Hareketli protezlerin karşılaştırılması: Hasta memnuniyeti ve ağız sağlığına ilişkin yaşam kalitesi

Year 2019, Volume: 6 Issue: 2, 127 - 133, 01.08.2019

RAİF Alan , HAKKI Çelebi

https://doi.org/10.15311/selcukdentj.375991

Abstract

Amaç: Sağlıkla ilgili yaşam kalitesi bireylerin ağız
sağlığı durumundan önemli ölçüde etkilenmektedir. Bu çalışmanın amacı, tam
protez (TP) ve parsiyel protez (PP) kullanan hastalar arasında hasta
memnuniyeti ve oral sağlık ilişkili yaşam kalitesinin (OHRQoL)
karşılaştırmaktır.

Gereç ve Yöntemler: Çalışmaya, Ekim 2014 - Şubat 2017 tarihleri
arasında ... (kör hakem değerlendirmesi için isim silindi) Üniversitesi
Diş Hekimliği Fakültesi’ne başvuran ve TP ve PP tedavisi alan hastalar dahil
edildi. Hastaların yaşam kalitesinin değerlendirilmesi, Ağız Sağlığı Etki
Profili (OHIP-14) içeren bir anket kullanılarak gerçekleştirilmiştir. Hastalar,
protez tipi ve lokasyonlarına gore dört gruba ayrıldı: 1) Grup I: TP_maks-mand,
2) Grup II: TP_maks-PP_mand, 3) Grup III: PP_maks-TP_mand
ve 4) Grup IV: PP_maks-mand. Ayrıca sosyodemografik veriler, protez
yaşı ve protez lokasyonlarının OHRQoL üzerine etkiside incelenmiştir.

Bulgular: Araştırmanın istatistiksel sonuçlarına göre,
yaş, cinsiyet, eğitim durumu ve protez kullanım süresinin katılımcıların
OHIP-14 skorları üzerine bir etkisi bulunmamıştır (p>0.05). Grup I ve Grup
III'teki fiziksel ağrı skorları Grup IV'teki hastalardan anlamlı derecede
yüksekti (p<0.05). Buna ek olarak, Grup III'teki hastaların sosyal handikap
puanları Grup II'deki hastalarla karşılaştırıldığında daha yüksek bulunmuştur
ve Grup I ve Grup III'teki hastalar da Grup IV'teki hastalardan daha yüksek
puanlara sahiptir (p<0.05).

Sonuçlar: TP ve PP ile protetik rehabilitasyon, hastaların
OHRQoL’ni iyileştirmeye yönelik önemli etki göstermektedir. OHRQoL, düzenli diş
kontrolü ve/veya protezlerin düzenli aralıklarla değiştirilmesi ihtiyacı ile
daha da geliştirilebilir.

Anahtar Kelimeler: Protezler, Hasta memnuniyeti, Ağız sağlığı,
Yaşam kalitesi

Keywords

Protezler, Hasta memnuniyeti, Ağız sağlığı, Yaşam kalitesi

Comparison of removable dentures: Patient satisfaction and oral health-related quality of life

Abstract

Background: Health-related quality of life is significantly
influenced by oral health of individuals. This study aimed to compare patient satisfaction
and oral health–related quality of life (OHRQoL) among patients using complete
dentures (CDs) and partial dentures (PDs).

Methods: The study was carried out between October 2014
and February 2017 on patients who received CD and PD treatment in the … (name was deleted for blinded peer review)
University Faculty of Dentistry. The quality of life of the patients was
assessed using a questionnaire including the Oral Health Impact Profile
(OHIP-14). The patients were divided into the following groups according to
their prosthesis type and location: 1) Group I: CD_max-mand, 2) Group
II: CD_max-PD_mand, 3) Group III: PD_max-CD_mand
and 4) Group IV: PD_max-mand. Sociodemographic datas, prosthesis age,
and effects of prosthetic location on the OHRQoL were also examined.

Results: Statistical analyses showed that age, gender,
educational status and duration of prosthesis usage did not have an impact on
the OHIP-14 scores of patients (p>0,05). Physical pain scores of patients in
Group I and Group III were significantly higher than those of patients in Group
IV (p<0.05). In addition, patients in Group III were found to have higher
scores for social handicap compared with patients in Group II and, patients in
Group I and Group III have also higher scores than those of patients in Group
IV (p<0.05).

Conclusions: Prosthetic rehabilitation with CD and PD has an
important impact on improving the OHRQoL of patients. The OHRQoL can be further
improved with regular dental control and/or the need to replacement of
prosthesis at regular intervals.

Keywords: Dentures, Patient satisfaction, Oral health,
Quality of life

Keywords

Dentures, Patient satisfaction, Oral health, Quality of life

References

• 1. Newman JF. Forty years of national public oral health data: continued value? J Public Health Dent 1990;50(5):323-9.
• 2. Inglehart MR, Bagramian RA, Oral Health–Related Quality of Life: An Introduction, In:Inglehart MR, Bagramian RA (Eds). Oral health-related quality of life. Quintessence Publishing Co.Inc., Carol Stream, IL, 2002:p1.
• 3. Petersen PE. The World Oral Health Report 2003: continuous improvement of oral health in the 21st century-the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol 2003;31:3-23.
• 4. Christie M, French D, Sowden A, West A. Development of childcentered, disease-specific questionnaires for living with asthma. Psychosom Med 1993;55(6):541-8.
• 5. Slade GD. Derivation and validation of a short-fortn oral health impact profile. Comtnunity Dent Oral Epidemiol 1997;25(4);284-90.
• 6. Joseph AG, Janakiram C, Mathew A. Prosthetic Status, Needs and Oral Health Related Quality of Life (OHRQOL) in the Elderly Population of Aluva, India. J Clin Diagn Res 2016;10(11):ZC05-ZC09.
• 7. Nadgere JB, Doshi AG, Kishore S. An evaluation of prosthetic status and prosthetic need amongst people living in and around Panvel, Navi-Mumbai-A Survey. Int J Prosthet Dent 2010;18:6-9. [Internet] Available from http://journalgateway.com/ijpd/article/view/455/787
• 8. Bonnet G, Batisse C, Segyo JW, Veyrune JL, Nicolas E, Bessadet M. Influence of the renewal of removable dentures on oral health related quality of life. Springerplus 2016;28;5(1):2019.
• 9. Roumanas ED. The social solution-denture esthetics, phonetics, and function. J Prosthodont 2009;18(2):112-5.
• 10. Suzely Adas Saliba Moimaz, Nemre Adas Saliba, Orlando Saliba, Lívia Guimarães Zina, Márcio Rogério Curtis Bolonhez; Association between dental prosthesis and periodontal disease in a rural Brazilian community. Brazilian Journal of Oral Sciences. 2006;19(5): 1226-31.
• 11. Sischo L, Broder HL. Oral health-related quality of life: what, why, how, and future implications. J Dent Res. 2011;90(11):1264-70.
• 12. WHO (1948). World Health Organization Constitution. Geneva, Switzerland: World Health Organization. Retrieved January 18, 2011. [Internet] Available from http://www.who.int/governance/eb/who_constitution_en.pdf.
• 13. Zucoloto ML, Maroco J, Campos JA. Psychometric properties of the oral health impact profile and new methodological approach. J Dent Res 2014;93(7):645-50.
• 14. Kuoppala R, Kainulainen VT, Korpi JT, Sandor GK, Oikarinen KS, Raustia A. Outcome of treatment of implant-retained overdenture in patients with extreme mandibular bone resorption treated with bone grafts using a modified tent pole technique. J Oral Maxillofac Surg 2013;71(11):1843-51.
• 15. Leles CR, Ferreira NP, Vieira AH, Campos AC, Silva, ET. Factors influencing edentulous patients’ preferences for prosthodontic treatment. J Oral Rehabil 2011;38(5):333-9.
• 16. Awad MA, Shapiro SH, Lund JP, Feine JS. Determinants of patients’ treatment preferences in a clinical trial. Community Dent Oral Epidemiol 2000;28(2):119-25.
• 17. McGrath C, Bedi R. Can dentures improve the quality of life of those who have experienced considerable tooth loss? J Dent 2001;29(4):243-6.
• 18. Geckili O, Hakan B, Mumcu E, Dayan Ç, Yabul A, Tuncer N. The effect of demographic factors, denture age and bite force on quality of life and patient satisfaction of complete denture wearers. Cumhuriyet Dent J 2012;15:7-15. (in Turkish)
• 19. Gjengedal H, Berg E, Boe OE, Trovik TA. Self-reported oral health and denture satisfaction in partially and completely edentulous patients. Int J Prosthodont 2011;24(1):9-15.
• 20. John MT, Szentpétery A, Steele JG. Association between factors related to the time of wearing complete dentures and oral health-related quality of life in patients who maintained a recall. Int J Prosthodont 2007;20(1):31-6.
• 21. Awad MA, Lund JP, Shapiro SH, Locker D, Klemetti E, Chehade A, et al. Oral health status and treatment satisfaction with mandibular implant overdentures and conventional dentures: a randomized clinical trial in a senior population. Int J Prosthodont 2003;16(4):390-6.
• 22. Tsakos G, Sheiham A, Iliffe S, Kharicha K, Harari D, Swift CG, et al. The impact of educational level on oral health-related quality of life in older people in London. Eur J Oral Sci 2009;117(3):286-92.
• 23. Motallebnejad M, Mehdizadeh S, Najafi N, Sayyadi F. The evaluation of oral health-related factors on the quality of life of the elderly in Babol. Contemp Clin Dent 2015;6(3):313-7.
• 24. Souza RF, Patrocínio L, Pero AC, Marra J, Compagnoni MA. Reliability and validation of a Brazilian version of the Oral Health Impact Profile for assessing edentulous subjects. J Oral Rehabil 2007;34(11):821-6.
• 25. de Oliveira TR, Frigerio ML. Association between nutrition and the prosthetic condition in edentulous elderly. Gerodontology. 2004;21(4):205-8.
• 26. Sackett DL, Straus SE, Richardson WS, Rosenberg W, Haynes RB. Evidence-based medicine. How to practice and teach EBM, 2nd edition. London: Churchill Livingstone, 2000.
• 27. Carlsson GE. Clinical morbidity and sequelae of treatment with complete dentures. J Prosthet Dent 1998;79(1):17-23.
• 28. Allen PF, McMillan AS. A review of functional and psychosocial outcomes of edentulousness treated with complete replacement dentures. J Can Dent Assoc 2003;69(10):662.
• 29. Narby B, Kronström M, Söderfeldt B, Palmqvist S. Prosthodontics and the patient. Part 2: need becoming demand, demand becoming utilization. Int J Prosthodont 2007;20(2):183-9.
• 30. do Amaral BA, Barreto AO, Gomes Seabra E, Roncalli AG, da Fonte Porto Carreiro A, et al. A clinical follow-up study of the periodontal conditions of RPD abutment and non-abutment teeth. J Oral Rehabil 2010;37: 545-52.
• 31. Carlsson GE, Hedegard B, Koivumaa KK. Studies in partial dental prosthesis, III. A longitudinal study of mandibular partial dentures with double extension saddles. Acta Odontol Scand 1962;20: 95-119.
• 32. Emami E, Taraf H, de Grandmont P, Gauthier G, de Koninck L, et al. The association of denture stomatitis and partial removable dental prostheses: a systematic review. Int J Prosthodont 2012;25: 113-9.
• 33. Ellakwa A. Damage Caused by Removable Partial Dentures:Reality?. Dentistry 2012;2:e107.