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一项关于下颌种植体支持固定义齿老年患者生活质量的纵向研究。

A longitudinal study of quality of life of elderly with mandibular implant-supported fixed prostheses.

作者信息

Berretin-Felix Giédre, Nary Filho Hugo, Padovani Carlos Roberto, Machado Wellington Monteiro

机构信息

Department of Speech Pathology and Audiology, University of São Paulo - Bauru, São Paulo, Brazil.

出版信息

Clin Oral Implants Res. 2008 Jul;19(7):704-8. doi: 10.1111/j.1600-0501.2007.01451.x.

DOI:10.1111/j.1600-0501.2007.01451.x
PMID:18565012
Abstract

OBJECTIVES

To verify the consequences of implant-supported fixed oral rehabilitation on the quality of life (QL) of elderly individuals.

MATERIAL AND METHODS

Fifteen patients were studied, being 10 females and five males; all were aged >60 years, were completely edentulous, wore removable dentures on both arches, and were treated with implant-supported fixed dentures. Three QL questionnaires were applied, two related to the oral conditions (Oral Impact on Daily Performance - OIDP - and Oral Health Impact Profile, short version - OHIP-14) and one dealing with global aspects (World Health Organization Quality of Life - WHOQOL-BREF), before 3, 6, and 18 months after surgical placement of implants.

RESULTS

Scores in the OIDP and OHIP-14 questionnaires were better after dental treatment. The WHOQOL-BREF was less sensitive, confirming the higher reliability of specific questionnaires (focal) compared with general questions in such situations.

CONCLUSION

Treatment with implant-supported fixed prostheses improved QL in the elderly; these effects are better detected by specific instruments focused on the subject.

摘要

目的

验证种植体支持的固定口腔修复对老年人生活质量(QL)的影响。

材料与方法

对15例患者进行研究,其中女性10例,男性5例;所有患者年龄均大于60岁,全口无牙,双侧牙弓均佩戴可摘义齿,并接受种植体支持的固定义齿治疗。在种植体手术植入前、植入后3个月、6个月和18个月应用三份生活质量问卷,其中两份与口腔状况相关(日常表现的口腔影响 - OIDP - 和口腔健康影响概况简版 - OHIP - 14),一份涉及整体方面(世界卫生组织生活质量 - WHOQOL - BREF)。

结果

牙科治疗后,OIDP和OHIP - 14问卷得分有所改善。WHOQOL - BREF问卷的敏感性较低,证实了在此类情况下,特定问卷(针对性)相比一般性问题具有更高的可靠性。

结论

种植体支持的固定修复治疗改善了老年人的生活质量;通过针对该主题的特定工具能更好地检测到这些效果。

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