This cross-sectional study was to evaluate the association between the oral health-related quality of life (OHRQoL) of older Thai people with obesity and oral health indicators. General and oral conditions were assessed. Oral dryness was determined using the Xerostomia Inventory-11 (XI-11) and clinical oral dryness score (CODS). OHRQoL was evaluated by the oral health impact profile (OHIP-14). Participants were aged 60–86 years; 73 (59.3%) were overweight or obese, and 50 (40.7%) were normal weight. Older patients with obesity had almost four times the rate of hypertension (OR = 3.59; 95%CI:1.34–9.60; p = 0.002), more missing teeth (p = 0.025), and higher CODS (p = 0.014) than those without obesity. The total XI-11 scores were positively associated with the total CODS, after adjusting for BMI (r = 0.267, p = 0.003). Those with obesity had almost three times the tendency for a negative OHRQoL compared with the non-obese (OR = 2.73; 95%CI:1.12–6.71; p = 0.04). After adjusting for all related factors, the chances of predicting an OHIP-14 score of four based on obesity and total XI-11 score were 4.42 (95%CI:1.57–12.47; p = 0.005) and 1.11 (95%CI:1.02–1.20; p = 0.013), respectively. Obesity had an increasingly undesirable negative impact on the OHRQoL of older Thai people and was influenced by BMI and oral dryness.
Purpose: This study aims to investigate the ultimate fractural strength and marginal integrity of a three-unit implant-supported fixed partial denture (FPD) framework fabricated of polyetherketoneketone (PEKK) after simulated five-year clinical aging. Materials and Methods: Twelve FPD frameworks were milled (n = 6 per group). All experimental frameworks were cemented on identical stainless-steel abutment models and subjected to five years of clinically simulated thermomechanical aging. The vertical marginal gap values were analyzed using a scanning electron microscope before and after being subjected to each aging condition. A universal testing machine was used to evaluate the ultimate fracture load. Results: A significant increase in marginal gap values of the PEKK group was observed after five years of simulation aging (p < 0.001), while no significant difference was seen in the titanium group (p = 0.071). After thermocycling, the PEKK group showed a higher statistically significant mean marginal gap value (84.99 + 44.28 μm) than before (81.75 + 44.53 μm). The titanium group exhibited superior mechanical strength, with a fracture load significantly higher than that of the PEKK group (3050 + 385.30 and 1359.14 + 205.49 N, respectively). Conclusions: Thermocycling affects the marginal gap discrepancy of PEKK restoration. However, the mean vertical marginal gap values in PEKK and titanium groups after a five-year clinical aging simulation were clinically acceptable. The ultimate fracture load values were higher than the maximum bite force reported in the posterior region. Thus, PEKK could serve as a suitable alternative material to metal in the framework of fixed dental prostheses.
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