Department of Peridontology, Gaziantep University, Gaziantep, Turkey.
Department of Medical Biochemistry, Gaziantep University, Gaziantep, Turkey.
Gerodontology. 2021 Dec;38(4):414-421. doi: 10.1111/ger.12556. Epub 2021 May 11.
This study aimed to evaluate the effect of peri-implant disease on the quality of life in geriatric patients using implant-supported overdentures.
Peri-implant disease and bone loss are two main complications of dental implant treatment that can impact the quality of life in the geriatric population.
This cross-sectional study included 109 geriatric individuals treated in the prosthodontics and periodontology departments. On clinical examination, periodontal pocket depth, gingival index (GI) and plaque index (PIn) were measured to determine peri-implant status. Marginal bone loss was measured by radiological examination, using ImageJ software. Moreover, the Oral Healthy Impact Profile-14 (OHIP-14) questionnaire was used to evaluate participants' perceived oral health-related quality of life.
Peri-implantitis (PI) and peri-implant mucositis (PM) prevalence were 30% and 24%, respectively. Only 44% of patients had healthy implants. Although total OHIP-14 scores were higher in the PI group than in the healthy and PM groups, this difference was not statistically significant (P = .148). Total OHIP-14 score was significantly correlated with PIn and GI.
Within the limitations of this study, it can be said that on quality of life in patients using implant-supported overdenture related to clinical parameters such as PIn and GI. Results also indicated that geriatric patients should take action to improve their oral health. Further longitudinal studies are needed to support our results and should include control groups that use conventional removable dentures.
本研究旨在评估使用种植体支持式覆盖义齿的老年患者的种植体周围疾病对生活质量的影响。
种植体周围疾病和骨吸收是种植牙治疗的两个主要并发症,会影响老年人群的生活质量。
这是一项横断面研究,共纳入了 109 名在口腔修复科和牙周科接受治疗的老年患者。临床检查中,测量牙周袋深度、牙龈指数(GI)和菌斑指数(PIn)以确定种植体周围状况。通过影像学检查,使用 ImageJ 软件测量边缘骨丧失。此外,使用口腔健康影响简表-14(OHIP-14)问卷评估参与者对口腔健康相关生活质量的感知。
种植体周围炎(PI)和种植体周围黏膜炎(PM)的患病率分别为 30%和 24%。只有 44%的患者拥有健康的种植体。尽管 PI 组的总 OHIP-14 评分高于健康组和 PM 组,但差异无统计学意义(P=0.148)。总 OHIP-14 评分与 PIn 和 GI 显著相关。
在本研究的限制范围内,可以说,种植体支持式覆盖义齿的老年患者的生活质量与 PIn 和 GI 等临床参数有关。研究结果还表明,老年患者应采取行动改善其口腔健康。需要进一步的纵向研究来支持我们的结果,并且应该包括使用传统可摘义齿的对照组。