PDF(Pubmed)
Abstract：
Background: The improvement of oral-health-related quality of life (OHRQoL) with different types of prosthesis for completely edentulous jaws in the elderly population is a critical factor in clinical decision making for these vulnerable patients. This review aims to evaluate the changes in OHRQoL after treatment with different types of full-arch prostheses in the elderly edentulous population to determine the prostheses that result in the greatest improvement in OHRQoL. Materials and Methods: Clinical studies of different types of full-arch prostheses that measured the OHRQoL in edentulous patients 60 years or older were searched for in the PubMed, Embase and Scopus electronic databases, with additional hand searching to summarize the outcomes of the selected studies. Result: Among the 302 identified studies, 10 studies were selected. A total of 504 patients wearing 133 complete dentures, 372 implant overdentures and 39 fixed prostheses were assessed among the selected studies. The overall OHIP and GOHAI scores were evaluated at baseline and in the 3rd, 6th, 12th and 18th months of treatment with the respective prostheses. The improved OHRQoL with overall OHIP scores associated with conventional dentures were 9.21-12.5% from the 3rd month to 1 year after treatment, whereas those associated with implant overdentures and full-arch fixed prosthesis were 9-25.26% at 1 year and 18.53-26.79 at the 18th-month follow-up, respectively. The increased overall GOHAI scores were 21.3-25.43% for conventional dentures, 36.82-41.32% for implant overdentures and 39.48-42.83% for full-arch fixed prosthesis from the 3rd month to the 6th-month follow-up. Conclusion: In general, the improvement in OHRQoL after rehabilitation with implant overdentures declined at one year, and that with full-arch fixed prosthesis declined at the 18th-month follow-up; meanwhile, the OHRQoL associated with conventional dentures improved stably up to one year, but the implant-supported prostheses resulted in an obviously greater improvement in the OHRQoL than that obtained with conventional dentures. However, studies with longer follow-up periods are still required to evaluate the long-term clinical effectiveness.
摘要：
背景：在老年人群中，使用不同类型的假体对完全无牙颌的口腔健康相关生活质量（OHRQoL）的改善是这些脆弱患者临床决策的关键因素。这篇综述旨在评估老年人无牙人群中使用不同类型的全足弓假体治疗后OHRQoL的变化，以确定导致OHRQoL改善最大的假体。材料和方法：在PubMed中搜索了不同类型的全足弓假体的临床研究，这些假体测量了60岁或以上的无牙患者的OHRQoL，Embase和Scopus电子数据库，通过额外的手工搜索来总结所选研究的结果。结果：在302项确定的研究中，选择了10项研究。共有504名患者佩戴133个全口义齿,在选定的研究中评估了372个种植体覆盖义齿和39个固定假体。总体OHIP和GOHAI评分在基线和第3，6th,用各自的假体治疗的第12个月和第18个月。从治疗后第3个月到1年，与常规假牙相关的OHIP总评分提高了9.21-12.5％，而与种植体覆盖义齿和全弓固定假体相关的患者在1年时为9-25.26%，在第18个月随访时为18.53-26.79，分别。常规假牙的GOHAI总体得分提高了21.3-25.43％，从第3个月到第6个月随访，种植体覆盖义齿为36.82-41.32％，全弓固定假体为39.48-42.83％。结论：总的来说，种植覆盖义齿修复后OHRQoL的改善在一年内下降，全足弓固定假体在第18个月的随访中下降；同时，与传统假牙相关的OHRQoL稳定改善长达一年，但是，与传统假牙相比，植入物支持的假牙在OHRQoL方面的改善明显更大。然而,随访时间较长的研究仍需评估长期临床疗效.
