Maxillary rehabilitation of periodontally compromised patients with extensive one-piece fixed prostheses supported by natural teeth: a retrospective longitudinal study

Abstract

ObjectivesOral health-related quality of life is a relatively new but rapidly growing concept in dentistry. It is an aspect of dental health addressing the patient’s perception of whether his/her current oral health status has an impact upon his/her actual quality of life. Dentine hypersensitivity (DHS), which is a common condition of transient tooth pain associated with a variety of exogenous stimuli, may disturb the patient during eating, drinking, toothbrushing and sometimes even breathing. The resulting restrictions on everyday activities can have an important effect on the patient’s quality of life. The aims of this paper were to consider the concept of oral health-related quality of life and to review and discuss the literature on oral health-related quality of life and DHS.Material and methodsA PubMed literature research was conducted using the terms (“dentin sensitivity” [MeSH Terms] OR (“dentin” [All Fields] AND “sensitivity” [All Fields]) OR “dentin sensitivity” [All Fields]) AND ((“oral health” [MeSH Terms] OR (“oral” [All Fields] AND “health” [All Fields]) OR “oral health” [All Fields]) AND related [All Fields] AND (“quality of life” [MeSH Terms] OR (“quality” [All Fields] AND “life” [All Fields]) OR “quality of life” [All Fields])). Furthermore, a manual search was carried out. Any relevant work published presenting pertinent information about the described issue was considered for inclusion in the review.ResultsThe combination of the search terms resulted in a list of only three titles. The few published studies convincingly demonstrated that oral health-related quality of life is negatively affected in patients suffering from DHS.ConclusionsPatients with sensitive teeth report substantial oral health-related quality of life (OHRQoL) impairment. Nevertheless, knowledge about the influence of DHS on oral health-related quality of life is incomplete and, therefore, needs further research.Clinical relevanceOral diseases can lead to physical, psychological and social disability. This paper shows that DHS can have a negative impact on the patients’ OHRQoL.

Dental prostheses and tooth‐related factors

“…For indirect restorations, overhangs between 0.5 and 1 mm are associated with an increase in gingival inflammation and a more apical crestal bone level, while overhangs of less than 0.2 mm are not . Other studies showed that subgingival margins were associated with increased signs of gingival inflammation and, at times, increases in PD …”

“…A clear association is found between periodontal health and patient compliance with self‐performed plaque control and periodontal maintenance after prosthodontic therapy with fixed dental prostheses . In a prospective clinical trial where patients were instructed and motivated on adequate measures of self‐performed plaque control, plaque levels and gingival inflammation were not significantly different between teeth that received crowns and controls .…”

“…32,34 Other studies showed that subgingival margins were associated with increased signs of gingival inflammation [35][36][37][38][39][40][41][42] and, at times, increases in PD. [43][44][45][46][47] A clear association is found between periodontal health and patient compliance with self-performed plaque control and periodontal maintenance after prosthodontic therapy with fixed dental prostheses. [47][48][49] In a prospective clinical trial where patients were instructed and motivated on adequate measures of self-performed plaque control, plaque levels and gingival inflammation were not significantly different between teeth that received crowns and controls.…”

Efficacy and risks of tooth‐supported prostheses in the treatment of partially edentulous patients with stage IV periodontitis. A systematic review and meta‐analysis

“…However, two retrospective CS evaluated this comparison (Cordaro et al, 2005; Eliasson et al, 2007). The second PICO question (the efficacy of multi‐unit tooth‐supported fixed prostheses in patients with stage IV periodontitis) was studied in 18 investigations, including one RCT (Budtz‐Jorgensen & Isidor, 1987; Budtz‐Jørgensen & Isidor, 1990; Budtz‐Jorgensen et al, 1985; Isidor & Budtz‐Jorgensen, 1990), one CCT with split‐mouth design (Freilich et al, 1991), four prospective CS (Cortellini et al, 1999; Li et al, 2016; Nyman & Lindhe, 1979; Yi et al, 2001) and twelve retrospective CS (Baumer et al, 2011; Baumer et al, 2020; Brägger et al, 2011; Graetz et al, 2013; Guarnieri & Ippoliti, 2019; Heschl et al, 2013; Karlsson et al, 1995; Lundgren et al, 1975; Muller et al, 2013; Nyman et al, 1975; Quirynen et al, 1999; Yi et al, 1996; Yi, Ericsson, Carlsson, & Wennström, 1995). One investigation compared FPDs connecting teeth, implants, or teeth and implants with or without cantilevers (4 treatment arms for the purpose of this review) (Brägger et al, 2011), while another study included subjects receiving FPDs, removable partial dentures or no prosthetic treatment at all (for the purpose of the present review only data from the groups with FPDs and no prosthetic treatment were considered for the analysis) (Muller et al, 2013).…”

Impacto na qualidade de vida de indivíduos com fissura labiopalatina reabilitados com próteses dentárias

“…O desconforto do paciente por ter que remover a prótese para higienização ou o aspecto estético dos grampos de retenção provavelmente são evidências de justificativa dos valores do OHIP-14 das PPRs estarem maiores, estatisticamente, que os das PPFs (Tabela 8). Özhayat e Gotfredsen (2013) divulgaram em sua pesquisa que as mulheres reabilitadas com PPRs foram o grupo que relatam os valores mais altos para o OHIP-14, mas que não há diferenças estatísticas entre os valores de OHIP-14 para os grupos PPR eCom relação aos fatores biológicos, podemos ressaltar que saúde bucal está intimamente relacionada com a presença ou não de placa bacteriana, que é o acúmulo de colônias bacterianas firmemente aderidas na superfície dos dentes ou outras superfícies sólidas bucais(Heschl et al 2013). No estudo de populações com…”