A 3‐year longitudinal study of quality‐of‐life outcomes of elderly patients with implant‐ and tooth‐supported fixed partial dentures in posterior dental regions

Abstract

A 3-year longitudinal study of quality-of-life outcomes of elderly patients with implant-and tooth-supported fixed partial dentures in posterior dental regions Background: Clinical studies have mainly been focused on oral health-related quality-of-life (OHRQoL) outcomes of removable dentures. Objective: To evaluate therapy of elderly patients with implant-supported fixed partial dentures (IFPD) and tooth-supported fixed partial dentures (FPD) in the posterior dental regions. Patients and methods: The OHIP49 was used to measure OHRQoL in 64 patients with IFPD and 38 patients with FPD, before, 3 weeks and 3 years after rehabilitation. A control group (CG) consisted of 62 individuals. Results: The Oral Health Impact Profile questionnaire (OHIP) follow-up scores of the patients with FPD and the patients with IFPD were significantly smaller in comparison with the baseline scores (p < 0.01). The OHIP scores were further reduced at the 3-year follow-up. The patients with IFPD had significantly higher scores than the patients with FPD and the CG at the baseline and at the follow-ups. In the patients with FPD, both age groups (£60 and >60) showed equal improvement of the OHRQoL. In the IFPD group, patients older than 60 years showed better improvement (p < 0.05). There were no significant differences dependent on gender and antagonistic teeth (p > 0.05). Conclusion: The FPD and the IFPD treatment showed significant improvement of OHRQoL. The FPD treatment improved OHRQoL equally in both age groups, while the IFPD treatment improved OHRQoL better in older patients.Keywords: oral health impact profile questionnaire, oral health-related quality-of-life, elderly patients, implant, prosthodontic.

Factor analyses of the Oral Health Impact Profile – Overview and studied population

“…In the four studies without primary publications, subjects had similar characteristics compared to those included in the published studies: A sample of Croatian complete denture-wearers (reference A in Tables 1 and 2) was similar to a sample of German complete denture-wearers [20]. Two samples of prosthodontic patients in Croatia (Reference B, Table 1 and 2) and Slovenia (Reference D, Table 1 and 2) receiving dental implant therapy were similar to a recent study in this same patient population in Croatia [21]. A sample of Slovenian general population subjects (Reference C, Tables 1 and 2) who were from rural regions of Slovenia was similar to general population Slovenian subjects studied before [22].…”

Oral health related quality-of-life outcomes of partially edentulous patients treated with implant-supported single crowns or fixed partial dentures

“…Several researches were carried out in the field of patient based results has for the most part been focused on implant-supported removable denture and very minimal data is available regarding outcomes with treatments such as implant supported single crowns or fixed partial dentures, (15). With this background, this study has been carried out with an objective to assess the OHR-QoL of patients treated with implant-supported single crowns or fixed partial dentures.…”

Gerodontology: An Interdisciplinary Approach

“…A study by Petricevic et al have stated that implant supported fixed prosthesis were associated with better quality of life in older individuals as compared to tooth supported fixed prosthesis [25]. When comparing crestal bone loss around implants in younger and older patients, no significant differences were noted by Bryant and Zarb in their study [32].…”

“…It has been proven that implant supported rehabilitations facilitate better quality of life and oral comfort and function [25]. This is especially true in older individuals where the primary complaint is inability to eat food properly due to missing teeth.…”