Patient satisfaction and comfort after a full-arch immediate loaded prosthesis

Author(s):  
Elena Dellepiane ◽  
Francesco Pera ◽  
Paola Zunino ◽  
Maria Grazia Mugno ◽  
Paolo Pesce ◽  
...  

The aim of this study was to assess oral health related quality of life (OHRQoL) of patients before, during and after completion of implant-supported full-arch immediate loading rehabilitation according to the Columbus Bridge Protocol (CBP). 25 patients with compromised dentition were rehabilitated according to the CBP and were assessed for OHRQoL using 4 questionnaires specifically realized for this study and inspired to the OHIP (Oral Health Impact Profile) questionnaire. Patients assessed themselves before surgery, during the healing period (1 week and 2 months after surgery) and after definitive prosthodontic treatment (4 months after surgery). The questionnaires specifically investigated patients’ pain, confort, home oral hygiene habits, satisfaction related to esthetics, masticatory ability, phonetics and general satisfaction toward the treatment.Patients reported an improvement of OHRQoL after full-arch immediate loading rehabilitation. A statistically significant improvement in aesthetic and chewing ability was found. After 4 months 92% of the patients did not feel tense with their smile, 96% did not show problems to relate with other people or smiling, 92% did not show difficulty to eat some foods. Phonetics was found to be a critical issue, especially in the intermediate phase of healing. One week after surgery the percentage of patients who was very satisfied with phonetics slightly decreased from 48% to 36%. The assessment of patients' OHRQoL related to full-arch immediate loading implant therapy exhibited a significant improvement of their quality of life. The questionnaires herein presented could be an effective tool to evaluate patients' reaction to oral rehabilitation.

Prosthesis ◽  
2021 ◽  
Vol 3 (4) ◽  
pp. 361-369
Author(s):  
Gianmaria D’Addazio ◽  
Edit Xhajanka ◽  
Paolo Cerone ◽  
Manlio Santilli ◽  
Imena Rexhepi ◽  
...  

Removable partial dentures (RPD) are still a valid alternative for the restoration of missing teeth. Additionally, implant-supported removable partial dentures (ISRPD) represent a valid alternative as it allows to avoid the use of clasps and increase stability. The objective of this study was to evaluate through an OHIP-14 questionnaire the level of satisfaction and quality of life (QoL) of patients treated before RPD and then with ISRPD. Twenty patients were rehabilitated with traditional RPDs, and after one year the prosthesis was modified into ISRPD, by inserting an implant and a ball or locator attachment. At the end of both phases, patients completed the Oral Health Impact Profile (OHIP-14) questionnaire. The collected data were statistically analyzed through the Wilcoxon U test, as overall OHIP score and difference between treatments. The mean of the OHIP summary (range from 0 to 56) in the RPD Group was 20.95 (±5.27). In the ISRPD Group it was 13.95 (±3.91), with a statistically significant difference (p < 0.05) between the two Groups. The same findings were highlighted for the differences between groups in every domain question. Patients showed significant improvements after rehabilitation in all areas of investigation, stating how the transformation of a removable prosthesis into an implant-supported one can improve patients’ QoL with benefits in chewing ability, aesthetics and self-satisfaction.


2017 ◽  
Vol 20 (2) ◽  
pp. 47
Author(s):  
Pamella Valente Palma ◽  
Eduardo Machado Vilela ◽  
Isabel Cristina Gonçalves Leite

<p><strong><span style="font-family: Arial; font-size: medium;">Objective:</span></strong><span style="font-family: Arial; font-size: medium;"> This study assessed the impact of oral rehabilitation with immediate-loading fixed prostheses on the quality of life of patients with mandibular edentulism. </span><strong><span style="font-family: Arial; font-size: medium;">Materials and Methods:</span></strong><span style="font-family: Arial; font-size: medium;"> A longitudinal study was conducted on an outpatient basis. The sample included 14 patients over 18 years of age, treated in the Implantology Specialization programs of the Brazilian Dental Association (in Juiz de Fora, Brazil) and the School of Dentistry, Federal University of Juiz de Fora. Participants were interviewed about identification data, self-perceived general health and oral health, and socioeconomic data. The Oral Health Impact Profile (OHIP-14) was used. After the Kolmogorov-Smirnov normality test, the OHIP-14 central tendency values were compared using the Wilcoxon paired test with a 5% significance level. </span><strong><span style="font-family: Arial; font-size: medium;">Results:</span></strong><span style="font-family: Arial; font-size: medium;"> The overall mean found for the quality of life questionnaire was 30.14 (before) and 48.93 (after). There was a significant reduction of impact in all areas in the post-surgical period, except for functional limitation. No impact was identified for the dimensions of physical pain and disability after installing implants. </span><strong><span style="font-family: Arial; font-size: medium;">Conclusion:</span></strong><span style="font-family: Arial; font-size: medium;"> Prosthetic rehabilitation and self-perception have high impact on oral health, thus emphasizing the need for care, careful observation of all the factors that may have an influence on infirmities, and not only their signs and symptoms.</span></p>


2017 ◽  
Vol 16 ◽  
pp. 1-10 ◽  
Author(s):  
Karina Ferreira Rizzardi ◽  
Leonardo Caldas Vieira ◽  
Thais Manzano Parisotto ◽  
Cristiane Franco Pinto

Aim: The objective was to evaluate oral health-related quality of life (OHRQOL) in patients aging 18 - 60 years, considering oral health, dental aesthetic impact and self-esteem. Methods: The sample comprised 81 patients, regardless gender/ethnicity, seeking for dental aesthetic treatment at University São Francisco, Bragança Paulista-SP. The instruments used to assess the OHRQOL were the questionnaires: 1. Rosenberg Self-Esteem Scale (RSS); 2. Oral Health Impact Profile-14 Brazil (OHIP) and 3. Psychosocial Impact and Aesthetic Dental Questionnaire-Brazil (PIADQ). Data were analyzed by Spearman correlation (α=5%) and descriptive statistics. Results: The older the patient the worse the oral and general health conditions found (p<0.05). Moreover, the age showed significant correlation with OIHP and PIADQ questionnaires scores (p=0.000). The three questionnaires showed moderate positive correlations (p<0.05 r=0.461 – 0.685) among them. In addition, OHIP and QIPED questionnaires correlated with general health and oral health (p<0.05 r=0.230–0.558). Conclusion: It could be concluded that aesthetic dental needs interfere, in fact, in the oral health-related quality of life and in the self-steem of patients seeking for treatment University São Francisco Dental School.


2015 ◽  
Vol 18 (1) ◽  
pp. 7 ◽  
Author(s):  
Taís De Souza Barbosa ◽  
Maria Beatriz Duarte Gavião ◽  
Fábio Luiz Mialhe

<p><strong>Objective:</strong> The aim of this study was to review the literature about the relationship between gingivitis and oral health-related quality of life (OHRQoL). <strong>Material and methods:</strong> Relevant databases were searched for articles in English, which had been published from October 1990 to February 2014. Two independent examiners selected relevant papers, by initially assessing the abstracts and subsequently the full-text articles. Selected studies were grouped based on clinical and OHRQoL instruments and submitted to qualitative analyses. <strong>Results:</strong> Out of 184 references, twelve were eligible for synthesis. All studies were cross-sectional and reported data from the following five different countries: Chile (n=2), India (n=1), Brazil (n=3), Thailand (n=5) and Sudan (n=1). The number and age of subjects included ranged from 53 to 9133 and from eight to 106 years, respectively. The following six OHRQoL instruments were used: Oral Health Impact Profile (OHIP), OHIP-14, Child Perceptions Questionnaire (CPQ), Oral Impacts on Daily Performance (OIDP), Child-OIDP and Geriatric Oral Health Assessment Index (GOHAI). The different methods to evaluate the presence of gingivitis were: necrotizing ulcerative gingival lesions (n=2), Gingival Index (n=2), Community Periodontal Index (n=7) and gingival bleeding after tooth brushing (n=1). <strong>Conclusion:</strong> This literature review suggests that gingivitis is associated with impairment of OHRQoL. </p>


Author(s):  
Maria Mitus-Kenig ◽  
Marcin Derwich ◽  
Ewa Czochrowska ◽  
Elzbieta Pawlowska

Background: The aim of the study was to compare the oral-health-related quality of life (OHRQoL) between cancer survivors: with rapid orthodontic treatment (TX) (up to 12 months) and standard TX (orthodontic treatment time longer than 16 months). Methods: There were 76 cancer survivors (48 women and 28 men) allocated into groups with rapid (36 people) or standard (40 people) duration of TX. OHRQoL was assessed on the basis of Oral Health Impact Profile (OHIP-14) values, measured before TX, 2 weeks and 3 months after the onset of TX, and after the end of TX. A repeated ANOVA test was used to check the statistical significance between the scores. Results: There were no significant differences regarding the OHIP-14 values between the examined groups at all stages of the examination. Both groups presented significant (p < 0.001) improvement of the values of OHRQoL at the end of TX comparing to the values achieved before the onset of TX. Conclusions: Duration of orthodontic treatment by itself had no impact on oral-health-related quality of life.


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