scholarly journals A 10 Year Follow-up of Denture Satisfaction and Oral Health-Related Quality of Life with Implant-Retained Mandibular Overdentures

2020 ◽  
Author(s):  
Ghajanaa Mukilvannan ◽  
Christian Schriwer ◽  
Stein Atle Lie ◽  
Einar Berg ◽  
Harald Gjengedal

Abstract Background: This 10-year follow-up study reports denture satisfaction and oral health-related quality of life of edentulous patients treated with two-implant mandibular overdentures. Methods: This is a follow-up of a previous study carried out between 1997 – 2005. Originally, the patients were randomly divided into two groups: one receiving two- implant mandibular overdentures (IODs) and another, relined mandibular dentures (RCDs). The latter group were offered and accepted IODs at two years, which then became another IOD group. The main outcome variable of this study is patient opinion over time of the IODs. The participants completed a self-administered questionnaire containing demographics, 15 variables of denture satisfaction, and 20 questions of the Oral Health-Related Impact Profile (OHIP-20). Comparison between groups were made with Mann-Whitney U-tests for denture variables and T-tests for OHIP-20 variables. Changes over time were analysed with multilevel linear models for denture variables and multilevel ordinal regression analyses for OHIP-20 variables.Results: Of the 54 original participants, 29 responded. Disregarding patients who had died at 10 years, this represented a response rate 76%. In the IOD group, the degree of denture satisfaction and OHIP-20 scores remained high and stable over the 10-years period for all but one variable. The RCD group showed a modest improvement of denture satisfaction and OHIP-20 scores for the first two years. After treatment with IODs, these variables improved at 10 years to the same level as the original IOD group.Conclusions: The positive effect on denture satisfaction and oral health-related quality of life of edentulous patients treated with two-implant mandibular overdenture remains unchanged 10 years after treatment, confirming the advice that this should be the standard treatment for the edentulous mandible. Trial registration: This study was approved by Norwegian Committee for Medical Research Ethics in Norway, Health Region West (2017/618) the 16th of May 2017.

Author(s):  
Gabriela Sumie Yaguinuma Gonçalves ◽  
Keith Murieli Ferreira de Magalhães ◽  
Eduardo Passos Rocha ◽  
Paulo Henrique dos Santos ◽  
Wirley Gonçalves Assunção

PLoS ONE ◽  
2021 ◽  
Vol 16 (10) ◽  
pp. e0257981
Author(s):  
Jung-Hwa Ryu ◽  
Tai Yeon Koo ◽  
Han Ro ◽  
Jang-Hee Cho ◽  
Myung-Gyu Kim ◽  
...  

Renal functional deterioration is associated with physical and mental burdens for kidney transplant (KT) and chronic kidney disease (CKD) patients. However, the change in health-related quality of life (HRQOL) over time in KT patients compared to that of native CKD patients has not been evaluated. We addressed this issue using KT patients registered in the KNOW-KT cohort study and patients at CKD stage 1–3 registered in the KNOW-CKD cohort study. HRQOL scores were assessed using the Kidney Disease Quality of Life Short Form at baseline, 2-, and 4-years follow-up in 842 KT patients and at baseline and 5-year follow-up in 1,355 CKD patients. SF-36 scores declined at the 4-year follow-up, whereas CKD-targeted scores showed no change in the KT group. In contrast, CKD-targeted scores as well as SF-36 scores were decreased at the 5-year follow-up in CKD patients. When prognostic factors were analyzed for longitudinal HRQOL data over time, renal functions, diabetes, cardiovascular and cerebrovascular diseases, hemoglobin level, marital status, income, employment, and health care were significant prognostic factors. Furthermore, KT was an independent prognostic factor for better HRQOL. These results highlight that KT can offer a better HRQOL than that of CKD patients, even when renal function is similar.


Medicina ◽  
2010 ◽  
Vol 46 (8) ◽  
pp. 531 ◽  
Author(s):  
Neda Kušleikaitė ◽  
Inga Bumblytė ◽  
Vytautas Kuzminskis ◽  
Rūta Vaičiūnienė

Introduction. Mortality rates for patients undergoing maintenance hemodialysis remain high. Published data regarding association between health-related quality of life (HRQOL) and mortality among hemodialysis patients are inconsistent. Very few data are published on the change in HRQOL over time as a predictor of mortality. The aim of this study was to assess whether HRQOL and change of it over time could be considered an independent predictor of mortality in hemodialysis patients. Material and methods. This prospective observational study enrolled 183 patients undergoing maintenance hemodialysis. HRQOL was measured annually 2004–2008 using a generic Short Form 36 questionnaire. Physical component summary (PSC) and mental component summary (MSC) scores were calculated. The change of the patient’s HRQOL over time was calculated as a difference between SF-36 scores of the first and the last HRQOL measurements. Results. The median follow-up was 48 months (range, 1–72 months). Cutoff values for HRQOL predicting mortality for PSC score was ≥35 and for MSC score was ≥45. In the model adjusted for age, sex, dialysis months, creatinine, albumin and hemoglobin levels, mortality risk decreased by 0.96 (95% CI, 0.95–0.99) for 1-point increase in the baseline PSC score and decreased by 0.97 (95% CI, 0.95–0.98) for 1-point increase in the baseline MSC score. A 1-point decline in the PSC score (relative risk, 1.11; 95% CI, 1.008–1.221) and MSC score (relative risk, 1.07; 95% CI, 1.002–1.149) over the period of follow-up were associated with a significant additional increase in mortality. Conclusions. Both baseline HRQOL and decline of HRQOL are independent predictors of mortality in hemodialysis patients.


Medicina ◽  
2010 ◽  
Vol 46 (12) ◽  
pp. 843 ◽  
Author(s):  
Margarita Staniūtė ◽  
Julija Brožaitienė

The aim of this study was to evaluate the changes in health-related quality of life in patients with coronary heart disease according to age, gender, and treatment method. Material and methods. The study enrolled 167 patients after acute myocardial infarction (MI), percutaneous transluminal coronary angioplasty (PTCA), and coronary artery bypass grafting (CABG). The mean age was 59.3 years; there were 71.9% of males. General health-related quality of life was measured using the SF-36 questionnaire. Patients were examined at the beginning of rehabilitation and after 6-, 12-, 18-, and 24-month follow-up. Effect sizes were computed to assess the changes in health-related quality of life over time. Results. Health-related quality of life significantly improved at 6 months, but improvements did not continue over time. The largest effect size was seen in the pain domain. Effect sizes were greater in the physical health domains among male patients and among female patients in the mental health domain. With regard to age, effect sizes were greater in the physical functioning domain among older patients. With regard to treatment method, at baseline, the CABG patients had the poorest healthrelated quality of life; however, the largest effect sizes were seen in this group. Conclusions. Health-related quality of life improved over 2 years; the greatest improvement was seen at 6 months. Males better improved on the physical component summary domain; there was no significant improvement in the mental component summary domain in males and females. Older patients improved better on the physical activity and physical component summary domains. Changes in health-related quality of life were related to treatment method.


Sign in / Sign up

Export Citation Format

Share Document