Batisse Cindy, Bonnet Guillaume, Veyrune Jean-Luc, Nicolas Emmanuel, Bessadet Marion
Université Clermont Auvergne, CROC EA4847, BP 10448, F-63000 Clermont-Ferrand, France; CHU de Clermont-Ferrand, Service d'Odontologie, F-63000 Clermont-Ferrand, France.
Materials (Basel). 2017 Oct 19;10(10):1197. doi: 10.3390/ma10101197.
The frequent instability of mandibular removable complete dentures affects patient Oral Health Related Quality of Life (OHRQoL). An innovative therapeutic strategy used to improve stability involves placing four symphyseal mini-implants. This study was aimed at assessing OHRQoL over time in subjects in which mini-implants were placed and exploring if certain parameters could predict the evolution of their OHRQoL. The OHRQoL of subjects with dentures was assessed using the Geriatric Oral Health Assessment Index (GOHAI) before (T0), 2-6 months (T1), twelve months (T2) and twenty-four or more months (T3) after mini-implant setting. Age, gender and chewing ability were tested as explanatory variables for the change in OHRQoL with time. Thirteen women and six men were included (mean age: 69 ± 10 years). After treatment, mean GOHAI scores at T1, T2 and T3 increased significantly ( < 0.001). The GOHAI-Add mean score was not affected by age or gender. Baseline chewing ability impacted the "functional" and "pain and discomfort" fields of the mean GOHAI scores ( < 0.05). The OHRQoL quickly improved after mini-implant placement in complete denture wearers and then stabilized over time. Baseline chewing ability can be used as a predictive parameter of OHRQoL.
下颌可摘全口义齿频繁出现的不稳定情况会影响患者的口腔健康相关生活质量（OHRQoL）。一种用于提高稳定性的创新治疗策略是植入四枚下颌正中微型种植体。本研究旨在评估植入微型种植体的受试者随时间推移的OHRQoL，并探究某些参数是否能够预测其OHRQoL的变化情况。在植入微型种植体之前（T0）、之后2至6个月（T1）、12个月（T2）以及24个月或更长时间（T3），使用老年口腔健康评估指数（GOHAI）对佩戴义齿受试者的OHRQoL进行评估。将年龄、性别和咀嚼能力作为OHRQoL随时间变化的解释变量进行检测。纳入了13名女性和6名男性（平均年龄：69±10岁）。治疗后，T1、T2和T3时的平均GOHAI评分显著升高（<0.001）。GOHAI-Add平均评分不受年龄或性别的影响。基线咀嚼能力影响平均GOHAI评分的“功能”和“疼痛与不适”领域（<0.05）。全口义齿佩戴者植入微型种植体后，OHRQoL迅速改善，并随时间推移趋于稳定。基线咀嚼能力可作为OHRQoL的预测参数。
