The influence of immediately loaded implant treatment in the atrophic edentulous maxilla on oral health related quality of life of edentulous patients: 3-year results of a prospective study
Identifieur interne : 000C56 ( Pmc/Curation ); précédent : 000C55; suivant : 000C57The influence of immediately loaded implant treatment in the atrophic edentulous maxilla on oral health related quality of life of edentulous patients: 3-year results of a prospective study
Auteurs : Maria Erkapers [Suède] ; Susanna Segerström [Suède] ; Karl Ekstrand [Norvège] ; Russell A. Baer [États-Unis] ; Joseph A. Toljanic [États-Unis] ; Andreas Thor [Suède]Source :
- Head & Face Medicine [ 1746-160X ] ; 2017.
Abstract
To evaluate oral health related quality of life (OHQoL) in edentulous patients treated with immediately loaded implants in the maxilla.
Fifty-one edentulous patients in two centers received six maxillary implants each were loaded within 24 h with provisional restoration. Definitive restoration was delivered 20–24 weeks later. OHQoL was evaluated preoperatively with the Oral Health Impact Profile 49 questionnaire (OHIP-49) and on five subsequent occasions. OHIP-49 includes seven domains representing functional limitation, physical pain, psychological discomfort, physical disability, psychological disability, social disability, and handicap. A reduction in OHIP scores indicated an improved OHQoL.
Forty-five patients reached the three-year follow up. OHQoL improved after treatment. A plateau of OHQoL improvement was observed at 12 months after surgery. The seven domains improved at different pace, 12 weeks to 12 months after treatment. OHIP showed continuously low scores with no significant changes at consecutive visits 12 months to three years after treatment. Dental status with removable prosthesis in the mandible had a negative impact on OHQoL prior to and during treatment, but did not affect OHQoL after permanent restoration was placed. Patients age or gender did not affect OHQoL.
Patients with edentulous maxilla who received prosthetic rehabilitation on immediately loaded implants experienced the highest improved OHQoL 12 months after implant installation. Quality of life related to oral health continued to be high after three years. Edentulous patients with atrophy of the maxilla experience an improved OHQoL after implant treatment with immediate loading protocol.
Url:
DOI: 10.1186/s13005-017-0154-0
PubMed: 29126426
PubMed Central: 5681799
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Protetikk Boks 1109, Blindern, 0317 Oslo, Norway</nlm:aff>
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<author><name sortKey="Thor, Andreas" sort="Thor, Andreas" uniqKey="Thor A" first="Andreas" last="Thor">Andreas Thor</name>
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<series><title level="j">Head & Face Medicine</title>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p id="Par1">To evaluate oral health related quality of life (OHQoL) in edentulous patients treated with immediately loaded implants in the maxilla.</p>
</sec>
<sec><title>Methods</title>
<p id="Par2">Fifty-one edentulous patients in two centers received six maxillary implants each were loaded within 24 h with provisional restoration. Definitive restoration was delivered 20–24 weeks later. OHQoL was evaluated preoperatively with the Oral Health Impact Profile 49 questionnaire (OHIP-49) and on five subsequent occasions. OHIP-49 includes seven domains representing functional limitation, physical pain, psychological discomfort, physical disability, psychological disability, social disability, and handicap. A reduction in OHIP scores indicated an improved OHQoL.</p>
</sec>
<sec><title>Results</title>
<p id="Par3">Forty-five patients reached the three-year follow up. OHQoL improved after treatment. A plateau of OHQoL improvement was observed at 12 months after surgery. The seven domains improved at different pace, 12 weeks to 12 months after treatment. OHIP showed continuously low scores with no significant changes at consecutive visits 12 months to three years after treatment. Dental status with removable prosthesis in the mandible had a negative impact on OHQoL prior to and during treatment, but did not affect OHQoL after permanent restoration was placed. Patients age or gender did not affect OHQoL.</p>
</sec>
<sec><title>Conclusions</title>
<p id="Par4">Patients with edentulous maxilla who received prosthetic rehabilitation on immediately loaded implants experienced the highest improved OHQoL 12 months after implant installation. Quality of life related to oral health continued to be high after three years. Edentulous patients with atrophy of the maxilla experience an improved OHQoL after implant treatment with immediate loading protocol.</p>
</sec>
<sec><title>Trial registration</title>
<p id="Par5"><ext-link ext-link-type="uri" xlink:href="http://clinicaltrials.gov">ClinicalTrials.gov</ext-link>
Identifier <ext-link ext-link-type="uri" xlink:href="https://www.clinicaltrials.gov/ct2/show/NCT00711022?term=00711022&rank=1">NCT00711022</ext-link>
.</p>
</sec>
</div>
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<author><name sortKey="Wennerberg, A" uniqKey="Wennerberg A">A Wennerberg</name>
</author>
<author><name sortKey="Johansson, A" uniqKey="Johansson A">A Johansson</name>
</author>
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<biblStruct></biblStruct>
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</author>
<author><name sortKey="Dufresne, E" uniqKey="Dufresne E">E Dufresne</name>
</author>
<author><name sortKey="Boudrias, P" uniqKey="Boudrias P">P Boudrias</name>
</author>
<author><name sortKey="Lund, Jp" uniqKey="Lund J">JP Lund</name>
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<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Head Face Med</journal-id>
<journal-id journal-id-type="iso-abbrev">Head Face Med</journal-id>
<journal-title-group><journal-title>Head & Face Medicine</journal-title>
</journal-title-group>
<issn pub-type="epub">1746-160X</issn>
<publisher><publisher-name>BioMed Central</publisher-name>
<publisher-loc>London</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">29126426</article-id>
<article-id pub-id-type="pmc">5681799</article-id>
<article-id pub-id-type="publisher-id">154</article-id>
<article-id pub-id-type="doi">10.1186/s13005-017-0154-0</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Research</subject>
</subj-group>
</article-categories>
<title-group><article-title>The influence of immediately loaded implant treatment in the atrophic edentulous maxilla on oral health related quality of life of edentulous patients: 3-year results of a prospective study</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Erkapers</surname>
<given-names>Maria</given-names>
</name>
<address><email>maria.erkapers@regionuppsala.se</email>
</address>
<xref ref-type="aff" rid="Aff1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Segerström</surname>
<given-names>Susanna</given-names>
</name>
<address><email>susanna.segerstrom@regionuppsala.se</email>
</address>
<xref ref-type="aff" rid="Aff1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ekstrand</surname>
<given-names>Karl</given-names>
</name>
<address><email>karlekstrand@hotmail.com</email>
</address>
<xref ref-type="aff" rid="Aff2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Baer</surname>
<given-names>Russell A.</given-names>
</name>
<address><email>rabaer@uadchicago.edu</email>
</address>
<xref ref-type="aff" rid="Aff3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Toljanic</surname>
<given-names>Joseph A.</given-names>
</name>
<address><email>jtolja@midwestern.edu</email>
</address>
<xref ref-type="aff" rid="Aff4">4</xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">http://orcid.org/0000-0001-9590-2039</contrib-id>
<name><surname>Thor</surname>
<given-names>Andreas</given-names>
</name>
<address><phone>46 (0)18-6116450</phone>
<email>andreas.thor@akademiska.se</email>
</address>
<xref ref-type="aff" rid="Aff5">5</xref>
</contrib>
<aff id="Aff1"><label>1</label>
Department of Prosthetic Dentistry, Box 1813, SE-751 48 Uppsala, Sweden</aff>
<aff id="Aff2"><label>2</label>
<institution-wrap><institution-id institution-id-type="ISNI">0000 0004 1936 8921</institution-id>
<institution-id institution-id-type="GRID">grid.5510.1</institution-id>
<institution>The University of Oslo, Inst. Klin. Odont,</institution>
</institution-wrap>
Protetikk Boks 1109, Blindern, 0317 Oslo, Norway</aff>
<aff id="Aff3"><label>3</label>
University Associates in Dentistry, 222 N. LaSalle Street, Chicago, IL 60601 USA</aff>
<aff id="Aff4"><label>4</label>
<institution-wrap><institution-id institution-id-type="GRID">grid.260024.2</institution-id>
<institution>Midwestern University College of Dental Medicine-Illinois,</institution>
</institution-wrap>
555 31st Street, Downers Grove, IL 60515 USA</aff>
<aff id="Aff5"><label>5</label>
<institution-wrap><institution-id institution-id-type="ISNI">0000 0004 1936 9457</institution-id>
<institution-id institution-id-type="GRID">grid.8993.b</institution-id>
<institution>Institute of Surgical Sciences, Department of Plastic and Oral & Maxillofacial Surgery,</institution>
<institution>Uppsala University,</institution>
</institution-wrap>
SE-751 85 Uppsala, Sweden</aff>
</contrib-group>
<pub-date pub-type="epub"><day>10</day>
<month>11</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>10</day>
<month>11</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="collection"><year>2017</year>
</pub-date>
<volume>13</volume>
<elocation-id>21</elocation-id>
<history><date date-type="received"><day>17</day>
<month>4</month>
<year>2017</year>
</date>
<date date-type="accepted"><day>31</day>
<month>10</month>
<year>2017</year>
</date>
</history>
<permissions><copyright-statement>© The Author(s). 2017</copyright-statement>
<license license-type="OpenAccess"><license-p><bold>Open Access</bold>
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>
), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>
) applies to the data made available in this article, unless otherwise stated.</license-p>
</license>
</permissions>
<abstract id="Abs1"><sec><title>Background</title>
<p id="Par1">To evaluate oral health related quality of life (OHQoL) in edentulous patients treated with immediately loaded implants in the maxilla.</p>
</sec>
<sec><title>Methods</title>
<p id="Par2">Fifty-one edentulous patients in two centers received six maxillary implants each were loaded within 24 h with provisional restoration. Definitive restoration was delivered 20–24 weeks later. OHQoL was evaluated preoperatively with the Oral Health Impact Profile 49 questionnaire (OHIP-49) and on five subsequent occasions. OHIP-49 includes seven domains representing functional limitation, physical pain, psychological discomfort, physical disability, psychological disability, social disability, and handicap. A reduction in OHIP scores indicated an improved OHQoL.</p>
</sec>
<sec><title>Results</title>
<p id="Par3">Forty-five patients reached the three-year follow up. OHQoL improved after treatment. A plateau of OHQoL improvement was observed at 12 months after surgery. The seven domains improved at different pace, 12 weeks to 12 months after treatment. OHIP showed continuously low scores with no significant changes at consecutive visits 12 months to three years after treatment. Dental status with removable prosthesis in the mandible had a negative impact on OHQoL prior to and during treatment, but did not affect OHQoL after permanent restoration was placed. Patients age or gender did not affect OHQoL.</p>
</sec>
<sec><title>Conclusions</title>
<p id="Par4">Patients with edentulous maxilla who received prosthetic rehabilitation on immediately loaded implants experienced the highest improved OHQoL 12 months after implant installation. Quality of life related to oral health continued to be high after three years. Edentulous patients with atrophy of the maxilla experience an improved OHQoL after implant treatment with immediate loading protocol.</p>
</sec>
<sec><title>Trial registration</title>
<p id="Par5"><ext-link ext-link-type="uri" xlink:href="http://clinicaltrials.gov">ClinicalTrials.gov</ext-link>
Identifier <ext-link ext-link-type="uri" xlink:href="https://www.clinicaltrials.gov/ct2/show/NCT00711022?term=00711022&rank=1">NCT00711022</ext-link>
.</p>
</sec>
</abstract>
<kwd-group xml:lang="en"><title>Keywords</title>
<kwd>Dental implants</kwd>
<kwd>Edentulous</kwd>
<kwd>Immediate loading</kwd>
<kwd>Health related quality of life</kwd>
</kwd-group>
<funding-group><award-group><funding-source><institution>Dentsply Sirona</institution>
</funding-source>
</award-group>
</funding-group>
<custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name>
<meta-value>© The Author(s) 2017</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
</record>
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