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Self-perceived changes in oral health-related quality of life after receiving different types of conventional prosthetic treatments: A cohort follow-up study
- Source :
- Journal of Dentistry. 41:493-503
- Publication Year :
- 2013
- Publisher :
- Elsevier BV, 2013.
-
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.
- Subjects :
- Adult
Male
Adolescent
medicine.medical_treatment
Acrylic Resins
Metal Ceramic Alloys
Dentistry
Oral Health
Esthetics, Dental
Cohort Studies
Dental Materials
Young Adult
Patient satisfaction
Quality of life
medicine
Humans
Jaw, Edentulous
Denture Design
General Dentistry
Aged
Pain Measurement
Retrospective Studies
Aged, 80 and over
Rehabilitation
Denture, Complete
business.industry
Jaw, Edentulous, Partially
Retrospective cohort study
Middle Aged
Dental Porcelain
Self Concept
humanities
Clinical trial
Patient Satisfaction
Cohort
Quality of Life
Denture, Partial, Fixed
Denture, Partial, Removable
Mastication
Female
Dentures
business
Follow-Up Studies
Cohort study
Subjects
Details
- ISSN :
- 03005712
- Volume :
- 41
- Database :
- OpenAIRE
- Journal :
- Journal of Dentistry
- Accession number :
- edsair.doi.dedup.....506092c2e67044bd391b976c8916e280