de Souza Fernando Isquierdo, de Souza Costa Alessandro, Dos Santos Pereira Rodrigo, Dos Santos Paulo Henrique, de Brito Rui Barbosa, Rocha Eduardo Passos
Int J Oral Maxillofac Implants. 2016 Jul-Aug;31(4):884-90. doi: 10.11607/jomi.4267.
Edentulism usually leads to esthetic, functional, and emotional discomfort resulting in a loss of self-esteem and a decrease of the patient's quality of life. Dental implants provide new possibilities to ensure the comfort and efficacy of prosthetic rehabilitation. The aim of this study was to evaluate the satisfaction level of patients rehabilitated using the Brånemark protocol or overdenture implant-supported prostheses.
Fifty-two patients were rehabilitated using the Brånemark protocol and 23 using overdenture prostheses. Then, an adapted oral health-related quality of life questionnaire was administered in addition to a clinical exam to determine the condition of the dental implants and prostheses. The results for treatment expectation, understanding of the type of treatment, phonetic function, chewing comfort, pain, and self-esteem improvement were analyzed with Fisher exact test (P ≤ .05).
Both treatments presented satisfaction of above 87%, with no statistical difference between them. Eighty-two percent of patients treated with overdenture prostheses and 80.8% of those treated with the Brånemark protocol had no complaint of pain (P = .087).
The treatments analyzed in this study were highly satisfactory with regard to functional and esthetic factors, resulting in an increase in self-esteem and quality of life. The psychological factor is a complex variable in patient satisfaction that directly influences quality of life. Considering the desires of patients in choosing the type of prosthesis is critical to treatment success.
无牙颌通常会导致美观、功能和情感上的不适，从而导致自尊丧失和患者生活质量下降。牙种植体为确保修复康复的舒适度和有效性提供了新的可能性。本研究的目的是评估使用布兰emark方案或覆盖义齿种植体支持修复体进行修复的患者的满意度水平。
52例患者采用布兰emark方案进行修复，23例采用覆盖义齿修复。然后，除了进行临床检查以确定牙种植体和修复体的状况外，还发放了一份与口腔健康相关的生活质量问卷。使用Fisher精确检验分析治疗期望、对治疗类型的理解、语音功能、咀嚼舒适度、疼痛和自尊改善方面的结果（P≤0.05）。
两种治疗的满意度均高于87%，两者之间无统计学差异。82%接受覆盖义齿修复的患者和80.8%接受布兰emark方案治疗的患者没有疼痛主诉（P=0.087）。
本研究分析的治疗在功能和美学因素方面非常令人满意，从而提高了自尊和生活质量。心理因素是患者满意度中的一个复杂变量，直接影响生活质量。考虑患者在选择修复体类型方面的愿望对治疗成功至关重要。
