Critical evaluation of patient responses to dental implant therapy
Identifieur interne : 009E64 ( Main/Exploration ); précédent : 009E63; suivant : 009E65Critical evaluation of patient responses to dental implant therapy
Auteurs : Roman M. Cibirka ; Michael Razzoog ; Brien R. LangSource :
- The Journal of Prosthetic Dentistry [ 0022-3913 ] ; 1997.
Descripteurs français
- KwdFr :
- Adaptation physiologique, Adaptation psychologique, Adulte, Adulte d'âge moyen, Anxiété (psychologie), Attitude envers la santé, Concept du soi, Dentisterie esthétique, Enquêtes et questionnaires, Femelle, Humains, Implants dentaires (psychologie), Introversion (psychologie), Mandibule (), Mastication (physiologie), Maxillaire (), Mâchoire édentée (), Mâchoire édentée (psychologie), Mâchoire édentée (rééducation et réadaptation), Mâle, Parole (physiologie), Pose d'implant dentaire endo-osseux (psychologie), Prothèse dentaire complète (psychologie), Prothèse dentaire implanto-portée, Qualité de vie, Reproductibilité des résultats, Santé buccodentaire, Satisfaction du patient, Sujet âgé, Études d'évaluation comme sujet, Études de suivi, Études prospectives.
- MESH :
- physiologie : Mastication, Parole.
- psychologie : Anxiété, Implants dentaires, Mâchoire édentée, Pose d'implant dentaire endo-osseux, Prothèse dentaire complète.
- rééducation et réadaptation : Mâchoire édentée.
- Adaptation physiologique, Adaptation psychologique, Adulte, Adulte d'âge moyen, Attitude envers la santé, Concept du soi, Dentisterie esthétique, Enquêtes et questionnaires, Femelle, Humains, Introversion (psychologie), Mandibule, Maxillaire, Mâchoire édentée, Mâle, Prothèse dentaire implanto-portée, Qualité de vie, Reproductibilité des résultats, Santé buccodentaire, Satisfaction du patient, Sujet âgé, Études d'évaluation comme sujet, Études de suivi, Études prospectives.
English descriptors
- KwdEn :
- Acrylic resins, Adaptation, Physiological, Adaptation, Psychological, Adaptive response, Adult, Aged, Anxiety (psychology), Atrophic mandibles, Attitude to Health, Cibirka, Clinical investigations, Clinical trials, Clinician, Complete dentures, Content validity, Dent, Dental Implantation, Endosseous (psychology), Dental Implants (psychology), Dental Prosthesis, Implant-Supported, Dental health, Dental implant therapy, Dental implant treatment, Dental therapy, Dentistry, Denture, Denture satisfaction, Denture success, Denture therapy, Denture, Complete (psychology), Domain, Edentulous patient, Esthetics, Esthetics, Dental, Evaluation Studies as Topic, Evaluative analysis, Evaluative capacity, Experimental population, Female, First questionnaire, Follow-Up Studies, Functional capacity, Hrql, Hrql questionnaires, Humans, Impacting quality, Implant, Implant experience, Implant therapy, Implant treatment, Interpersonal behavior, Introversion (Psychology), Jaw, Edentulous (psychology), Jaw, Edentulous (rehabilitation), Jaw, Edentulous (surgery), Lang, Lang table, Life benefits, Life measure, Life measures, Male, Mandible (surgery), Mandibular, Mandibular prosthesis, Mastication (physiology), Masticatory efficiency, Maxilla (surgery), Maxillary, Maxillary dentures, Measurement session, Medical college, Middle Aged, Oral Health, Patient Satisfaction, Patient responses, Patient satisfaction, Previous responses, Prospective Studies, Prosthesis, Prosthet, Prosthet dent, Prosthetic, Prosthetic dentistry, Prosthetic rehabilitation, Prosthodontic rehabilitation, Psychologic factors, Psychologic impact, Psychological variables, Psychosocial adaptation, Quality of Life, Rank test, Rank test results, Rank values, Reproducibility of Results, Scientific evidence, Second questionnaire, Self Concept, Significant differences, Single quality, Speech (physiology), Staining solutions, Study subjects, Subjective feelings, Subjective patient responses, Subjective responses, Successive questionnaires, Surveys and Questionnaires, Synthetic saliva, Synthetic saliva coffee, Visual analog scale, Visual analogue scales, Wilcoxon.
- MESH :
- chemical , psychology : Dental Implants.
- physiology : Mastication, Speech.
- psychology : Anxiety, Dental Implantation, Endosseous, Denture, Complete, Jaw, Edentulous.
- rehabilitation : Jaw, Edentulous.
- surgery : Jaw, Edentulous, Mandible, Maxilla.
- Teeft :
- Acrylic resins, Adaptation, Physiological, Adaptation, Psychological, Adaptive response, Adult, Aged, Atrophic mandibles, Attitude to Health, Cibirka, Clinical investigations, Clinical trials, Clinician, Complete dentures, Content validity, Dent, Dental Prosthesis, Implant-Supported, Dental health, Dental implant therapy, Dental implant treatment, Dental therapy, Dentistry, Denture, Denture satisfaction, Denture success, Denture therapy, Domain, Edentulous patient, Esthetics, Esthetics, Dental, Evaluation Studies as Topic, Evaluative analysis, Evaluative capacity, Experimental population, Female, First questionnaire, Follow-Up Studies, Functional capacity, Hrql, Hrql questionnaires, Humans, Impacting quality, Implant, Implant experience, Implant therapy, Implant treatment, Interpersonal behavior, Introversion (Psychology), Lang, Lang table, Life benefits, Life measure, Life measures, Male, Mandibular, Mandibular prosthesis, Masticatory efficiency, Maxillary, Maxillary dentures, Measurement session, Medical college, Middle Aged, Oral Health, Patient Satisfaction, Patient responses, Patient satisfaction, Previous responses, Prospective Studies, Prosthesis, Prosthet, Prosthet dent, Prosthetic, Prosthetic dentistry, Prosthetic rehabilitation, Prosthodontic rehabilitation, Psychologic factors, Psychologic impact, Psychological variables, Psychosocial adaptation, Quality of Life, Rank test, Rank test results, Rank values, Reproducibility of Results, Scientific evidence, Second questionnaire, Self Concept, Significant differences, Single quality, Staining solutions, Study subjects, Subjective feelings, Subjective patient responses, Subjective responses, Successive questionnaires, Surveys and Questionnaires, Synthetic saliva, Synthetic saliva coffee, Visual analog scale, Visual analogue scales, Wilcoxon.
Abstract
Abstract: Statement of problem. Successful rehabilitation of the edentulous condition requires functional and psychosocial adaptation by the patient. Quality of life is markedly affected by the amount of satisfaction or dissatisfaction with their dental therapy. Patient concerns are primarily related to comfort, function, and esthetics. When these do not meet the patients expectations, anxiety, insecurity, diminished self-esteem, and introversion are typical psychosocial responses. Purpose. The objectives of the study were to assess the patient's subjective feelings about: (a) comfort, (b) function, (c) esthetics, (d) speech, (e) self-image, and (f) overall dental health with their existing complete dentures, and after implant therapy and prosthodontic rehabilitation. Material and methods. Two health-related quality of life (HRQL) questionnaires were developed to evaluate the effectiveness of dental implant therapy; one dealing with their feelings about their conventional complete dentures, and the second dealing with implant therapy. The first questionnaire was administered with supervision before receiving implant treatment. The second questionnaire was administered within 1 year after completion of prosthetic rehabilitation. Twenty-six patients who received implants to support a mandibular prosthesis and a new maxillary denture formed the experimental population. Results. Discriminative and evaluative analysis of subjective patient responses provided reliable, accurate, and reproducible results. Assessment of subject feelings before and after implant therapy and prosthodontic rehabilitation demonstrated significant differences when before treatment responses were compared with the responses after therapy. Conclusions. Significant differences for comfort, function, speech, esthetics, self-image, and dental health were demonstrated when conventional complete dentures and dental implant therapy were compared. HRQL data provided scientific evidence of an improved quality of life after dental implant therapy (p < 0.000). (J Prosthet Dent 1997;78:574)
Url:
DOI: 10.1016/S0022-3913(97)70008-8
Affiliations:
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Le document en format XML
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<term>Adaptation, Physiological</term>
<term>Adaptation, Psychological</term>
<term>Adaptive response</term>
<term>Adult</term>
<term>Aged</term>
<term>Anxiety (psychology)</term>
<term>Atrophic mandibles</term>
<term>Attitude to Health</term>
<term>Cibirka</term>
<term>Clinical investigations</term>
<term>Clinical trials</term>
<term>Clinician</term>
<term>Complete dentures</term>
<term>Content validity</term>
<term>Dent</term>
<term>Dental Implantation, Endosseous (psychology)</term>
<term>Dental Implants (psychology)</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental health</term>
<term>Dental implant therapy</term>
<term>Dental implant treatment</term>
<term>Dental therapy</term>
<term>Dentistry</term>
<term>Denture</term>
<term>Denture satisfaction</term>
<term>Denture success</term>
<term>Denture therapy</term>
<term>Denture, Complete (psychology)</term>
<term>Domain</term>
<term>Edentulous patient</term>
<term>Esthetics</term>
<term>Esthetics, Dental</term>
<term>Evaluation Studies as Topic</term>
<term>Evaluative analysis</term>
<term>Evaluative capacity</term>
<term>Experimental population</term>
<term>Female</term>
<term>First questionnaire</term>
<term>Follow-Up Studies</term>
<term>Functional capacity</term>
<term>Hrql</term>
<term>Hrql questionnaires</term>
<term>Humans</term>
<term>Impacting quality</term>
<term>Implant</term>
<term>Implant experience</term>
<term>Implant therapy</term>
<term>Implant treatment</term>
<term>Interpersonal behavior</term>
<term>Introversion (Psychology)</term>
<term>Jaw, Edentulous (psychology)</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Lang</term>
<term>Lang table</term>
<term>Life benefits</term>
<term>Life measure</term>
<term>Life measures</term>
<term>Male</term>
<term>Mandible (surgery)</term>
<term>Mandibular</term>
<term>Mandibular prosthesis</term>
<term>Mastication (physiology)</term>
<term>Masticatory efficiency</term>
<term>Maxilla (surgery)</term>
<term>Maxillary</term>
<term>Maxillary dentures</term>
<term>Measurement session</term>
<term>Medical college</term>
<term>Middle Aged</term>
<term>Oral Health</term>
<term>Patient Satisfaction</term>
<term>Patient responses</term>
<term>Patient satisfaction</term>
<term>Previous responses</term>
<term>Prospective Studies</term>
<term>Prosthesis</term>
<term>Prosthet</term>
<term>Prosthet dent</term>
<term>Prosthetic</term>
<term>Prosthetic dentistry</term>
<term>Prosthetic rehabilitation</term>
<term>Prosthodontic rehabilitation</term>
<term>Psychologic factors</term>
<term>Psychologic impact</term>
<term>Psychological variables</term>
<term>Psychosocial adaptation</term>
<term>Quality of Life</term>
<term>Rank test</term>
<term>Rank test results</term>
<term>Rank values</term>
<term>Reproducibility of Results</term>
<term>Scientific evidence</term>
<term>Second questionnaire</term>
<term>Self Concept</term>
<term>Significant differences</term>
<term>Single quality</term>
<term>Speech (physiology)</term>
<term>Staining solutions</term>
<term>Study subjects</term>
<term>Subjective feelings</term>
<term>Subjective patient responses</term>
<term>Subjective responses</term>
<term>Successive questionnaires</term>
<term>Surveys and Questionnaires</term>
<term>Synthetic saliva</term>
<term>Synthetic saliva coffee</term>
<term>Visual analog scale</term>
<term>Visual analogue scales</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adaptation physiologique</term>
<term>Adaptation psychologique</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Anxiété (psychologie)</term>
<term>Attitude envers la santé</term>
<term>Concept du soi</term>
<term>Dentisterie esthétique</term>
<term>Enquêtes et questionnaires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires (psychologie)</term>
<term>Introversion (psychologie)</term>
<term>Mandibule ()</term>
<term>Mastication (physiologie)</term>
<term>Maxillaire ()</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (psychologie)</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Parole (physiologie)</term>
<term>Pose d'implant dentaire endo-osseux (psychologie)</term>
<term>Prothèse dentaire complète (psychologie)</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Qualité de vie</term>
<term>Reproductibilité des résultats</term>
<term>Santé buccodentaire</term>
<term>Satisfaction du patient</term>
<term>Sujet âgé</term>
<term>Études d'évaluation comme sujet</term>
<term>Études de suivi</term>
<term>Études prospectives</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="psychology" xml:lang="en"><term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Mastication</term>
<term>Parole</term>
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<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Mastication</term>
<term>Speech</term>
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<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Anxiété</term>
<term>Implants dentaires</term>
<term>Mâchoire édentée</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire complète</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Anxiety</term>
<term>Dental Implantation, Endosseous</term>
<term>Denture, Complete</term>
<term>Jaw, Edentulous</term>
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<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous</term>
</keywords>
<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire édentée</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous</term>
<term>Mandible</term>
<term>Maxilla</term>
</keywords>
<keywords scheme="Teeft" xml:lang="en"><term>Acrylic resins</term>
<term>Adaptation, Physiological</term>
<term>Adaptation, Psychological</term>
<term>Adaptive response</term>
<term>Adult</term>
<term>Aged</term>
<term>Atrophic mandibles</term>
<term>Attitude to Health</term>
<term>Cibirka</term>
<term>Clinical investigations</term>
<term>Clinical trials</term>
<term>Clinician</term>
<term>Complete dentures</term>
<term>Content validity</term>
<term>Dent</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental health</term>
<term>Dental implant therapy</term>
<term>Dental implant treatment</term>
<term>Dental therapy</term>
<term>Dentistry</term>
<term>Denture</term>
<term>Denture satisfaction</term>
<term>Denture success</term>
<term>Denture therapy</term>
<term>Domain</term>
<term>Edentulous patient</term>
<term>Esthetics</term>
<term>Esthetics, Dental</term>
<term>Evaluation Studies as Topic</term>
<term>Evaluative analysis</term>
<term>Evaluative capacity</term>
<term>Experimental population</term>
<term>Female</term>
<term>First questionnaire</term>
<term>Follow-Up Studies</term>
<term>Functional capacity</term>
<term>Hrql</term>
<term>Hrql questionnaires</term>
<term>Humans</term>
<term>Impacting quality</term>
<term>Implant</term>
<term>Implant experience</term>
<term>Implant therapy</term>
<term>Implant treatment</term>
<term>Interpersonal behavior</term>
<term>Introversion (Psychology)</term>
<term>Lang</term>
<term>Lang table</term>
<term>Life benefits</term>
<term>Life measure</term>
<term>Life measures</term>
<term>Male</term>
<term>Mandibular</term>
<term>Mandibular prosthesis</term>
<term>Masticatory efficiency</term>
<term>Maxillary</term>
<term>Maxillary dentures</term>
<term>Measurement session</term>
<term>Medical college</term>
<term>Middle Aged</term>
<term>Oral Health</term>
<term>Patient Satisfaction</term>
<term>Patient responses</term>
<term>Patient satisfaction</term>
<term>Previous responses</term>
<term>Prospective Studies</term>
<term>Prosthesis</term>
<term>Prosthet</term>
<term>Prosthet dent</term>
<term>Prosthetic</term>
<term>Prosthetic dentistry</term>
<term>Prosthetic rehabilitation</term>
<term>Prosthodontic rehabilitation</term>
<term>Psychologic factors</term>
<term>Psychologic impact</term>
<term>Psychological variables</term>
<term>Psychosocial adaptation</term>
<term>Quality of Life</term>
<term>Rank test</term>
<term>Rank test results</term>
<term>Rank values</term>
<term>Reproducibility of Results</term>
<term>Scientific evidence</term>
<term>Second questionnaire</term>
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<term>Significant differences</term>
<term>Single quality</term>
<term>Staining solutions</term>
<term>Study subjects</term>
<term>Subjective feelings</term>
<term>Subjective patient responses</term>
<term>Subjective responses</term>
<term>Successive questionnaires</term>
<term>Surveys and Questionnaires</term>
<term>Synthetic saliva</term>
<term>Synthetic saliva coffee</term>
<term>Visual analog scale</term>
<term>Visual analogue scales</term>
<term>Wilcoxon</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adaptation physiologique</term>
<term>Adaptation psychologique</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Attitude envers la santé</term>
<term>Concept du soi</term>
<term>Dentisterie esthétique</term>
<term>Enquêtes et questionnaires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Introversion (psychologie)</term>
<term>Mandibule</term>
<term>Maxillaire</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Qualité de vie</term>
<term>Reproductibilité des résultats</term>
<term>Santé buccodentaire</term>
<term>Satisfaction du patient</term>
<term>Sujet âgé</term>
<term>Études d'évaluation comme sujet</term>
<term>Études de suivi</term>
<term>Études prospectives</term>
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<front><div type="abstract" xml:lang="en">Abstract: Statement of problem. Successful rehabilitation of the edentulous condition requires functional and psychosocial adaptation by the patient. Quality of life is markedly affected by the amount of satisfaction or dissatisfaction with their dental therapy. Patient concerns are primarily related to comfort, function, and esthetics. When these do not meet the patients expectations, anxiety, insecurity, diminished self-esteem, and introversion are typical psychosocial responses. Purpose. The objectives of the study were to assess the patient's subjective feelings about: (a) comfort, (b) function, (c) esthetics, (d) speech, (e) self-image, and (f) overall dental health with their existing complete dentures, and after implant therapy and prosthodontic rehabilitation. Material and methods. Two health-related quality of life (HRQL) questionnaires were developed to evaluate the effectiveness of dental implant therapy; one dealing with their feelings about their conventional complete dentures, and the second dealing with implant therapy. The first questionnaire was administered with supervision before receiving implant treatment. The second questionnaire was administered within 1 year after completion of prosthetic rehabilitation. Twenty-six patients who received implants to support a mandibular prosthesis and a new maxillary denture formed the experimental population. Results. Discriminative and evaluative analysis of subjective patient responses provided reliable, accurate, and reproducible results. Assessment of subject feelings before and after implant therapy and prosthodontic rehabilitation demonstrated significant differences when before treatment responses were compared with the responses after therapy. Conclusions. Significant differences for comfort, function, speech, esthetics, self-image, and dental health were demonstrated when conventional complete dentures and dental implant therapy were compared. HRQL data provided scientific evidence of an improved quality of life after dental implant therapy (p < 0.000). (J Prosthet Dent 1997;78:574)</div>
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