Impact of Endodontic and Periodontal Treatments on Oral Health Related Quality of Life and Sleep Quality: A Prospective Study
Healthcare (Switzerland), cilt.14, sa.12, 2026 (SCI-Expanded, SSCI, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 14 Sayı: 12
- Basım Tarihi: 2026
- Doi Numarası: 10.3390/healthcare14121603
- Dergi Adı: Healthcare (Switzerland)
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, CINAHL, Health Research Premium Collection (ProQuest)
- Anahtar Kelimeler: periodontitis, quality of life, questionnaires, root canal therapy, sleep quality
- Uşak Üniversitesi Adresli: Evet
Özet
Background: Oral and systemic health are strongly associated with individuals’ quality of life and sleep quality, both of which are increasingly recognized as important patient-reported outcomes in dentistry. Aim: This prospective longitudinal observational cohort study aimed to compare changes in oral health related quality of life (Oral Health Impact Profile-14; OHIP-14) and sleep quality (Pittsburgh Sleep Quality Index; PSQI) following endodontic and periodontal treatments. Methods: A total of 74 patients who received endodontic treatment and 90 who underwent periodontal treatment completed the OHIP-14 and PSQI questionnaires before and three weeks after treatment. Data were analyzed using the Wilcoxon signed-rank test for within-group comparisons and the Mann–Whitney U test on change scores (post−pre) for between-group comparisons, with Holm correction applied for multiple subdomain tests. ANCOVA was additionally performed as an exploratory sensitivity analysis because the homogeneity-of-regression-slopes assumption was violated for both outcomes (p < 0.05). Results: Both treatments significantly improved OHIP-14 scores and most PSQI components; however, no significant change was observed in sleep medication use in the periodontal group. Functional limitation improved more in the periodontal group, whereas handicap improved more in the endodontic group. Baseline PSQI scores were significantly higher in the endodontic group. PSQI subdomains improved in both groups, with no significant between-group differences after Holm correction. Similarly, no significant differences were found between groups in overall OHIP-14 and PSQI scores. Conclusions: Endodontic and periodontal treatments were associated with short-term improvements in individuals’ quality of life and sleep quality. While periodontal treatment may provide greater benefits in certain quality-of-life domains, endodontic treatment may offer advantages in others. Both treatments appear to support improvements in sleep-related outcomes. These findings may contribute to patient-centered clinical decision-making.