Department of Oral Implantology, Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-Sen University, No. 56 of LingYuanXiLu, Guangzhou, 510055, Guangdong, China.
Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, China.
Int J Implant Dent. 2023 Aug 2;9(1):22. doi: 10.1186/s40729-023-00486-y.
Accumulating evidence has revealed the effects of anterior implant procedures on dental anxiety (DA), aesthetic perception and oral health-related quality of life (OHRQoL). However, few reported the changes and influencing factors of the above outcomes before and after anterior implant treatment. This study was to evaluate the changes of DA, aesthetic perception and OHRQoL related to influencing factors of patients' demographics after anterior implant treatment.
Thirty-nine patients satisfying the inclusion criteria were prospectively recruited before surgery. The subjects completed the Modified Dental Anxiety Scale (MDAS), the Orofacial Esthetic Scale (OSE) and the Oral Health Impact Profile-14 (OHIP-14), before implant surgery and after definitive prosthesis placement. Mann-Whitney U test and Kruskal-Wallis test by Bonferroni correction were applied for the data analysis and the influencing factors evaluation (p < 0.05).
Overall, 39 patients (mean age of 44.9 ± 12.0) completed the three scales. After anterior implant treatment, MDAS was not significantly changed (p > 0.05). The overall OSE (p < 0.001) and OHIP-14 (p < 0.05) were significantly improved. Females showed more improvement of overall OHIP score than males after anterior implant treatment (p < 0.05).
Anterior implant procedures did not change the level of patient's DA, while aesthetic perception and OHRQoL were enhanced. Only gender difference of overall OHIP change was found in our study. Thus, more related influencing factors with larger sample and long-term effective follow-up are needed.
ClinicalTrials.gov, NCT05424458. Registered 13 June 2022-Retrospectively registered, https://clinicaltrials.gov/ct2/show/NCT05424458 .
越来越多的证据表明，前牙种植手术对牙科焦虑症（DA）、美学感知和口腔健康相关生活质量（OHRQoL）有影响。然而，很少有研究报告前牙种植治疗前后这些结果的变化及其影响因素。本研究旨在评估前牙种植治疗前后患者人口统计学因素对 DA、美学感知和 OHRQoL 的影响变化。
前瞻性纳入 39 名符合纳入标准的患者。受试者在种植术前和最终修复体放置后分别完成改良牙科焦虑量表（MDAS）、口腔美学量表（OSE）和口腔健康影响程度量表 14 项（OHIP-14）。采用 Mann-Whitney U 检验和 Kruskal-Wallis 检验进行数据分析和影响因素评估（p<0.05）。
共有 39 名患者（平均年龄 44.9±12.0）完成了这三个量表。前牙种植治疗后，MDAS 无明显变化（p>0.05）。总体 OSE（p<0.001）和 OHIP-14（p<0.05）显著改善。女性在前牙种植治疗后总体 OHIP 评分的改善优于男性（p<0.05）。
前牙种植手术不会改变患者的 DA 水平，但会增强美学感知和 OHRQoL。本研究仅发现了整体 OHIP 变化的性别差异。因此，需要更多相关影响因素的研究，样本量更大，长期有效随访。
ClinicalTrials.gov，NCT05424458。注册于 2022 年 6 月 13 日-回顾性注册，https://clinicaltrials.gov/ct2/show/NCT05424458。
