A retrospective study on patient satisfaction and Oral Health-Related Quality of Life with fixed 4- or 6-implant supported prostheses over 3-7 years.

Wenjia Chen, Yi Zhou, Lijiao Pang, Rui Pu, Fuming He, Haiping Yang
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Abstract

Objectives: To compare patients' satisfaction and oral health-related quality of life (OHRQoL) in edentulous patients treated by All-on-4 and All-on-6 implant-supported fixed prostheses rehabilitation over 3-7 years.

Methods: All patients (n = 125) were divided into short-term (3-5 years, n = 71) and long-term (5-7 years, n = 54) follow-up groups. Patients' satisfaction was examined in a cross-sectional survey. OHRQoL and psychological impact were evaluated using the Oral Health Impact Profile (OHIP). Comparison of All-on-4 and All-on-6, including OHIP values, satisfaction scores, treatment duration and complications, were analyzed using the Chi-square test and the Mann-Whitney U test. Potential influence of patient-related factors on patient-reported outcome measures (PROMs) were analyzed via the Mann-Whitney U test, the Kruskal-Wallis test and multiple regression analyses. Power calculation was conducted in R Studio.

Results: Both All-on-4 and All-on-6 follow-up groups showed high scores in total satisfaction and PROMs, including chewing comfort, aesthetics, cleanability, and stability, with no significant difference (p > 0.05). Meanwhile, no significant differences were observed in the OHIP scores between two groups in both follow-up durations (p > 0.05). However, in patients with 3-5 years follow-up, All-on-4 group had significantly lower phonetic satisfaction scores than All-on-6 group (p < 0.05). Additionally, during both follow-up periods, All-on-4 patients exhibited notably superior psychological effect in contrast to All-on-6 patients (p < 0.05).

Conclusions: Edentulous patients treated by four or six implant-supported fixed prostheses showed same high satisfaction in oral health-related quality of life in both 3-5 years and 5-7 years follow-ups.

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一项回顾性研究,研究对象为使用固定式 4 或 6 种植体支持修复体 3-7 年的患者满意度和与口腔健康相关的生活质量。
目的比较接受All-on-4和All-on-6种植体支持固定义齿修复治疗3-7年的无牙患者的满意度和口腔健康相关生活质量(OHRQoL):将所有患者(125 人)分为短期(3-5 年,71 人)和长期(5-7 年,54 人)随访组。通过横断面调查了解患者的满意度。使用口腔健康影响档案(OHIP)评估了患者的 OHRQoL 和心理影响。采用Chi-square检验和Mann-Whitney U检验分析了All-on-4和All-on-6的比较,包括OHIP值、满意度评分、治疗时间和并发症。通过 Mann-Whitney U 检验、Kruskal-Wallis 检验和多元回归分析,分析了患者相关因素对患者报告结果指标(PROMs)的潜在影响。功率计算在 R Studio 中进行:结果:All-on-4和All-on-6随访组在总满意度和PROMs(包括咀嚼舒适度、美观度、清洁度和稳定性)方面的得分都很高,差异无显著性(P>0.05)。同时,两组患者在随访期间的 OHIP 评分也无明显差异(P > 0.05)。然而,在随访 3-5 年的患者中,All-on-4 组的语音满意度评分明显低于 All-on-6 组(P 结论:All-on-4 组的语音满意度评分明显高于 All-on-6 组):接受四颗或六颗种植体支持固定义齿治疗的无牙颌患者在3-5年和5-7年的随访中对口腔健康相关生活质量的满意度都很高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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