‘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’
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2021
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Elsevier
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Castillo De Oyague, R., Río Highsmith, J., Preciado Uribe, A. et al. «‘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’». Journal of Dentistry, vol. 117, febrero de 2022, p. 103887. DOI.org (Crossref), https://doi.org/10.1016/j.jdent.2021.103887.
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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CRUE-CSIC (Acuerdos Transformativos 2022)