Perea Carmen, Preciado Arelis, Río Jaime Del, Lynch Christopher D, Celemín Alicia, Castillo-Oyagüe Raquel
Department of Buccofacial Prostheses, Faculty of Dentistry, Complutense University of Madrid (U.C.M.), Pza. Ramón y Cajal, s/n, 28040 Madrid, Spain.
College of Biomedical & Life Sciences, Cardiff University, CF14 4XY Cardiff, Wales, UK.
J Dent. 2015 Nov;43(11):1337-45. doi: 10.1016/j.jdent.2015.08.010. Epub 2015 Aug 28.
To validate a new questionnaire for evaluating the 'Oral aesthetic-related quality of life (OARQoL)' of prosthetically restored patients. 'OARQoL' assesses the impact of the self-perceived dental aesthetics on patients' well-being.
The 'Quality of Life associated with Dental Aesthetic Satisfaction (QoLDAS)' index was designed. After a pilot trial, 70 patients were distributed into two groups depending on their type of prosthetic rehabilitation: Group 1 (CD; n=34): muco-supported complete dentures, and Group 2 (IO; n=36): implant-retained overdentures. Patients answered the QoLDAS and the Oral Health Impact Profile (OHIP-20sp) questionnaires, and reported their satisfaction on a visual analogue scale (VAS). Socio-demographic and prosthesis-related factors were registered. Psychometric properties of the QoLDAS were investigated. Correlations between both indices were explored using the Spearman's rank test. Descriptive and non-parametric probes were run to evaluate the effect of the study variables on the OARQoL (α=0.05).
The QoLDAS-9 was reliable and valid. The factor analysis confirmed the existence of three dimensions and meaningful inter-correlations among the nine finally included items. Both scales were inversely correlated. The self-reported aesthetic and functional satisfaction and the education level significantly modulated the OARQoL as measured with the QoLDAS-9.
The QoLDAS-9 confirmed its psychometric capacity for assessing the OARQoL of CD and IO wearers. Both groups showed comparably high OARQoL. Superior education degrees lead to lower OARQoL.
The QoLDAS-9 may be recommended for anticipating the effect of prosthetic restorations on OARQoL. CD and IO are predictable treatment options for improving the aesthetic self-perception of edentulous patients.
验证一份用于评估修复后患者“口腔美学相关生活质量（OARQoL）”的新问卷。“OARQoL”评估自我感知的牙齿美学对患者幸福感的影响。
设计了“与牙齿美学满意度相关的生活质量（QoLDAS）”指数。在进行预试验后，根据修复类型将70名患者分为两组：第1组（CD；n = 34）：黏膜支持的全口义齿，第2组（IO；n = 36）：种植体固位覆盖义齿。患者回答QoLDAS和口腔健康影响程度量表（OHIP - 20sp）问卷，并在视觉模拟量表（VAS）上报告他们的满意度。记录社会人口统计学和与修复体相关的因素。研究QoLDAS的心理测量特性。使用Spearman秩检验探索两个指数之间的相关性。进行描述性和非参数检验以评估研究变量对OARQoL的影响（α = 0.05）。
QoLDAS - 9可靠且有效。因子分析证实了三个维度的存在以及最终纳入的九个项目之间有意义的相互关联。两个量表呈负相关。自我报告的美学和功能满意度以及教育水平显著调节了用QoLDAS - 9测量的OARQoL。
QoLDAS - 9证实了其评估CD和IO佩戴者OARQoL的心理测量能力。两组的OARQoL都相当高。较高的教育程度导致较低的OARQoL。
QoLDAS - 9可用于预测修复体对OARQoL的影响。CD和IO是改善无牙患者美学自我认知的可预测治疗选择。
