Oh Sung-Hee, Kim Younhee, Park Joo-Yeon, Jung Yea Ji, Kim Seong-Kyun, Park Sun-Young
National Evidence-based Healthcare Collaborating Agency (NECA), Seoul, Korea.
College of Pharmacy, Yonsei University, Incheon, Korea.
Clin Oral Implants Res. 2016 Feb;27(2):e31-7. doi: 10.1111/clr.12514. Epub 2014 Oct 24.
OBJECTIVES: The purpose of this study was to compare patient satisfaction and oral health-related quality of life (OHRQoL) among fully edentulous patients treated with either fixed implant-supported prostheses (FP), removable implant-supported prostheses (RP), or complete dentures (CD). MATERIAL AND METHODS: Eighty-six patients - 29 FP, 27 RP, and 30 CD patients - participated in this study. The survey was conducted using face-to-face interviews with a questionnaire that included a patient satisfaction scale and Oral Health Impact Profile (OHIP-14). We measured patient satisfaction after prosthetic treatments and OHRQoL before and after the treatments. RESULTS: After prosthetic treatments, OHRQoL increased in all three groups (P < 0.05). The FP and RP groups showed no significant difference in patient satisfaction and OHRQoL, and both groups showed greater improvement compared with the CD group. Specifically, the OHRQoL dimensions of functional limitation, physical pain, psychological discomfort, and psychological disability in the FP group, and functional limitation in the RP group, improved greatly in comparison with the CD group (P < 0.05). CONCLUSIONS: Although further research is still needed, prosthetic treatments may provide superior OHRQoL for fully edentulous patients. In particular, both the FP and RP treatments provided significantly greater improvement of OHRQoL and patient satisfaction than the CD treatment. Reliable information of OHRQoL and patient satisfaction helps experts and patients choose the best prosthetic treatment option.
目的:本研究旨在比较接受固定种植支持式义齿(FP)、可摘种植支持式义齿(RP)或全口义齿(CD)治疗的无牙颌患者的满意度和口腔健康相关生活质量(OHRQoL)。 材料与方法:86例患者参与了本研究,其中29例接受FP治疗,27例接受RP治疗,30例接受CD治疗。通过面对面访谈的方式进行调查,使用的问卷包括患者满意度量表和口腔健康影响程度量表(OHIP-14)。我们测量了修复治疗后的患者满意度以及治疗前后的OHRQoL。 结果:修复治疗后,三组患者的OHRQoL均有所提高(P<0.05)。FP组和RP组在患者满意度和OHRQoL方面无显著差异,且两组与CD组相比均有更大改善。具体而言,与CD组相比,FP组在功能受限、身体疼痛、心理不适和心理残疾等OHRQoL维度以及RP组在功能受限维度上有显著改善(P<0.05)。 结论:尽管仍需进一步研究,但修复治疗可能为无牙颌患者提供更好的OHRQoL。特别是,FP和RP治疗在OHRQoL和患者满意度方面的改善均显著优于CD治疗。可靠的OHRQoL和患者满意度信息有助于专家和患者选择最佳的修复治疗方案。
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