A retrospective study on patient satisfaction and Oral Health-Related Quality of Life with fixed 4- or 6-implant supported prostheses over 3-7 years

IF 3.7 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Clinical Implant Dentistry and Related Research Pub Date : 2024-10-11 DOI:10.1111/cid.13394

Wenjia Chen, Yi Zhou, Lijiao Pang, Rui Pu, Fuming He, Haiping Yang

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Abstract

Objectives

To compare patients' satisfaction and oral health-related quality of life (OHRQoL) in edentulous patients treated by All-on-4 and All-on-6 implant-supported fixed prostheses rehabilitation over 3–7 years.

Methods

All patients (n = 125) were divided into short-term (3–5 years, n = 71) and long-term (5–7 years, n = 54) follow-up groups. Patients' satisfaction was examined in a cross-sectional survey. OHRQoL and psychological impact were evaluated using the Oral Health Impact Profile (OHIP). Comparison of All-on-4 and All-on-6, including OHIP values, satisfaction scores, treatment duration and complications, were analyzed using the Chi-square test and the Mann–Whitney U test. Potential influence of patient-related factors on patient-reported outcome measures (PROMs) were analyzed via the Mann–Whitney U test, the Kruskal–Wallis test and multiple regression analyses. Power calculation was conducted in R Studio.

Results

Both All-on-4 and All-on-6 follow-up groups showed high scores in total satisfaction and PROMs, including chewing comfort, aesthetics, cleanability, and stability, with no significant difference (p > 0.05). Meanwhile, no significant differences were observed in the OHIP scores between two groups in both follow-up durations (p > 0.05). However, in patients with 3–5 years follow-up, All-on-4 group had significantly lower phonetic satisfaction scores than All-on-6 group (p < 0.05). Additionally, during both follow-up periods, All-on-4 patients exhibited notably superior psychological effect in contrast to All-on-6 patients (p < 0.05).

Conclusions

Edentulous patients treated by four or six implant-supported fixed prostheses showed same high satisfaction in oral health-related quality of life in both 3–5 years and 5–7 years follow-ups.

查看原文本刊更多论文

一项回顾性研究，研究对象为使用固定式 4 或 6 种植体支持修复体 3-7 年的患者满意度和与口腔健康相关的生活质量。

目的比较接受All-on-4和All-on-6种植体支持固定义齿修复治疗3-7年的无牙患者的满意度和口腔健康相关生活质量（OHRQoL）：将所有患者（125 人）分为短期（3-5 年，71 人）和长期（5-7 年，54 人）随访组。通过横断面调查了解患者的满意度。使用口腔健康影响档案（OHIP）评估了患者的 OHRQoL 和心理影响。采用Chi-square检验和Mann-Whitney U检验分析了All-on-4和All-on-6的比较，包括OHIP值、满意度评分、治疗时间和并发症。通过 Mann-Whitney U 检验、Kruskal-Wallis 检验和多元回归分析，分析了患者相关因素对患者报告结果指标（PROMs）的潜在影响。功率计算在 R Studio 中进行：结果：All-on-4和All-on-6随访组在总满意度和PROMs（包括咀嚼舒适度、美观度、清洁度和稳定性）方面的得分都很高，差异无显著性（P>0.05）。同时，两组患者在随访期间的 OHIP 评分也无明显差异（P > 0.05）。然而，在随访 3-5 年的患者中，All-on-4 组的语音满意度评分明显低于 All-on-6 组（P 结论：All-on-4 组的语音满意度评分明显高于 All-on-6 组）：接受四颗或六颗种植体支持固定义齿治疗的无牙颌患者在3-5年和5-7年的随访中对口腔健康相关生活质量的满意度都很高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Implant Dentistry and Related Research 医学-牙科与口腔外科

CiteScore

6.00

自引率

13.90%

发文量

103

审稿时长

4-8 weeks

期刊介绍： The goal of Clinical Implant Dentistry and Related Research is to advance the scientific and technical aspects relating to dental implants and related scientific subjects. Dissemination of new and evolving information related to dental implants and the related science is the primary goal of our journal. The range of topics covered by the journals will include but be not limited to: New scientific developments relating to bone Implant surfaces and their relationship to the surrounding tissues Computer aided implant designs Computer aided prosthetic designs Immediate implant loading Immediate implant placement Materials relating to bone induction and conduction New surgical methods relating to implant placement New materials and methods relating to implant restorations Methods for determining implant stability A primary focus of the journal is publication of evidenced based articles evaluating to new dental implants, techniques and multicenter studies evaluating these treatments. In addition basic science research relating to wound healing and osseointegration will be an important focus for the journal.