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    Patient satisfaction and oral health-related quality of life outcomes of implant overdentures and fixed complete dentures.

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    Authors
    Brennan, Maire
    Houston, Frank
    O'Sullivan, Michael
    O'Connell, Brian
    Affiliation
    Division of Restorative Dentistry and Periodontology, Dublin Dental School and Hospital, Trinity College, Dublin, Ireland.
    Issue Date
    2010-07
    MeSH
    Attitude to Health
    Case-Control Studies
    Dental Implants
    Dental Prosthesis, Implant-Supported
    Dentist-Patient Relations
    Denture, Complete
    Denture, Complete, Upper
    Denture, Overlay
    Esthetics, Dental
    Female
    Follow-Up Studies
    Health Care Costs
    Humans
    Jaw, Edentulous
    Male
    Mastication
    Middle Aged
    Oral Health
    Oral Hygiene
    Patient Participation
    Patient Satisfaction
    Quality of Life
    Retrospective Studies
    Stress, Psychological
    Treatment Outcome
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    Citation
    Patient satisfaction and oral health-related quality of life outcomes of implant overdentures and fixed complete dentures., 25 (4):791-800 Int J Oral Maxillofac Implants
    Journal
    The International journal of oral & maxillofacial implants
    URI
    http://hdl.handle.net/10147/124112
    PubMed ID
    20657876
    Abstract
    To assess and compare patient satisfaction and oral health-related quality of life (OHQOL) in patients treated with implant-supported overdentures and complete implant fixed prostheses.
    From a database of patients who had undergone implant treatment over a 6-year period, a study population of 62 patients was identified; every patient had at least four implants placed in one edentulous arch and was restored with either an overdenture or a fixed prosthesis. Patients were examined and a self-administered, structured multiple-response questionnaire, including the Oral Health Impact Profile-14 measurement tool and a patient satisfaction survey, was used to evaluate patient-centered treatment outcomes.
    Generally, patient satisfaction was very high in both the implant overdenture and fixed prosthesis groups, although the subjects in the overdenture group, who had mostly maxillary prostheses, reported significantly lower overall satisfaction and lower satisfaction with chewing capacity and esthetics. In just three categories--cost, satisfaction with treating doctor, and ability to perform oral hygiene measures--the fixed prosthesis group was less satisfied than the removable overdenture group, but the difference was not significant. Similarly, the overall OHQOL was high, although patients receiving a fixed prosthesis demonstrated significantly lower psychologic discomfort and psychological disability compared to the overdenture group.
    Among all patients who had similar numbers of implants placed, those who received an implant overdenture were less satisfied and had lower OHQOL than the patients who had a fixed prosthesis. Since patient and dentist preferences influenced the type of prosthesis provided, it is likely that subjective, patient-related factors are major determinants of satisfaction and treatment outcomes.
    Item Type
    Article
    Language
    en
    ISSN
    0882-2786
    Collections
    Dublin Dental University Hospital

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