Mauland Erik Klepsland, Beheshti Maal Mehrnaz, Melbye Elisabeth Lind, Aarbu Naomi Østergren, Sørensen Karoline, Ellingsen Stig Aanerød, Bunæs Dagmar Fosså, Gaarden Roya Torabi, Verket Anders
Department of Periodontology, University of Oslo, Oslo, Norway.
Oral Health Centre of Expertise, Haugesund/Stavanger, Norway.
Clin Oral Implants Res. 2025 Oct;36(10):1219-1233. doi: 10.1111/clr.14467. Epub 2025 Jun 19.
To report oral health-related quality of life (OHRQoL) in a sample rehabilitated with dental implants and assess the influence of self-reported implant complications and clinical peri-implant status. A secondary aim was to investigate associations between OHIP-14 scores and patient-related variables.
The Norwegian National Insurance Scheme registry for implant rehabilitation in 2014 was searched, and patients (n = 3083) were mailed a survey including OHIP-14, questions about peri-implant status, and patient-related variables. A subsample was examined clinically (n = 242). Associations of self-reported implant complications and clinical peri-implant status with OHIP-14 scores were evaluated by the Kruskal-Wallis test and logistic regression models.
The OHIP-14 mean sum score reported by the 1299 survey respondents was 4.1 (± 6.4). Self-report of complications was associated with higher OHIP-14 scores in a dose-dependent manner. Lower education (OR 1.54, 95% CI 1.05-2.22), female sex (OR 1.75, 95% CI 1.23-2.56), technical complication(s) (OR 1.58, 95% CI: 1.07-2.34), biological complication(s) (OR 2.41, 95% CI 1.67-3.49) and poor cleansability (OR 2.94, 95% CI 1.64-5.37) were associated (p < 0.05) with higher OHIP-14 mean sum scores in the adjusted regression model. For the 242 patients examined clinically, the OHIP-14 mean sum score was 3.8 (± 6.5). Peri-implant soft tissue dehiscence (OR 2.53, 95% CI 1.17-5.49) was associated with higher OHIP-14 mean sum scores in the adjusted regression model.
OHIP-14 scores were low in this study, indicating good OHRQoL following implant rehabilitation in Norway. Complications lowered OHRQoL in a dose-response manner, confirmed by self-reports of complications and by the presence of peri-implant soft tissue dehiscence.
报告接受牙种植体修复的样本的口腔健康相关生活质量（OHRQoL），并评估自我报告的种植体并发症和临床种植体周围状况的影响。次要目的是研究OHIP-14评分与患者相关变量之间的关联。
检索2014年挪威国家保险计划牙种植体修复登记处，向患者（n = 3083）邮寄一份调查问卷，包括OHIP-14、关于种植体周围状况的问题以及患者相关变量。对一个子样本进行临床检查（n = 242）。通过Kruskal-Wallis检验和逻辑回归模型评估自我报告的种植体并发症和临床种植体周围状况与OHIP-14评分之间的关联。
1299名调查受访者报告的OHIP-14平均总分是4.1（±6.4）。并发症的自我报告与较高的OHIP-14评分呈剂量依赖性相关。在调整后的回归模型中，较低的教育程度（OR 1.54，95%CI 1.05 - 2.22）、女性（OR 1.75，95%CI 1.23 - 2.56）、技术并发症（OR 1.58，95%CI：1.07 - 2.34）、生物并发症（OR 2.41，95%CI 1.67 - 3.49）和清洁性差（OR 2.94，95%CI 1.64 - 5.37）与较高的OHIP-14平均总分相关（p < 0.05）。对于242名接受临床检查的患者，OHIP-14平均总分是3.8（±6.5）。在调整后的回归模型中，种植体周围软组织裂开（OR 2.53，95%CI 1.17 - 5.49）与较高的OHIP-14平均总分相关。
本研究中OHIP-14评分较低，表明挪威牙种植体修复后口腔健康相关生活质量良好。并发症以剂量反应方式降低了口腔健康相关生活质量，这通过并发症的自我报告和种植体周围软组织裂开的存在得到证实。
