Dental Implant Supported Restorations Improve Quality of Life in Osteoporotic Women

Abstract

Introduction. The aim of this study is to compare the quality of life (QoL) in partially edentulous osteoporotic women who have missing teeth restored with dental implant retained restorations with those who do not and, secondarily, to report the rate of osteonecrosis in this sample. Methods. 237 participants completed the Utian QoL survey, a 23-question document measuring across psychosocial domains of well-being including occupational, health, emotional, and sexual domains which together contribute to an overall score. The subset of participants having dental implant supported prosthesis (64) was compared to the subset having nonimplant supported fixed restorations (47), the subset having nonimplant supported removable restorations (60), and the subset having no restoration of missing teeth (66). Results. ANOVA showed significant difference in all QoL domains between the four subsets (p < 0.05). Although 134 reported oral bisphosphonate and 51 reported IV bisphosphonate use, no signs of ONJ were identified in any participants. Conclusion. These findings show implant retained oral rehabilitation has a statistically significant impact over nonimplant and traditional fixed restorations, removable restorations, and no restoration of missing teeth in far reaching areas including occupational, health, emotional, sexual, and overall QoL. These findings also support future examination of psychosocial outcomes associated with oral rehabilitation and the incorporation of oral health into women's health promotion.

Dental implants in patients treated with antiresorptive medication – a systematic literature review

“…for denture patients334 patients with osteonecrosis. A I P R Z were used as BP it is not clear what the patients with the dentures received and which primary disease was present.BP-therapy for all patients 0.3 – 8 y Carmagnola 2008 [34]RS39 oncologic patients with BPMultiple myeloma 2breast cancer 3prostate cancer 1kidney cancer 1P Z77 out of 20 BP-ONJ patients had an osteonecrosis due to denture pressure soresBP given for 1.1 – 6.8 y Walter 2008 [40]CSS43 patients with prostate cancer out of those 21 patients with denture out of those 6 with ONJProstate cancerZ11 denture induced ONJ Kyrigidis 2008 [38]CCS20 breast cancer patients 40 matched controlsBreast CancerZ820 patients with breast cancer and osteonecrosis, 8 with dentures use of dentures associated with BP-ONJ Kumar 2008 [37]RS CS13 patients with BP-ONJOsteoporosis 4breast cancer 1multiple myeloma 1A Z66 out of 13 patients denture as the trigger factor Yarom 2007 [42]RS CS11 patients with BP-ONJOsteoporosisA22 out of 11 BP-ONJ triggered by denture Alendorante was given for 2 and 6 y2 patients (1 osteoporosis, 1 rheumtoid arthritis) had an implant related BP-ONJ in the posterior mandible, BP was given for 5 and 7 years Walter 2007 [41]RS CS163 patients with an osteonecrosis, 17 BP-ONJMultiple MyelomaP11 BP-ONJ due to a denture pressure sore in the mandibleP was given for 5 y Bamias 2005 [33]PS252 patients with BP17 with BP-ONJMultiple Myeloman.s.22 BP-ONJ due to a denture pressure soreI P Z for all 252 patientsQuality of lifeAuthor Year ReferencePatientsComment DeBaz 2015 [44]524 patients asked to fill out the survey237 completed survey3 groups:64 dental implant supported prosthesis47 non-implant supported fixed restoration60 non-implant supported removable restoration66 no restoration of missing teethThe quality of life assessment:occupational scorehealth scoreemotional scoresexual scoreThe patients dental implant suppo...…”

Kurze und durchmesserreduzierte Implantate

“…Auf der anderen Seite steigen mit dem immer größer werdenden Angebot an zahnärztlichen Therapieoptionen die Ansprüche der Patienten. Viele äußern den Wunsch nach einem festsitzenden Zahnersatz, der mit einer deutlichen Steigerung der Lebensqualität einhergeht [2]. Vor dem demografischen Hintergrund ist davon auszugehen, dass es künftig immer mehr Patienten geben wird, die eine implantologische Lösung suchen.…”

Quality of Life and Poor Oral Health: A Comparison of Postmenopausal Women

“…Reports suggest that even in the absence of acute presentation, the dental condition impacts QoL as a more complex interaction; chronic conditions and esthetic complaints deviate from the norm, establishing a “new normal” which is a QoL compromise [ 13 , 14 , 15 ]. Similarly, dental interventions involving implants to replace lost teeth improve QoL [ 16 ].…”