关键词: Implant-supported fixed partial dentures Masticatory function Oral health-related quality of life Patient-reported outcome measures Shortened dental arches

来  源:   DOI:10.1016/j.jds.2023.11.013   PDF(Pubmed)

Abstract:
UNASSIGNED: In cases of missing posterior teeth, treatment modalities based on the shortened dental arch (SDA) concept may be a viable alternative. However, the association between oral health-related quality of life (OHRQoL) and patients\' treatment decisions remains unclear. This study aimed to investigate the association between OHRQoL and the decision to be treated with implant-supported fixed partial dentures (IFPDs) or take a wait-and-see approach in patients with an SDA missing a single second molar and to clarify the impact of IFPD treatment on the OHRQoL.
UNASSIGNED: The Oral Health Impact Profile (OHIP) questionnaire was administered twice (pre- and post-treatment) and once to 41 patients with a unilateral SDA missing a single second molar who chose IFPD treatment (IFPD group, n = 22) and the wait-and-see approach (no treatment group, n = 19), respectively. Logistic regression analysis was performed with IFPD treatment choice as the objective variable and the four OHIP dimension scores, age, and sex as covariates. The pre- and post-treatment values of the OHIP summary and four-dimension scores were compared using a paired t-test.
UNASSIGNED: The IFPD treatment choice was significantly associated with sex (male), higher Oral Function dimension scores, and lower Psychosocial Impact dimension scores (all P < 0.05). The OHIP summary and four-dimension scores were significantly lower following IFPD treatment (all P < 0.05).
UNASSIGNED: IFPD treatment for a single missing second molar may be clinically beneficial for improving the OHRQoL of patients with an SDA who experience a decline in masticatory function.
摘要:
在后牙缺失的情况下,基于缩短牙弓(SDA)概念的治疗方式可能是可行的替代方案。然而,口腔健康相关生活质量(OHRQoL)与患者治疗决策之间的关联尚不清楚.这项研究旨在调查OHRQoL与使用种植体支持的固定局部义齿(IFPDs)或采取等待观察方法治疗SDA缺失单个第二磨牙的患者之间的关系,并阐明IFPD治疗对OHRQoL的影响。
口腔健康影响概况(OHIP)问卷两次(治疗前后),一次至41例选择IFPD治疗的单侧SDA缺失单个第二磨牙的患者(IFPD组,n=22)和观望方法(无治疗组,n=19),分别。以IFPD治疗选择为客观变量,以4个OHIP维度评分进行Logistic回归分析,年龄,和性别作为协变量。使用配对t检验比较OHIP总结和四维评分的治疗前后值。
IFPD治疗选择与性别(男性)显着相关,口腔功能维度得分较高,心理社会影响维度得分较低(均P<0.05)。IFPD治疗后OHIP总得分和四维评分均显著降低(均P<0.05)。
IFPD治疗单颗缺失的第二磨牙可能在临床上有益于改善咀嚼功能下降的SDA患者的OHRQoL。
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