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Hideki de Lima Toyoshima G, Maria da Silva Costa S, Campos Costa MS, Egídio Cota RM, de Oliveira TM, Soares S, Santiago Junior JF, de Almeida ALPF. Fixed partial dentures in adult patients with cleft lip and palate and their relationship with the quality of life: A cross-sectional clinical study. J Prosthet Dent 2024; 131:598-602. [PMID: 35431029 DOI: 10.1016/j.prosdent.2022.03.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2021] [Revised: 03/11/2022] [Accepted: 03/11/2022] [Indexed: 11/21/2022]
Abstract
STATEMENT OF PROBLEM Reports on the impact of fixed partial denture treatments on the quality of life of patients with cleft lip and palate are lacking. PURPOSE The purpose of this cross-sectional clinical study was to assess the impact of fixed partial dentures on the quality of life of adults with cleft lip and palate. MATERIAL AND METHODS A total of 52 participants (23 women and 29 men) with cleft lip and palate, aged between 20 and 50 years old, and who required treatment with fixed partial dentures were enrolled in the study. They responded to the Oral Health Impact Profile (OHIP)-14 questionnaire before and 30 days after the fixed prosthodontic treatment. The final value from the OHIP-14 was generated by totaling the 14 answers, giving a range from 0 to 56, with higher values indicating a worse relationship between oral health and the quality of life. Nonparametric statistical analysis was performed with the Wilcoxon test (α=.05). RESULTS Forty-six participants reported some negative experience before the fixed partial denture, and 48 indicated an improved quality of life 30 days after delivery. All domains assessed showed significant quality of life improvements between the periods compared (P≤.014). CONCLUSIONS Oral treatment with fixed partial dentures improved the quality of life in adults with cleft lip and palate.
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Affiliation(s)
- Guilherme Hideki de Lima Toyoshima
- Postgraduate student, Department of Prosthodontics and Periodontics, Bauru School of Dentistry, University of São Paulo (USP), Bauru, São Paulo, Brazil
| | - Sandy Maria da Silva Costa
- Postgraduate student, Department of Prosthodontics and Periodontics, Bauru School of Dentistry, University of São Paulo (USP), Bauru, São Paulo, Brazil
| | - Matheus Souza Campos Costa
- Postgraduate student, Department of Prosthodontics and Periodontics, Bauru School of Dentistry, University of São Paulo (USP), Bauru, São Paulo, Brazil
| | - Raphael Márcio Egídio Cota
- Postgraduate student, Hospital for Treatment of Craniofacial Anomalies, University of São Paulo, Bauru, Brazil
| | - Thais Marchini de Oliveira
- Associate Professor, Department of Pediatric Dentistry, Orthodontics, and Collective Health, Bauru School of Dentistry, University of São Paulo (USP), Bauru, São Paulo, Brazil
| | - Simone Soares
- Associate Professor, Department of Prosthodontics and Periodontics, Bauru School of Dentistry, Hospital for the Rehabilitation of Craniofacial Anomalies, University of São Paulo (USP), Bauru, São Paulo, Brazil
| | - Joel Ferreira Santiago Junior
- Professor, Department of Prosthodontics and Periodontics, Bauru School of Dentistry, Hospital for the Rehabilitation of Craniofacial Anomalies, University of São Paulo (USP), Bauru, São Paulo, Brazil
| | - Ana Lúcia Pompéia Fraga de Almeida
- Associate Professor, Department of Prosthodontics and Periodontics, Bauru School of Dentistry, Hospital for the Rehabilitation of Craniofacial Anomalies, University of São Paulo (USP), Bauru, São Paulo, Brazil.
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Marinelli F, Venegas C, Ruiz JV, Farfán-Beltrán N, Staub E, Navarro P, Alarcón-Apablaza J, Fuentes R. Determination of Micromovements in Removable Prosthesis during Mastication: A Pilot Study with 3D Electromagnetic Articulography. Bioengineering (Basel) 2024; 11:229. [PMID: 38534503 DOI: 10.3390/bioengineering11030229] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2023] [Revised: 12/23/2023] [Accepted: 12/30/2023] [Indexed: 03/28/2024] Open
Abstract
Edentulism can generate negative impacts on self-esteem, interpersonal relationships, and oral functions. Removable prostheses are commonly used for tooth replacement, but they may cause discomfort due to micromovements during mastication. Objective and quantifiable methods are needed to evaluate these micromovements. A pilot study was conducted to determine the micromovements in removable prostheses during mastication using a 3D electromagnetic articulography (EMA-3D) system. One elderly participant wearing lower removable prostheses and an upper total well-fitting removable prosthesis was studied. The EMA-3D system was used to record movements in three spatial planes. Peanuts were given as test food, and the participant was instructed to chew normally while recordings were carried out until feeling the need to swallow. Analyses of the upper total prosthesis show micromovements ranging from 0.63 ± 0.11 to 1.02 ± 0.13 mm. During simultaneous analyses of the upper prosthesis and lower partial prosthesis, interference was not observed. This pilot study demonstrated the feasibility of using the EMA-3D system to evaluate micromovements in removable prostheses during mastication. Further research is needed to evaluate a larger sample and assess the clinical implications of these micromovements.
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Affiliation(s)
- Franco Marinelli
- Research Centre in Dental Sciences (CICO-UFRO), Dental School, Facultad de Odontología, Universidad de La Frontera, Temuco 4780000, Chile
| | - Camila Venegas
- Research Centre in Dental Sciences (CICO-UFRO), Dental School, Facultad de Odontología, Universidad de La Frontera, Temuco 4780000, Chile
| | - Joaquin Victorio Ruiz
- Institute for Research and Development in Bioengineering and Bioinformatics (IBB), CONICET-UNER, Oro Verde E3100, Argentina
| | - Nicole Farfán-Beltrán
- Research Centre in Dental Sciences (CICO-UFRO), Dental School, Facultad de Odontología, Universidad de La Frontera, Temuco 4780000, Chile
| | - Erwin Staub
- Master Program in Dentistry, Dental School, Universidad de La Frontera, Temuco 4780000, Chile
| | - Pablo Navarro
- Research Centre in Dental Sciences (CICO-UFRO), Dental School, Facultad de Odontología, Universidad de La Frontera, Temuco 4780000, Chile
- Facultad de Ciencias de la Salud, Universidad Autónoma de Chile, Temuco 4780000, Chile
| | - Josefa Alarcón-Apablaza
- Research Centre in Dental Sciences (CICO-UFRO), Dental School, Facultad de Odontología, Universidad de La Frontera, Temuco 4780000, Chile
- Doctoral Program in Morphological Sciences, Faculty of Medicine, Universidad de La Frontera, Temuco 4780000, Chile
| | - Ramón Fuentes
- Research Centre in Dental Sciences (CICO-UFRO), Dental School, Facultad de Odontología, Universidad de La Frontera, Temuco 4780000, Chile
- Department of Integral Adults Dentistry, Dental School, Universidad de La Frontera, Temuco 4780000, Chile
- Scientific and Technological Bioresource Nucleus (BIOREN-UFRO), Universidad de La Frontera, Temuco 4780000, Chile
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Poštić SD. Psychometric properties of ohip-edent b&h for conventional complete denture wearers. PLoS One 2023; 18:e0280012. [PMID: 36662729 PMCID: PMC9858044 DOI: 10.1371/journal.pone.0280012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2022] [Accepted: 12/19/2022] [Indexed: 01/21/2023] Open
Abstract
This study assessed psychometric properties of the Bosnian language version the Oral Health Impact Profile for Edentulous Patients (OHIP-EDENT), translated from the original English language version of and evaluated the Oral Health-related Quality of Life, in complete denture wearers before and after corrections of dentures. Specialist of dental prosthetic interviewed 117 edentulous patients before and after interventions. All patients had problems with their existing complete acrylic resin dentures. During the first visit, the patients were examined by prosthodontic specialists, who registered the status of the existing acrylic complete dentures and described interventions needed to improve denture quality. The patients were interviewed, and they completed the OHIP-EDENT questionnaire. Each patient was re-examined by a prosthodontic specialist one month after the new complete acrylic dentures had been delivered. This study's basic instrument was the Bosnian language version (B&H) OHIP-EDENT questionnaire. The questionnaire's internal consistency was first assessed by Cronbach alpha coefficient, which was 0.80, and after correcting of dentures 0.76. Significantly lower scores were found in domains of functional limitation (p = 0.019), psychological discomfort (p = 0.010), physical pain (p = 0.003), and handicap (p = 0.041) after old denture corrections, as well as significantly better quality of life (reduced OHIP-EDENT Summary scores; p = 0.027). The student's t test of the OHIP EDENT B&H general and group indexes regarding the patients' conditions after denture interventions showed significant reduction of the general index (p = 0.02) along with reductions of functional limitations (p = 0.019), pain (p = 0.003), physical disabilities (p = 0.15), psychological disability (p = 0.002), and handicap (p = 0.002). The OHIP-EDENT B&H exposed good psychometric properties.
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Affiliation(s)
- Srđan D. Poštić
- Department of Prosthodontics, University School of Dental Medicine, University of Belgrade, Beograd, Serbia, Europa
- Dental department, FZF- Faculty of Pharmacy and Medicine, University of Travnik, Travnik, Federation of Bosnia and Herzegovina
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Choong EKM, Shu X, Leung KCM, Lo ECM. Oral health-related quality of life (OHRQoL) after rehabilitation with removable partial dentures (RPDs): A systematic review and meta-analysis. J Dent 2022; 127:104351. [PMID: 36280004 DOI: 10.1016/j.jdent.2022.104351] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2022] [Revised: 10/09/2022] [Accepted: 10/20/2022] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVES To summarise evidence on the change in oral health-related quality of life (OHRQoL) before and after rehabilitation with removable partial dentures (RPDs) amongst partially edentulous adults. DATA Studies assessing OHRQoL amongst patients aged ≥18 years, before and after rehabilitation with RPDs of any type and design, were included. The quality of included studies was evaluated using the Cochrane risk of bias tools. Meta-analysis was conducted using a random-effect model. SOURCES MEDLINE, EMBASE and CENTRAL, up to March 29, 2022. STUDY SELECTION AND RESULTS Thirteen studies were eligible and eight were included in the meta-analysis. The studies had moderate to serious risk of bias. There was a very low level of certainty that OHRQoL, as measured using OHIP-14, improved 3 months after RPDs were fitted (222 participants, MD: -12.0, 95% CI: -16.1, -7.9, p<0.001) and after 6 months (101 participants, MD: -10.5, 95% CI: -16.4, -4.6, p<0.001). At 12 months post-treatment, RPD rehabilitation did not result in statistically significant improvement in OHIP-14 scores (62 participants, MD: -12.7, 95% CI: -26.1, 0.6, p = 0.06). However, the assessment using OHIP-49 at 12 months showed significant improvement (87 participants, MD: -34.8, 95% CI: -41.9, -27.7, p<0.001), with low certainty of evidence. CONCLUSIONS Based on the limited evidence available, this review found that RPD rehabilitation appear to improve OHRQoL in the short term up to 6 months, with a very low level of certainty. The long-term effect of RPD treatment on OHRQoL after 12 months is inconclusive. There is currently insufficient evidence on the effect of RPD treatment on OHRQoL. This review highlights the need for more and better quality studies. CLINICAL SIGNIFICANCE Data on RPD outcomes are summarised, aiding clinicians in providing evidence-based patient-centred care that matches patients' needs and expectations. Recommendations for future research were also highlighted. REGISTRATION PROSPERO CRD42022328606.
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Affiliation(s)
- Elaine Kar Man Choong
- Faculty of Dentistry, The University of Hong Kong, 34 Hospital Road, Sai Ying Pun, Hong Kong SAR; Department of Community Oral Health & Clinical Prevention, Faculty of Dentistry, Universiti Malaya, 50603 Kuala Lumpur, Malaysia
| | - Xin Shu
- Faculty of Dentistry, The University of Hong Kong, 34 Hospital Road, Sai Ying Pun, Hong Kong SAR
| | - Katherine Chiu Man Leung
- Faculty of Dentistry, The University of Hong Kong, 34 Hospital Road, Sai Ying Pun, Hong Kong SAR
| | - Edward Chin Man Lo
- Faculty of Dentistry, The University of Hong Kong, 34 Hospital Road, Sai Ying Pun, Hong Kong SAR.
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Aboelez MA, Elezz MGA, Abdraboh AE, Elsyad MA. Angled ball and locator attachments for immediate loaded inclined implants used to retain maxillary overdentures: A cross over study of patient satisfaction and oral health related quality of life. Clin Implant Dent Relat Res 2022; 24:391-400. [PMID: 35503746 DOI: 10.1111/cid.13089] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2022] [Revised: 04/01/2022] [Accepted: 04/04/2022] [Indexed: 11/30/2022]
Abstract
OBJECTIVES The aim of this was to compare the influence of two different angulated abutment designs on patient satisfaction, oral health-related quality of life, and prosthetic aspects of implant-supported maxillary overdentures. MATERIALS AND METHODS For this cross-over study, 18 patients with completely edentulous maxillary ridges opposing implant-retained mandibular overdentures received 4 implants between the maxillary sinuses using computer-guided surgery. The anterior implants were installed at canine/lateral incisor areas and inclined 15° labially. The posterior implants were inserted just anterior to the maxillary sinuses and inclined 15o distally. Eight patients received maxillary overdentures retained by angled ball attachment (ball overdenture [BOD]) and angled locator attachment in random order. After 6 months, patients indicated satisfaction with their prosthesis using a visual analog scale (VAS), and oral health impact profile (OHIP-14). Moreover, postinsertion prosthodontic maintenance and complications were recorded for both attachments. Comparisons of patient satisfaction and prosthetic complications between groups were performed using the Wilcoxon matched-pairs test and the McNemar test, respectively. RESULTS Locator overdenture (LOD) recorded significantly higher scores than the BOD group regarding all the VAS questions except for ease of cleaning (p < 0.007). LOD recorded significantly higher patient satisfaction regarding the pronunciation of sounds (p = 0.009), painful aching (p = 0.018), feeling tense (p = 0.011), unsatisfactory diet (p = 0.013), irritability with people (p = 0.005), and life in general (p = 0.004). The most common complications were matrix activation/renewal (n = 34). BOD showed a significantly higher incidence of attachment loosening (p = 0.002), and teeth fracture (p = 0.049) than LOD. LOD showed a significantly higher incidence of attachment wear and replacement than BOD (p <0.001). There was no difference between groups regarding soft tissue complications. CONCLUSION Within the limitations of this study, and in terms of improved patient-centered outcomes, angled locator attachments are recommended to retain maxillary implant overdentures opposed by implant retained mandibular overdentures at it was associated with increased patient satisfaction and oral health-related quality of life than angled ball attachments. However, locator attachment was associated with more postinsertion prosthodontic maintenance than ball attachment.
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Affiliation(s)
| | - Mona Galal Abo Elezz
- Faculty of Dentistry, Modern University for Technology and Information, Cairo, Egypt
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Budală DG, Baciu ER, Virvescu DI, Armencia A, Scutariu MM, Surlari Z, Balcoș C. Quality of Life of Complete Denture Wearers-A Comparative Study between Conventional Dentures and Acrylic Dentures with Vitamin B12 Incorporated. ACTA ACUST UNITED AC 2021; 57:medicina57080820. [PMID: 34441026 PMCID: PMC8398914 DOI: 10.3390/medicina57080820] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2021] [Revised: 08/10/2021] [Accepted: 08/11/2021] [Indexed: 12/04/2022]
Abstract
Background and objectives: This paper is a sequel to the studies that focused on the optimization of the structure of classical acrylates with vitamin B12 as a template and their impact on patients’ general and local health. In this context, we aim to investigate the relationships between attitudes and behavior regarding oral health, oral health status, and quality of life related to oral health in the case of patients with conventional dentures and those with dentures improved with vitamin B12. Material and Methods: The sample size was estimated from previous studies, and 252 participants were enrolled and divided into two groups, one of which received as a treatment complete dentures with B12, and the other group was represented by complete edentulous patients treated with conventional complete dentures. The impact of oral health in general on patient satisfaction and quality of life was assessed using Oral Health Impact Profile OHIP-14 questionnaires. The descriptive statistical analysis was performed using SPSS 20.0. A value of p < 0.05 was considered statistically significant. Results: Differences registered between the two groups were statistically significant in all evaluated dimensions. The largest differences were recorded for physical, psychological, and social disability as well as for the level of disability, all in favor of denture B12 wearers. Conclusions: The materials used in the treatment of complete edentation can be a future research direction that can not only improve their mechanical strength but can contribute to maintaining the superior health of the oral mucosa and can also be a way of transporting substances necessary for the normal development of the metabolism of the whole body, such as vitamin B12 in our case.
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García-Minguillán G, Preciado A, Romeo M, Río JD, Lynch CD, Castillo-Oyagüe R. 'Differences in self-perceived OHRQoL between fully dentate subjects and edentulous patients depending on their prosthesis type, socio-demographic profile, and clinical features'. J Dent 2021; 114:103756. [PMID: 34333055 DOI: 10.1016/j.jdent.2021.103756] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2021] [Revised: 06/25/2021] [Accepted: 07/01/2021] [Indexed: 10/20/2022] Open
Abstract
OBJECTIVES This observational cross-sectional study aimed to evaluate and compare the oral health-related quality of life (OHRQoL) and clinical performance between dentate subjects and edentulous patients restored with conventional dentures or implant overdentures. METHODS 85 edentulous patients were grouped as follows: Group-1 (CD): conventional denture wearers (n= 42), and Group-2 (IO): implant-retained overdenture wearers (n= 43). For the OHRQoL comparisons, a control group of subjects with a healthy natural dentition (Group-3, ND; n= 50) was included. Participants completed three validated questionnaires (OHIP-14sp, OHIP-20sp, and QoLIP-10). Socio-demographic data, prosthesis-related factors, clinical condition of the mouth, and patient subjective evaluations, were gathered. Descriptive and non-parametric probes were run (α= 0.05). RESULTS The ND group was the most unsatisfied (OHIP-14sp; p≤ 0.001). The OHIP-20sp attributed significantly worse Psychological disability (p= 0.029) and Handicap (p= 0.027) to CD wearers when compared to IO wearers. The CD group showed the significantly highest need for relining (p= 0.041), and the lowest retention (p= 0.011). The OHIP-14sp disclosed a significantly worse OHRQoL for those volunteers who had a job (p= 0.003), a basic education instead of a secondary one (p= 0.022), and no partner (p= 0.006). CONCLUSIONS The overall OHRQoL was comparable for both prosthodontic groups, being modulated by socio-demographic and prosthesis-related features. Nonetheless, CD wearers presented prosthetic complications more frequently.
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Affiliation(s)
| | - Arelis Preciado
- Faculty of Dentistry, Complutense University of Madrid (UCM), Pza. Ramón y Cajal s/n, 28040, Madrid, Spain.
| | - Marta Romeo
- Faculty of Dentistry, Complutense University of Madrid (UCM), Pza. Ramón y Cajal s/n, 28040, Madrid, Spain.
| | - Jaime Del Río
- Faculty of Dentistry, Complutense University of Madrid (UCM), Pza. Ramón y Cajal s/n, 28040, Madrid, Spain.
| | - Christopher D Lynch
- University Dental School & Hospital/ University College Cork, T12 E8YV, Wilton, Cork, Ireland.
| | - Raquel Castillo-Oyagüe
- Faculty of Dentistry, Complutense University of Madrid (UCM), Pza. Ramón y Cajal s/n, 28040, Madrid, Spain.
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Degirmenci K, Kalaycioglu O. Evaluation of quality of life and oral hygiene attitudes of individuals using dental prostheses during the COVID-19 pandemic. J Prosthet Dent 2021; 126:51.e1-51.e7. [PMID: 34034897 PMCID: PMC8141906 DOI: 10.1016/j.prosdent.2021.03.022] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2020] [Revised: 03/18/2021] [Accepted: 03/18/2021] [Indexed: 12/18/2022]
Abstract
STATEMENT OF PROBLEM The COVID-19 pandemic impacted every area of our lives, including delaying urgent dental care. However, studies evaluating how patients using dental prostheses have been affected by the pandemic are lacking. PURPOSE The purpose of this study was to investigate how patients using different types of dental prostheses were being affected by the COVID-19 pandemic. MATERIAL AND METHODS A total of 129 randomly selected individuals from among those who had been examined in the same clinic before the COVID-19 outbreak were included in the study. The study participants were divided into 4 groups according to their type of prosthesis: complete dentures, implant-retained removable dentures, tooth-supported fixed partial dentures, and implant-supported fixed partial dentures. The Oral Health Impact Profile (OHIP-14) questionnaire was implemented by telephone interviews with the study participants, who were also asked about their concerns and steps made regarding prosthetic hygiene during the COVID-19 pandemic. Data were evaluated by the Kruskal-Wallis and post hoc Dunn tests, and multivariate logistic regression analysis with forward selection was carried out to identify predictors of the oral health-related quality of life (OHRQoL) status (α=.05). RESULTS OHIP-14 total scores did not vary significantly among the groups (P>.05). When the domain scores of OHIP-14 were considered separately, the analysis revealed that the implant-retained removable denture group had significantly poorer functional limitations when compared with the tooth-supported fixed partial denture (P=.005) and implant-supported fixed partial denture (P=.031) groups. The results of the multivariate logistic regression analysis indicated a statistically significant association between OHRQoL during the COVID-19 pandemic and the frequency of tooth or denture cleaning (1 time a day versus less than 1 time a day: P=.011; 2-3 times a day versus less than 1 time a day: P=.032). CONCLUSIONS All prosthesis users exhibited increased interest in dental hygiene and an increase in the frequency of prosthesis cleaning during the pandemic. Furthermore, the study determined that the frequency of tooth or denture cleaning was associated with significantly improved OHRQoL during the time of the COVID-19 pandemic. Among the denture groups, those treated with implant-retained removable dentures had the poorest functional limitation in terms of OHRQoL, which can be linked to postponement of routine maintenance appointments. Therefore, providing all patients with scientifically sound information on prosthetic care during a pandemic would be highly beneficial.
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Affiliation(s)
- Kubra Degirmenci
- Assistant Professor, Faculty of Dentistry, Department of Prosthodontics, Bolu Abant Izzet Baysal University, Bolu, Turkey.
| | - Oya Kalaycioglu
- Assistant Professor, Faculty of Medicine, Department of Bioistatistics and Medical Informatics, Bolu Abant Izzet Baysal University, Bolu, Turkey
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De Carvalho BMDF, Parente RC, Franco JMPL, Silva PGDB. GOHAI and OHIP-EDENT Evaluation in Removable Dental Prostheses Users: Factorial Analysis and Influence of Clinical and Prosthetic Variables. J Prosthodont 2021; 30:581-589. [PMID: 33325079 DOI: 10.1111/jopr.13304] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/10/2020] [Indexed: 11/27/2022] Open
Abstract
PURPOSE To assess the degree of satisfaction and quality of life of patients with removable prostheses using the Geriatric Oral Health Assessment Index (GOHAI) and Oral Health Impact Profile in Edentulous Adults (OHIP-EDENT), in addition to evaluating the questionnaires for their validation. MATERIALS AND METHODS Eighty patients participated in the study after completing prosthetic rehabilitation treatment. Patients were evaluated using the OHIP-EDENT and GOHAI questionnaires to assess the criteria for quality of life, esthetics, phonetics, masticatory function, stability, comfort, and alteration of taste and pain related to the completed prostheses. The results were subjected to the chi-squared test, Fisher's exact test, and a multinomial logistic regression model, with a significance level of 5%. RESULTS The most commonly used removable prosthesis was mandibular removable partial denture (RPD) (n = 43, 53.8%), followed by maxillary RPD (n = 42, 52.5%), maxillary complete denture (CD) (n = 33, 41.3%), and mandibular CD (n = 31, 38.8%). Most patients had to have one (n = 29, 36.3%), two (n = 21, 26.3%), or none (n = 18, 23.8%) adjustments in their prostheses. Five (6.3%) patients' prostheses required three adjustments, and six (7.5%) required four or more adjustments. All reported improvement in esthetics after using the prostheses (p < 0.05). The validation of the questionnaire proved to be more viable when completed without the presence of specific domains. CONCLUSION The results of this study indicated that removable prostheses improved the quality of life of rehabilitated patients. The questionnaires used need to be answered and evaluated in their entirety for validation.
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Affiliation(s)
| | | | - Jéferson Martins Pereira Lucena Franco
- Christus University Center, Unichristus, Fortaleza, Ceará, Brazil.,Division of Oral and Maxillofacial Surgery, Fortaleza General Hospital, Fortaleza, Ceará, Brazil.,Leão Sampaio University Center, Unileão, Juazeiro do Norte, Ceará, Brazil
| | - Paulo Goberlânio de Barros Silva
- Christus University Center, Unichristus, Fortaleza, Ceará, Brazil.,Division of Oral and Maxillofacial Surgery, Fortaleza General Hospital, Fortaleza, Ceará, Brazil
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Liu J, Wong MCM, Lo ECM. The use of Oral Health Impact on Daily Living (OHIDL) transition scale in measuring the change in oral health-related quality of life among older adults. BMC Oral Health 2021; 21:230. [PMID: 33941160 PMCID: PMC8094480 DOI: 10.1186/s12903-021-01593-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2020] [Accepted: 04/26/2021] [Indexed: 11/30/2022] Open
Abstract
Background This longitudinal study aimed to evaluate the longitudinal validity and reliability of the Oral Health Impact on Daily Living (OHIDL) transition scale and measure the perceived change in oral health-related quality of life (OHRQoL) after dental treatments among older adults.
Methods OHIDL was administered to older adults who sought dental treatments. Participants were asked to assess changes in impact for each OHIDL item retrospectively compared with that before the treatment. The responsiveness, minimal clinically important difference (MCID), internal consistency and test–retest reliability of the OHIDL transition scale were evaluated. Multiple linear regression was employed to predict the change in oral health impacts after dental treatment. Beta coefficients (β) and 95% confidence intervals (CI) were reported. Results One hundred and seventy-six participants were followed-up with upon completing their dental treatments. The follow-up rate was 70.4% (176/250). The OHIDL transition score strongly correlated with the global rating of change (rs = 0.76, P < 0.01). MCID was determined by participants who reported “a little improved” in the perceived oral health impacts, and their mean transition score was 3.3. Cronbach’s alpha of the transition scale was 0.87, and many items had a test–retest correlation of at least 0.60. Patients who perceived more oral health impacts at baseline as measured by the total intensity score (β = 0.32, 95% CI: 0.20, 0.44, P < 0.001) and those who had received endodontic treatment (β = 8.04, 95% CI: 4.36, 11.71, P < 0.001) would have more improvement in perceived oral health impacts. Conclusions The OHIDL transition scale has good psychometric properties and is sensitive to change over time. After receiving dental treatment, most of the study’s older adults perceived a lower intensity of OHIDL. Clinical relevance The OHIDL transition scale is a valid and reliable instrument to measure the change in OHRQoL after dental treatments.
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Affiliation(s)
- Jian Liu
- Department of Preventive Dentistry, Peking University School and Hospital of Stomatology, Beijing, China.,Dental Public Health, Faculty of Dentistry, The University of Hong Kong, Pokfulam, Hong Kong SAR, China
| | - May Chun Mei Wong
- Dental Public Health, Faculty of Dentistry, The University of Hong Kong, Pokfulam, Hong Kong SAR, China.
| | - Edward Chin Man Lo
- Dental Public Health, Faculty of Dentistry, The University of Hong Kong, Pokfulam, Hong Kong SAR, China
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Campos Sugio CY, Mosquim V, Jacomine JC, Zabeu GS, de Espíndola GG, Bonjardim LR, Bonfante EA, Wang L. Impact of rehabilitation with removable complete or partial dentures on masticatory efficiency and quality of life: A cross-sectional mapping study. J Prosthet Dent 2021; 128:1295-1302. [PMID: 33875264 DOI: 10.1016/j.prosdent.2021.02.035] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2020] [Revised: 02/16/2021] [Accepted: 02/17/2021] [Indexed: 01/07/2023]
Abstract
STATEMENT OF PROBLEM Tooth loss directly affects mastication, cognitive function, and oral health-related quality of life (OHRQoL). Complete dentures (CDs) and removable partial dentures (RPDs) represent a common oral rehabilitation approach. However, studies addressing the impact of removable dentures on replacing missing teeth are lacking. PURPOSE The purpose of this clinical study was to evaluate whether the OHRQoL, the jaw function limitation (JFL), and the masticatory efficiency of CD and RPD wearers are similar to those of patients with natural teeth and to evaluate whether wearing removable dentures can predict an effect on the OHRQoL, JFL, and masticatory efficiency of their wearers. MATERIAL AND METHODS The Oral Health Impact Profile (OHIP-14) questionnaire and the JFL scale were used to measure OHRQoL and JFL. Masticatory efficiency was analyzed by using a subjective color-mixing index for the chewing gum bolus and shape index and an objective colorimetric analysis by using a software program ViewGum. Data were analyzed with Kruskal-Wallis and post hoc Dunn tests, followed by multiple linear regression (α=.05). RESULTS The results from OHIP-14 evidenced that both denture groups presented a low impact on OHRQoL. JFL was higher for all denture wearers. For the subjective color-mixing analysis, the control and RPD groups presented better masticatory efficiency than CD wearers. Colorimetric analysis evidenced better masticatory efficiency for the control group, who differed from the CD and RPD groups. Wearing RPDs was a predictor of impaired JFL and OHRQoL, and the use of CDs was a predictor of impaired JFL and masticatory efficiency. CONCLUSIONS Despite being rehabilitated, CD and RPD wearers still had impaired OHRQoL, JFL, and masticatory efficiency. Also, the use of these prostheses can predict a negative effect on these 3 variables.
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Affiliation(s)
- Carolina Yoshi Campos Sugio
- Postgraduate student, Department of Prosthodontics and Periodontics, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil
| | - Victor Mosquim
- Postgraduate student, Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil
| | - Juliana Carvalho Jacomine
- Postgraduate student, Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil
| | - Giovanna Speranza Zabeu
- Postgraduate student, Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil
| | | | - Leonardo Rigoldi Bonjardim
- Associate Professor, Department of Biological Sciences, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil
| | - Estevam Augusto Bonfante
- Associate Professor, Department of Prosthodontics and Periodontics, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil
| | - Linda Wang
- Full Professor, Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil.
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Fueki K, Inamochi Y, Yoshida-Kohno E, Wakabayashi N. Cost-effectiveness analysis of prosthetic treatment with thermoplastic resin removable partial dentures. J Prosthodont Res 2020; 65:52-55. [PMID: 32938866 DOI: 10.2186/jpr.jpor_2019_418] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
PURPOSE The aim of this study was to compare the cost-effectiveness of thermoplastic resin removable partial dentures (TR-RPDs) with metal clasp-retained removable partial dentures (MC-RPDs), from the patients' perspective. METHODS Patient-reported outcome measures (Oral health-related quality of life [OHRQoL], patient satisfaction, oral appearance) were assessed among 24 partially dentate subjects who completed a randomized crossover trial comparing TR-RPDs and MC-RPDs. The prosthetic treatment fee for patients was used as the direct cost. The cost of achieving a clinically minimum important difference (MID) in Oral Health Impact Profile (OHIP) summary score, and the incremental cost-effectiveness ratio (ICE R) for each outcome measure were determined. RESULTS OHRQoL, patient satisfaction, and oral appearance was rated higher with TR-RPDs compared to MC-RPDs. The median cost of achieving a MID in OHRQoL with TR-RPDs ($698) was 6.5 times higher than that with MC-RPDs ($107). The ICER was $67 for the OHIP summary score, $195 for the satisfaction score, and $1,169 for the oral appearance rating. CONCLUSIONS Although TR-RPDs provide better OHRQoL, patient satisfaction, and oral appearance than MC-RPDs, the cost-effectiveness of TR-RPDs was inferior to MC-RPDs from the patients' perspective.
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Affiliation(s)
- Kenji Fueki
- Department of Removable Partial Prosthodontics, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo
| | - Yuka Inamochi
- Department of Removable Partial Prosthodontics, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo
| | - Eiko Yoshida-Kohno
- Department of Removable Partial Prosthodontics, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo
| | - Noriyuki Wakabayashi
- Department of Removable Partial Prosthodontics, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo
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13
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Swelem AA, Abdelnabi MH. Attachment-retained removable prostheses: Patient satisfaction and quality of life assessment. J Prosthet Dent 2020; 125:636-644. [PMID: 32893014 DOI: 10.1016/j.prosdent.2020.07.006] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2020] [Revised: 07/16/2020] [Accepted: 07/16/2020] [Indexed: 11/24/2022]
Abstract
STATEMENT OF PROBLEM Studies on the impact of incorporating attachments in removable prostheses on patient-based outcomes are scarce. PURPOSE The purpose of this clinical study was to investigate oral health-related quality of life (OHRQoL) and patient satisfaction in partially edentulous participants before and after rehabilitation with mandibular attachment-retained removable prostheses as compared with conventional removable prostheses. MATERIAL AND METHODS This crossover study included 74 participants (aged 36 to 57). Initially, 56 received conventional clasp-retained removable dental prostheses (RDPs), and 18 received conventional overdentures (ODs) based on their mandibular partially edentulous state. Two months later, of the 56 RDP participants, 24 had received extracoronal attachment-retained RDPs, 17 received telescope-retained RDPs, and 15 received bar-attachment retained RDPs. The 18 OD participants received ball attachment-retained ODs. Assessments included Oral Health Impact Profile-short version-14 for OHRQoL and a visual analog scale (VAS) for patient satisfaction. Assessments were done before treatment and 2 months after wearing each prosthesis with a 1-month washout period. Statistical analysis included the Friedman then the Wilcoxon signed rank test for Oral Health Impact Profile-short version-14 scores and repeated measures ANOVA then the Bonferroni or paired t test for VAS scores (α=.05). RESULTS There were no dropouts. Rehabilitation, irrespective of prosthesis type, significantly improved OHRQoL in all domains and significantly increased overall patient satisfaction (P<.05). When compared with the conventional prostheses, attachment-retained prostheses significantly improved functional limitation, psychological discomfort, and physical limitation domains in all groups (P<.05), as well as the physical pain domain in the OD group (P=.041). General satisfaction, stability, comfort, ability to speak, and ability to masticate significantly increased (P<.05) with attachment-retained prostheses. Conventional prostheses were significantly easier to clean (P<.05) in all groups, except for the telescope-attachment group. CONCLUSIONS Both conventional and attachment-retained prostheses significantly increased patient satisfaction and improved OHRQoL in all domains as compared with before treatment. However, incorporation of attachments further improved functional limitation, psychological discomfort, and physical limitation domains in all groups, as well as the physical pain domain in the OD group. Participants were more satisfied with their attachment-retained prostheses in most aspects.
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Affiliation(s)
- Amal A Swelem
- Professor, Oral and Maxillofacial Prosthodontic Department, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia; Removable Prosthodontic Department, Faculty of Oral and Dental Medicine, Cairo University, Cairo, Egypt.
| | - Mohamed H Abdelnabi
- Professor, Oral and Maxillofacial Prosthodontic Department, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia; Removable Prosthodontic Department, Faculty of Oral and Dental Medicine, Minia University, Minia, Egypt
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14
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A within-subject comparison of the conventional clasp-retained with attachment-retained removable partial dentures. J Taibah Univ Med Sci 2020; 15:305-311. [PMID: 32982634 PMCID: PMC7479171 DOI: 10.1016/j.jtumed.2020.05.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2020] [Revised: 05/25/2020] [Accepted: 05/29/2020] [Indexed: 11/23/2022] Open
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15
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Almufleh B, Emami E, Alesawy A, Rodan R, Morris M, Umebayashi M, Tamimi F. Patient‐Reported Outcomes of Metal and Acrylic Resin Removable Partial Dentures: A Systematic Review and Meta‐Analysis. J Prosthodont 2020; 29:378-386. [DOI: 10.1111/jopr.13169] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2019] [Revised: 03/11/2020] [Accepted: 03/17/2020] [Indexed: 11/30/2022] Open
Affiliation(s)
- Balqees Almufleh
- Faculty of DentistryMcGill University Montreal Quebec Canada
- Department of Prosthetic Dental SciencesCollege of DentistryKing Saud University Riyadh Saudi Arabia
| | - Elham Emami
- Faculty of DentistryMcGill University Montreal Quebec Canada
| | | | - Rania Rodan
- Faculty of DentistryMcGill University Montreal Quebec Canada
- Royal Medical ServicesKing Hussein Medical Center Amman Jordan
| | - Martin Morris
- Schulich Library of Physical SciencesLife Sciences and EngineeringMcGill University Montreal Quebec Canada
| | | | - Faleh Tamimi
- Faculty of DentistryMcGill University Montreal Quebec Canada
- College of Dental MedicineQatar University Doha Qatar
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García-Minguillán G, Del Río J, Preciado A, Lynch CD, Castillo-Oyagüe R. Impact of the retention system of implant fixed dental restorations on the peri-implant health, state of the prosthesis, and patients’ oral health-related quality of life. J Dent 2020; 94:103298. [DOI: 10.1016/j.jdent.2020.103298] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2020] [Revised: 02/12/2020] [Accepted: 02/13/2020] [Indexed: 11/17/2022] Open
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17
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Akinyamoju CA, Dosumu OO, Taiwo JO, Ogunrinde TJ, Akinyamoju AO. Oral health-related quality of life: acrylic versus flexible partial dentures. Ghana Med J 2020; 53:163-169. [PMID: 31481813 PMCID: PMC6697771 DOI: 10.4314/gmj.v53i2.12] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Background Teeth lost are usually replaced by all-acrylic removable partial dentures (RPD) because of its affordability and ease of fabrication. The all-acrylic RPD is said to cause significant periodontal injury and consequently affect the oral health related quality of life (OHRQoL) of denture wearers. Objective To determine and compare OHRQoL of all-acrylic and flexible RPD wearers at baseline and after use of dentures. Design and setting Study was quasi-experimental using a cross-over design, involving 30 patients with Kennedy class IV and anterior class III arches. Patient recruitment and review were done over an eight-month period in the Prosthetic Unit of a tertiary health facility. OHRQoL was assessed with the oral health impact profile-14 questionnaire. Data were analysed using descriptive and multivariate analysis at asignificant level of p <.05. Results Mean age of patients was 33.8 ±10.0 years; at baseline, patient reported occasionally, fairly often or very often for 11(78.6%) OHIP items. However, after using the acrylic and flexible partial dentures, 11(36.6%) patients reported having trouble pronouncing words and 9(30.0%) found it uncomfortable to eat respectively. At baseline, there was a difference in mean OHIP scores with age (p=.02); scores reduced from 12.4 ± 9.8 to 4.8±5.3 (CI= 3.3–12.0, p=.001) after using the all-acrylic denture and 3.8±5.6 (CI= 4.3–13.0, p<.001) with the flexible denture. Conclusion There was improvement in the OHRQoL of patients with use of flexible partial dentures. Therefore, thermoplastic materials are possible alternative RPD base materials in patient management. Funding None declared
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Affiliation(s)
- Clara A Akinyamoju
- Department of Family Dentistry, University College Hospital, Ibadan, Nigeria
| | - Oluwole O Dosumu
- Department of Restorative Dentistry, University of Ibadan/University College Hospital, Ibadan Nigeria
| | - Juliana O Taiwo
- Department of Periodontology and Community Dentistry, University of Ibadan/University College Hospital, Ibadan, Nigeria
| | - Tunde J Ogunrinde
- Department of Restorative Dentistry, University of Ibadan/University College Hospital, Ibadan Nigeria
| | - Akindayo O Akinyamoju
- Department of Family Dentistry, University College Hospital, Ibadan, Nigeria.,Department of Restorative Dentistry, University of Ibadan/University College Hospital, Ibadan Nigeria.,Department of Periodontology and Community Dentistry, University of Ibadan/University College Hospital, Ibadan, Nigeria.,Department of Oral Pathology, University of Ibadan/University College Hospital, Ibadan, Nigeria
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18
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Ibraheem EM, ElGabry HS. Impact of Wearing Two Different Types of Partial Dentures on Oral Health-related Quality of Life in Geriatric Diabetic Patients – A Crossover Study. Open Access Maced J Med Sci 2020. [DOI: 10.3889/oamjms.2020.4205] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
OBJECTIVE: This study aimed to evaluate oral health-related quality of life (OHRQoL) of partially edentulous elderly diabetic patients before and after wearing heat-cured acrylic resin and flexible partial dentures.
BACKGROUND: In the past two decades, an increased concern about the effect of oral conditions on a patient’s quality of life leads to the development of a wide range of OHRQoL measurements. There is a necessity for evaluation required for setting the measurements that are recommended to be used for different needs of geriatric patients.
MATERIALS AND METHODS: One hundred partially edentulous bilateral free-end saddle diabetic elderly patients have been randomly selected from the outpatient clinics of the Excellence Centre at National Research Centre. Heat-cured acrylic resin partial denture and flexible removable partial dentures were made for all patients. General oral health assessment questionnaire was completed before and after wearing the two types of partial dentures. The criteria of assessment were speech, mastication and associated pain, esthetics and physiological status, and general life satisfaction and practicing daily activity.
RESULTS: The results revealed a significant improvement regarding all aspects of OHRQoL after wearing both partial dentures for diabetic elderly patients. More improvement was observed after wearing the flexible one.
CONCLUSIONS: Our findings indicated that OHRQoL in diabetic elderly patients was markedly improved by restoring edentulous spaces using flexible partial dentures than using heat-cured acrylic resin partial dentures.
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Jamayet N, Mousa M, Lynch E, Husein A. Biomechanical stress in removable complete dental prostheses: a narrative review of finite element studies. J Int Oral Health 2020. [DOI: 10.4103/jioh.jioh_190_20] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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20
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Minimal clinically important differences of oral health-related quality of life after removable partial denture treatments. J Dent 2020; 92:103246. [DOI: 10.1016/j.jdent.2019.103246] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2019] [Revised: 10/28/2019] [Accepted: 11/14/2019] [Indexed: 01/03/2023] Open
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Frascaria M, Pietropaoli D, Casinelli M, Cattaneo R, Ortu E, Monaco A. Neutral zone recording in computer-guided implant prosthesis: A new digital neuromuscular approach. Clin Exp Dent Res 2019; 5:670-676. [PMID: 31890304 PMCID: PMC6934335 DOI: 10.1002/cre2.233] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2018] [Revised: 07/09/2019] [Accepted: 07/16/2019] [Indexed: 11/26/2022] Open
Abstract
Background Neutral zone (NZ) is a specific area in the oral cavity where muscular opposite forces are null. NZ represents the ideal zone for prosthesis placement. In this study, we compared digital implant planning using conventional technique and using NZ registration through piezography. Methods Sixty-tree implants were digitally planned. Angular deviation differences between traditional planned and NZ-planned implants were calculated. In addition, interferences with soft tissues (i.e., tongue and cheeks) were evaluated. Results We observed a significant difference between traditional technique and piezographic approach in terms of implants angulation (p = .003), independent of site. A 4.7% of the planned abutments with traditional technique were placed outside the NZ, causing conflict with soft tissues in the digital model. Conclusions Compared with traditional technique, piezography allows a significantly different exploitation of the nonconflict area, which potentially translates into better management of soft tissues and improved functionality of the implants.
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Affiliation(s)
- Massimo Frascaria
- Department of Life, Health and Environmental Sciences, San Salvatore HospitalUniversity of L'AquilaL'AquilaItaly
| | - Davide Pietropaoli
- Department of Life, Health and Environmental Sciences, San Salvatore HospitalUniversity of L'AquilaL'AquilaItaly
| | - Matteo Casinelli
- Department of Life, Health and Environmental Sciences, San Salvatore HospitalUniversity of L'AquilaL'AquilaItaly
| | - Ruggero Cattaneo
- Department of Life, Health and Environmental Sciences, San Salvatore HospitalUniversity of L'AquilaL'AquilaItaly
| | - Eleonora Ortu
- Department of Life, Health and Environmental Sciences, San Salvatore HospitalUniversity of L'AquilaL'AquilaItaly
| | - Annalisa Monaco
- Department of Life, Health and Environmental Sciences, San Salvatore HospitalUniversity of L'AquilaL'AquilaItaly
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22
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Øzhayat EB, Gotfredsen K. Patient-reported effect in patients receiving implant or tooth-supported fixed prosthesis. J Oral Rehabil 2019; 47:229-234. [PMID: 31452211 DOI: 10.1111/joor.12880] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2018] [Revised: 08/19/2019] [Accepted: 08/23/2019] [Indexed: 01/26/2023]
Abstract
OBJECTIVES To compare the patient-reported effect of treatment with implant-supported fixed prosthesis (ISFP) and fixed dental prosthesis (FDP) in patients with a small number of tooth losses to replace. METHODS From a population of 155 patients receiving either ISFP or FDP, 68 patients were matched in pairs based on gender, number of teeth replaced, zone of replacement, age and number of remaining teeth. The patient-reported effect was prospectively obtained by measuring change in the short-form oral health impact (OHIP-14) from before to one month after treatment. Effect size (ES), standardised response mean (SRM) and a minimal important difference of two units were applied to estimate the magnitude of the change. RESULTS Both the ISFP and FDP groups decreased significantly in OHIP-14 after treatment (P < .01). The change was not significantly different between the ISFP and FDP groups. The magnitude of the change was for both treatments moderate and slightly higher in the ISFP group (ES = 0.52 and SRM = 0.58) than in the FDP group (ES = 0.48 and SRM = 0.47). Applying the minimal important difference showed that 23 participants in the ISFP group and 21 in the FDP group had good effect. CONCLUSIONS The patient-reported effect of treatment with ISFP or FDP was similar, clinically meaningful and of moderate magnitude in patients with a small number tooth losses to replace.
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Affiliation(s)
- Esben B Øzhayat
- Section of Oral Rehabilitation, Department of Odontology, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Klaus Gotfredsen
- Section of Oral Rehabilitation, Department of Odontology, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
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23
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Patient satisfaction and preference with thermoplastic resin removable partial dentures: a randomised cross-over trial. J Prosthodont Res 2019; 64:20-25. [PMID: 31196765 DOI: 10.1016/j.jpor.2019.05.003] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2018] [Revised: 04/10/2019] [Accepted: 05/20/2019] [Indexed: 11/24/2022]
Abstract
PURPOSE This randomised cross-over trial aimed to comparatively investigate patient preference and satisfaction with thermoplastic resin removable partial dentures (TR-RPDs) and conventional metal clasp-retained removable partial dentures (MC-RPDs). METHODS Twenty-eight partially dentate subjects were enrolled and randomised to receive MC-RPDs followed by TR-RPDs or vice versa (n=14, each group). The subjects were asked to score overall satisfaction and denture-related parameters 3 months after delivery of each denture. Additionally, they were asked to choose their preferred denture type at the end of the trial. RESULTS Of the 28 subjects, 24 (86%; mean age, 67.3 years) completed the trial. The overall satisfaction scores and ratings for oral appearance with TR-RPDs were significantly higher than those with MC-RPDs (P<0.05). Moreover, 75% (18/24) and 83% (20/24) of the subjects reported greater overall satisfaction and better oral appearance with TR-RPDs than with MC-RPDs (P<0.001, both). Scores for mucosal pain and food impaction were significantly better with TR-RPDs than with MC-RPDs (P<0.05). Relative to MC-RPDs, TR-RPDs provided slightly better oral comfort and speech, although the differences were not statistically significant (P>0.05). Scores for chewing ability, denture stability, and ease of denture cleaning were almost identical for both types of dentures. CONCLUSIONS These results suggest that TR-RPDs hold an advantage over MC-RPDs in terms of oral appearance and can offer greater satisfaction than MC-RPDs in partially dentate arches with at least an occluding pair in the posterior region. CLINICAL TRIAL REGISTRATION UMIN Clinical Trials Registry (UMIN000007310).
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24
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Reis CMR, Matta-Machado ATG, Amaral JHL, Mambrini JVDM, Werneck MAF, de Abreu MHNG. Understanding oral health care team performance in primary care: A mixed-method study. PLoS One 2019; 14:e0217738. [PMID: 31145771 PMCID: PMC6542530 DOI: 10.1371/journal.pone.0217738] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2017] [Accepted: 05/19/2019] [Indexed: 12/02/2022] Open
Abstract
Objective This study aims to describe the primary care services carried out by Oral Health Teams (OHTs) in Brazil, and to understand the nuances that lead to different levels of OHT performance. Material & methods A mixed-methods study with a sequential explanatory design was developed. In the quantitative phase, secondary data from a national survey (PMAQ-AB) was used to describe the work of 12,403 OHTs. Item response theory (IRT) was applied, to evaluate the psychometric qualities of 20 oral health questions from PMAQ-AB and to identify the performance of OHT. The quantitative results guided the selection of the qualitative sample. An extreme case sampling strategy was used (opposite results). OHTs were selected from Belo Horizonte metropolitan region in Brazil using scores measured by IRT. Data were collected through semi-structured interviews. Data analysis was conducted using deductive and inductive thematic analysis. Results Quantitative results showed that there are OHT with high and low performance in Brazil. The IRT analysis showed that items related to prostheses and oral cancer tend to discriminate high-performance OHTs from other OHTs. Qualitative results deepened the understanding of accessing oral health services and found several access barriers, such as the insufficient number of OHTs for the population, and a very long waiting time for dental consultations other than urgency. The qualitative results confirmed that high-performance OHTs tend to emphasize oral cancer surveillance and deliver prostheses in PHC services. Conclusion Despite the expansion of oral health in PHC in Brazil in recent years, OHTs still face many challenges such as: access barriers; failures in prevention, early diagnosis and follow-up of oral cancer cases; and insufficient rehabilitation with prostheses.
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Affiliation(s)
| | | | - João Henrique Lara Amaral
- Department of Community and Preventive Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
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Ali Z, Baker SR, Shahrbaf S, Martin N, Vettore MV. Oral health-related quality of life after prosthodontic treatment for patients with partial edentulism: A systematic review and meta-analysis. J Prosthet Dent 2019; 121:59-68.e3. [DOI: 10.1016/j.prosdent.2018.03.003] [Citation(s) in RCA: 44] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2017] [Revised: 03/05/2018] [Accepted: 03/06/2018] [Indexed: 12/19/2022]
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Palmeiro MRL, Bronstrup MB, Durham J, Walls A, Shinkai RSA. Quality of life and mastication in denture wearers and cleft lip and palate adults. Braz Oral Res 2018; 32:e113. [DOI: 10.1590/1807-3107bor-2018.vol32.0113] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2017] [Accepted: 09/12/2018] [Indexed: 11/22/2022] Open
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Azevedo JS, Azevedo MS, Oliveira LJCD, Correa MB, Demarco FF. [Needs for dental prostheses and their use in elderly Brazilians according to the National Oral Health Survey (SBBrazil 2010): prevalence rates and associated factors]. CAD SAUDE PUBLICA 2017; 33:e00054016. [PMID: 28832778 DOI: 10.1590/0102-311x00054016] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2016] [Accepted: 09/22/2016] [Indexed: 11/22/2022] Open
Abstract
The objectives of this study were to evaluate the use of and need for dental prostheses among elderly Brazilians (65-74 years of age) and to verify associated factors. Data were analyzed from 7,496 elderly participants in the National Oral Health Survey in 2010 (SBBrazil 2010). Use of and need for dental prosthesis were the outcomes. The exposure variables included demographic and socioeconomic characteristics, dental services use, and self-rated oral health. Descriptive, bivariate, and multivariate analyses were performed. Prevalence rates for use of and need for dental prostheses were 78.2% and 68.7%, respectively. The Southeast Region had the highest prevalence of use (71.3%) and the greatest need for dental prostheses (82.9%). Multivariate Poisson regression analyses showed greater use of dental prostheses by women, individuals with 5 to 7 years of schooling, and users of private dental services, and lower use by black individuals and those with self-reported need for dental prostheses. Less need for dental prostheses was seen in women and in users of private services, and greater need in those with self-reported need for dental prostheses. Regional differences were seen in the distribution of use and need for dental prostheses. Still, the findings showed high prevalence rates for both outcomes in all regions of Brazil. Socioeconomic and demographic variables and use of dental services influenced the use of and need for dental prostheses.
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Alves MLM, Scarelli Lopes JF, de Almeida ALPF, Neppelenbroek KH, de Oliveira TM, Soares S. Orthognathic Surgery or Overlay Prosthesis: Quality of Life in Bilateral Cleft Lip and Palate Patients. Ann Maxillofac Surg 2017; 7:176-179. [PMID: 29264282 PMCID: PMC5717891 DOI: 10.4103/ams.ams_135_16] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
BACKGROUND The concern to restore and evaluate bilateral cleft lip and palate (BCLP) patients' quality of life, after rehabilitation, is an issue that has been discussed in the literature because it is the ultimate goal of any proposed treatment. OBJECTIVE To evaluate the overall and oral quality of life of BCLP patients who had completed their treatment with orthognathic surgery (OrSg) compared to those who completed theirs with prosthetic rehabilitation in the form of overlay prosthesis (OP). MATERIALS AND METHODS The study comprised 40 patients, 20 in OrSg group and 20 in OP group. Epidemiological survey and application of two questionnaires (World Health Organization Quality of Life-brief [WHOQOL-bref] and Oral Health Impact Profile-14 [OHIP-14]) were done. The final results were evaluated statistically by the Mann-Whitney test. RESULTS Regarding the comparison with the WHOQOL-bref, no significant statistical differences between groups were found. In the analysis of the OHIP-14, only in "psychological limitation" field difference could be observed, where OrSg group showed more negative impact when compared to the OP group. CONCLUSION Both rehabilitations provide a satisfactory quality of life for patients.
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Affiliation(s)
- Michelly Lima Moro Alves
- Hospital for Rehabilitation of Craniofacial Anomalies, Prosthetic Dentistry Sector, Bauru, São Paulo, Brazil
| | | | - Ana Lúcia Pompéia Fraga de Almeida
- Hospital for Rehabilitation of Craniofacial Anomalies, Prosthetic Dentistry Sector, Bauru, São Paulo, Brazil
- Department of Prosthetic Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil
| | - Karin Hermana Neppelenbroek
- Department of Prosthetic Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil
| | - Thais Marchini de Oliveira
- Hospital for Rehabilitation of Craniofacial Anomalies, Prosthetic Dentistry Sector, Bauru, São Paulo, Brazil
- Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil
| | - Simone Soares
- Hospital for Rehabilitation of Craniofacial Anomalies, Prosthetic Dentistry Sector, Bauru, São Paulo, Brazil
- Department of Prosthetic Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil
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Castillo-Oyagüe R, Perea C, Suárez-García MJ, Río JD, Lynch CD, Preciado A. Validation of the “Quality of Life related to function, aesthetics, socialization, and thoughts about health-behavioural habits (QoLFAST-10)” scale for wearers of implant-supported fixed partial dentures. J Dent 2016; 55:82-91. [DOI: 10.1016/j.jdent.2016.10.004] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2016] [Revised: 10/06/2016] [Accepted: 10/07/2016] [Indexed: 11/25/2022] Open
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Souza JGS, Costa Oliveira BE, Martins AMEDBL. Contextual and individual determinants of oral health-related quality of life in older Brazilians. Qual Life Res 2016; 26:1295-1302. [DOI: 10.1007/s11136-016-1447-7] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/25/2016] [Indexed: 12/13/2022]
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Schwindling FS, Deisenhofer UK, Séché AC, Lehmann F, Rammelsberg P, Stober T. Randomized trial investigating zirconia electroplated telescopic retainers: quality of life outcomes. Clin Oral Investig 2016; 21:1157-1163. [DOI: 10.1007/s00784-016-1869-1] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2015] [Accepted: 06/02/2016] [Indexed: 11/28/2022]
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Validation of a new, specific, complete, and short OHRQoL scale (QoLFAST-10) for wearers of implant overdentures and fixed-detachable hybrid prostheses. J Dent 2016; 49:22-32. [DOI: 10.1016/j.jdent.2016.04.011] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2016] [Revised: 04/20/2016] [Accepted: 04/25/2016] [Indexed: 11/18/2022] Open
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Peršić S, Kranjčić J, Pavičić DK, Mikić VL, Čelebić A. Treatment Outcomes Based on Patients’ Self-Reported Measures after Receiving New Clasp or Precision Attachment-Retained Removable Partial Dentures. J Prosthodont 2015; 26:115-122. [DOI: 10.1111/jopr.12395] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/29/2015] [Indexed: 11/26/2022] Open
Affiliation(s)
- Sanja Peršić
- Department of Prosthodontics, School of Dental Medicine; University of Zagreb; Zagreb Croatia
| | - Josip Kranjčić
- Department of Prosthodontics, School of Dental Medicine; University of Zagreb; Zagreb Croatia
| | - Daniela Kovačević Pavičić
- Department of Prosthodontics, School of Medicine, Study of Dental Medicine; University of Rijeka; Rijeka Croatia
| | - Vlatka Lajnert Mikić
- Department of Prosthodontics, School of Medicine, Study of Dental Medicine; University of Rijeka; Rijeka Croatia
| | - Asja Čelebić
- Department of Prosthodontics, School of Dental Medicine and Clinical Hospital Centre Zagreb; University of Zagreb; Zagreb Croatia
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Perea C, Preciado A, Río JD, Lynch CD, Celemín A, Castillo-Oyagüe R. Oral aesthetic-related quality of life of muco-supported prosthesis and implant-retained overdenture wearers assessed by a new, short, specific scale (QoLDAS-9). J Dent 2015; 43:1337-45. [DOI: 10.1016/j.jdent.2015.08.010] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2015] [Revised: 08/10/2015] [Accepted: 08/20/2015] [Indexed: 01/03/2023] Open
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Sghaireen MG, Al-Omiri MK. Relationship between impact of maxillary anterior fixed prosthodontic rehabilitation on daily living, satisfaction, and personality profiles. J Prosthet Dent 2015; 115:170-6. [PMID: 26443068 DOI: 10.1016/j.prosdent.2015.07.009] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2014] [Revised: 07/26/2015] [Accepted: 07/28/2015] [Indexed: 11/17/2022]
Abstract
STATEMENT OF PROBLEM Personality profiles may affect the impact of dental treatment on daily living and patient satisfaction. PURPOSE The purpose of this clinical trial was to evaluate the impact of maxillary anterior fixed prosthodontic rehabilitation on daily living and the satisfaction of patients and to investigate its relationship with personality profiles. MATERIAL AND METHODS Fifty-nine participants (25 men and 34 women; mean age 32.4 ± 6.9 years) received maxillary anterior partial fixed dental prostheses. The clinical success of the prostheses was evaluated following specific criteria. The Dental Impact on Daily Living (DIDL) questionnaire was used to measure satisfaction with the prostheses and their impact on daily living. The Neuroticism-Extraversion-Openness Five-Factor Inventory (NEO-FFI) was used to measure patients' personality profiles. The paired sample t test was used to compare satisfaction and personality scores before and after treatment (α=.05). RESULTS Participants' total satisfaction and their satisfaction with appearance, pain tolerance, oral comfort, general performance, and eating improved after treatment (P<.05). Before treatment, women were less satisfied with general performance (P=.047) and scored higher on the Neuroticism score (P=.039); however, after treatment, women were more satisfied with appearance (P=.004). Age and sex had no significant correlation with personality profiles after treatment. Before treatment, Neuroticism, Openness, and Conscientiousness scores were associated with dental satisfaction and impact on daily life (P<.05). After treatment, Neuroticism, Openness, and Extraversion scores were associated with dental satisfaction and impact on daily life (P<.05). CONCLUSIONS Patient satisfaction with their oral condition improved after partial fixed dental prosthetic rehabilitation in the maxillary anterior esthetic zone. Psychological profiles (Neuroticism, Extraversion, Openness, and Conscientiousness) may be involved in and explain the impact on daily living and the degree of patient satisfaction with their prostheses.
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Affiliation(s)
- Mohd G Sghaireen
- Assistant Professor and Consultant, Department of Prosthetic Dentistry, Faculty of Dentistry, Aljouf University, Sakaka, Saudi Arabia; and Professor, City of London School of Dentistry, London, UK
| | - Mahmoud K Al-Omiri
- Professor and Senior Consultant, Faculty of Dentistry, University of Jordan, Amman, Jordan; and Professor, City of London School of Dentistry, London, UK.
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Perea C, Del Río J, Preciado A, Lynch CD, Celemín A, Castillo-Oyagüe R. Validation of the ‘Quality of Life with Implant Prostheses (QoLIP-10)’ questionnaire for wearers of cement-retained implant-supported restorations. J Dent 2015; 43:1021-31. [DOI: 10.1016/j.jdent.2015.03.014] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2015] [Revised: 03/24/2015] [Accepted: 03/27/2015] [Indexed: 10/23/2022] Open
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Yunus N, Masood M, Saub R, Al-Hashedi AA, Taiyeb Ali TB, Thomason JM. Impact of mandibular implant prostheses on the oral health-related quality of life in partially and completely edentulous patients. Clin Oral Implants Res 2015; 27:904-9. [DOI: 10.1111/clr.12657] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/13/2015] [Indexed: 11/29/2022]
Affiliation(s)
- Norsiah Yunus
- Department of Restorative Dentistry; Faculty of Dentistry; University of Malaya; 50603 Kuala Lumpur Malaysia
| | - Mohd Masood
- Centre of Population Oral Health & Clinical Prevention Studies; Faculty of Dentistry; Universiti Teknologi MARA; 40450 Shah Alam Selangor Malaysia
- Division of Population & Patient Health; Dental Institute; King's College London; London UK
| | - Roslan Saub
- Department of Community Oral Health and Clinical Prevention; Faculty of Dentistry; University of Malaya; 50603 Kuala Lumpur Malaysia
| | - Ashwaq Ali Al-Hashedi
- Department of Oral Biology and Biomedical Sciences; Faculty of Dentistry; University of Malaya; 50603 Kuala Lumpur Malaysia
- Department of Prosthodontics; Faculty of Dentistry; Sana'a University; Sana'a Yemen
| | - Tara Bai Taiyeb Ali
- Department of Oral Biology and Biomedical Sciences; Faculty of Dentistry; University of Malaya; 50603 Kuala Lumpur Malaysia
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Jo A, Kanazawa M, Sato Y, Iwaki M, Akiba N, Minakuchi S. A randomized controlled trial of the different impression methods for the complete denture fabrication: Patient reported outcomes. J Dent 2015; 43:989-96. [PMID: 26051546 DOI: 10.1016/j.jdent.2015.05.007] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2015] [Revised: 05/02/2015] [Accepted: 05/22/2015] [Indexed: 10/23/2022] Open
Abstract
OBJECTIVES To compare the effect of conventional complete dentures (CD) fabricated using two different impression methods on patient-reported outcomes in a randomized controlled trial (RCT). METHODS A cross-over RCT was performed with edentulous patients, required maxillomandibular CDs. Mandibular CDs were fabricated using two different methods. The conventional method used a custom tray border moulded with impression compound and a silicone. The simplified used a stock tray and an alginate. Participants were randomly divided into two groups. The C-S group had the conventional method used first, followed by the simplified. The S-C group was in the reverse order. Adjustment was performed four times. A wash out period was set for 1 month. The primary outcome was general patient satisfaction, measured using visual analogue scales, and the secondary outcome was oral health-related quality of life, measured using the Japanese version of the Oral Health Impact Profile for edentulous (OHIP-EDENT-J) questionnaire scores. RESULTS Twenty-four participants completed the trial. With regard to general patient satisfaction, the conventional method was significantly more acceptable than the simplified. No significant differences were observed between the two methods in the OHIP-EDENT-J scores. CONCLUSIONS This study showed CDs fabricated with a conventional method were significantly more highly rated for general patient satisfaction than a simplified. CLINICAL SIGNIFICANCE CDs, fabricated with the conventional method that included a preliminary impression made using alginate in a stock tray and subsequently a final impression made using silicone in a border moulded custom tray resulted in higher general patient satisfaction. TRIAL REGISTRATION UMIN000009875.
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Affiliation(s)
- Ayami Jo
- Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8549, Japan
| | - Manabu Kanazawa
- Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8549, Japan.
| | - Yusuke Sato
- Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8549, Japan
| | - Maiko Iwaki
- Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8549, Japan
| | - Norihisa Akiba
- Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8549, Japan
| | - Shunsuke Minakuchi
- Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8549, Japan
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Aarabi G, John MT, Schierz O, Heydecke G, Reissmann DR. The course of prosthodontic patients’ oral health-related quality of life over a period of 2 years. J Dent 2015; 43:261-8. [DOI: 10.1016/j.jdent.2014.09.006] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2014] [Revised: 09/04/2014] [Accepted: 09/09/2014] [Indexed: 11/24/2022] Open
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The impact of rehabilitation using removable partial dentures and functionally orientated treatment on oral health-related quality of life: A randomised controlled clinical trial. J Dent 2015; 43:66-71. [DOI: 10.1016/j.jdent.2014.06.006] [Citation(s) in RCA: 41] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2014] [Revised: 06/17/2014] [Accepted: 06/18/2014] [Indexed: 11/30/2022] Open
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Hacker T, Heydecke G, Reissmann DR. Impact of procedures during prosthodontic treatment on patients’ perceived burdens. J Dent 2015; 43:51-7. [DOI: 10.1016/j.jdent.2014.10.013] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2014] [Revised: 10/24/2014] [Accepted: 10/30/2014] [Indexed: 11/17/2022] Open
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Visscher CM, Lobbezoo F, Schuller AA. Dental status and oral health-related quality of life. A population-based study. J Oral Rehabil 2014; 41:416-22. [PMID: 24698541 DOI: 10.1111/joor.12167] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/13/2014] [Indexed: 11/30/2022]
Abstract
Oral health-related quality of life (OHRQoL) is associated with tooth wear and tooth loss. This study investigated the association between OHRQoL and dental status (in terms of natural dentition, partial or complete dentures, or edentulism). Sixteen hundred and twenty-two persons who participated in a large-scale Dutch dental survey were interviewed. Dentate persons (n = 1407) were additionally invited for a clinical examination (response rate: 69%). Dental status was based upon the combined data from this clinical examination and the questionnaire (seven dental status groups were defined). OHRQoL was measured by the Dutch translation of the short version of the Oral Health Impact Profile, the OHIP-NL14. Kruskal-Wallis tests and Mann-Whitney U tests were used to investigate differences in OHRQoL between the dental status groups. For all OHIP-NL14 scales, differences in OHRQoL were found between the dental status groups (all P-values <0·001). The Mann-Whitney U tests revealed no differences between persons with a complete natural dentition and persons with a fixed prosthetic replacement. The latter group, however, did show a significantly better OHRQoL as compared to persons with a removable partial denture. Surprisingly, edentulous persons with an overdenture had a more impaired OHRQoL than edentulous persons with non-supported complete dentures. The results demonstrated that impaired dental status is associated with deteriorations in OHRQoL, especially concerning functional limitations, physical pain and social disability.
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Affiliation(s)
- C M Visscher
- Department of Oral Kinesiology, Academic Centre for Dentistry Amsterdam, University of Amsterdam and VU University Amsterdam, MOVE Research Institute Amsterdam, Amsterdam, The Netherlands
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Hahnel S, Schwarz S, Zeman F, Schäfer L, Behr M. Prevalence of xerostomia and hyposalivation and their association with quality of life in elderly patients in dependence on dental status and prosthetic rehabilitation: a pilot study. J Dent 2014; 42:664-70. [PMID: 24632475 DOI: 10.1016/j.jdent.2014.03.003] [Citation(s) in RCA: 43] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2013] [Revised: 02/04/2014] [Accepted: 03/06/2014] [Indexed: 11/30/2022] Open
Abstract
OBJECTIVES The aims of this pilot study were to investigate the prevalence of xerostomia and hyposalivation and their impact on quality of life in a cohort of elderly patients including dental status and the character of potential prosthetic restorations as independent variables. METHODS Patients aged 60 years or older without any objective or subjective need for prosthodontic treatment taking part in a regular recall programme were included in the trial. Quality of life was assessed using the German version of the GOHAI; prevalence and severity of xerostomia was investigated using the shortened version of the Xerostomia Inventory (XI). Stimulated salivary flow rate was determined using a sialometric approach. Dental status and the character of prosthetic restorations (no/fixed restorations and removable but tooth-supported dentures vs. gum-supported dentures) were assessed in a clinical examination by experienced dentists specialized in prosthodontic treatment. RESULTS A total of 68 patients were included in the trial; a prevalence of xerostomia of 16% and a prevalence of hyposalivation of 31% were identified. The quality of life in the study cohort decreased significantly as a function of xerostomia severity but not salivary flow; moreover, a significant impact of the number of teeth/implants in the upper jaw and the presence of gum-supported dentures in both jaws on GOHAI scores could be identified. CONCLUSIONS Within the limitations of a pilot study, the results support the assumption that the quality of life in elderly patients is particularly related to their subjective perception of xerostomia. A decline in salivary flow, the dental status and the character of prosthetic restorations appear to play a subordinate role for the quality of life in elderly patients. CLINICAL SIGNIFICANCE The quality of life in elderly patients may be severely diminished due to an increased subjective perception of dry mouth. Dental treatment should focus on alleviating xerostomia, whereas the impact of dental status and prosthetic restoration appear to be subordinate.
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Affiliation(s)
- Sebastian Hahnel
- Department of Prosthodontics, Regensburg University Medical Center, Regensburg, Germany.
| | - Simone Schwarz
- Department of Prosthodontics, Regensburg University Medical Center, Regensburg, Germany
| | - Florian Zeman
- Centre for Clinical Trials, Regensburg University Medical Center, Regensburg, Germany
| | - Lina Schäfer
- Department of Prosthodontics, Regensburg University Medical Center, Regensburg, Germany
| | - Michael Behr
- Department of Prosthodontics, Regensburg University Medical Center, Regensburg, Germany
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Cross-bite and oral health related quality of life in young people. J Dent 2014; 42:249-55. [DOI: 10.1016/j.jdent.2013.12.004] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2013] [Revised: 11/23/2013] [Accepted: 12/13/2013] [Indexed: 11/21/2022] Open
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AL-Omiri MK, Sghaireen MG, Al-Qudah AA, Hammad OA, Lynch CD, Lynch E. Relationship between impacts of removable prosthodontic rehabilitation on daily living, satisfaction and personality profiles. J Dent 2014; 42:366-72. [DOI: 10.1016/j.jdent.2013.12.010] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2013] [Revised: 12/07/2013] [Accepted: 12/18/2013] [Indexed: 10/25/2022] Open
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Preciado A, Del Río J, Lynch CD, Castillo-Oyagüe R. Impact of various screwed implant prostheses on oral health-related quality of life as measured with the QoLIP–10 and OHIP–14 scales: A cross-sectional study. J Dent 2013; 41:1196-207. [DOI: 10.1016/j.jdent.2013.08.026] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2013] [Revised: 08/23/2013] [Accepted: 08/31/2013] [Indexed: 10/26/2022] Open
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Preciado A, Del Río J, Lynch CD, Castillo-Oyagüe R. A new, short, specific questionnaire (QoLIP-10) for evaluating the oral health-related quality of life of implant-retained overdenture and hybrid prosthesis wearers. J Dent 2013; 41:753-63. [DOI: 10.1016/j.jdent.2013.06.014] [Citation(s) in RCA: 36] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2013] [Revised: 06/18/2013] [Accepted: 06/21/2013] [Indexed: 10/26/2022] Open
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