Department of Oral Health Sciences Section Periodontology and Oral Implantology, Ghent University, Ghent, Belgium.
Professor Periodontology Dental School Ghent, Chairman Department of Dentistry, Radboud University Medical Center, Research Institute Health Sciences, Department of Dentistry - Implantology and Periodontology, Nijmegen, the Netherlands.
J Dent. 2020;103S:100021. doi: 10.1016/j.jjodo.2020.100021. Epub 2020 Jun 4.
Contemporary research on the impact of dental rehabilitation scarcely focuses on the role of personality and social relationships in QoL related to dental implant treatment. To overcome biases related to evaluation with self-reports, descriptions provided by informed external observers are recommended.
To investigate the impact of implant-supported rehabilitation on quality of life and social participation taking into account patient's personality.
Fifty-four patients were included in this study and assigned to either a single unit group (n = 15) or a complete jaw restoration group (n = 39). Of the 54 participants, 49 nominated an external observer who can evaluate the daily behavior of the patient. Before and after treatment patients and their external observer completed the OHIP-14, the NEO-FFI and the MSPP questionnaires respectively focusing on Oral Health related Quality of Life, Personality and Social participation.
The correlations between self- and observer ratings on pre and post treatment outcomes on were insignificant (QoL pre: p = 0.086, post: p = 0.115, freq. soc. part pre: p = 0.944, post: p = 0.876, div. soc. part pre: p = 0.798, post: p = 0.167), suggesting considerable differences in observer perspectives. The traits Neuroticism, Extraversion and Agreeableness were associated with QoL. Openness, Conscientiousness and Agreeableness were associated with social participation. Patients in the complete jaw restoration group reported more impact of the implant treatment on quality of life as compared to the single unit group (p = 0.007). The complete jaw restoration group reported an improved quality of life after treatment and significant increases of both frequency (p = 0.001) and diversity of social participation (p = 0.036). In conclusion there was a minor impact of treatment with single crowns on quality of life and social participation compared to the full denture group. The role of personality and the use of multi-informants in evaluating dental treatment was found important.
当代关于牙修复影响的研究很少关注人格和社会关系在与牙种植治疗相关的生活质量中的作用。为了克服与自我报告评估相关的偏差，建议使用知情的外部观察者提供的描述。
调查考虑到患者个性的情况下，种植体支持的修复对生活质量和社会参与的影响。
本研究纳入了 54 名患者，并将其分为单个单位组（n=15）或全颌修复组（n=39）。在 54 名参与者中，有 49 名指定了一名外部观察者，可以评估患者的日常行为。在治疗前后，患者及其外部观察者分别完成了 OHIP-14、NEO-FFI 和 MSPP 问卷，分别侧重于口腔健康相关生活质量、人格和社会参与。
治疗前后自我和观察者评分之间的相关性不显著（QoL 前：p=0.086，后：p=0.115，社交频率前：p=0.944，后：p=0.876，社交分散前：p=0.798，后：p=0.167），表明观察者的观点存在相当大的差异。神经质、外向性和宜人性与生活质量相关。开放性、责任心和宜人性与社会参与相关。全颌修复组患者报告的种植治疗对生活质量的影响比单个单位组更大（p=0.007）。全颌修复组治疗后生活质量得到改善，社交频率（p=0.001）和社交多样性（p=0.036）均显著增加。总之，与全口义齿组相比，单个牙冠治疗对生活质量和社会参与的影响较小。人格的作用和多信息源在评估牙科治疗中的作用被发现是重要的。
