The influence of immediately loaded implant treatment in the atrophic edentulous maxilla on oral health related quality of life of edentulous patients: 3-year results of a prospective study

Abstract

BackgroundTo evaluate oral health related quality of life (OHQoL) in edentulous patients treated with immediately loaded implants in the maxilla.MethodsFifty-one edentulous patients in two centers received six maxillary implants each were loaded within 24 h with provisional restoration. Definitive restoration was delivered 20–24 weeks later. OHQoL was evaluated preoperatively with the Oral Health Impact Profile 49 questionnaire (OHIP-49) and on five subsequent occasions. OHIP-49 includes seven domains representing functional limitation, physical pain, psychological discomfort, physical disability, psychological disability, social disability, and handicap. A reduction in OHIP scores indicated an improved OHQoL.ResultsForty-five patients reached the three-year follow up. OHQoL improved after treatment. A plateau of OHQoL improvement was observed at 12 months after surgery. The seven domains improved at different pace, 12 weeks to 12 months after treatment. OHIP showed continuously low scores with no significant changes at consecutive visits 12 months to three years after treatment. Dental status with removable prosthesis in the mandible had a negative impact on OHQoL prior to and during treatment, but did not affect OHQoL after permanent restoration was placed. Patients age or gender did not affect OHQoL.ConclusionsPatients with edentulous maxilla who received prosthetic rehabilitation on immediately loaded implants experienced the highest improved OHQoL 12 months after implant installation. Quality of life related to oral health continued to be high after three years. Edentulous patients with atrophy of the maxilla experience an improved OHQoL after implant treatment with immediate loading protocol.Trial registration ClinicalTrials.gov Identifier NCT00711022.

Evaluation of the oral health-related quality of life in patients with odontogenic fascial space abscesses and underlying conditions – a prospective questionnaire-based study

“…This could also improve long-term OHRQoL for patients making them more aware of future dental problems. After the loss of teeth suitable prosthetic rehabilitation has proven to increase the long-term OHRQoL in edentulous patients [24]. Although smoking is a well-known risk factor for gingivitis and plaque formation [32], the majority of patients in this study did not smoke.…”

“…This tolerance might reduce the impact the acute event has on their OHRQoL. An early and suitable prosthetic rehabilitation might alleviate the impact on OHRQoL [24].…”

<p>Satisfaction analysis of patients with single implant treatments based on a questionnaire survey</p>

“…Only patients with an implant-supported single crown by a 2-step surgical procedure were enrolled in our study, as those with multiple defects need longer operative time, more complex restorations, and even more complicated bone augmentation were excluded. Besides, those who revealed extremely high satisfaction scores on immediately loaded implants because of the shorter curative time were also excluded 24. According to multiple factors in different periods of implant treatment, the OIIP-Q was designed.…”

Etiology and classification of food impaction around implants and implant‐retained prosthesis

“…Therefore, immediate prosthetic rehabilitation is crucial to preserve the existing papilla, prevent the papillary recession, and favor maintenance of the newly created embrasure space. The incidence of food impaction around immediately loaded implants is therefore found of less as compared to the conventional two staged implant treatment . Additionally, it is crucial to extract the tooth as atraumatically as possible to preserve the bony cortical plates and maintain the height of the existing the papilla …”

“…The incidence of food impaction around immediately loaded implants is therefore found of less as compared to the conventional two staged implant treatment. 33 Additionally, it is crucial to extract the tooth as atraumatically as possible to preserve the bony cortical plates and maintain the height of the existing the papilla. [34][35][36][37][38][39] Therefore in order to prevent the onset of food impaction around implants, clinicians should recall and monitor patients every 3 to If an open proximal contact with no incidence of food impaction is observed, no treatment is indicated.…”