Latin American Institute of Dental Research and Education, ILAPEO, R. Jacarezinho, 656, Curitiba, PR, 80710-150, Brazil.
Kopp Institute, Curitiba, PR, Brazil.
Int J Implant Dent. 2021 Mar 15;7(1):29. doi: 10.1186/s40729-021-00300-7.
The advancement of contemporary dentistry is related to the improvement of existing techniques, materials, and technology, consistently for improving people's oral health, which can ultimately reflect better quality of life. This study aimed to evaluate the oral-health-related quality of life (OHRQoL) of patients with atrophic jaws, who reported for the placement of long transmaxillary implants and posterior prosthetic rehabilitation. Twelve patients (n = 12), of both sexes, with a mean age of 55.83 ± 2.78 years, who were unable to receive conventional implants immediately because of lack of bone, received two long transmaxillary implants in a horizontal position, anteroposteriorly, one on each side, from the canine pillar to the maxillary tuberosity. After 6 months, the conventional clinical sequence for fabricating a fixed prosthesis type protocol or removable prosthesis type overdenture (MK1® system) was performed, when required to recover the lip volume. The Oral Health Impact Profile questionnaire (OHIP-14) was applied preoperatively and 6 months after rehabilitation using a prosthesis on the implants. The results were statistically analyzed using a significance level of 0.05.
An improvement in the perception of OHRQoL was observed between the pre- and postoperative periods in the OHIP-14 total score and the domains related to functional limitation, physical pain, psychological discomfort, psychological disability, social disability, and handicap (p < 0.05).
It may be concluded that transmaxillary implant rehabilitation improves the OHRQoL.
当代牙科的进步与现有技术、材料和技术的改进有关，始终致力于改善人们的口腔健康，这最终可以反映出更好的生活质量。本研究旨在评估因骨量不足而无法立即接受常规种植体的萎缩颌患者在放置长跨上颌种植体和后部修复体后的口腔健康相关生活质量（OHRQoL）。12 名患者（n=12），男女不限，平均年龄为 55.83±2.78 岁，由于缺乏骨量，无法立即接受常规种植体，他们接受了两个水平放置的长跨上颌种植体，从前犬支柱到上颌结节，每侧一个。6 个月后，根据需要采用常规临床顺序制作固定义齿类型方案或可摘义齿类型覆盖义齿（MK1®系统），以恢复唇体积。在植入物上修复后，使用植入物术前和 6 个月后应用口腔健康影响简表（OHIP-14）进行评估。使用显著性水平 0.05 对结果进行了统计分析。
在 OHIP-14 总分和与功能受限、身体疼痛、心理不适、心理障碍、社会障碍和残疾相关的领域中，观察到 OHRQoL 的感知在术前和术后期间有所改善（p<0.05）。
可以得出结论，跨上颌种植体修复可改善 OHRQoL。
