Abstract:
OBJECTIVES:To evaluate the changes in oral health-related quality of life (OHRQoL) reported by subjects treated with conventional prostheses. METHODS:A consecutive sample of 153 patients seeking prosthodontic rehabilitation was recruited. Socio-demographic and prosthetic-related factors (Eichner Index; number of occlusal, aesthetic, and lost units) were registered. Baseline impacts on OHRQoL were collected using the OHIP-14 questionnaire. One month after treatment, the participants answered whether the prostheses had generated better, equal, or poorer effects within the 14 items of a retrospective scale (Post-OHIP). The study patients were compared with the reference population (P-population; n=123) in terms of OHRQoL. Such P-population consisted of Spanish adults wearing conventional dental prostheses who were not seeking any dental treatment. The reliability and validity of the tests applied and the factor structure of the Post-OHIP were investigated. A Poisson regression model was calculated to predict what items would change favourably after treatment. RESULTS:Four prosthetic cohorts were established according to the types of rehabilitations performed: 1-FDPs: metal-ceramic fixed dental prostheses; 2-M-RPDs: metal-based removable partial dentures; 3-ADs: acrylic partial dentures and 4-CDs: complete dentures. Both tests confirmed adequate psychometric properties. Most items of the Post-OHIP consistently loaded on a single factor. Patients requiring ADs or CDs reported significantly lower baseline OHRQoL than those needing M-RPDs or FDPs. Pain/discomfort was the only hampering issue subsequent to removable rehabilitation. M-RPDs are expected to provide the significantly highest therapeutic improvements. CONCLUSIONS:Patients perceived benefits in chewing ability, aesthetics and satisfaction with their mouth after receiving conventional dental prostheses. CLINICAL SIGNIFICANCE:Conventional prosthetic therapy enhances patients' overall well-being although it can cause discomfort and chewing dysfunction in more than 20% of subjects. Metal-based removable partial dentures are the most predictable in terms of patient satisfaction. The higher the clinical impairment felt by patients, the higher the increase in OHRQoL after rehabilitation.
journal_name
J Dentjournal_title
Journal of dentistryauthors
Montero J,Castillo-Oyagüe R,Lynch CD,Albaladejo A,Castaño Adoi
10.1016/j.jdent.2013.01.006subject
Has Abstractpub_date
2013-06-01 00:00:00pages
493-503issue
6eissn
0300-5712issn
1879-176Xpii
S0300-5712(13)00024-9journal_volume
41pub_type
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更新日期:2012-12-01 00:00:00
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更新日期:2018-09-01 00:00:00
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更新日期:1989-08-01 00:00:00
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更新日期:2015-12-01 00:00:00
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journal_title:Journal of dentistry
pub_type: 杂志文章
doi:10.1016/j.jdent.2004.10.017
更新日期:2005-03-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.jdent.2005.02.001
更新日期:2005-10-01 00:00:00
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pub_type: 杂志文章
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更新日期:2003-02-01 00:00:00
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更新日期:2016-11-01 00:00:00
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更新日期:2001-01-01 00:00:00
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更新日期:2014-11-01 00:00:00
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doi:10.1016/0300-5712(95)00094-1
更新日期:1996-09-01 00:00:00
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更新日期:2010-08-01 00:00:00
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pub_type: 杂志文章
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doi:10.1016/j.jdent.2012.04.027
更新日期:2012-08-01 00:00:00
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更新日期:2004-09-01 00:00:00
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更新日期:2011-07-01 00:00:00
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doi:10.1016/j.jdent.2007.07.006
更新日期:2007-10-01 00:00:00
abstract::Pain following removal of impacted third molar teeth has proven to be a useful clinical model for evaluating oral analgesics. Moreover, as the underlying pathophysiology becomes elucidated the model serves as a tool for monitoring the relative contributions of different pain events, including peripheral and central se...
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pub_type: 杂志文章,评审
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