Oral and general health-related quality of life with conventional and implant dentures

Oral and general health-related quality of life with conventional and implant dentures
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DOI:
10.1034/j.1600-0528.2003.00029.x
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发表时间:
2003-06-01
影响因子:
2.3
通讯作者:
Feine, JS
Feine, JS
中科院分区:
医学3区
文献类型:
--
作者:
Heydecke, G;Locker, D;Feine, JS

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在一些使用各种功能和口腔健康相关生活质量(OHQOL)结果的试验中,对种植覆盖义齿和传统义齿进行了比较。本文介绍种植覆盖义齿对老年人整体健康和OHQOL的影响。目的:比较老年人(65-75岁)接受下颌种植覆盖义齿和常规义齿的口腔健康和一般生活质量。方法:收集无牙患者60例。30例采用下颌覆盖义齿(IOD)和常规上颌义齿,30例采用新型上颌和下颌常规全口义齿(CD)。所有患者在治疗前完成口腔健康影响量表(OHIP-20),然后在假牙交付后2个月和6个月完成。SF-36一般健康问卷仅在基线和6个月时完成。结果:分析了55名受试者的治疗前和6个月的数据。接受iod治疗的患者在6个月时OHIP-20总分明显提高。IOD受试者在功能限制、身体疼痛、身体残疾和心理残疾量表上也表现优异。在SF-36健康调查中,各组间无显著差异,但在治疗前和治疗后,IOD组在角色情绪、活力和社会功能量表上存在显著差异。结论:两种种植体保留下颌覆盖义齿可为老年患者提供较好的OHQOL。种植体组总体健康相关生活质量得到改善。
Implant overdentures and conventional prostheses have been compared in several trials using a variety of functional and oral health-related quality of life (OHQOL) outcomes. In this paper, we describe the impact of implant overdentures on general and OHQOL in seniors. Objectives: To compare the oral health-related and general quality of life of seniors (aged 65-75 years) who received either mandibular implant overdentures or conventional dentures. Methods: Sixty edentulous patients were recruited. Thirty received mandibular overdentures retained by two implants (IOD) and a conventional maxillary denture, the other 30 subjects received new maxillary and mandibular conventional complete dentures (CD). All completed the 20-item version of the Oral Health Impact Profile (OHIP-20) before treatment, then at two and 6 months after delivery of the dentures. The SF-36 general health questionnaire was completed at baseline and 6 months only. Results: Pretreatment and 6-month data from 55 subjects were analyzed. Those who received the IODs had significantly better OHIP-20 total scores at 6 months. Results for IOD subjects were also superior in the functional limitation, physical pain, physical disability and psychological disability subscales. While no significant between group difference was found on the SF-36 health survey, significant pre-post-treatment differences within the IOD group were detected for the role emotional, vitality and the social function scales. Conclusions: Mandibular overdentures retained by two implants provide elderly patients with better OHQOL. General health-related quality of life improved in the implant group.