Oral Health–Related Quality of Life and Full-Arch Immediate Loading Rehabilitation: An Evaluation of Preoperative, Intermediate, and Posttreatment Assessments of Patients Using a Modification of the OHIP Questionnaire

Abstract

The aim of this study was to assess oral health related quality of life (OHRQoL) of patients before, during and after completion of implant-supported full-arch immediate loading rehabilitation according to the Columbus Bridge Protocol (CBP). 25 patients with compromised dentition were rehabilitated according to the CBP and were assessed for OHRQoL using 4 questionnaires specifically realized for this study and inspired to the OHIP (Oral Health Impact Profile) questionnaire. Patients assessed themselves before surgery, during the healing period (1 week and 2 months after surgery) and after definitive prosthodontic treatment (4 months after surgery). The questionnaires specifically investigated patients’ pain, confort, home oral hygiene habits, satisfaction related to esthetics, masticatory ability, phonetics and general satisfaction toward the treatment.Patients reported an improvement of OHRQoL after full-arch immediate loading rehabilitation. A statistically significant improvement in aesthetic and chewing ability was found. After 4 months 92% of the patients did not feel tense with their smile, 96% did not show problems to relate with other people or smiling, 92% did not show difficulty to eat some foods. Phonetics was found to be a critical issue, especially in the intermediate phase of healing. One week after surgery the percentage of patients who was very satisfied with phonetics slightly decreased from 48% to 36%. The assessment of patients' OHRQoL related to full-arch immediate loading implant therapy exhibited a significant improvement of their quality of life. The questionnaires herein presented could be an effective tool to evaluate patients' reaction to oral rehabilitation.

Oral health‐related quality of life of patients rehabilitated with fixed and removable implant‐supported dental prostheses

“…At the final evaluation, 4 months after rehabilitation, 92% of patients did not indicate any difficulty in eating. Overall, oral health‐related quality of life revealed a significant improvement in terms of quality of life, and the patients only reported phonetic impairment in the immediate aftermath of surgery 44 . Two prospective studies indicated that implant‐supported prostheses improved the oral health‐related quality of life significantly 45,46 .…”

“…42 Fonteyne et al 43 treatment, patients were very satisfied with their oral health-related quality of life and their speech. 43 Similarly, Dellepiane et al 44 and the patients only reported phonetic impairment in the immediate aftermath of surgery. 44 Two prospective studies indicated that implant-supported prostheses improved the oral health-related quality of life significantly.…”

“…42 Fonteyne et al 43 treatment, patients were very satisfied with their oral health-related quality of life and their speech. 43 Similarly, Dellepiane et al 44 assessed 25 patients at different stages (ie, before treatment, during the healing phase, and after the final reconstruction). At the final evaluation, 4 months after rehabilitation, 92% of patients did not indicate any difficulty in eating.…”

Assessment of Quality of Life and Supporting Structures in Implant Retained Mandibular Overdenture: A 5-Year Cohort Study

“…The OHIP-EDENT is a commonly utilized tool, considered principally described and demonstrated good reliability and validity. 11 , 12 …”

Evaluation of Quality of Life and Satisfaction in Patients with Fixed Prostheses on Zygomatic Implants Compared with the All-on-Four Concept: A Prospective Randomized Clinical Study

“…However, the OHIP is the most frequently used instrument and remains the best documented [ 34 ]. In addition to the influence of prosthetic rehabilitations on patients’ quality of life, it is also important to determine their level of satisfaction/dissatisfaction [ 35 , 36 ].…”