Sahoo Sanjay K, Mishra Silpiranjan, Chinnannavar Sangamesh Ningappa, Bajoria Atul A, Das Asutosh, Singh Dhirendra K
Department of Periodontology and Oral Implantology, Kalinga Institute of Dental Sciences, KIIT Deemed to be University, Bhubaneswar, Odisha, India.
Department of Oral Medicine and Radiology, Kalinga Institute of Dental Sciences, KIIT Deemed to be University, Bhubaneswar, Odisha, India.
J Pharm Bioallied Sci. 2023 Jul;15(Suppl 2):S1036-S1039. doi: 10.4103/jpbs.jpbs_236_23. Epub 2023 Jul 11.
Among various treatment modalities for tooth replacement, dental implants are considered the best one. This study assessed the effects of smoking, periodontitis, and diabetes on oral health-related quality of life (OHRQoL) in patients receiving corticobasal dental implants.
One hundred twenty patients of either gender who received corticobasal dental implants were enrolled. All were subjected to Oral Health Impact Profile-20 (OHIP-20) for dental implant patients (OHRQoL questionnaire). The patient satisfaction level was measured on a scale with points ranging from 0 to 5. The value 0 indicates no satisfaction, whereas the value 5 shows highly satisfied.
Of 120 patients, males were 70 and females were 50. The overall satisfaction level was 4.92, articulation speech was 4.12, implants were 4.80, and construction was 4.88. The overall satisfaction, articulation speech, implants, and construction values in patients with and without diabetes were 4.90 vs 4.93, 4.56 vs 4.86, 4.76 vs 4.92, and 4.94 vs 4.83, respectively. The overall satisfaction, articulation speech, implants, and construction values in patients with and without smoking were 4.83 vs 4.91, 4.52 vs 4.88, 4.70 vs 4.82, and 4.12 vs 4.84, respectively. The overall satisfaction, articulation speech, implants, and construction values in patients with and without periodontitis were 4.72 vs 4.96, 4.52 vs 4.88, 4.73 vs 4.98, and 4.81 vs 4.95, respectively. The overall satisfaction, articulation speech, implants, and construction values in patients with one to three risk factors and control were 4.85 vs 4.96, 4.82 vs 4.94, 4.88 vs 4.97, and 4.76 vs 4.86, respectively. There was a significant difference in pain, infections and/or swelling, sleeping problems, problems with self-confidence, taste, chewing discomfort and/or difficulties, and influence on food choice before and after in patients treated with corticobasal dental implants ( < 0.05).
The satisfaction level is higher after obtaining corticobasal dental implants in patients with diabetes, smoking, and periodontitis as compared to control. Thus, corticobasal dental implants may be considered alternate treatment options for these patients.
在牙齿修复的各种治疗方式中，牙种植体被认为是最佳方式。本研究评估了吸烟、牙周炎和糖尿病对接受皮质基底牙种植体患者口腔健康相关生活质量（OHRQoL）的影响。
纳入120例接受皮质基底牙种植体的患者，性别不限。所有患者均接受针对牙种植体患者的口腔健康影响量表-20（OHIP-20，一种OHRQoL问卷）评估。采用0至5分的量表测量患者满意度。0分表示不满意，5分表示非常满意。
120例患者中，男性70例，女性50例。总体满意度为4.92，发音为4.12，种植体为4.80，修复体为4.88。有糖尿病和无糖尿病患者的总体满意度、发音、种植体及修复体得分分别为4.90对4.93、4.56对4.86、4.76对4.92、4.94对4.83。有吸烟和无吸烟患者的总体满意度、发音、种植体及修复体得分分别为4.83对4.91、4.52对4.88、4.70对4.82、4.12对4.84。有牙周炎和无牙周炎患者的总体满意度、发音、种植体及修复体得分分别为4.72对4.96、4.52对4.88、4.73对4.98、4.81对4.95。有一至三个危险因素的患者与对照组患者在疼痛、感染和/或肿胀、睡眠问题、自信心问题、味觉、咀嚼不适和/或困难以及对食物选择的影响方面，治疗前后存在显著差异（<0.05）。
与对照组相比，糖尿病、吸烟和牙周炎患者在获得皮质基底牙种植体后的满意度更高。因此，皮质基底牙种植体可被视为这些患者的替代治疗选择。
