Serveur d'exploration sur le patient édenté

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Oral health-related quality of life of implant-supported overdentures versus conventional complete prostheses: Retrospective study of a cohort of edentulous patients

Identifieur interne : 000E81 ( Main/Exploration ); précédent : 000E80; suivant : 000E82

Oral health-related quality of life of implant-supported overdentures versus conventional complete prostheses: Retrospective study of a cohort of edentulous patients

Auteurs : Lucia Fernandez-Estevan ; Eduardo J. Selva-Otaolaurruchi ; Javier Montero ; Fernanda Sola-Ruiz

Source :

RBID : PMC:4523258

Descripteurs français

English descriptors

Abstract

Background

This work aims to confirm if implant-supported overdentures are a good treatment option for edentulous patients and offer an improvement in quality of life compared with traditional complete prostheses (dentures).

Material and Methods

This retrospective clinical descriptive study included three evaluation groups: validation group (n=57); control group of patients with complete removeable prostheses (n=56); study group of patients with implant-supported overdentures retained with the Locator® system (n=80). The study also validated the Oral Health Impact Profile-20 questionnaire. Individual protocols were created that included socio-demographic data, the Oral Health Impact Profile-20 (OHIP-20) questionnaire and Oral Satisfaction Scale (OSS). Descriptive and bivariate statistical analysis was carried out applying χ², Pearson, Kruskal-Wallis, and Student t tests, transferring data into SPSS-Windows® software from a Microsoft® Excel spreadsheet.

Results

The OHIP-20 proved to be a valid instrument and provided reliable assessment of health-related quality of life among both the Spanish general population and edentulous patients. The control and study groups proved comparable, showing socio-demographic homogeneity. For patients with overdentures retained by means of the Locator® system, these restorations had significantly lower impact on quality of life (19 vs 33), both generally and for each individual questionnaire item, and much higher satisfaction with the state of their oral cavities (8.3 vs 5.3) than patients wearing dentures; both sets of data showed a direct linear relationship, so that as the level of impact on quality of life increased, perceived oral satisfaction worsened.

Conclusions

Patients rehabilitated with implant supported overdentures retained by the Locator® system, presented significantly lower levels of impact on their quality of life and significantly higher oral satisfaction than patients with conventional complete prostheses.

Key words:Oral health-related quality of life, OHIP-20, OSS, overdentures, dental implants, complete prostheses, Locator® system.


Url:
DOI: 10.4317/medoral.20498
PubMed: 26034930
PubMed Central: 4523258


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<nlm:aff id="A1">Doctor in Dentistry (DDS; PhD). Master Buccofacial Prosthetics (M.Sc). Associate Lecturer in Prosthodontics. Department of Dental Medicine. Faculty of Medicine and Dentistry. University of Valencia</nlm:aff>
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<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture, Complete</term>
<term>Denture, Overlay</term>
<term>Female</term>
<term>Humans</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Male</term>
<term>Oral Health</term>
<term>Quality of Life</term>
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<term>Femelle</term>
<term>Humains</term>
<term>Mâchoire édentée ()</term>
<term>Mâle</term>
<term>Overdenture</term>
<term>Prothèse dentaire complète</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Qualité de vie</term>
<term>Santé buccodentaire</term>
<term>Sujet âgé</term>
<term>Études rétrospectives</term>
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<term>Jaw, Edentulous</term>
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<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture, Complete</term>
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<term>Femelle</term>
<term>Humains</term>
<term>Mâchoire édentée</term>
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<term>Prothèse dentaire complète</term>
<term>Prothèse dentaire implanto-portée</term>
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<title>Background</title>
<p>This work aims to confirm if implant-supported overdentures are a good treatment option for edentulous patients and offer an improvement in quality of life compared with traditional complete prostheses (dentures).</p>
</sec>
<sec>
<title>Material and Methods</title>
<p>This retrospective clinical descriptive study included three evaluation groups: validation group (n=57); control group of patients with complete removeable prostheses (n=56); study group of patients with implant-supported overdentures retained with the Locator® system (n=80). The study also validated the Oral Health Impact Profile-20 questionnaire. Individual protocols were created that included socio-demographic data, the Oral Health Impact Profile-20 (OHIP-20) questionnaire and Oral Satisfaction Scale (OSS). Descriptive and bivariate statistical analysis was carried out applying χ², Pearson, Kruskal-Wallis, and Student t tests, transferring data into SPSS-Windows® software from a Microsoft® Excel spreadsheet.</p>
</sec>
<sec>
<title>Results</title>
<p>The OHIP-20 proved to be a valid instrument and provided reliable assessment of health-related quality of life among both the Spanish general population and edentulous patients. The control and study groups proved comparable, showing socio-demographic homogeneity. For patients with overdentures retained by means of the Locator® system, these restorations had significantly lower impact on quality of life (19 vs 33), both generally and for each individual questionnaire item, and much higher satisfaction with the state of their oral cavities (8.3 vs 5.3) than patients wearing dentures; both sets of data showed a direct linear relationship, so that as the level of impact on quality of life increased, perceived oral satisfaction worsened.</p>
</sec>
<sec>
<title>Conclusions</title>
<p>Patients rehabilitated with implant supported overdentures retained by the Locator® system, presented significantly lower levels of impact on their quality of life and significantly higher oral satisfaction than patients with conventional complete prostheses.</p>
<p>
<bold>Key words:</bold>
Oral health-related quality of life, OHIP-20, OSS, overdentures, dental implants, complete prostheses, Locator® system.</p>
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<name sortKey="Szentpetery, A" uniqKey="Szentpetery A">A Szentpétery</name>
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<name sortKey="Montero, Javier" sort="Montero, Javier" uniqKey="Montero J" first="Javier" last="Montero">Javier Montero</name>
<name sortKey="Selva Otaolaurruchi, Eduardo J" sort="Selva Otaolaurruchi, Eduardo J" uniqKey="Selva Otaolaurruchi E" first="Eduardo J." last="Selva-Otaolaurruchi">Eduardo J. Selva-Otaolaurruchi</name>
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