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患者与口腔健康相关的生活质量及对种植体支持覆盖义齿的满意度——一项系统评价

Patient's oral health-related quality of life and satisfaction with implant supported overdentures -a systematic review.

作者信息

Mishra Sunil K, Chowdhary Ramesh

机构信息

Department of Prosthodontics, Peoples College of Dental Sciences and Research Centre, Bhopal, Madhya Pradesh, India.

Department of Prosthodontics, Rajarajeswari Dental College and Hospital, Bengaluru, Karnataka, India.

出版信息

J Oral Biol Craniofac Res. 2019 Oct-Dec;9(4):340-346. doi: 10.1016/j.jobcr.2019.07.004. Epub 2019 Aug 17.

Abstract

PURPOSE

This systematic review was done to find the patients oral health-related quality of life (OHRQoL) and satisfaction with implant supported overdentures (IODs) when compared to conventional complete dentures (CCDs).

MATERIALS AND METHODS

To identify suitable literature, an electronic search was performed using Medline/PubMed and Cochrane databases. Manual search of Prosthodontics, Gerodontology and journals related to dental implants were also done. Articles published in English and articles whose abstract is available in English were included. The search was focused on patient's oral health-related quality of life and satisfaction with IODs when compared to CCDs.Titles and abstracts were screened, and literature that fulfilled the inclusion criteria was selected for a full-text reading.

RESULTS

Initial literature search resulted in 1803 papers, 1779 were excluded after screenings of the abstracts by the reviewers which resulted in 24 studies. 5 studies were further excluded due to not fulfilling the inclusion criteria, 2 additional articles included after hand searching, resulting in total 21 articles in systematic review. The result suggests that mandibular CCDs had less retention as compared to maxillary conventional dentures CCDs, which improved drastically with IODs and provides a better oral health-related quality of life and satisfaction to the patients.

CONCLUSION

Retention, stability, comfort, speech and chewing efficiency improved drastically with IODs, with enhanced patient's satisfaction and a better OHRQoL. Patients reported more satisfaction and OHRQoL with mandibular IOD when compared CCDs.

摘要

目的

本系统评价旨在对比种植体支持覆盖义齿(IOD)与传统全口义齿(CCD)时,找出患者的口腔健康相关生活质量(OHRQoL)以及对种植体支持覆盖义齿的满意度。

材料与方法

为确定合适的文献,使用Medline/PubMed和Cochrane数据库进行了电子检索。还对手册中的口腔修复学、老年口腔医学以及与牙种植体相关的期刊进行了检索。纳入了以英文发表的文章以及摘要为英文的文章。检索重点在于对比种植体支持覆盖义齿与传统全口义齿时患者的口腔健康相关生活质量以及对种植体支持覆盖义齿的满意度。对标题和摘要进行筛选,选择符合纳入标准的文献进行全文阅读。

结果

初步文献检索得到1803篇论文,经评审人员筛选摘要后排除1779篇,最终得到24项研究。由于不符合纳入标准,又进一步排除了5项研究,手工检索后又纳入了2篇文章,最终系统评价共纳入21篇文章。结果表明,与上颌传统全口义齿相比,下颌传统全口义齿的固位力较差,而种植体支持覆盖义齿可显著改善固位力,并为患者提供更好的口腔健康相关生活质量和满意度。

结论

种植体支持覆盖义齿在固位、稳定性、舒适度、语音和咀嚼效率方面有显著改善,提高了患者的满意度和口腔健康相关生活质量。与传统全口义齿相比,患者对下颌种植体支持覆盖义齿的满意度和口腔健康相关生活质量更高。

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