Cagay Sevencan Gülçin, Gülgezen Aydin Hilal
Oral Health Prev Dent. 2025 Sep 26;23:551-558. doi: 10.3290/j.ohpd.c_2283.
In recent years, advancements in technology have led to significant developments in the fields of dental implants and endodontic treatment. These technological improvements have resulted in better treatment outcomes and enhanced quality of life for patients undergoing these procedures. The objective of this study is to compare the quality of life related to oral health from the patients' perspective between single-tooth root canal treatment (RCT) and single-tooth dental implant (DI) treatment.
Patients in the RCT (n = 21) and DI (n = 19) groups, treated by experienced endodontists and prosthodontists, completed a two-part questionnaire after permanent restorations. The first part collected demographic and socioeconomic data, while the second part included a shortened version of the Oral Health Impact Profile (OHIP-14). Six focus group discussions were conducted for thematic analysis. For the comparison of OHIP-14 sub-dimension and total scores by groups, the independent samples t-test and the Mann-Whitney U test were used, while the Fisher Freeman-Halton test and Yates' continuity correction evaluated categorical data (α = 0.05).
Statistically significant differences favoured DI in total OHIP scores (P = 0.041), social disability (P = 0.028), and psychological disability (P = 0.012). No statistically significant differences in mean total OHIP values were found between socioeconomic classes for either treatment (RCT; P = 0.892, DI; P = 0.572).
The results of this study indicate that the overall OHIP scores were comparable, with a high level of satisfaction observed for both treatment modalities. Content analysis of the discussion groups revealed several themes. These can be listed as: importance of preserving the tooth; dentist visits; treatment costs; physical pain; psychological discomfort; aesthetics; function; and treatment satisfaction. However, patients noted that both treatments improved their oral health and they valued the preservation of natural teeth.
近年来，技术进步推动了牙种植体和牙髓治疗领域的重大发展。这些技术改进为接受这些治疗的患者带来了更好的治疗效果和更高的生活质量。本研究的目的是从患者角度比较单颗牙根管治疗（RCT）和单颗牙牙种植体（DI）治疗在口腔健康相关生活质量方面的差异。
由经验丰富的牙髓病医生和修复医生治疗的RCT组（n = 21）和DI组（n = 19）患者在永久修复后完成了一份两部分的问卷。第一部分收集人口统计学和社会经济数据，第二部分包括口腔健康影响程度量表（OHIP - 14）的简版。进行了六次焦点小组讨论以进行主题分析。对于按组比较OHIP - 14子维度和总分，使用独立样本t检验和曼 - 惠特尼U检验，而费舍尔·弗里曼 - 哈尔顿检验和耶茨连续性校正用于评估分类数据（α = 0.05）。
在OHIP总分（P = 0.041）、社会功能障碍（P = 0.028）和心理功能障碍（P = 0.012）方面，DI组有统计学显著差异。两种治疗方法在不同社会经济阶层之间的平均OHIP总值均未发现统计学显著差异（RCT；P = 0.892，DI；P = 0.572）。
本研究结果表明，总体OHIP评分相当，两种治疗方式的满意度都很高。讨论组的内容分析揭示了几个主题。这些主题可列为：保留牙齿的重要性；看牙医；治疗费用；身体疼痛；心理不适；美观；功能；以及治疗满意度。然而，患者指出两种治疗都改善了他们的口腔健康，并且他们重视天然牙的保留。
