“调节因素对全牙列患者和螺钉固位及黏接固位种植体支持固定修复体患者的自我感知口腔健康相关生活质量的影响：一项横断面研究”。

'Role of the modulating factors on the self-perceived OHRQoL of fully dentate subjects and wearers of screw-retained and cement-retained implant-supported FPDs: A cross-sectional study'.

机构信息

Faculty of Dentistry, Complutense University of Madrid (U.C.M.), Madrid, Spain.

出版信息

J Dent. 2022 Feb;117:103887. doi: 10.1016/j.jdent.2021.103887. Epub 2021 Nov 8.

DOI:10.1016/j.jdent.2021.103887

PMID:34762987

Abstract

OBJECTIVES

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.

METHODS

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).

RESULTS

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).

CONCLUSIONS

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.

CLINICAL SIGNIFICANCE

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.

摘要

目的

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。

方法

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。

结果

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）。