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使用种植覆盖义齿对老年无牙颌患者咬合力、生活质量及患者满意度的评估。

Evaluation of bite force, quality of life, and patients' satisfaction in elderly edentulous patients using implant overdentures.

作者信息

Avukat Esra Nur, Akay Canan, Mumcu Emre

机构信息

Department of Prosthodontics, Faculty of Dentistry, Eskişehir Osmangazi University, Eskisehir, Turkiye.

Advanced Material Technologies Application and Research Center, Eskişehir Osmangazi University, Eskisehir, Turkiye.

出版信息

J Adv Prosthodont. 2023 Aug;15(4):214-226. doi: 10.4047/jap.2023.15.4.214. Epub 2023 Aug 28.

Abstract

PURPOSE

This study aimed to compare the bite force (BF) between complete dentures and implant overdentures (IODs) retained by two mandibular implants. Additionally, we evaluated the quality of life (QoL) and patient satisfaction among individuals using IODs. In addition, the effects of demographic parameters such as age and sex, and clinical parameters such as implant length, implant diameter, attachment height, attachment color, and interimplant distance on BF, QoL, and patient satisfaction were evaluated.

MATERIALS AND METHODS

A total of 51 edentulous patients rehabilitated with the maxillary complete dentures and mandibular IODs retained by two implants were included in this study. BF was measured using a force meter pre- and post-implant in the same patients. Oral health-related quality of life (OHRQoL) was assessed with the Oral Health Impact Profile (OHIP-14) and patient satisfaction was assessed with the Visual Analog Scale (VAS) questionnaires.

RESULTS

It was found that BF values were statistically higher for IODs than complete dentures ( < .001). In terms of attachment height of the OHIP scores, there was a significant difference in the psychological disability and social disability domains ( < .05). When examining the change in patient satisfaction as a function of sex, it was found that mandibular retention satisfaction differed significantly by sex ( < .05), but there was no significant difference in the other domains.

CONCLUSION

Within the limitations of this study, it was observed that the BF increased after the use of IODs. Several factors, including age, interimplant distance, attachment height, and attachment color, were found to impact OHRQoL. Sex and implant diameter were identified as factors affecting patient satisfaction.

摘要

目的

本研究旨在比较全口义齿与由两颗下颌种植体固位的种植覆盖义齿(IODs)之间的咬合力(BF)。此外,我们评估了使用IODs的个体的生活质量(QoL)和患者满意度。另外,还评估了年龄和性别等人口统计学参数以及种植体长度、种植体直径、附着高度、附着颜色和种植体间距等临床参数对BF、QoL和患者满意度的影响。

材料与方法

本研究纳入了51例用上颌全口义齿和由两颗种植体固位的下颌IODs修复的无牙颌患者。在同一患者种植前后使用测力计测量BF。使用口腔健康影响量表(OHIP - 14)评估口腔健康相关生活质量(OHRQoL),并使用视觉模拟量表(VAS)问卷评估患者满意度。

结果

发现IODs的BF值在统计学上高于全口义齿(<.001)。就OHIP评分的附着高度而言,心理残疾和社会残疾领域存在显著差异(<.05)。在检查患者满意度随性别变化时,发现下颌固位满意度在性别上存在显著差异(<.05),但在其他领域没有显著差异。

结论

在本研究的局限性内,观察到使用IODs后BF增加。发现包括年龄、种植体间距、附着高度和附着颜色在内的几个因素会影响OHRQoL。性别和种植体直径被确定为影响患者满意度的因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c621/10471504/bfd7f36f8052/jap-15-214-g001.jpg

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