Department for Oral and Maxillofacial Surgery, Hannover Medical School, Hannover, Germany.
Department for Oral and Maxillofacial Surgery, Hannover Medical School, Hannover, Germany.
Int J Oral Maxillofac Surg. 2020 Aug;49(8):1067-1072. doi: 10.1016/j.ijom.2020.01.011. Epub 2020 Jan 25.
Dental rehabilitation after surgically acquired bone deficiency related to tumour treatment remains a challenge. The insertion of patient-specific implants geared to the contour of the remaining bone is a feasible method of supporting fixed or removable dentures. As oral health-related quality of life (OHRQoL) is of great interest in these cases, 12 individuals treated with patient-specific implants for severe bone deficiency were surveyed and their Oral Health Impact Profile (OHIP) scores after dental rehabilitation were evaluated. The OHIP-G53 questionnaire was used to measure overall treatment outcomes. The distribution of OHIP sum-scores for participants treated with patient-specific implants was almost homogeneous when compared to those cited in the literature for patients treated with conventional dental implants. OHIP items related to functional impairment and physical pain showed the highest scores (occurring occasionally), and financial loss related to treatment was frequently stated. Moreover, higher scores were detected in almost all OHIP dimensions for participants with patient-specific implant-supported removable dentures. Conversely, those treated with patient-specific dental implants and fixed dentures showed lower psychosocial impact scores and equal or superior OHRQoL. Hence, patient-specific dental implants, especially combined with fixed dentures, can lead to a positive OHRQoL in patients with severe bone deficiencies related to tumour therapy.
肿瘤治疗相关的骨量缺损术后的口腔修复仍然是一个挑战。根据剩余骨的轮廓定制的患者特异性种植体的植入是支持固定或可摘义齿的一种可行方法。由于这些情况下口腔健康相关生活质量(OHRQoL)非常重要,对 12 名接受患者特异性种植体治疗严重骨量缺损的患者进行了调查,并评估了他们在口腔修复后的口腔健康影响概况(OHIP)评分。使用 OHIP-G53 问卷来衡量总体治疗效果。与文献中报道的接受常规牙种植体治疗的患者相比,接受患者特异性种植体治疗的患者的 OHIP 总分分布几乎相同。与功能障碍和身体疼痛相关的 OHIP 项目得分最高(偶尔发生),并且经常提到与治疗相关的经济损失。此外,对于接受患者特异性种植体支持的可摘义齿的患者,几乎所有 OHIP 维度的得分都更高。相反,接受患者特异性牙种植体和固定义齿治疗的患者的心理社会影响评分较低,但 OHRQoL 相等或更高。因此,患者特异性种植体,特别是与固定义齿联合使用,可在肿瘤治疗相关的严重骨量缺损患者中带来积极的 OHRQoL。