Department of Prosthetic Dentistry, Uppsala, Sweden.
Int J Oral Maxillofac Implants. 2011 Mar-Apr;26(2):356-64.
The present study evaluated patient satisfaction using the Oral Health Impact Profile 49 (OHIP-49) questionnaire for patients who received six implants in the severely resorbed maxilla and an implant-supported prosthesis that was delivered within 24 hours after surgery.
Fifty-one edentulous patients with severe atrophy in the maxilla were included in the study, which was performed at two centers. Six implants were placed in the maxilla and loaded within 24 hours with a provisional restoration. The definitive restorations were delivered 20 to 24 weeks later. Patients were asked to complete the OHIP-49 questionnaire (which includes seven domains representing functional limitation, physical pain, psychologic discomfort, physical disability, psychologic disability, social disability, and handicap) prior to implant placement and on three subsequent occasions. The data were collected and analyzed and OHIP scores were compared over time.
Baseline satisfaction scores for the two different centers displayed no statistically significant differences. Treatment resulted in improved total OHIP-49 scores in both centers, with no significant difference between centers. Furthermore, no significant differences were observed in any of the individual pretreatment and posttreatment OHIP-49 domains between centers. All seven domains showed a statistically significant improvement posttreatment. Of the seven domains, social disability and handicap showed the least improvement and had the lowest pretreatment scores, indicating lower significance for these domains compared to the other domains during implant treatment. This study also indicated that domains one to five (functional limitation, physical pain, psychologic discomfort, physical disability, and psychologic disability) are the most important domains in patient satisfaction with implant therapy.
Measurement with the OHIP-49 questionnaire displayed that patient satisfaction increases after treatment with a fixed restoration on implants loaded within 24 hours.
本研究使用口腔健康影响量表 49 项（OHIP-49）评估了接受上颌严重吸收区 6 个种植体和术后 24 小时内植入的种植体支持修复体的患者的满意度。
本研究在两个中心共纳入了 51 名上颌严重萎缩的无牙患者。在上颌植入 6 个种植体，并在 24 小时内用临时修复体加载。20 至 24 周后再进行最终修复。患者在植入前和随后的三个时间点被要求完成 OHIP-49 问卷（包括代表功能受限、身体疼痛、心理不适、身体残疾、心理残疾、社会残疾和障碍的七个领域）。收集和分析数据，并比较随时间的 OHIP 评分。
两个不同中心的基线满意度评分没有统计学上的显著差异。治疗导致两个中心的总 OHIP-49 评分均有改善，且中心之间无显著差异。此外，中心之间在任何治疗前后的 OHIP-49 个领域都没有观察到显著差异。所有七个领域在治疗后均显示出统计学上的显著改善。在七个领域中，社会残疾和障碍改善最小，且治疗前得分最低，这表明与其他领域相比，这些领域在种植体治疗期间对患者满意度的意义较低。本研究还表明，在种植体治疗的患者满意度中，第一至第五个领域（功能受限、身体疼痛、心理不适、身体残疾和心理残疾）是最重要的领域。
使用 OHIP-49 问卷进行测量显示，植入体负载 24 小时内的固定修复治疗后，患者满意度增加。
