Gonçalves Gabriela Sumie Yaguinuma, de Magalhães Keith Murieli Ferreira, Rocha Eduardo Passos, Dos Santos Paulo Henrique, Assunção Wirley Gonçalves
Department of Dental Materials and Prosthodontic, São Paulo State University (UNESP) Araçatuba School of Dentistry, São Paulo, Brazil.
Department of Dental Materials and Dental Prosthesis, School of Dentistry of Araçatuba, São Paulo State University Julio de Mesquita Filho (Unesp), José Bonifácio, 1193, Vila Mendonça, Araçatuba, SP, CEP 16015050, Brazil.
Clin Oral Investig. 2022 Jan;26(1):83-94. doi: 10.1007/s00784-021-04213-y. Epub 2021 Oct 13.
Address oral health-related quality of life (OHRQoL) and patient satisfaction rehabilitated by the all-on-four concept as the primary outcome.
A search was performed in the PubMed/MEDLINE, Web of Science, and Cochrane databases according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis criteria (PRISMA). The PICO question was used to address the following specific question: "What is the level of oral health-related quality of life and satisfaction in edentulous patients and with atrophic jaws who received dental implants for full-arch implant-supported restorations following the all-on-four in the mandible or maxilla?"
Eleven studies including 693 patients aged 55 to 71 years were selected. The shortest follow-up period was 3 months and the longest, 7 years. Regarding the OHRQoL assessment method and patient satisfaction, the oral health impact profile (OHIP) and the visual analog scale (VAS) were the most used.
OHRQoL and satisfaction in patients whose rehabilitation was based on the all-on-four concept were high. However, the current evidence is still limited by the quality of the available studies, making long-term randomized studies necessary to establish the real effectiveness of this surgical-prosthetic approach.
Carefully analyze the aspects related to satisfaction and oral health-related quality of life of rehabilitated patients with implant-supported total prostheses made according to the all-on-four concept, aiming to achieve success through procedures with greater predictability and less complexity, as these are directly associated with recovery oral health of edentulous individuals with less morbidity and minimized costs.
将全口四颗种植理念修复后的口腔健康相关生活质量（OHRQoL）和患者满意度作为主要结果进行研究。
根据系统评价和Meta分析的首选报告项目标准（PRISMA），在PubMed/MEDLINE、科学网和Cochrane数据库中进行检索。使用PICO问题来解决以下具体问题：“在下颌或上颌采用全口四颗种植理念进行全牙弓种植支持修复的无牙颌患者和萎缩性颌骨患者的口腔健康相关生活质量和满意度水平如何？”
选取了11项研究，共693例年龄在55至71岁之间的患者。最短随访期为3个月，最长为7年。关于OHRQoL评估方法和患者满意度，口腔健康影响量表（OHIP）和视觉模拟量表（VAS）是最常用的。
基于全口四颗种植理念进行修复的患者，其OHRQoL和满意度较高。然而，目前的证据仍受现有研究质量的限制，因此需要进行长期随机研究，以确定这种外科-修复方法的实际有效性。
仔细分析采用全口四颗种植理念制作的种植支持全口义齿修复患者的满意度和口腔健康相关生活质量方面，旨在通过具有更高可预测性和更低复杂性的程序取得成功，因为这些直接关系到无牙颌个体口腔健康的恢复，发病率更低且成本最小化。
