Department of Dentistry, Oral and Maxillfacial-Plastic and Reconstructive Surgery, Faculty of Medicine Yamagata University, Yamagata, Japan.
Department of Dentistry, Oral and Maxillfacial-Plastic and Reconstructive Surgery, Faculty of Medicine Yamagata University, Yamagata, Japan.
Oral Surg Oral Med Oral Pathol Oral Radiol. 2020 Jan;129(1):8-13. doi: 10.1016/j.oooo.2019.08.014. Epub 2019 Sep 3.
The aim of this study was to evaluate the clinical outcomes of implant-retained obturator rehabilitation after maxillectomy, based on quality of life (QOL) and masticatory function.
The present study included 12 patients who underwent dental implant surgery after maxillectomy. Oral health-related QOL and masticatory function before and after completion of implant-retained obturator rehabilitation were evaluated.
Oral Health Impact Profile-Short Form (OHIP-14) scores showed significant differences in the domain for functional limitation (before, 4.08 ± 2.47; after, 1.33 ± 0.98; P < .01); physical pain (before, 2.75 ± 2.05; after, 0.42 ± 0.51; P < .01); physical disability (before, 3.24 ± 2.11; after, 1.33 ± 1.30; P < .01), psychological disability (before, 3.83 ± 2.48; after, 1.67 ± 2.50; P < .01); social disability (before, 2.17 ± 1.75; after, 1.08 ± 1.38; P < .05); handicap (before, 3.17 ± 1.90; after, 1.08 ± 1.00; P < .01); and total score (before, 22.41 ± 10.17; after, 8.83 ± 6.82; P < .01) Furthermore, masticatory function score was significantly higher after completing implant-retained obturator rehabilitation (before, 38.75 ± 22.97; after, 69.17 ± 21.41; P < .01).
Implant-retained obturator rehabilitation contributed to improved masticatory function and oral health-related QOL after maxillectomy.
本研究旨在评估上颌骨切除术后种植体固位修复体的临床效果，从生活质量（QOL）和咀嚼功能方面进行评价。
本研究纳入 12 例上颌骨切除术后行牙种植手术的患者。评估种植体固位修复体完成前后的口腔健康相关生活质量（OHIP-14）和咀嚼功能。
口腔健康影响简表（OHIP-14）评分显示，在功能障碍（治疗前，4.08 ± 2.47；治疗后，1.33 ± 0.98；P <.01）、身体疼痛（治疗前，2.75 ± 2.05；治疗后，0.42 ± 0.51；P <.01）、身体残疾（治疗前，3.24 ± 2.11；治疗后，1.33 ± 1.30；P <.01）、心理障碍（治疗前，3.83 ± 2.48；治疗后，1.67 ± 2.50；P <.01）、社会障碍（治疗前，2.17 ± 1.75；治疗后，1.08 ± 1.38；P <.05）、障碍（治疗前，3.17 ± 1.90；治疗后，1.08 ± 1.00；P <.01）和总分（治疗前，22.41 ± 10.17；治疗后，8.83 ± 6.82；P <.01）方面差异均有统计学意义。此外，完成种植体固位修复体后咀嚼功能评分明显提高（治疗前，38.75 ± 22.97；治疗后，69.17 ± 21.41；P <.01）。
上颌骨切除术后种植体固位修复体有助于改善咀嚼功能和口腔健康相关生活质量。
