of jaw-closing muscles in man. J Biol Buccale. 1973 Dec;1(4):345-351.

van Steenberghe D, de Vries JH. The influence of local anaesthesia and occlusal surface area on the forces developed during repetitive maximal clenching efforts. J Periodontal Res. 1978 May;13(3):270-274. doi:10.1111/j.1600-0765.1978.tb00179.x.

Orchardson R, MacFarlane SH. The effect of local periodontal anaesthesia on the maximum biting force achieved by human subjects. Arch Oral Biol. 1980;25(11-12):799-804. doi:10.1016/0003-9969(80)90137-5.

Alkan A, Keskiner I, Arici S, Sato S. The Effect of Periodontitis on Biting Abilities. J Periodontol. 2006 Aug;77(8):1442-1445. doi:10.1902/jop.2006.060025.

Meusel DR, Ramacciato JC, Motta RH, Brito Júnior RB, Flório FM. Impact of the severity of chronic periodontal disease on quality of life. J Oral Sci. 2015 Jun;57(2):87-94. doi:10.2334/josnusd.57.87.