Department of Prosthodontics, School of Dental Medicine, University of Zagreb, Zagreb, Croatia.
Gerodontology. 2012 Jun;29(2):e956-63. doi: 10.1111/j.1741-2358.2011.00592.x. Epub 2011 Nov 20.
Clinical studies have mainly been focused on oral health-related quality-of-life (OHRQoL) outcomes of removable dentures.
To evaluate therapy of elderly patients with implant-supported fixed partial dentures (IFPD) and tooth-supported fixed partial dentures (FPD) in the posterior dental regions.
The OHIP49 was used to measure OHRQoL in 64 patients with IFPD and 38 patients with FPD, before, 3 weeks and 3 years after rehabilitation. A control group (CG) consisted of 62 individuals.
The Oral Health Impact Profile questionnaire (OHIP) follow-up scores of the patients with FPD and the patients with IFPD were significantly smaller in comparison with the baseline scores (p < 0.01). The OHIP scores were further reduced at the 3-year follow-up. The patients with IFPD had significantly higher scores than the patients with FPD and the CG at the baseline and at the follow-ups. In the patients with FPD, both age groups (≤60 and >60) showed equal improvement of the OHRQoL. In the IFPD group, patients older than 60 years showed better improvement (p < 0.05). There were no significant differences dependent on gender and antagonistic teeth (p > 0.05).
The FPD and the IFPD treatment showed significant improvement of OHRQoL. The FPD treatment improved OHRQoL equally in both age groups, while the IFPD treatment improved OHRQoL better in older patients.
临床研究主要集中在可摘义齿的口腔健康相关生活质量（OHRQoL）结果上。
评估种植体支持的固定局部义齿（IFPD）和牙支持的固定局部义齿（FPD）在后部牙齿区域对老年患者的治疗效果。
使用 OHIP49 量表在修复前、修复后 3 周和 3 年时分别测量 64 名 IFPD 患者和 38 名 FPD 患者的 OHRQoL。对照组（CG）由 62 人组成。
FPD 和 IFPD 患者的口腔健康影响简表（OHIP）随访评分与基线评分相比显著降低（p<0.01）。在 3 年随访时，OHIP 评分进一步降低。IFPD 患者的基线和随访评分均显著高于 FPD 患者和 CG。在 FPD 患者中，≤60 岁和>60 岁两个年龄组的 OHRQoL 均有同等程度的改善。在 IFPD 组中，年龄大于 60 岁的患者显示出更好的改善（p<0.05）。性别和对颌牙的差异无统计学意义（p>0.05）。
FPD 和 IFPD 治疗均显著改善了 OHRQoL。FPD 治疗在两个年龄组中同样改善了 OHRQoL，而 IFPD 治疗在老年患者中改善得更好。
