Journal of International College of Dentists

Page: 28-33

Abstract

Introduction: Chronic periodontitis is a severe inflammatory condition that damages the tissues supporting the teeth, leading to ligament destruction, bone loss, and potential tooth loss. It negatively affects overall quality of life, especially self-esteem and oral health-related quality of life (OHRQoL). The disease's visible symptoms can increase social stigma, causing shame and social withdrawal.

Objective: To explore the effect of chronic periodontitis on OHRQoL of men and women using the OHIP-49 (Oral health impact profile), self-formulated general questionnaires, and the Rosenberg Self-Esteem Scale.

Materials and Methods: The study involved 250 chronic periodontitis patients. Periodontal parameters, including oral hygiene, plaque levels, gingival inflammation, probing depth, and periodontal status, were assessed. Self-esteem was measured with the Rosenberg Self-Esteem Scale, while OHRQoL was evaluated using the OHIP-49 and self-formulated questionnaires.

Result: A survey of 250 patients (123 men, 127 women, and aged 21–65) showed gender differences in psychosocial impact of chronic periodontitis.78% of women vs. 48.8% of men reported social difficulties, and 68.3% of women vs. 44.9% of men reported lower tolerance towards partners. Women showed higher lack of self-confidence while also being more proactive in oral hygiene and early treatment-seeking. Men often ignored early signs, delayed dental visits, and underestimated their condition, worsening outcomes. Recognizing these differences is vital for tailored awareness, early detection, and improved periodontal care.

Conclusion: Both men and women with healthy periodontium also reported better OHRQoL. Individuals maintaining good oral hygiene had better self-esteem and OHRQoL. Chronic periodontitis has a significant negative impact on self-esteem and OHRQoL in both men and women.