The course of prosthodontic patients’ oral health-related quality of life over a period of 2 years

Aarabi, Ghazal; John, Mike T.; Schierz, Oliver; Heydecke, Guido; Reißmann, Daniel R.

doi:10.1016/j.jdent.2014.09.006

Cited by 31 publications

(30 citation statements)

References 34 publications

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“…Most trials assessing OHRQoL and CD satisfaction found an improvement in impacts and ratings after treatment, even though improvement may be small and limited to some domains only . The results of the current trial are in line with these studies, except that the improvements were considerable and for all the domains.…”

Section: Discussionsupporting

confidence: 86%

Neutral zone or conventional mandibular complete dentures: a randomised crossover trial comparing oral health‐related quality of life

Geerts

2017

J of Oral Rehabilitation

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Geerts, G.A.V.M. (2017). Neutral zone or conventional mandibular complete dentures: a randomised crossover trial comparing oral health-related quality of life. Neutral zone or conventional mandibular complete dentures: a randomised crossover trial comparing oral health-related quality of life G. A. V. M. Geerts SummaryThere is widespread consensus that the neutral zone (NZ) concept contributes to improved stability for mandibular complete dentures (CDs). However, little is known about its impact on oral health-related quality of life (OHRQoL) of edentulous patients compared to conventionally (CV) manufactured dentures. In this prospective crossover trial, performed at the Oral Health Centre of the University of the Western Cape, CV and NZ mandibular dentures were made for each patient. Scores from the 20-item oral health impact profile (OHIP-20) for both types of dentures were compared with pre-treatment scores using paired t-tests. Treatment effect size (ES) was established. Associations of OHIP-20 scores and several patient variables (age, gender, period of edentulousness, quality of the denturebearing tissue, denture dimensions, preference) were performed using the generalised linear model. Significance was set at P = 0.05. Records of thirty-five participants were included in the study (mean age of 62.3 years, range 47-85 years). There were highly significant differences between pre-treatment and both posttreatment OHIP-20 scores with t = 6.470 for CV and t = 6713 for NZ. Treatment ES was large for both types of dentures (>0.8).Difference of ES between NZ and CV dentures was small (ES < 0.2). None of the patient variables showed significant associations with OHIP-20 scores of the two types of dentures, except for preference and NZ OHIP-20 scores. For this group of patients, both treatment methods improved OHRQoL significantly and patientrelated factors did not influence impact on OHRQoL differently for both interventions. IntroductionTreatment with complete dentures (CDs) remains the only therapeutic option for edentulous people who do not have access to implant treatment. Poor denture stability and retention may cause chronic functional limitations and discomfort (1). Therefore, improved CD stability and retention would impact positively on treatment outcomes. It is generally accepted that CD stability is assisted by means of muscular action when CDs are made to conform to the neutral zone (NZ). The NZ is defined as a specific zone within the potential denture space where oral function will not unseat the denture; in fact, tooth position and flange contour are considered at least as important for denture stability as any other factor 2 (2). There is consensus among experts that the NZ should be respected when constructing CDs (3), in spite of paucity of high-level evidence supported by controlled clinical studies. From the few published trials, it appears that NZ dentures have a clinical benefit over conventional (CV) dentures (4-7). Except for quality of supporting tissues, none of these trials comparing c...

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Section: Discussionsupporting

confidence: 86%

Neutral zone or conventional mandibular complete dentures: a randomised crossover trial comparing oral health‐related quality of life

Geerts

2017

J of Oral Rehabilitation

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“…In our investigation, patient satisfaction depended upon the extension and the type of retention of fixed implant restorations, which is in agreement with previous research. 49,50 Particularly, when compared to screwed FDPs, short cemented implant restorations lead to greater improvements in patients' self-perceived QoL.…”

Section: Discussionmentioning

confidence: 99%

Validation of the ‘Quality of Life with Implant Prostheses (QoLIP-10)’ questionnaire for wearers of cement-retained implant-supported restorations

Perea¹,

Río²,

Preciado³

et al. 2015

Journal of Dentistry

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“…A claspretained RPD, a low-cost rehabilitation, can contribute to the restoration of some oral functions lost after tooth loss, and studies have shown that such treatment often leads to an improvement in OHRQoL [16]. Arabi et al [17] found that the effects of prosthodontic interventions on patient perception seem to last for at least 2 years, including in a group treated with a RPD. While better quality of life results have been obtained with fixed dentures, additional studies are required to evaluate the effect of conventional fixed and removable dentures in a global context [16,17].…”

Section: Introductionmentioning

confidence: 99%

“…Arabi et al [17] found that the effects of prosthodontic interventions on patient perception seem to last for at least 2 years, including in a group treated with a RPD. While better quality of life results have been obtained with fixed dentures, additional studies are required to evaluate the effect of conventional fixed and removable dentures in a global context [16,17]. Little data is available from randomized controlled clinical trials (RCTs) of treatment options.…”

Section: Introductionmentioning

confidence: 99%

“…The recent increase in the number of publications focusing on the long-term effects of prosthodontic interventions on patient perceptions implies a steadily increasing interest in this information [17,19]. However, although OHRQoL is expected to be an important outcome of prosthodontics therapy, cross-sectional and longitudinal data, according to John et al [16], is available mainly for patients treated with complete dentures or implant-supported overdentures, such as in the studies of Allen et al [19] and Heydecke et al [20].…”

Section: Introductionmentioning

confidence: 99%

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Does a mandibular RDP and new maxillary CD improve masticatory efficiency and quality of life in patients with a mandibular Kennedy class I arch?

et al. 2015

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Objectives To evaluate the change in masticatory efficiency and quality of life of patients treated with mandibular Kennedy class I removable partial dentures (RPDs) and maxillary complete dentures at the Department of Dentistry of the Federal University of Rio Grande do Norte. Materials and methods A total of 33 Kennedy class I patients were rehabilitated with maxillary complete dentures, and mandibular RPDs were selected for this non-randomized prospective intervention study. The patients had a mean age of 59.1 years. Masticatory efficiency was evaluated by colorimetric assay using fuchsin capsules. The measurements were conducted at baseline and 2 and 6 months after prosthesis insertion. Quality of life was evaluated using the Oral Health Impact Profile (OHIP-14) at baseline and 6 months after denture insertion. The Kolmogorov-Smirnov normality test was applied. Masticatory efficiency was evaluated by repeated measures ANOVA. Oral health-related quality of life was compared using the paired t test.Results There was no statistically significant difference in masticatory efficiency after denture insertion (p =0.101). Significant differences were found (p=0.010) for oral healthrelated quality of life. A significant improvement in psychological discomfort (p<0.01) and psychological disability (p<0.01) was observed. Mean difference value (95 % confidence interval) was 6.8 (3.8 to 9.7) points, reflecting a low impact of oral health on quality of life, considering the 0-56 range of variation of the OHIP-14 and a Cohen's d of 1.13. Conclusion According to the results of the present study, rehabilitation with Kennedy class I RPDs and complete dentures did not influence masticatory efficiency but improved oral health-related quality of life. Clinical relevance The association between the patient's quality of life and the masticatory efficiency is important for treatment predictability.

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The course of prosthodontic patients’ oral health-related quality of life over a period of 2 years

Cited by 31 publications

References 34 publications

Neutral zone or conventional mandibular complete dentures: a randomised crossover trial comparing oral health‐related quality of life

Neutral zone or conventional mandibular complete dentures: a randomised crossover trial comparing oral health‐related quality of life

Validation of the ‘Quality of Life with Implant Prostheses (QoLIP-10)’ questionnaire for wearers of cement-retained implant-supported restorations

Does a mandibular RDP and new maxillary CD improve masticatory efficiency and quality of life in patients with a mandibular Kennedy class I arch?

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