Evaluation of Quality of Life and Satisfaction with Fixed Prostheses on Zygomatic Implants vs All-on-Four Concept: A Randomized Clinical Study.

Mohamed A Nagib, Abdullah M Ibrahim, Fakhreldin Hassan Abdel-Rahman, Salah A Hegazy, Ahmed Habib
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Abstract

Aim: To compare between the rehabilitation of atrophied maxilla with fixed prosthesis using two posterior zygomatic implants and two conventional anterior implants or four implants inserted according to the all-on-four concept regarding the patient quality of life and satisfaction after one year of prosthesis insertion.

Materials and methods: Thirty-six patients with atrophic edentulous maxillae were randomized into two groups: Group I (rehabilitated with fixed prostheses supported by two zygomatic and two conventional implants in the anterior region) and group II (fixed prostheses on four implants in the anterior region following an all-on-four concept). One year after the placement of the definitive prostheses, patients completed oral health impact profile-14 and satisfaction questionnaires.

Results: All patients were satisfied regarding retention, stability, occlusion, comfort, cleaning, speaking, chewing, bolus quality, appearance, handling, prosthesis apart, and embarrassing, with no significant significance between two groups except satisfaction with surgical procedures and healing period.

Conclusions: Using two distally tilted zygomatic implants or all-on-four concept to rehabilitate atrophied maxilla by fixed detachable prosthesis could be considered a promising functional and esthetic treatment option regarding the patient satisfaction.

Clinical significance: Traditionally, treatment of maxillary atrophied ridges was done by bone grafting or sinus-lifting techniques; however, using all-on-four concept or zygomatic implants was a successful treatment as it has high success rates and highly satisfied by the patients. How to cite this article: Nagib MA, Ibrahim AM, Abdel-Rahman FH, et al. Evaluation of Quality of Life and Satisfaction with Fixed Prostheses on Zygomatic Implants vs All-on-Four Concept: A Randomized Clinical Study. J Contemp Dent Pract 2024;25(2):141-147.

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颧骨种植体固定义齿与全对四概念固定义齿的生活质量和满意度评估:随机临床研究
目的:比较使用两颗后颧骨种植体和两颗传统前牙种植体或根据 "全对四 "理念植入的四颗种植体对萎缩上颌骨进行固定义齿修复的患者在植入义齿一年后的生活质量和满意度:将36名上颌骨萎缩无牙颌患者随机分为两组:第一组(在前部区域使用由两颗颧骨和两颗传统种植体支撑的固定义齿进行修复)和第二组(根据 "全对四 "理念在前部区域的四颗种植体上安装固定义齿)。在安装最终义齿一年后,患者填写了口腔健康影响档案-14 和满意度问卷:所有患者对固位、稳定性、咬合、舒适度、清洁、说话、咀嚼、咀嚼质量、外观、操作、修复体分离和尴尬等方面均表示满意,除对手术过程和愈合期的满意度外,两组之间无显著差异:结论:在患者满意度方面,使用两个远端倾斜的颧骨种植体或all-on-four概念,通过固定可摘义齿修复萎缩的上颌骨,是一种很有前景的功能和美学治疗方案:传统上,上颌骨萎缩脊的治疗是通过植骨或上颌窦提升技术进行的;然而,使用全对四概念或颧骨种植体是一种成功的治疗方法,因为其成功率高,患者满意度高。本文引用方式纳吉布-马(Nagib MA)、易卜拉欣-阿姆(Ibrahim AM)、阿卜杜勒-拉赫曼-法赫(Abdel-Rahman FH)等:颧骨种植体与全对四概念固定义齿的生活质量和满意度评估:随机临床研究》。J Contemp Dent Pract 2024;25(2):141-147.
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来源期刊
Journal of Contemporary Dental Practice
Journal of Contemporary Dental Practice Dentistry-Dentistry (all)
CiteScore
1.80
自引率
0.00%
发文量
174
期刊介绍: The Journal of Contemporary Dental Practice (JCDP), is a peer-reviewed, open access MEDLINE indexed journal. The journal’s full text is available online at http://www.thejcdp.com. The journal allows free access (open access) to its contents. Articles with clinical relevance will be given preference for publication. The Journal publishes original research papers, review articles, rare and novel case reports, and clinical techniques. Manuscripts are invited from all specialties of dentistry i.e., conservative dentistry and endodontics, dentofacial orthopedics and orthodontics, oral medicine and radiology, oral pathology, oral surgery, orodental diseases, pediatric dentistry, implantology, periodontics, clinical aspects of public health dentistry, and prosthodontics.
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