Castillo-Oyagüe R, Río JD, Preciado A, Lynch CD, García-Minguillán G. 'Role of the modulating factors on the self-perceived OHRQoL of fully dentate subjects and wearers of screw-retained and cement-retained implant-supported FPDs: A cross-sectional study'.
J Dent 2021;
117:103887. [PMID:
34762987 DOI:
10.1016/j.jdent.2021.103887]
[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: 08/15/2021] [Revised: 10/07/2021] [Accepted: 10/11/2021] [Indexed: 11/24/2022] Open
Abstract
OBJECTIVES
This research aimed to compare the oral health-related quality of life (OHRQoL) between fully dentate subjects and edentulous patients wearing implant-supported fixed partial dentures (i-FPDs). The clinical conditions of both types of restorations were evaluated.
METHODS
Participants were assigned to: Group-1 (SR, n= 50): screw-retained i-FPD wearers; Group-2 (CR, n= 50): cement-retained i-FPD wearers; and Group-3 (ND, n= 50): dentate subjects with a healthy natural dentition (controls). Patients answered the OHIP-14sp and QoLIP-10 questionnaires. Data related to sociodemographics, prosthesis features, peri-implant status, complications, and subjective evaluations, were compiled. Potential modulators of the OHRQoL and the i-FPDs' clinical conditions were assessed using non-parametric tests (α= 0.05).
RESULTS
ND individuals were the least satisfied (OHIP-14sp; p< 0.001). Both prosthodontic groups reported similar levels of wellbeing, excluding the speaking difficulties, which were lower for SR wearers as shown by both scales (p= 0.001). The most discontented patients (OHIP-14sp) were: women (p= 0.022), under 65 years (p= 0.03), without partner (p< 0.001) and having a crown (p= 0.033). The level of education/schooling also affected the OHIP-14sp scores (p< 0.001). Implant mobility and peri-implantitis were more frequent among CR wearers (p-values= 0.008 and 0.05, respectively).
CONCLUSIONS
The OHRQoL of both prosthodontic groups was comparably higher than that of the dentate subjects, who were the most nonconformist. The self-perceived satisfaction was mainly modulated by sociodemographic factors.
CLINICAL SIGNIFICANCE
Overall, the retention system did not impact the OHRQoL, prosthetic problems, and subjective evaluations of i-FPD wearers. However, the cementation may increase the risk of peri-implant diseases.
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