Periodontitis, Risk Factors, and Their Impact on Oral Health-Related Quality of Life (OHRQOL) Among Egyptian Geriatric Patients: A Multi-Center Cross-Sectional Study.

Periodontitis, Risk Factors, and Their Impact on Oral Health-Related Quality of Life (OHRQOL) Among Egyptian Geriatric Patients: A Multi-Center Cross-Sectional Study. | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Periodontitis, Risk Factors, and Their Impact on Oral Health-Related Quality of Life (OHRQOL) Among Egyptian Geriatric Patients: A Multi-Center Cross-Sectional Study. Suzan Seif, Mohammed Al-Bahrawy, Aya Zahran This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-5868605/v1 This work is licensed under a CC BY 4.0 License Status: Published Journal Publication published 10 Jul, 2025 Read the published version in BMC Oral Health → Version 1 posted 8 You are reading this latest preprint version Abstract Aim: This study investigated the prevalence, risk indicators, and impact of periodontitis on oral health-related quality of life (OHRQOL) among Egyptian geriatric patients. This study aims to provide insights into the broader implications of this disease for quality of life by assessing functional, psychological, and social domains. Methods: A cross-sectional study was conducted among 400 Egyptian participants aged 60 years and older recruited from Ain Shams University's outpatient clinics and Ministry of Health dental research centers. Sociodemographic and behavioral data were collected via structured questionnaires, whereas OHRQOL was evaluated via the OHIP-14 tool. Clinical periodontal assessments adhered to the 2017 World Workshop classification. Logistic regression was applied to identify associations between periodontitis severity, risk indicators, and OHRQOL impacts. Results: Among the participants, 66.5% (n = 266) reported a negative impact on OHRQOL, predominantly due to psychological discomfort, physical pain, and disability. Stages II (40%) and III (36.2%) periodontitis were the most prevalent with PPD Mean ± SD 4.95 ± 1.38, CAL Mean ± SD4.21 ± 1.38. The key risk factors for severe periodontitis included being male, being older, being less educated, being a smoker, and having diabetes. The study also revealed that irregular tooth brushing, residence in specific urban locations, and advanced periodontitis stages were significantly associated with poorer OHRQOL. Conclusions: Periodontitis adversely affects OHRQOL among Egyptian elderly individuals, with the psychological and physical domains being the most affected. These findings underscore the need for targeted public health strategies and personalized interventions to mitigate the burden of periodontal disease in this population. Periodontitis Risk factors Geriatrics Oral health-related quality of life ORHQOL Full Text Additional Declarations No competing interests reported. Cite Share Download PDF Status: Published Journal Publication published 10 Jul, 2025 Read the published version in BMC Oral Health → Version 1 posted Editorial decision: Revision requested 23 Apr, 2025 Reviews received at journal 19 Apr, 2025 Reviews received at journal 31 Mar, 2025 Reviewers agreed at journal 31 Mar, 2025 Reviewers agreed at journal 30 Mar, 2025 Reviewers invited by journal 30 Mar, 2025 Submission checks completed at journal 26 Mar, 2025 First submitted to journal 19 Mar, 2025 You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. 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Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-5868605","acceptedTermsAndConditions":true,"allowDirectSubmit":false,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":436532105,"identity":"9185ec79-53e7-41cd-82ac-006b0208d3e1","order_by":0,"name":"Suzan Seif","email":"","orcid":"","institution":"Ain Shams University","correspondingAuthor":false,"prefix":"","firstName":"Suzan","middleName":"","lastName":"Seif","suffix":""},{"id":436532107,"identity":"fa0ff2ff-ef9d-4f19-a26d-ca8a1879e9a3","order_by":1,"name":"Mohammed Al-Bahrawy","email":"","orcid":"","institution":"Ain Shams University","correspondingAuthor":false,"prefix":"","firstName":"Mohammed","middleName":"","lastName":"Al-Bahrawy","suffix":""},{"id":436532109,"identity":"dac5773b-9253-44fb-b269-3b77dc64cd7f","order_by":2,"name":"Aya Zahran","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAA50lEQVRIiWNgGAWjYDCCA3AWM4gpIUOMFsYGCIstAaSFhxQtPAZgkqAOvuO9xx8w1ByWZ+A/8/nVjRoLHgb2w0c34NMieeZcYgPDscOGDQxnt1nnHAM6jCct7QY+LQY3coCq2Q4zNjD2bjPOYQNqkeAxw6/l/hugln+H7RuYeZ4Z5/wjRssNHsMGxrbDiQ1sPMyPc9uI0CJ5JsdwRmJfenIbD5sZc26fBA8bIb/wHT9j8OHDN2vbfv7Djz/nfKuT42c/fAyvFjBIYGhmYAPGpQSIw0ZQOQTUgQjmD0SqHgWjYBSMghEGAHHwR0lTDOBcAAAAAElFTkSuQmCC","orcid":"","institution":"Ain Shams University","correspondingAuthor":true,"prefix":"","firstName":"Aya","middleName":"","lastName":"Zahran","suffix":""}],"badges":[],"createdAt":"2025-01-20 20:53:07","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.3.rs-5868605/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-5868605/v1","draftVersion":[],"editorialEvents":[{"content":"https://doi.org/10.1186/s12903-025-06376-6","type":"published","date":"2025-07-10T15:57:30+00:00"}],"editorialNote":"","failedWorkflow":false,"files":[{"id":86699382,"identity":"8c18d8fb-de44-440b-bb1a-a52ec5692209","added_by":"auto","created_at":"2025-07-14 16:08:36","extension":"pdf","order_by":1,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":626330,"visible":true,"origin":"","legend":"","description":"","filename":"bmcpaperayazahranrevisedmanuscript25032025.pdf","url":"https://assets-eu.researchsquare.com/files/rs-5868605/v1_covered_ffca42cf-39c2-457e-ab40-69758e497e1f.pdf"}],"financialInterests":"No competing interests reported.","formattedTitle":"Periodontitis, Risk Factors, and Their Impact on Oral Health-Related Quality of Life (OHRQOL) Among Egyptian Geriatric Patients: A Multi-Center Cross-Sectional Study.","fulltext":[],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":false,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":false,"highlight":"","institution":"","isAcceptedByJournal":true,"isAuthorSuppliedPdf":true,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":true,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"bmc-oral-health","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"ohea","sideBox":"Learn more about [BMC Oral Health](http://bmcoralhealth.biomedcentral.com/)","snPcode":"","submissionUrl":"https://www.editorialmanager.com/ohea/default.aspx","title":"BMC Oral Health","twitterHandle":"BMC_series","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"em","reportingPortfolio":"BMC Series","inReviewEnabled":true,"inReviewRevisionsEnabled":true},"keywords":"Periodontitis, Risk factors, Geriatrics, Oral health-related quality of life ORHQOL","lastPublishedDoi":"10.21203/rs.3.rs-5868605/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-5868605/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003eAim:\u003c/p\u003e \u003cp\u003eThis study investigated the prevalence, risk indicators, and impact of periodontitis on oral health-related quality of life (OHRQOL) among Egyptian geriatric patients. This study aims to provide insights into the broader implications of this disease for quality of life by assessing functional, psychological, and social domains.\u003c/p\u003e \u003cp\u003eMethods:\u003c/p\u003e \u003cp\u003e A cross-sectional study was conducted among 400 Egyptian participants aged 60 years and older recruited from Ain Shams University's outpatient clinics and Ministry of Health dental research centers. Sociodemographic and behavioral data were collected via structured questionnaires, whereas OHRQOL was evaluated via the OHIP-14 tool. Clinical periodontal assessments adhered to the 2017 World Workshop classification. Logistic regression was applied to identify associations between periodontitis severity, risk indicators, and OHRQOL impacts.\u003c/p\u003e \u003cp\u003eResults:\u003c/p\u003e \u003cp\u003eAmong the participants, 66.5% (n\u0026thinsp;=\u0026thinsp;266) reported a negative impact on OHRQOL, predominantly due to psychological discomfort, physical pain, and disability. Stages II (40%) and III (36.2%) periodontitis were the most prevalent with PPD Mean\u0026thinsp;\u0026plusmn;\u0026thinsp;SD 4.95\u0026thinsp;\u0026plusmn;\u0026thinsp;1.38, CAL Mean\u0026thinsp;\u0026plusmn;\u0026thinsp;SD4.21\u0026thinsp;\u0026plusmn;\u0026thinsp;1.38. The key risk factors for severe periodontitis included being male, being older, being less educated, being a smoker, and having diabetes. The study also revealed that irregular tooth brushing, residence in specific urban locations, and advanced periodontitis stages were significantly associated with poorer OHRQOL.\u003c/p\u003e \u003cp\u003eConclusions:\u003c/p\u003e \u003cp\u003ePeriodontitis adversely affects OHRQOL among Egyptian elderly individuals, with the psychological and physical domains being the most affected. These findings underscore the need for targeted public health strategies and personalized interventions to mitigate the burden of periodontal disease in this population.\u003c/p\u003e","manuscriptTitle":"Periodontitis, Risk Factors, and Their Impact on Oral Health-Related Quality of Life (OHRQOL) Among Egyptian Geriatric Patients: A Multi-Center Cross-Sectional Study.","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2025-04-01 15:29:25","doi":"10.21203/rs.3.rs-5868605/v1","editorialEvents":[{"type":"communityComments","content":0},{"type":"decision","content":"Revision requested","date":"2025-04-23T09:56:49+00:00","index":"","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2025-04-19T06:55:37+00:00","index":"hide","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2025-03-31T20:30:39+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"141871239218909649162807945137844168338","date":"2025-03-31T20:22:52+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"331451043149017693911879237077929551702","date":"2025-03-30T16:50:42+00:00","index":"hide","fulltext":""},{"type":"reviewersInvited","content":"","date":"2025-03-30T12:42:51+00:00","index":"","fulltext":""},{"type":"checksComplete","content":"","date":"2025-03-26T11:37:46+00:00","index":"","fulltext":""},{"type":"submitted","content":"BMC Oral Health","date":"2025-03-19T10:59:21+00:00","index":"","fulltext":""}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"bmc-oral-health","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"ohea","sideBox":"Learn more about [BMC Oral Health](http://bmcoralhealth.biomedcentral.com/)","snPcode":"","submissionUrl":"https://www.editorialmanager.com/ohea/default.aspx","title":"BMC Oral Health","twitterHandle":"BMC_series","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"em","reportingPortfolio":"BMC Series","inReviewEnabled":true,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"cfed9d6b-1432-4395-b336-13aaef0f4798","owner":[],"postedDate":"April 1st, 2025","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"published-in-journal","subjectAreas":[],"tags":[],"updatedAt":"2025-07-14T16:01:53+00:00","versionOfRecord":{"articleIdentity":"rs-5868605","link":"https://doi.org/10.1186/s12903-025-06376-6","journal":{"identity":"bmc-oral-health","isVorOnly":false,"title":"BMC Oral Health"},"publishedOn":"2025-07-10 15:57:30","publishedOnDateReadable":"July 10th, 2025"},"versionCreatedAt":"2025-04-01 15:29:25","video":"","vorDoi":"10.1186/s12903-025-06376-6","vorDoiUrl":"https://doi.org/10.1186/s12903-025-06376-6","workflowStages":[]},"version":"v1","identity":"rs-5868605","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-5868605","identity":"rs-5868605","version":["v1"]},"buildId":"8U1c8b4HqxoKbykW_rLl7","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}