Grandi Tommaso, Toti Paolo, Paoleschi Cesare, Giorgi Matteo, Covani Ugo, Menchini-Fabris Giovanni Battista
Independent Researcher, 41126 Modena, Italy.
Independent Researcher, 55041 Camaiore, Italy.
J Clin Med. 2025 May 19;14(10):3544. doi: 10.3390/jcm14103544.
: The satisfaction of patients following maxillary full-arch rehabilitation is crucial in assessing treatment effectiveness. This one-year study evaluated patients' satisfaction, quality of life, and aesthetic perception after receiving the Maxilla-for-All/All-On-X treatments, which combine standard, pterygoid, trans-sinus, and zygomatic implants to support a fixed prosthesis and offer a graftless solution that reduces morbidity and treatment time. : A prospective cohort study using convenience sampling of subjects treated for severe maxillary atrophies was conducted on patients receiving immediate implant-supported full-arch fixed prostheses. The Oral Health Impact Profile (OHIP-14) and Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ-23) were administered preoperatively and one year post-treatment. Patients were grouped based on the presence or absence of complications (surgical, technical, and mechanical) and Wilcoxon tests were used for comparison (significance level = 0.05). : A total of 56 patients (29 female, 27 male) participated, with no implant or prosthesis failures. Eleven patients reported unilateral sinus membrane perforation, and seven had technical or mechanical complications. Preoperatively, 69% of patients rated their oral condition as unfavorable according to the OHIP-14; this dropped significantly to 21.8% post-treatment (-value < 0.0001). After one year, the average PIDAQ-23 score improved significantly from 44.7 ± 16.6 to 6.8 ± 5.3 (-value < 0.0001). No significant differences were observed between patients with or without complications (-values ranging from 0.5270 to 0.8920). : Full-arch rehabilitation using Maxilla-for-All/All-On-X treatments significantly improved both aesthetic perception and chewing function in patients with severe maxillary atrophies. They reported a substantial reduction in oral health-related discomfort, as shown by a significant decrease in OHIP-14 scores one year post-treatment. Clinical or technical complications did not significantly impact patients' quality-of-life outcomes or satisfaction, supporting the reliability of this treatment protocol.
上颌全牙弓修复后患者的满意度对于评估治疗效果至关重要。这项为期一年的研究评估了患者在接受上颌全牙弓/全口即刻种植修复治疗后的满意度、生活质量和美学感知。该治疗方法结合了标准种植体、翼突种植体、经鼻窦种植体和颧骨种植体来支持固定修复体，并提供无植骨解决方案，可降低发病率和缩短治疗时间。
一项前瞻性队列研究采用便利抽样法，对接受即刻种植支持的全牙弓固定修复体治疗的严重上颌骨萎缩患者进行研究。术前及治疗后一年采用口腔健康影响程度量表（OHIP - 14）和牙科美学心理社会影响问卷（PIDAQ - 23）进行评估。根据是否存在并发症（手术、技术和机械方面）对患者进行分组，并使用Wilcoxon检验进行比较（显著性水平 = 0.05）。
共有56名患者（29名女性，27名男性）参与，未出现种植体或修复体失败情况。11名患者报告单侧鼻窦黏膜穿孔，7名患者出现技术或机械并发症。术前，根据OHIP - 14，69%的患者将其口腔状况评为不佳；治疗后这一比例显著降至21.8%（P值 < 0.0001）。一年后，PIDAQ - 23的平均得分从44.7 ± 16.6显著提高到6.8 ± 5.3（P值 < 0.0001）。有并发症和无并发症的患者之间未观察到显著差异（P值范围为0.5270至0.8920）。
采用上颌全牙弓/全口即刻种植修复治疗进行全牙弓修复，可显著改善严重上颌骨萎缩患者的美学感知和咀嚼功能。治疗后一年OHIP - 14评分显著降低，表明患者口腔健康相关不适大幅减少。临床或技术并发症并未对患者的生活质量结果或满意度产生显著影响, 这支持了该治疗方案的可靠性。
