Evaluation of quality of life on rehabilitation of implant-supported overdentures with edentulous dentition

doi:10.3877/cma.j.issn.1674-1366.2019.05.003

Abstract

Abstract:

Objective

The aim of this study was to evaluate the difference in patient satisfaction and oral health-related quality of life (OHRQoL) between complete dentures (CD) and two implants-supported overdentures (IOD) .

Methods

From 2016 to 2018, 19 subjects aged 50-80 years with edentulous mandible were selected and enrolled in this study (eight males, with an average age of 69.25 years; 11 females, with an average age of 72.45 years) . All these patients received treatment in Guanghua School of Stomatology, Hospital of Stomatology, Sun Yat-sen University, but were not satisfied with the complete denture and requested a stable denture. In this clinical trial, each subject received both a new complete denture (CD) and an implant-supported overdenture (IOD) made with the same standard. Using self-control method, patient satisfaction and OHRQoL were measured by Oral Health Impact Profile (OHIP-20) , geriatric oral health assessment index (GOHAI) and dental impact on daily living (DIDL) after 3-month adaptation to CD and IOD rehabilitation. Data were compared by Wilcoxon′s signed rank test at a significance level of 0.05, and the effect size (ES) of OHRQoL scores in the CD group and IOD group was calculated to evaluate the influence degree.

Results

All the results in OHIP-20, GOHAI, and DIDL scales showed that IOD group was better than CD group in terms of functional limitations, pain, psychological discomfort, physical disability, psychological disability, social disability, handicap, appearance, oral comfort, and global scores, with statistically significant differences (P<0.05) . In addition, according to the evaluation criteria of DIDL scale, IOD was found to effectively improve patient satisfaction and reduce the proportion of dissatisfaction. The ES values in each field and the total score of the three scales were greater than 0.8, indicating that each field was highly affected, and physiological functions such as chewing ability (ES = 3.74) , limited physiological ability (ES = 3.12) and limited functional ability (ES = 2.94) were most improved. It can be concluded that IOD group had a better quality of life improvement than CD group, and had a higher degree of improvement in all aspects.

Conclusion

The OHIP-20, GOHAI and DIDL findings suggested that implant-supported overdenture had a positive impact on the psychological and social behavior of mandibular edentulism in elderly.

Key words: Denture, complete, Dental prosthesis, implant-supported, Implant-supported overdentures, Oral health-related quality of life (OHRQoL)

Jiazhu Huang, Hui Zhang, Xuemei Liu, Jianyu Chen, Yan Wang, Xuefeng Lin. Evaluation of quality of life on rehabilitation of implant-supported overdentures with edentulous dentition[J]. Chinese Journal of Stomatological Research(Electronic Edition), 2019, 13(05): 270-277.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhkqyxyjzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-1366.2019.05.003

https://zhkqyxyjzz.cma-cmc.com.cn/EN/Y2019/V13/I05/270

Figures/Tables 4

References 31

[1]	Petersen PE, Bourgeois D, Ogawa H, et al. The global burden of oral diseases and risks to oral health[J]. Bull World Health Organ，2005，83(9): 661-669. DOI: /S0042-96862005000900011.
[2]	赵铱民.口腔修复学[M]. 7版.北京：人民卫生出版，2012：294-295.
[3]	United Nations Department of Economic and Social Affairs. World Population Aging：1950-2050[M]. New York：United Nations，2002：483.
[4]	Redford M, Drury TF, Kingman A, et al. Denture use and the technical quality of dental prostheses among persons 18-74 years of age：United States，1988-1991[J]. J Dent Res，1996，75(2): 714-725. DOI: 10.1177/002203459607502S11.
[5]	Oh SH, Kim Y, Park JY, et al. Comparison of fixed implant-supported prostheses，removable implant-supported prostheses，and complete dentures：patient satisfaction and oral health-related quality of life[J]. Clin Oral Implants Res，2016，27(2): 31-37. DOI: 10.1111/clr.12514.
[6]	陈卓凡，刘佳钰.种植义齿修复患者口腔健康相关生活质量评价[J].中国实用口腔科杂志，2011，4(3): 139-142. DOI: 10.3969/j.issn.1674-1595.2011.03.005.
[7]	Emami E, Heydecke G, Rompré PH, et al. Impact of implant support for mandibular dentures on satisfaction，oral and general health-related quality of life：a meta-analysis of randomized-controlled trials[J]. Clin Oral Implants Res，2009，20(6): 533-544. DOI: 10.1111/j.1600-0501.2008.01693.x.
[8]	Allen PF, McMillan AS. A longitudinal study of quality of life outcomes in older adults requesting implant prostheses and complete removable dentures[J]. Clin Oral Implants Res，2003，14(2): 173-179. DOI: 10.1034/j.1600-0501.2003.140206.x.
[9]	辛蔚妮，凌均棨. 《口腔健康影响程度量表（OHIP-14中文版）》与《老年口腔健康评价指数（GOHAI中文版）》的比较研究[J].口腔医学研究，2014，30(3): 252-257. DOI: 10.13701/j.cnki.kqyxyj.2014.03.018.
[10]	Schuster AJ, Marcello-Machado RM, Bielemann AM, et al. Short-term quality of life change perceived by patients after transition to mandibular overdentures[J]. Braz Oral Res，2017，31: e5. DOI: 10.1590/1807-3107BOR-2017.vol31.0005.
[11]	张志愿.口腔颌面外科学[M]. 7版.北京：人民卫生出版社，2012：158-159.
[12]	Kappel S, Eberhard L, Giannakopoulos NN, et al. Immediate Loading of Two Dental Implants，in Edentulous Mandibles，with Locator^® Attachments or Dolder^® Bars：First Results from a Prospective Randomized Clinical Study[J]. Clin Implant Dent Relat Res，2015，17(4): 629-638. DOI: 10.1111/cid.12173.
[13]	蔡岫颖，邵玶，安钢辉，等.成人正畸治疗后满意度评估及相关心理因素分析[J].口腔医学，2015，35(8): 649-653. DOI: 10.13591/j.cnki.kqyx.2015.08.013.
[14]	沈正权，曾利伟.舌侧集中总义齿患者OHRQOL的研究[J].口腔医学研究，2011，10(27): 886-888. DOI: 10.13701/j.cnki.kqyxyj.2011.10.026.
[15]	Atchison KA, Dolan TA. Development of the Geriatric Oral Health Assessment Index[J]. J Dent Educ，1990，54(11): 680-687.
[16]	Al-Omiri MK, Hammad OA, Lynch E, et al. Impacts of implant treatment on daily living[J]. Int J Oral Maxillofac Implants，2011，26(4): 877-886. DOI: 10.1016/j.ijom.2011.03.009.
[17]	Leao A, Sheiham A. Relation between clinical dental status and subjective impacts on daily living[J]. J Dent Res，1995，74(7): 1408-1413. DOI: 10.1177/00220345950740071301.
[18]	Wilson IB, Cleary PD. Linking clinical variables with health-related quality of life：A conceptual model of patient outcomes[J]. JAMA，1995，273(1): 59-65. DOI: 10.1001/jama.273.1.59.
[19]	Montero J, Macedo C, López-Valverde A, et al. Validation of the oral health impact profile（OHIP-20sp）for Spanish edentulous patients[J]. Med Oral Patol Oral Cir Bucal，2012，17(3): e469-e476. DOI: 10.4317/medoral.17498.
[20]	Allen F, Locker D. A modified short version of the oral health impact profile for assessing health-related quality of life in edentulous adults[J]. Int J Prosthodont，2002，15(5): 446-450. DOI: 10.1007/s00384-002-0419-2.
[21]	Locker D, Allen F. What do measures of ′oral health-related quality of life′ measure？[J]. Community Dent Oral Epidemiol，2007，35(6): 401-411. DOI: 10.1111/j.1600-0528.2007.00418.x.
[22]	John MT, Slade GD, Szentpétery A, et al. Oral health-related quality of life in patients treated with fixed，removable，and complete dentures 1 month and 6 to 12 months after treatment[J]. Int J Prosthodont，2004，17(5): 503-511. DOI: 10.11607/ijp.3692.
[23]	Alfadda SA, Attard NJ, David LA. Five-year clinical results of immediately loaded dental implants using mandibular overdentures[J]. Int J Prosthodont，2009，22(4): 368-373. DOI: 10.1111/j.1365-263X.2008.00960.x.
[24]	Locker D, Matear D, Stephens M, et al. Comparison of the GOHAI and OHIP-14 as measures of the oral health-related quality of life of the elderly[J]. Community Dent Oral Epidemiol，2001，29(5): 373-381. DOI: 10.1111/j.1600-0528.2001.290507.x.
[25]	Shrout PE, Fleiss JL. Intraclass correlations：uses in assessing rater reliability[J]. Psychol Bull，1979，86(2): 420-428. DOI: 10.1037/0033-2909.86.2.420.
[26]	Hassel AJ, Steuker B, Rolko C, et al. Oral health-related quality of life of elderly Germans—comparison of GOHAI and OHIP-14[J]. Community Dent Health，2010，27(4): 242-247. DOI: 10.1922/CDH_2464Hassel06.
[27]	Fillion M, Aubazac D, Bessadet M, et al. The impact of implant treatment on oral health related quality of life in a private dental practice：a prospective cohort study[J]. Health Qual Life Outcomes，2013，11(1): 197. DOI: 10.1186/1477-7525-11-197.
[28]	Leao ATT. The development of measures of dental impacts on daily living[D]. London，UK：London University，1993.
[29]	Leao A, Sheiham A. The development of a socio-dental measure of dental impacts on daily living[J]. Community Dent Health，1996，13(1): 22-26.
[30]	Al-Omiri MK, Sghaireen MG, Al-Qudah AA, et al. Relationship between impacts of removable prosthodontic rehabilitation on daily living，satisfaction and personality profiles[J]. J Dent，2014，42(3): 366-372. DOI: 10.1016/j.jdent.2013.12.010.
[31]	Hantash RO, Al-Omiri MK, Yunis MA, et al. Relationship between impacts of complete denture treatment on daily living，satisfaction and personality profiles[J]. J Contemp Dent Pract，2011，12(3): 200-207. DOI: 10.5005/jp-journals-10024-1035.

OHIP-20领域	CD组	IOD组	t值	P值	ES均值
功能限制	8.21 ± 2.18	1.79 ± 1.44	12.61	<0.001	2.94
疼痛	10.32 ± 3.64	1.79 ± 2.92	8.86	<0.001	2.34
心理不适	4.89 ± 1.76	0.37 ± 0.68	10.10	<0.001	2.57
生理能力受限	10.26 ± 2.68	1.89 ± 1.41	13.76	<0.001	3.12
心理能力受限	3.63 ± 1.89	0.26 ± 0.45	7.42	<0.001	1.78
社交能力丧失	3.95 ± 2.44	0.21 ± 0.54	6.60	<0.001	1.53
身心缺陷	4.58 ± 1.47	0.84 ± 0.90	11.26	<0.001	2.54
总分	45.84 ± 13.73	7.16 ± 6.01	12.13	<0.001	2.82

OHIP-20领域	CD组	IOD组	t值	P值	ES均值
功能限制	8.21 ± 2.18	1.79 ± 1.44	12.61	<0.001	2.94
疼痛	10.32 ± 3.64	1.79 ± 2.92	8.86	<0.001	2.34
心理不适	4.89 ± 1.76	0.37 ± 0.68	10.10	<0.001	2.57
生理能力受限	10.26 ± 2.68	1.89 ± 1.41	13.76	<0.001	3.12
心理能力受限	3.63 ± 1.89	0.26 ± 0.45	7.42	<0.001	1.78
社交能力丧失	3.95 ± 2.44	0.21 ± 0.54	6.60	<0.001	1.53
身心缺陷	4.58 ± 1.47	0.84 ± 0.90	11.26	<0.001	2.54
总分	45.84 ± 13.73	7.16 ± 6.01	12.13	<0.001	2.82

GOHAI领域	CD组	IOD组	t值	P值	ES均值
功能限制	10.47 ± 3.01	1.63 ± 1.21	11.72	<0.001	2.94
心理不适	10.00 ± 4.10	1.63 ± 1.38	8.04	<0.001	2.04
疼痛不适	3.89 ± 2.21	0.21 ± 0.54	6.88	<0.001	1.67
总分	24.37 ± 8.01	3.47 ± 2.44	11	<0.001	2.61

GOHAI领域	CD组	IOD组	t值	P值	ES均值
功能限制	10.47 ± 3.01	1.63 ± 1.21	11.72	<0.001	2.94
心理不适	10.00 ± 4.10	1.63 ± 1.38	8.04	<0.001	2.04
疼痛不适	3.89 ± 2.21	0.21 ± 0.54	6.88	<0.001	1.67
总分	24.37 ± 8.01	3.47 ± 2.44	11	<0.001	2.61

DIDL领域	CD组	IOD组	t值	P值	ES均数
美观	-0.66 ± 0.41	1±0	-11.42	<0.001	2.61
疼痛	0.46 ± 0.35	0.96 ± 0.09	6.16	<0.001	1.43
口腔舒适	0.19 ± 0.31	0.52 ± 0.17	5.43	<0.001	1.07
一般性能	0.16 ± 0.52	0.98 ± 0.08	6.98	<0.001	1.58
咀嚼能力	-0.40 ± 0.34	0.87 ± 0.16	-14.84	<0.001	3.74

Please choose a citation manager

Content to export