Alzoubi Fawaz, Bedrossian Edmond, Wong Allen, Ferrell Douglas, Park Chan, Indresano Thomas
Int J Oral Maxillofac Implants. 2017 Sep/Oct;32(5):1080-1085. doi: 10.11607/jomi.5521.
To assess outcomes of treating completely edentulous patients with a fixed implant-supported profile prosthesis, utilizing a graftless approach, for the maxilla and for the mandible, with an emphasis on patient-related outcomes, specifically maximum occlusal force, patient satisfaction, and impact on quality of life.
This was a cross-sectional study with the following inclusion criteria: completely edentulous patients rehabilitated with a fixed implant-supported profile denture, utilizing a graftless approach. Patients fulfilling the inclusion criteria were asked to participate in the study during their follow-up visits; hence, a consecutive sampling strategy was used. To measure maximum occlusal force, a digital occlusal force gauge was used. Subjects were asked to answer a paper survey distributed in the clinic. The survey contained general demographic questions, visual analog scale (VAS) categories, and Oral Health Impact Profile-14 (OHIP-14).
The mean VAS score was 8.9 out of a possible 10. The mean OHIP-14 score was 7.5 out of a possible 56. The mean maximum occlusal force recorded in the anterior region was 108 Ncm. The mean maximum occlusal force recorded in the posterior region was 205 Ncm.
Results indicated that patients treated with a graftless approach reported high satisfaction and impact on quality of life. Regarding maximum occlusal force values, significant differences between men and women were reported. The impact on quality of life seemed to improve when patients presented completely edentulous at the time of treatment as opposed to terminal dentition. Finally, significant positive correlations were detected between satisfaction and impact on quality of life, impact on quality of life and posterior maximum occlusal force, anterior and posterior maximum occlusal force, and complications and anterior maximum occlusal force.
评估采用无植骨方法，为上颌骨和下颌骨的全口无牙患者使用固定种植支持式轮廓修复体进行治疗的效果，重点关注与患者相关的结果，特别是最大咬合力、患者满意度以及对生活质量的影响。
这是一项横断面研究，纳入标准如下：采用无植骨方法，通过固定种植支持式轮廓义齿修复的全口无牙患者。符合纳入标准的患者在随访期间被邀请参与研究；因此，采用了连续抽样策略。为测量最大咬合力，使用了数字咬合力计。受试者被要求回答在诊所分发的纸质调查问卷。该问卷包含一般人口统计学问题、视觉模拟量表（VAS）类别以及口腔健康影响程度量表-14（OHIP-14）。
VAS评分的平均分在满分10分中为8.9分。OHIP-14评分的平均分在满分56分中为7.5分。在前牙区记录的平均最大咬合力为108Ncm。在后牙区记录的平均最大咬合力为205Ncm。
结果表明，采用无植骨方法治疗的患者报告了较高的满意度以及对生活质量的影响。关于最大咬合力值，报告了男性和女性之间存在显著差异。与终末期牙列相比，治疗时全口无牙的患者对生活质量的影响似乎有所改善。最后，在满意度与对生活质量的影响、对生活质量的影响与后牙最大咬合力、前牙和后牙最大咬合力以及并发症与前牙最大咬合力之间检测到显著的正相关。
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