Resumo
Objective: To evaluate and compare satisfaction and OHRQoL in patients using complete dentures or full-arch fixed implant-supported prostheses.
Material and Methods: 200 patients were divided into two groups: 1) Test group (TG): patients rehabilitated with lower full-arch fixed implant-supported prosthesis; and 2) Control group - (CG): patients using complete dentures. Patients had Oral Health-related Quality of Life (OHRQoL) assessed through 4 validated questionnaires: 1) Oral Health Impact Profile (OHIP-14); 2) Rosenberg Self-Esteem Scale (RSS); 3) Orthognathic Quality of Life Questionnaire (OQLQ); and 4) Short Form Health Survey (SF-8). Statistical analysis was done by using the Wilcoxon test, considering a level of significance of 5%.
Results: The results demonstrated that the TG presented better results (p<0.001) than the CG in relation to OHIP-14 (9.0±2.36 and 21.0+3.17, respectively), including functional limitation, physical pain, physical and psychological disability, and social and physical disability. Moreover, TG presents better outcomes than CG for RSS (35.0+2.31 and 31.0+2.31, respectively) and OQLQ (16.0+3.19 and 27.5+3.22, respectively), but without difference (p = 0.79) for SF-8 (83.1+6.64 and 83.1+8.16, respectively).
Conclusion: Patients with lower full-arch fixed implant-supported prostheses, compared to patients using complete dentures, present a better perception regarding their general well-being, higher self-esteem and quality of life.
Referências
Alanko, O. M., Svedström-Oristo, A. L., & Tuomisto, M. T. (2010). Patients' perceptions of orthognathic treatment, well-being, and psychological or psychiatric status: a systematic review. Acta Odontologica Scandinavica, 68, 249-260. doi: 10.3109/00016357.2010.494618.
Alzoubi, F., Bedrossian, E., Wong, A., Ferrell, D., Park, C. & Indresano, T. (2017). Outcomes assessment of treating completely edentulous patients with a fixed implant-supported profile prostheses utilizing a graftless approach. part 2: patient-related outcomes. The International Journal of Oral & Maxillofacial Implants, 32, 1080-1085. doi: 10.11607/jomi.5521.
Awad, M. A., Shapiro, S. H., Lund, J. P. & Feine, J. S. (2000). Determinants of patients' treatment preferences in a clinical trial. Community Dentistry and Oral Epidemiology, 28, 119-125. doi: 1034/j.1600-0528.2000.028002119.
Berretin-Felix, G., Nary Filho, H., Padovani, C. R., & Machado, W. M. (2008). A longitudinal study of quality of life of elderly with mandibular implant-supported fixed prostheses. Clinical Oral Implants Research, 19, 704-708. doi:10.1111/j.1600-0501.2007.01451.x.
Brennan, M., Houston, F., O'Sullivan, M. & O'Connell, B. (2010). Patient satisfaction and oral health-related quality of life outcomes of implant overdentures and fixed complete dentures. The International Journal of Oral & Maxillofacial Implants, 25, 791-800.
Box, V. H., Sukotjo, C., Knoernschild, K. L., Campbell, S. D. & Afshari, F. S. (2018). Patient-reported and clinical outcomes of implant-supported fixed complete dental prostheses: a comparison of metal-acrylic, milled zirconia, and retrievable crown prostheses. Journal of Oral Implantology, 44, 51-61. doi: 10.1563/aaid-joi-D-17-00184
Bortoluzzi, M. C., Manfro, R., Soares, I. C. & Presta, A. A. (2011). Cross-cultural adaptation of the orthognathic quality of life questionnaire (OQLQ) in a Brazilian sample of patients with dentofacial deformities. Medicina Oral Patologia Oral y Cirugia Bucal, 16, 694-699. doi:10.4317/medoral.16938
Brignardello-Petersen, R. (2017). Patients who receive implant-retained overdentures seem to have better oral health-related quality of life than those who receive complete conventional dentures. Journal of the American Dental Association,148, 180. doi: 10.1016/j.adaj.2017.08.034.
Campolina, A. G., Pinheiro, M. M., Ciconelli, R. M. & Ferraz, M. B. (2011). Quality of life among the Brazilian adult population using the generic SF-8 questionnaire. Cadernos de Saúde Pública, 27, 1121-1131. doi: 10.1590/S0102-311X2011000600009
Cano-Gutiérrez, C., Borda, M. G., Arciniegas, A. J. & Borda C. X. (2015). Edentulism and dental prostheses in the elderly: impact on quality of life measured with EuroQol-visual analog scale (EQ-VAS). Acta Odontol Latinoam, 28, 149-155. doi: 10.1590/S1852-48342015000200009.
Cardoso, R. G., Melo, L. A., Barbosa, G. A., Calderon, P. D., Germano, A. R., Mestriner, W. Junior & Carreiro, A. D. (2016). Impact of mandibular conventional denture and overdenture on quality of life and masticatory efficiency. Brazilian Oral Research, 30, e102. doi: 10.1590/1807-3107BOR-2016.vol30.0102.
Ciconelli, R. M., Ferraz, M. B., Santos, W., Meinão, I. & Quaresma, M. R. (1999). Brazilian-Portuguese version of the SF-36. A reliable and valid quality of life outcome measure. Revista Brasileira de Reumatologia, 39,143-150.
Conceição Araújo, M. M. da, Martins, M. R., Dos Santos Soares, A. R., de Abreu Carvalho, L. R., Gomes, V. E., Ferreira, E. F., Miranda Cota, L. O., Senna, M. I. B. & Ferreira, R. C. (2018). Relationship between quality of complete dentures and user satisfaction at 1 and 5 years postinsertion. The International Journal of Prosthodontics, 31, 271-279. doi: 10.11607/ijp.5477.
Cunningham, S. J., Garratt, A. M., Hunt & N. P. (2000). Development of a condition-specific quality of life measure for patients with dentofacial deformity: I. Reliability of the instrument. Community Dentistry and Oral Epidemiology, 28, 195-201. doi: 10.1034/j.1600-0528.2002.300201.x
Davis, D. M., Fiske, J., Scott, B. & Radford, D. R. (2000). The emotional effects of tooth loss: A preliminary quantitative study. British Dental Journal, 188, 503–506.
Dini, G. M., Quaresma, M. R. & Ferreira, L. M. (2004). Translation into Portuguese, cultural adaptation and validation of the Rosenberg Self-esteem Scale. Revista Brasileira de Cirurgia Plástica, 19, 41-52.
Fiske, J., Davis, D. M., Frances, C. & Gelbier S. (1998). The emotional effects of tooth loss in edentulous people. British Dental Journal, 184, 90–93.
Fontijn-Tekamp, F. A., Slagter, A. P., Van Der Bilt, A., Van 'T Hof, M. A., Witter, D. J., Kalk, W. & Jansen, J. A. (2000). Biting and chewing in overdentures, full dentures, and natural dentitions. Journal of Dental Research, 79, 1519-1524. doi: 10.1177/00220345000790071501
Gaio, E. J., Haas, N. A., Carrard, V. C., Oppermann, R. V., Albandar, J. & Susin, C. (2012). Oral health status in elders from South Brazil: a population based study. Gerodontology, 29, 214-223. doi: 10.1111/j.1741-2358.2011.00617.x.
Gift, H. C., Atchison, K. A. & Dayton, C. M. (1997). Conceptualizing oral health and oral health-related quality of life. Social Science & Medicine, 44, 601-608. doi: 10.1016/S0277-9536(96)00211-0
Hanioka, T., Ojima, M., Tanaka, K. & Aoyama, H. (2007). Association of total tooth loss with smoking, drinking alcohol and nutrition in elderly Japanese: analysis of national database. Gerodontology, 24, 87-92. doi: 10.1111/j.1741-2358.2007.00166.x
Hewlett, S. A., Yawson, A. E., Calys-Tagoe, B. N., Naidoo, N., Martey, P., Chatterji, S., Kowal, P., Mensah, G., Minicuci, N. & Biritwum, R. B. (2015). Edentulism and quality of life among older Ghanaian adults. BMC Oral Health, 9, 15-48. doi: 10.1186/s12903-015-0034-6.
Johal, A., Alyaqoobi, I., Patel, R. & Cox, S. (2015). The impact of orthodontic treatment on quality of life and self-esteem in adult patients. European Journal of Orthodontics, 37, 233-237. doi: 10.1093/ejo/cju047
Johannsen, A., Westergren, A. & Johannsen, G. (2012). Dental implants from the patients perspective: transition from tooth loss, through amputation to implants - negative and positive trajectories. Journal of Clinical Periodontology, 39, 681-687. doi: 10.1111/j.1600-051X.2012.01893.x.
Kailembo, A., Preet, R. & Stewart W. J. (2016). Common risk factors and edentulism in adults, aged 50 years and over, in China, Ghana, India and South Africa: results from the WHO Study on global AGEing and adult health (SAGE). BMC Oral Health, 27, 17-29. doi: 10.1186/s12903-016-0256-2.
Khadka, A., Liu, Y., Li, J., Zhu, S., Luo, E., Feng, G. & Hu, J. (2011). Changes in quality of life after orthognathic surgery: a comparison based on the involvement of the occlusion. Oral Surgery, Oral Medicine, Oral Pathology, and Oral Radiology, 112, 719-725. doi: 10.1016/j.tripleo.2011.01.002.
Koshino, H., Hirai, T., Ishijima, T., Tsukagoshi, H., Ishigami, T. & Tanaka, Y. (2006). Quality of life and masticatory function in denture wearers. Journal of Oral Rehabilitation, 33, 323-329. doi: 10.1111/j.1365-2842.2005.01152.x
Kroll, P., Hou, L., Radaideh, H., Sharifi, N., Han, P. P., Mulligan, R. & Enciso, R. (2018). Oral health-related outcomes in edentulous patients treated with mandibular implant-retained dentures versus complete dentures: Systematic review with meta-analyses. Journal of Oral Implantology, 44, 313-324. doi: 10.1563/aaid-joi-D-17-00210
Kutkut, A., Bertoli, E., Frazer, R., Pinto-Sinai, G. & Fuentealba Hidalgo, R., Studts J. (2018). A systematic review of studies comparing conventional complete denture and implant retained overdenture. Journal of Prosthodontic Research, 62, 1-9. doi: 10.1016/j.jpor.2017.06.004.
Lee, S., McGrath, C. & Samman, N. (2008). Impact of orthognathic surgery on quality of life. Journal of Oral and Maxillofacial Surgery, 66, 1194-1199. doi: 10.1016/j.joms.2008.01.006.
Limmer, B., Sanders, A. E., Reside, G. & Cooper, L. F. (2014). Complications and patient-centered outcomes with an implant-supported monolithic zirconia fixed dental prostheses: 1 year results. Journal of Prosthodontics, 23, 267-275. doi: 10.1111/jopr.12110.
Limpuangthip, N., Somkotra, T. & Arksornnukit, M. (2017). Modified retention and stability criteria for complete denture wearers: A risk assessment tool for impaired masticatory ability and oral health-related quality of life. Journal of Prosthetic Dentistry, 120, 43-49. doi: 10.1016/j.prosdent.2017.09.010
Lukez, A., Pavlic, A., Trinajstic Zrinski, M. & Spalj, S. (2015). The unique contribution of elements of smile aesthetics to psychosocial well-being. Journal of Oral Rehabilitation, 42, 275-281. doi: 10.1111/joor.12250
Michaud, P. L., de Grandmont, P., Feine, J. S. & Emami, E. (2012). Measuring patient-based outcomes: is treatment satisfaction associated with oral health-related quality of life? Journal of Dentistry, 40, 624-631. doi: 10.1016/j.jdent.2012.04.007
Millwood, J., & Heath, M. R. (2000). Food choice by older people: The use of semi-structured interviews with open and closed questions. Gerodontology, 17, 25–32. doi: 10.1111/j.1741-2358.2000.00025.x
Müller, F., Naharro, M. & Carlsson, G. E. (2007). What are the prevalence and incidence of tooth loss in the adult and elderly population in Europe? Clinical Oral Implants Research, 3, 2-14. doi: 10.1111/j.1600-0501.2007.01459.x
Musacchio, E., Perissinotto, E., Binotto, P., Sartori, L., Silva-Netto, F., Zambon, S., Manzato, E., Corti, M. C., Baggio, G. & Crepaldi, G. (2007). Tooth loss in the elderly and its association with nutritional status, socio-economic and lifestyle factors. Acta Odontologica Scandinavica, 65, 78-86. doi: 10.1080/00016350601058069
Oh, S. H., Kim, Y., Park, J. Y., Jung, Y. J., Kim, S. K., Park & S. Y. (2016). Comparison of fixed implant-supported prostheses, removable implant-supported prostheses, and complete dentures: patient satisfaction and oral health-related quality of life. Clinical Oral Implants Research, 27, 31-37. doi: 10.1111/clr.12514
Oliveira, B. H. & Nadanovsky, P. (2005). Psychometric properties of the Brazilian version of the Oral Health Impact Profile-short form. Community Dentistry and Oral Epidemiology, 33, 307-314. doi: 10.1111/j.1600-0528.2005.00225.x
Özhayat, E. B. (2013). Influence of self-esteem and negative affectivity on oral health-related quality of life in patients with partial tooth loss. Community Dentistry and Oral Epidemiology, 41, 466-472. doi: 10.1111/cdoe.12032
Peres, M. A., Barbato, P. R., Reis, S. C., Freitas, C. H. & Antunes, J. L. (2013). Tooth loss in Brazil: analysis of the 2010 Brazilian Oral Health Survey. Revista de Saúde Pública, 47, 78-89. doi: 10.1590/S0034-8910.2013047004226
Preciado, A., Del Río, J., Lynch, C. D. & Castillo-Oyagüe, R. (2013). 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. Journal of Dentistry, 41, 1196-1207. doi: 10.1016/j.jdent.2013.08.026.
Piancino, M. G., Farina, D., Talpone, F., Castroflorio, T., Gassino, G., Margarino, V. & Bracco, P. (2005). Surface EMG of jaw-elevator muscles and chewing pattern in complete denture wearers. Journal of Oral Rehabilitation, 32, 863–870. doi: 10.1111/j.1365-2842.2005.01524.x
Raghoebar, G. M., Meijer, H. J., van’t Hof, M., Stegenga, B. & Vissink, A. (2003). A randomized prospective clinical trial on the effectiveness of three treatment modalities for patients with lower denture problems: A 10 years follow-up study on patient satisfaction. International Journal of Oral and Maxillofacial Surgery, 32, 498-503. https://doi.org/10.1016/S0901-5027(03)90434-0
R Development Core Team (2015). R: a language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria URL http://www.R-project.org/.
Rosenberg, M. (1965). Society and the adolescent self-image. New Jersey: Princeton University Press.
Sánchez-Siles, M., Ballester-Ferrandis, J. F., Salazar-Sánchez, N., Gómez-García, F. J., Moraleja-Ruiz, R. & Camacho-Alonso, F. (2018). Long-term evaluation of quality of life and satisfaction between implant bar overdentures and conventional complete dentures: A 23 years retrospective study. Clinical Implant Dentistry and Related Research, 20, 208-214. doi: 10.1111/cid.12576.
Scott, B. J., Leung, K. C., McMillan, A. S., Davis, D. M. & Fiske, J. (2001). A transcultural perspective on the emotional effect of tooth loss in complete denture wearers. The International Journal of Prosthodontics,14, 461–465.
Slade, G. D. (1997). Derivation and validation of a short-form oral health impact profile. Community Dentistry and Oral Epidemiology, 25, 284-90. doi: 10.1111/j.1600-0528.1997.tb00941.x
Souza, J. G. S., Souza, S. E., Sampaio, A. A., Silveira, M. F., Ferreira, E. F. & Martins, A. M. E. B. L. (2016). Self-perception of the need for full dental prostheses among toothless elderly Brazilians. Ciência & Saúde Coletiva, 21, 3407-3415. doi: 10.1590/1413-812320152111.14912015
Steele, J. G., Sanders, A. E., Slade, G. D., Allen, P. F., Lahti S., Nuttall, N. & Spencer, A. J. (2004). How do age and tooth loss affect oral health impacts and quality of life? A study comparing two national samples. Community Dentistry and Oral Epidemiology, 32, 107–114. doi: 10.1111/j.0301-5661.2004.00131.x
Sun, H., Shang, H. T., He, L. S., Ding, M. C., Su, Z. P. & Shi, Y. L. (2018). Assessing the quality of life in patients with dentofacial deformities before and after orthognathic surgery. Journal of Oral and Maxillofacial Surgery, 76, 2192-2201. doi: 10.1016/j.joms.2018.03.026.
Ware, J. E. Jr, & Sherbourne, C. D. (1992). The MOS 36-item short- form health survey SF-36. I. Conceptual framework and item selection. Medical Care, 30, 473-483.
Yunus, N., Masood, M., Saub, R., Al-Hashedi, A. A., Taiyeb Ali, T. B. & Thomason, J. M. (2016). Impact of mandibular implant prostheses on the oral health-related quality of life in partially and completely edentulous patients. Clinical Oral Implants Research, 27, 904-909. doi: 10.1111/clr.12657.
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Copyright (c) 2024 Rafael Lopes Piloto, Gabriela de Souza Zimiani, Cléverson Oliveira e Silva