Faculty of Dentistry, Complutense University of Madrid (U.C.M.), Madrid, Spain.
Faculty of Dentistry, Complutense University of Madrid (U.C.M.), Madrid, Spain.
J Dent. 2022 Feb;117:103887. doi: 10.1016/j.jdent.2021.103887. Epub 2021 Nov 8.
This research aimed to compare the oral health-related quality of life (OHRQoL) between fully dentate subjects and edentulous patients wearing implant-supported fixed partial dentures (i-FPDs). The clinical conditions of both types of restorations were evaluated.
Participants were assigned to: Group-1 (SR, n = 50): screw-retained i-FPD wearers; Group-2 (CR, n = 50): cement-retained i-FPD wearers; and Group-3 (ND, n = 50): dentate subjects with a healthy natural dentition (controls). Patients answered the OHIP-14sp and QoLIP-10 questionnaires. Data related to sociodemographics, prosthesis features, peri‑implant status, complications, and subjective evaluations, were compiled. Potential modulators of the OHRQoL and the i-FPDs' clinical conditions were assessed using non-parametric tests (α= 0.05).
ND individuals were the least satisfied (OHIP-14sp; p< 0.001). Both prosthodontic groups reported similar levels of wellbeing, excluding the speaking difficulties, which were lower for SR wearers as shown by both scales (p = 0.001). The most discontented patients (OHIP-14sp) were: women (p = 0.022), under 65 years (p = 0.03), without partner (p< 0.001) and having a crown (p = 0.033). The level of education/schooling also affected the OHIP-14sp scores (p< 0.001). Implant mobility and peri‑implantitis were more frequent among CR wearers (p-values= 0.008 and 0.05, respectively).
The OHRQoL of both prosthodontic groups was comparably higher than that of the dentate subjects, who were the most nonconformist. The self-perceived satisfaction was mainly modulated by sociodemographic factors.
Overall, the retention system did not impact the OHRQoL, prosthetic problems, and subjective evaluations of i-FPD wearers. However, the cementation may increase the risk of peri‑implant diseases.
本研究旨在比较全牙列患者和戴种植体支持固定局部义齿（i-FPD）的无牙患者的口腔健康相关生活质量（OHRQoL）。评估了两种修复体的临床状况。
参与者分为三组：组 1（SR，n=50）：螺丝固位 i-FPD 佩戴者；组 2（CR，n=50）：粘结固位 i-FPD 佩戴者；组 3（ND，n=50）：有健康天然牙列的全牙列患者（对照组）。患者回答 OHIP-14sp 和 QoLIP-10 问卷。编译了与社会人口统计学、义齿特征、种植体周围状况、并发症和主观评估相关的数据。使用非参数检验（α=0.05）评估 OHRQoL 和 i-FPD 临床状况的潜在调节剂。
ND 个体的满意度最低（OHIP-14sp；p<0.001）。两组义齿修复体患者的幸福感相似，但 SR 佩戴者的言语困难程度较低，这两种量表均显示（p=0.001）。最不满意的患者（OHIP-14sp）为：女性（p=0.022）、<65 岁（p=0.03）、无伴侣（p<0.001）和有牙冠（p=0.033）。受教育程度/学校教育水平也影响 OHIP-14sp 评分（p<0.001）。CR 佩戴者的种植体动度和种植体周围炎更为常见（p 值分别为 0.008 和 0.05）。
两组义齿修复体患者的 OHRQoL 均明显高于全牙列患者，后者的不满意度最高。自我感知满意度主要受社会人口统计学因素的调节。
总体而言，保留系统不会影响 i-FPD 佩戴者的 OHRQoL、修复体问题和主观评价。然而，粘结可能会增加种植体周围疾病的风险。
