El Osta Nada, El Osta Lana, Moukaddem Farah, Papazian Tatiana, Saad Robert, Hennequin Martine, Rabbaa Khabbaz Lydia
Department of Public Health, Faculty of Medicine, Saint-Joseph University of Beirut, Beirut, Lebanon; Department of Prosthodontics, Faculty of Dental Medicine, Saint-Joseph University of Beirut, Beirut, Lebanon; Clermont University, University of Auvergne, EA 4847, Centre de Recherche en Odontologie Clinique, BP 10448, F-63000 Clermont-Ferrand, France.
Department of Public Health, Faculty of Medicine, Saint-Joseph University of Beirut, Beirut, Lebanon.
Clin Nutr ESPEN. 2017 Apr;18:49-54. doi: 10.1016/j.clnesp.2017.01.001. Epub 2017 Jan 29.
BACKGROUND & AIMS: Improvement of nutritional status and perception of oral health are supposed to be different with complete conventional denture or implant-supported fixed or removable prostheses. Since no study has been conducted in Lebanon, the aim of our study was to assess the nutritional status and oral heath related quality of life (OHRQoL) in totally edentulous patients after treatment with complete denture or implant supported-prostheses.
This was an observational clinical prospective study. A convenient sample of Lebanese people aged 60 years or more was selected between September 2013 and July 2015 from the Departments of removable and fixed prosthesis at Saint-Joseph University of Beirut. The treatment options included complete denture, implant-supported complete denture and implant-supported fixed prostheses. Nutritional status and OHRQoL were assessed with the Mini-Nutritional Assessment Index (MNA) and the Geriatric Oral Health Assessment Index (GOHAI) respectively at Baseline (first visit before treatment), 2-3 weeks after treatment (t1), 3 months (t2) and 6 months (t3) after treatment.
Fifty-one participants (mean age: 69.39 ± 7.164 years) were included. The results have shown an improvement over time in nutritional status and OHRQoL for all treatment groups. However, 2-3 weeks after treatment the number of participants at risk of malnutrition was higher with complete removable denture, intermediate with implant-supported complete denture and lower with implant-supported fixed prostheses (p-value = 0.049). Moreover, the mean GOHAI score was significantly lower over time with complete removable denture compared to implant-supported prostheses (p-value <0.05).
Our study has shown an enhancement in the quality of life and the nutritional status for implant supported-prostheses compared to conventional removable dentures. Therefore, it is fundamental that dentists communicate with their patients about implant treatment to understand their expectations, to explain the outcomes and achieve the desired clinical result.
全口传统义齿或种植支持的固定或可摘修复体在改善营养状况和口腔健康认知方面可能存在差异。由于黎巴嫩尚未开展相关研究，我们的研究旨在评估全口无牙患者在接受全口义齿或种植支持修复体治疗后的营养状况及与口腔健康相关的生活质量（OHRQoL）。
这是一项观察性临床前瞻性研究。2013年9月至2015年7月期间，从贝鲁特圣约瑟夫大学可摘及固定修复科方便选取了60岁及以上的黎巴嫩人作为样本。治疗方案包括全口义齿、种植支持的全口义齿和种植支持的固定修复体。分别在基线（治疗前首次就诊）、治疗后2 - 3周（t1）、治疗后3个月（t2）和治疗后6个月（t3），使用微型营养评定指数（MNA）和老年口腔健康评定指数（GOHAI）评估营养状况和OHRQoL。
纳入51名参与者（平均年龄：69.39 ± 7.164岁）。结果显示，所有治疗组的营养状况和OHRQoL均随时间有所改善。然而，治疗后2 - 3周，全口可摘义齿组存在营养不良风险的参与者数量较多，种植支持的全口义齿组居中，种植支持的固定修复体组较少（p值 = 0.049）。此外与种植支持的修复体相比，全口可摘义齿组的平均GOHAI评分随时间显著降低（p值 < 0.05）。
我们的研究表明，与传统可摘义齿相比，种植支持的修复体可提高生活质量和营养状况。因此，牙医与患者沟通种植治疗，了解他们的期望，解释治疗结果并实现预期临床效果至关重要。
