*Specialist, Department of Periodontology, Faculty of Dentistry, Hacettepe University, Ankara, Turkey. †Professor, Department of Periodontology, Faculty of Dentistry, Hacettepe University, Ankara, Turkey. ‡Associate Professor, Department of Periodontics, College of dentistry, University of Illinois at Chicago, Chicago, IL. §Associate Professor, Department of Orthodontics, Faculty of Dentistry, Hacettepe University, Ankara, Turkey. ¶Associate Professor, Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Hacettepe University, Ankara, Turkey. ‖Professor, Department of Prosthodontics, Faculty of Dentistry, Hacettepe University, Ankara, Turkey.
Implant Dent. 2017 Aug;26(4):581-591. doi: 10.1097/ID.0000000000000623.
The present study aimed at evaluating both the implant site-related and patient-based factors with the potential to affect the extent of patients' satisfaction and also their perceptions regarding dental implant treatment. Potential differences between the esthetic evaluations of dental patients and dental specialists were also considered.
Implant-supported fixed prosthesis (n = 164) in 264 anterior esthetic implant sites were included. Patients' satisfaction, esthetic considerations, and perceptions toward dental implants, were evaluated by both Oral Health Impact Profile-14 (OHIP-14) questionnaire and visual analog scale. Pink Esthetic Score/White Esthetic Score were used for the professional esthetic evaluations of dental specialists.
Overall patient satisfaction was high (87.42 ± 11.86). Compared with implant supported single-tooth restorations, patients with implant-supported bridges had lower OHIP scores (P = 0.001) and were relatively less satisfied with particular aspects of dental implant treatment (eg, cleanability, phonetics, surgical discomfort, and pretreatment information). Generally, type of prosthesis, history of soft/hard tissue augmentation, and reason for tooth loss had a clear impact on the extent of patients' satisfaction, esthetic considerations regarding treatment outcome, and their perceptions toward dental implant treatment (P < 0.05).
Fixed implant-supported restorations generally provide with high levels of satisfaction and oral health-related quality of life.
本研究旨在评估与种植体部位相关的因素和患者相关的因素,这些因素可能会影响患者对种植治疗的满意度以及对种植治疗的看法。还考虑了牙科患者和牙科专家对美观评估的潜在差异。
纳入了 264 个前美学种植部位的种植体支持固定修复体(n = 164)。通过口腔健康影响简表 14 项(OHIP-14)问卷和视觉模拟评分评估患者满意度、美观考虑因素和对种植牙的看法。采用粉红美学评分/白美学评分对牙科专家进行专业美学评估。
总体患者满意度较高(87.42 ± 11.86)。与种植体支持的单牙修复体相比,种植体支持的桥体患者的 OHIP 评分较低(P = 0.001),对种植牙治疗的某些方面(如清洁度、语音、手术不适和治疗前信息)相对满意度较低。一般来说,修复体类型、软硬组织增量史和缺牙原因对患者满意度、对治疗效果的美观考虑以及对种植牙治疗的看法有明显影响(P < 0.05)。
固定种植体支持的修复体通常能提供较高的满意度和口腔健康相关的生活质量。