患者过渡到下颌覆盖义齿后所感知到的短期生活质量变化。

Short-term quality of life change perceived by patients after transition to mandibular overdentures.

作者信息

Schuster Alessandra Julie, Marcello-Machado Raissa Micaella, Bielemann Amália Machado, Nascimento Gustavo Giacomelli, Pinto Luciana de Rezende, Del Bel Cury Altair Antoninha, Faot Fernanda

机构信息

Universidade Federal de Pelotas – UFPEL, Graduate Program in Dentistry, Pelotas, RS, Brazil

Universidade Estadual de Campinas – Unicamp, Piracicaba Dental School, Department of Prosthodontics and Periodontology, Piracicaba, SP, Brazil

出版信息

Braz Oral Res. 2017 Mar 27;31:e5. doi: 10.1590/1807-3107bor-2017.vol31.0005.

Abstract

The aim of this longitudinal observational study was to evaluate the oral health-related quality of life (OHRQoL) following patient rehabilitation with implant-retained mandibular overdentures (IMO) and to identify the contribution of the different domains to OHRQoL. The Oral Health Impact Profile (OHIP-EDENT), Dental Impact on Daily Living (DIDL), and Geriatric Oral Health Assessment Index (GOHAI) questionnaires were completed twice by 25 patients: after 3 months of rehabilitation with complete dentures (CD) and after 3 months of IMO loading using stud abutments. The evaluation after IMO rehabilitation showed significant improvement in three DIDL domains: appearance (p = 0.011), eating and chewing (p = 0.003), and general performance (p = 0.003). The GOHAI results showed significant differences in two domains: psychosocial (p = 0.005) and pain and discomfort (p = 0.0004). The OHIP-EDENT outcomes showed significant improvements in five domains: functional limitation (p = 0.0001), physical pain (p = 0.0002), physical disability (p = 0.0010), and psychological disability and handicap (p = 0.032). The largest observed effect sizes were close to one standard deviation and were observed in the eating and chewing domain (0.93) of the DIDL; the pain and discomfort domain (0.83) of the GOHAI, and the functional limitation (0.89), physical pain (1.02), physical disability (0.84) domains of the OHIP-EDENT. The percentage of satisfied patients increased in all domains. Self-reported OHRQoL of CD wearers was significantly improved after 3 months of treatment with IMO, especially concerning the functional and pain-related aspects.

摘要

这项纵向观察性研究的目的是评估患者使用种植体支持的下颌覆盖义齿(IMO)进行修复后的口腔健康相关生活质量(OHRQoL),并确定不同领域对OHRQoL的贡献。25名患者两次完成了口腔健康影响概况(OHIP - EDENT)、牙科对日常生活的影响(DIDL)和老年口腔健康评估指数(GOHAI)问卷:一次是在使用全口义齿(CD)修复3个月后,另一次是在使用柱形基台加载IMO 3个月后。IMO修复后的评估显示,DIDL的三个领域有显著改善:外观(p = 0.011)、进食和咀嚼(p = 0.003)以及总体表现(p = 0.003)。GOHAI结果显示两个领域有显著差异:心理社会(p = 0.005)和疼痛与不适(p = 0.0004)。OHIP - EDENT的结果显示五个领域有显著改善:功能限制(p = 0.0001)、身体疼痛(p = 0.0002)、身体残疾(p = 0.0010)以及心理残疾和障碍(p = 0.032)。观察到的最大效应量接近一个标准差,出现在DIDL的进食和咀嚼领域(0.93);GOHAI的疼痛与不适领域(0.83),以及OHIP - EDENT的功能限制(0.89)、身体疼痛(1.02)、身体残疾(0.84)领域。所有领域中满意患者的百分比都有所增加。使用IMO治疗3个月后,CD佩戴者自我报告的OHRQoL有显著改善,尤其是在功能和疼痛相关方面。

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