Satisfaction and quality of life with palatal positioned implants in severely atrophic maxillae versus conventional implants supporting fixed full-arch prostheses
Identifieur interne : 000D31 ( Main/Exploration ); précédent : 000D30; suivant : 000D32Satisfaction and quality of life with palatal positioned implants in severely atrophic maxillae versus conventional implants supporting fixed full-arch prostheses
Auteurs : Eugenia Candel-Marti [Espagne] ; David Pe Arrocha-Oltra [Espagne] ; Maria Pe Arrocha-Diago [Espagne] ; Miguel Pe Arrocha-Diago [Espagne]Source :
- Medicina Oral, Patología Oral y Cirugía Bucal [ 1698-4447 ] ; 2015.
Abstract
To evaluate satisfaction and quality of life in patients with palatal positioned implants supporting fixed full-arch prostheses to rehabilitate edentulous maxillae with horizontal atrophy and compare them with conventional well-centered implants placed in non-atrophic supporting fixed full-arch prostheses.
A clinical retrospective study was performed of patients that were rehabilitated with full-arch fixed implant-supported maxillary prostheses and had a minimum follow-up of 5 years after implant loading. Patients were divided into 2 groups: patients with class IV maxilla according to Cawood and Howell and treated with palatal positioned implants (test) and with class III maxilla and treated with implants well-centered in the alveolar ridge and completely surrounded by bone (control). Ten-cm visual analogue scales (VAS) (range 1-10) and the OHIP-14 (Oral Health Impact Profile) questionnaire were used respectively to estimate patient satisfaction and quality of life after implant therapy. Statistical analysis was performed applying Mann-Whitney Test using alpha set at 0.05.
Mean global and specific satisfaction – except for self-esteem – were superior for the test group than the control group, although differences were not statistically significant. Regarding quality of life, the reported incidence of problems was lower in the test group for all the studied ítems except for ‘problems at work’. However, differences were not statistically significant in any case.
Despite the limitations of the study (retrospective and nonrandomized design) the results suggest that the prosthesis design needed to rehabilitate palatally positioned implants (more coverage of palate) does not lead to lower satisfaction and quality of life of patients, compared to patients treated with implants placed centered and conventional design prostheses that do not cover the palate.
Url:
DOI: 10.4317/medoral.20706
PubMed: 26116847
PubMed Central: 4670257
Affiliations:
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in severely atrophic maxillae versus conventional
implants supporting fixed full-arch prostheses</title><author><name sortKey="Candel Marti, Eugenia" sort="Candel Marti, Eugenia" uniqKey="Candel Marti E" first="Eugenia" last="Candel-Marti">Eugenia Candel-Marti</name><affiliation wicri:level="1"><nlm:aff id="A1">Professor of the Master in Oral Surgery and Implantology, Stomatology Department, Faculty of Medicine and Dentistry, University of Valencia, Valencia, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Professor of the Master in Oral Surgery and Implantology, Stomatology Department, Faculty of Medicine and Dentistry, University of Valencia, Valencia</wicri:regionArea><wicri:noRegion>Valencia</wicri:noRegion></affiliation></author><author><name sortKey="Pe Arrocha Oltra, David" sort="Pe Arrocha Oltra, David" uniqKey="Pe Arrocha Oltra D" first="David" last="Pe Arrocha-Oltra">David Pe Arrocha-Oltra</name><affiliation wicri:level="1"><nlm:aff id="A1">Professor of the Master in Oral Surgery and Implantology, Stomatology Department, Faculty of Medicine and Dentistry, University of Valencia, Valencia, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Professor of the Master in Oral Surgery and Implantology, Stomatology Department, Faculty of Medicine and Dentistry, University of Valencia, Valencia</wicri:regionArea><wicri:noRegion>Valencia</wicri:noRegion></affiliation></author><author><name sortKey="Pe Arrocha Diago, Maria" sort="Pe Arrocha Diago, Maria" uniqKey="Pe Arrocha Diago M" first="Maria" last="Pe Arrocha-Diago">Maria Pe Arrocha-Diago</name><affiliation wicri:level="1"><nlm:aff id="A2">Full Professor of Oral Surgery, Stomatology Department, Faculty of Medicine and Dentistry, University of Valencia, Valencia, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Full Professor of Oral Surgery, Stomatology Department, Faculty of Medicine and Dentistry, University of Valencia, Valencia</wicri:regionArea><wicri:noRegion>Valencia</wicri:noRegion></affiliation></author><author><name sortKey="Pe Arrocha Diago, Miguel" sort="Pe Arrocha Diago, Miguel" uniqKey="Pe Arrocha Diago M" first="Miguel" last="Pe Arrocha-Diago">Miguel Pe Arrocha-Diago</name><affiliation wicri:level="1"><nlm:aff id="A3">Chairman of Oral Surgery, Director of the Master in Oral Surgery and Implantology, Stomatology Department, Faculty of Medicine and Dentistry, University of Valencia, Valencia, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Chairman of Oral Surgery, Director of the Master in Oral Surgery and Implantology, Stomatology Department, Faculty of Medicine and Dentistry, University of Valencia, Valencia</wicri:regionArea><wicri:noRegion>Valencia</wicri:noRegion></affiliation></author></analytic><series><title level="j">Medicina Oral, Patología Oral y Cirugía Bucal</title><idno type="ISSN">1698-4447</idno><idno type="eISSN">1698-6946</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>To evaluate satisfaction and quality of life in patients with palatal positioned implants supporting fixed full-arch prostheses to rehabilitate edentulous maxillae with horizontal atrophy and compare them with conventional well-centered implants placed in non-atrophic supporting fixed full-arch prostheses.</p></sec><sec><title>Material and Methods</title><p>A clinical retrospective study was performed of patients that were rehabilitated with full-arch fixed implant-supported maxillary prostheses and had a minimum follow-up of 5 years after implant loading. Patients were divided into 2 groups: patients with class IV maxilla according to Cawood and Howell and treated with palatal positioned implants (test) and with class III maxilla and treated with implants well-centered in the alveolar ridge and completely surrounded by bone (control). Ten-cm visual analogue scales (VAS) (range 1-10) and the OHIP-14 (Oral Health Impact Profile) questionnaire were used respectively to estimate patient satisfaction and quality of life after implant therapy. Statistical analysis was performed applying Mann-Whitney Test using alpha set at 0.05.</p></sec><sec><title>Results</title><p>Mean global and specific satisfaction – except for self-esteem – were superior for the test group than the control group, although differences were not statistically significant. Regarding quality of life, the reported incidence of problems was lower in the test group for all the studied ítems except for ‘problems at work’. However, differences were not statistically significant in any case.</p></sec><sec><title>Conclusions</title><p>Despite the limitations of the study (retrospective and nonrandomized design) the results suggest that the prosthesis design needed to rehabilitate palatally positioned implants (more coverage of palate) does not lead to lower satisfaction and quality of life of patients, compared to patients treated with implants placed centered and conventional design prostheses that do not cover the palate.</p><p><bold>Key words:</bold>Atrophic maxilla, palatal implants, satisfaction, quality of life.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Br Nemark, Pi" uniqKey="Br Nemark P">PI Brånemark</name></author><author><name sortKey="Adell, R" uniqKey="Adell R">R Adell</name></author><author><name sortKey="Albrektsson, T" uniqKey="Albrektsson T">T Albrektsson</name></author><author><name sortKey="Lekholm, U" uniqKey="Lekholm U">U Lekholm</name></author><author><name sortKey="Lindstrom, J" uniqKey="Lindstrom J">J Lindström</name></author><author><name sortKey="Rockler, B" uniqKey="Rockler B">B Rockler</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cawood, Ji" uniqKey="Cawood J">JI Cawood</name></author><author><name sortKey="Howell, Ra" uniqKey="Howell R">RA Howell</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Del Fabbro, M" uniqKey="Del Fabbro M">M Del Fabbro</name></author><author><name sortKey="Testori, T" uniqKey="Testori T">T Testori</name></author><author><name sortKey="Francetti, L" uniqKey="Francetti L">L Francetti</name></author><author><name sortKey="Weinstein, R" uniqKey="Weinstein R">R Weinstein</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pe Arrocha, M" uniqKey="Pe Arrocha M">M Peñarrocha</name></author><author><name sortKey="Garcia, B" uniqKey="Garcia B">B García</name></author><author><name sortKey="Marti, E" uniqKey="Marti E">E Martí</name></author><author><name sortKey="Boronat, A" uniqKey="Boronat A">A Boronat</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pe Arrocha, M" uniqKey="Pe Arrocha M">M Peñarrocha</name></author><author><name sortKey="Carrillo, C" uniqKey="Carrillo C">C Carrillo</name></author><author><name sortKey="Boronat, A" uniqKey="Boronat A">A Boronat</name></author><author><name sortKey="Pe Arrocha, M" uniqKey="Pe Arrocha M">M Peñarrocha</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mattsson, T" uniqKey="Mattsson T">T Mattsson</name></author><author><name sortKey="Kondell, Pa" uniqKey="Kondell P">PA Köndell</name></author><author><name sortKey="Gynther, Gw" uniqKey="Gynther G">GW Gynther</name></author><author><name sortKey="Fredholm, U" uniqKey="Fredholm U">U Fredholm</name></author><author><name sortKey="Bolin, A" uniqKey="Bolin A">A Bolin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Br Nemark, Pi" uniqKey="Br Nemark P">PI Brånemark</name></author><author><name sortKey="Adell, R" uniqKey="Adell R">R Adell</name></author><author><name sortKey="Albrektsson, T" uniqKey="Albrektsson T">T Albrektsson</name></author><author><name sortKey="Lekholm, U" uniqKey="Lekholm U">U Lekholm</name></author><author><name sortKey="Lindstrom, J" uniqKey="Lindstrom J">J Lindström</name></author><author><name sortKey="Rockler, B" uniqKey="Rockler B">B Rockler</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pe Arrocha, M" uniqKey="Pe Arrocha M">M Peñarrocha</name></author><author><name sortKey="Carrillo, C" uniqKey="Carrillo C">C Carrillo</name></author><author><name sortKey="Boronat, A" uniqKey="Boronat A">A Boronat</name></author><author><name sortKey="Balaguer, J" uniqKey="Balaguer J">J Balaguer</name></author><author><name sortKey="Pe Arrocha, M" uniqKey="Pe Arrocha M">M Peñarrocha</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pe Arrocha Oltra, D" uniqKey="Pe Arrocha Oltra D">D Peñarrocha-Oltra</name></author><author><name sortKey="Candel Marti, E" uniqKey="Candel Marti E">E Candel-Martí</name></author><author><name sortKey="Pe Arrocha Diago, M" uniqKey="Pe Arrocha Diago M">M Peñarrocha-Diago</name></author><author><name sortKey="Martinez Gonzalez, Jm" uniqKey="Martinez Gonzalez J">JM Martínez-González</name></author><author><name sortKey="Aragoneses, Jm" uniqKey="Aragoneses J">JM Aragoneses</name></author><author><name sortKey="Pe Arrocha Diago, M" uniqKey="Pe Arrocha Diago M">M Peñarrocha-Diago</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pe Arrocha, M" uniqKey="Pe Arrocha M">M Peñarrocha</name></author><author><name sortKey="Carrillo, C" uniqKey="Carrillo C">C Carrillo</name></author><author><name sortKey="Boronat, A" uniqKey="Boronat A">A 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sortKey="Carrillo, C" uniqKey="Carrillo C">C Carrillo</name></author><author><name sortKey="Boronat, A" uniqKey="Boronat A">A Boronat</name></author><author><name sortKey="Marti, E" uniqKey="Marti E">E Martí</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zembic, A" uniqKey="Zembic A">A Zembic</name></author><author><name sortKey="Tahmaseb, A" uniqKey="Tahmaseb A">A Tahmaseb</name></author><author><name sortKey="Wismeijer, D" uniqKey="Wismeijer D">D Wismeijer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Heydecke, G" uniqKey="Heydecke G">G Heydecke</name></author><author><name sortKey="Boudrias, P" uniqKey="Boudrias P">P Boudrias</name></author><author><name sortKey="Awad, Ma" uniqKey="Awad M">MA Awad</name></author><author><name sortKey="De Albuquerque, Rf" uniqKey="De Albuquerque R">RF De Albuquerque</name></author><author><name sortKey="Lund, Jp" uniqKey="Lund J">JP Lund</name></author><author><name sortKey="Feine, Js" uniqKey="Feine J">JS Feine</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Preciado, A" uniqKey="Preciado A">A Preciado</name></author><author><name sortKey="Del Rio, J" uniqKey="Del Rio J">J Del Río</name></author><author><name sortKey="Lynch, Cd" uniqKey="Lynch C">CD Lynch</name></author><author><name sortKey="Castillo Oyague, R" uniqKey="Castillo Oyague R">R Castillo-Oyagüe</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Espagne</li></country></list><tree><country name="Espagne"><noRegion><name sortKey="Candel Marti, Eugenia" sort="Candel Marti, Eugenia" uniqKey="Candel Marti E" first="Eugenia" last="Candel-Marti">Eugenia Candel-Marti</name></noRegion><name sortKey="Pe Arrocha Diago, Maria" sort="Pe Arrocha Diago, Maria" uniqKey="Pe Arrocha Diago M" first="Maria" last="Pe Arrocha-Diago">Maria Pe Arrocha-Diago</name><name sortKey="Pe Arrocha Diago, Miguel" sort="Pe Arrocha Diago, Miguel" uniqKey="Pe Arrocha Diago M" first="Miguel" last="Pe Arrocha-Diago">Miguel Pe Arrocha-Diago</name><name sortKey="Pe Arrocha Oltra, David" sort="Pe Arrocha Oltra, David" uniqKey="Pe Arrocha Oltra D" first="David" last="Pe Arrocha-Oltra">David Pe Arrocha-Oltra</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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