Department of Oral and Maxillofacial Surgery, University Medical Center Groningen and University of Groningen, PO Box 30.001, Groningen, 9700 RB, The Netherlands.
Department of Fixed and Removable Prosthodontics and Biomaterials, Center for Dentistry and Oral Hygiene, University Medical Center Groningen and University of Groningen, PO Box 30.001, Groningen, 9700 RB, The Netherlands.
Clin Implant Dent Relat Res. 2018 Aug;20(4):592-597. doi: 10.1111/cid.12625. Epub 2018 May 22.
Effect of fixed prosthodontics on patients with several agenetic teeth is not well understood.
To assess the effect of implant-based fixed prosthodontics on oral health-related quality of life (OHRQoL), general health status, and satisfaction regarding dental appearance, ability to chew and speech in patients with several agenetic teeth.
For this prospective cohort study, all patients (≥18 years) with several agenetic teeth who were scheduled for treatment with fixed dental implants between September 2013 and July 2015 at our department were approached. Participants received a set of questionnaires before and 1 year after implant placement to assess OHRQoL (OHIP-NL49), general health status (SF-36), and satisfaction regarding dental appearance, ability to chew and speech.
About 25 out of 31 eligible patients (10 male, 15 female; median age: 20 [19;23] years; agenetic teeth: 7 [5;10]) were willing to participate. Pre- and post-treatment OHIP-NL49 sum-scores were 38 [28;56] and 17 [7;29], respectively (P < .001). Scores of all OHIP-NL49 subdomains decreased tool, representing an improved OHRQoL (P < .05) as well as that satisfaction regarding dental appearance, ability to chew and speech increased (P < .001). General health status did not change with implant treatment (P > .05).
Treatment with implant-based fixed prosthodontics improves OHRQoL and satisfaction with dental appearance, ability to chew and speech, while not affecting general health status.
固定义齿修复对缺牙患者的影响尚不清楚。
评估种植体支持的固定义齿修复对缺牙患者口腔健康相关生活质量（OHRQoL）、总体健康状况以及对牙齿美观、咀嚼和言语能力满意度的影响。
本前瞻性队列研究纳入了 2013 年 9 月至 2015 年 7 月在我科接受固定牙种植体治疗的所有（≥18 岁）缺牙患者。参与者在种植体植入前和植入后 1 年分别接受了一套问卷，以评估 OHRQoL（OHIP-NL49）、总体健康状况（SF-36）以及对牙齿美观、咀嚼和言语能力的满意度。
31 名符合条件的患者中有 25 名（10 名男性，15 名女性；中位数年龄：20 [19；23] 岁；缺牙数：7 [5；10]）愿意参与。治疗前后 OHIP-NL49 总分分别为 38 [28；56] 和 17 [7；29]（P <.001）。所有 OHIP-NL49 子域的评分均降低，代表 OHRQoL 得到改善（P <.05），以及对牙齿美观、咀嚼和言语能力的满意度增加（P <.001）。一般健康状况在种植治疗后没有变化（P >.05）。
种植体支持的固定义齿修复可改善 OHRQoL 和对牙齿美观、咀嚼和言语能力的满意度，而不影响一般健康状况。
