scholarly journals Oral Health Impact Profile and Self-perception of Patients in Brazil with Implant-supported Prostheses

Author(s):  
Bruno Briancini Mattiello ◽  
Marcia Borba ◽  
Diego José Gambin ◽  
Thamiris Nogueira Sacker ◽  
Joao Paulo De Carli ◽  
...  

Introduction: Implant supported prosthetic rehabilitation could re-establish the comfort and bring a confident smile to patients, allowing them to eat properly and to lead a social life free of traumas and complexes. Aim: To verify which type of implant-supported rehabilitation- overdenture or fixed denture effectively restores the comfort of the lower arch of partial edentulous patients. Materials and Methods: A cross-sectional clinical study was performed in patients with completely edentulous lower arch treated with either overdenture (2 implants) or fixed denture (5-6 implants), obtained from a sample from Southern Brazil. The study sample was composed of 37 volunteers who met the inclusion and exclusion criteria. Half of them were rehabilitated with overdenture (O- ring and bar) and the other half with fixed denture (Branemark protocol). A clinical evaluation was performed to obtain the Index of Plaque (PI) and bleeding on probing indexes (BI). Three questionnaires were applied to quantify the patient’s level of satisfaction with their prosthetic treatment (OHIP-EDENT and masticatory ability questionnaires) up to one year after installation of the prosthesis. Results were analysed by the Mann-Whitney test (α=0.05). Results: All treatments were considered satisfactory regarding masticatory ability. However, fixed dentures had a statistically higher level of satisfaction compared to overdenture. There were significant differences in the mean PI and BI index between the groups. Conclusion: Both rehabilitation treatments increased the satisfaction and improved the oral health and masticatory ability of edentulous patients. However, although patients rehabilitated with fixed dentures presented higher level of satisfaction, they also showed higher plaque and bleeding on probing indexes.

2021 ◽  
Vol 14 (1) ◽  
pp. 43
Author(s):  
Kartika Kajal ◽  
Masoud Mohammadnezhad ◽  
Gowri Sivaramakrishnan ◽  
Kritesh Bhai ◽  
Sabiha Khan

BACKGROUND: Wearing dentures helps rehabilitate the oral health status for the older people. Due to lack of previous data, this objective of this study was to determine the level of utilization and satisfaction of complete denture treatment at dental clinics in Fiji. MATERIALS & METHODS: A cross sectional descriptive study was conducted on 85 edentulous patients and dentures at the Fiji National University (FNU) teaching dental clinic from 2010-2016.Patients who utilized the dentures fabricated at FNU and identified as complete denture patients from 2010-2016 were included in this study. Data was collected using the denture assessment form and Oral Health Impact Profile for Edentulous Patients (OHIP-EDENT) questionnaire. Correlation test was done and p less than 0.05 was considered as level of significance. RESULTS: Participants were between the age range of 40-79 years with majority being male (54%). Greater level of satisfaction noted among 60-69 years male participants and those wearing the dentures for 3-4 years than other groups. Difficulty in chewing (40%) and food catching underneath the denture (33%) were common denture related complains. One thirds of participants reported of uncomfortable dentures while 24% had sore spots due to their dentures. More than two thirds of them, (71%) were unable to eat and enjoy food and for most patients, the vertical dimension (94%), esthetics assessment (94%), tooth selection (91%), boarder extension (78%), posterior seal (99%) and centric relation (99%) were acceptable. Patients with acceptable vertical dimension (46.1±7.6), acceptable esthetics (45.8±7.9) and boarder extension (48.0±7.2) showed greater satisfaction level compared to those with unacceptable denture characteristics. CONCLUSION: This study highlighted that satisfaction among recent denture wearers was low and majority participants portrayed poor understanding regarding denture aftercare and hygiene. It can be recommended for the teaching institutes and dental clinics to evaluate the quality of treatments and help to improve the quality of services being provided to the patients. Further study is needed to determine the in- depth perceptions of denture wearers. It also can be recommended for the patients to take heed of the post operative denture hygiene instructions being given.


2017 ◽  
Vol 32 (2) ◽  
pp. 77 ◽  
Author(s):  
Vagner Flávio Reginato ◽  
Angélica Maroli ◽  
Ricardo Armini Caldas ◽  
Alfonso Sánchez-Ayala ◽  
Aloísio Oro Spazzin ◽  
...  

OBJECTIVE: The aim of this study was to evaluate the influence of prosthetic-related factors on OHRQoL.METHODS: Twenty-eight edentulous patients, conventional complete dentures wearers, composed the sample. The evaluation of prosthetic factors involved the clinical assessment of quality of dentures, patients’ satisfaction, and masticatory ability, as well as recording of wearing time. The OHRQoL was determined thought the oral health impact profile (OHIP-EDENT) questionnaire. Pearson's correlation coefficient and stepwise multiple linear regression analysis were used to statistical inferences (α=0.05).RESULTUS: The OHRQoL showed a strong correlation with the masticatory ability (r=0.8 / p<0.001) and patients’ satisfaction (r=0.7 / p<0.001), which also displayed a strong correlation between them (r=0.7 / p<0.001). Moreover, the regression model stated that these variables explained 68.2% (r2=0.682) of the variation in the OHIP-EDENT data (p< 0.001).CONCLUSION: The OHRQoL was influenced by prosthetic factors, when these were characterized by the masticatory ability and patients’ satisfaction, and not by the quality of dentures nor wearing time.


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.


Author(s):  
Rosario Acampora ◽  
Marco Montanari ◽  
Roberto Scrascia ◽  
Emiliano Ferrari ◽  
Massimo Pasi ◽  
...  

Abstract Objective  Preliminary data on survival and success rates of immediately loaded, maxillary, screw-retained, implant-supported, fixed restorations delivered on narrow and low-profile OT Equator abutments (OT Bridge, Rhein’83) were evaluated. Materials and Methods This retrospective study evaluated data collected from patients rehabilitated with OT Bridge prosthetic concept between November 2017 and February 2019 in six different centers. Outcome measures were implant and prosthetic survival rates, biological and technical complications, marginal bone loss (MBL), oral health impact profile (OHIP), bleeding on probing, and plaque index. Results A total of 76 implants were inserted in 14 patients. Patients were followed for a mean period of 15.8 months (range = 12–24). All the patients receive OT Equator (Rhein'83) as intermediate abutments. One year after loading, one implant failed (1.3%). None of the prosthesis failed. One prosthetic complication was experienced in one patient. Three out of 76 implants were connected to the prosthetic framework using only the Seeger system, without screw. Difference in OHIP values was statistically significant (71.9 ± 8.5; p = 0.000). One year after loading, MBL was 0.21 ± 0.11 mm and p-value was 0.000. One year after loading, 8.7% of the examined implant sites present positive bleeding on probing, while 6.4% of the implant sites presented plaque. Conclusion The OT Equator abutments (Rhein'83) showed successful results when used to support maxillary fixed dental prosthesis delivered on four to six implants. High implant and prosthetic survival rates, very low complications, high patient satisfaction, and good biological parameters, including only 0.2 mm of bone remodeling were experienced one year after function. Further studies are needed to confirm these preliminary results.


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>


2015 ◽  
Vol 3 (2) ◽  
pp. 24 ◽  
Author(s):  
Naseer Ahmed ◽  
Saba Faruqui

<p>The purpose of this clinical study was to determine the level of patients satisfaction after prosthodontic treatment.</p><p>This cross sectional study was conducted in Altamash Institute of Dental Medicine, a total of 200 partially edentulous patients already restored with removable or fixed prosthesis participated in this study. Patient satisfaction was evaluated by Likert's scale. The Patients were given options of unsatisfied, not very satisfied, neutral, somewhat satisfied and satisfied to evaluate patients level of satisfaction for factors such as phonetics, pain, mastication, taste and esthetics.</p><p>After statistical analysis, Likert scale score's positively for all factors such as phonetics, pain, mastication, taste and esthetics.</p><p>After prosthodontic treatment patients show high level of satisfaction with their prosthesis though showing positive impact of prosthesis on oral health.</p>


2015 ◽  
Vol 31 (1) ◽  
pp. 49-59 ◽  
Author(s):  
Marilisa Carneiro Leão Gabardo ◽  
Samuel Jorge Moysés ◽  
Simone Tetu Moysés ◽  
Marcia Olandoski ◽  
Maria Teresa Anselmo Olinto ◽  
...  

The aim of this study was to evaluate the association between individual and contextual variables related to self-perception in oral health among residents in the municipality of São Leopoldo, Rio Grande do Sul State, Brazil. The cross-sectional design involved 1,100 adults in 38 census tracts. The self-perception was evaluated using the Oral Health Impact Profile (OHIP-14) tool. A logistic multilevel analysis was performed. The multivariate analysis revealed that those who are of the female gender, older, with lower scores of quality of life and less social support, with poor healthy eating habits, smokers and those living in low-income census tracts presented higher odds of reporting worse oral health self-perception (OHIP-1). We concluded that individual and contextual variables are associated with oral health self-perception. This is essential information for planning health services wishing to meet the health needs of the population.


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