Abstract
BackgroundPhobic patients avoid dental treatment impairing their oral health and making it challenging to offer them prosthetic rehabilitation. This study evaluated patients’ experience of implant-supported prosthetic treatment after implantation performed under general anaesthesia due to dental phobia and severe pharyngeal reflexes (SPR). The effect of gender, age and location of implantation on patient satisfaction was tested.MethodsTwo hundred five patients underwent implantation under general anesthesia both in maxilla and mandible, respectively. After a trans-gingival healing period of 6–8 weeks, fixed implant bridges were inserted. Patients completed oral health impact profile questionnaire (OHIP-14). An additional set of six special questions was also developed and considered. Analysis of the OHIP-14 total score was made using logistics regression. Wald chi-square test was used to analyse the effect of age, gender and location of implantation. Effect sizes were estimated as odds-ratios and associated 95% Wald confidence intervals.ResultsEighty two of 205 patients were included after prosthetic treatment. After start, 38 patients were excluded (4 died and 34 couldn’t be reached). OHIP-14-analyses were made by 43 patients (30–90 years). 67% of patients were totally satisfied with the whole implant rehabilitation (scoring 0). Mean of total score was 2.5. Only age affected significantly (p = 0.014) patients satisfaction. The obtained data indicate that younger patients (30–64 years) especially women are less satisfied (4.95) than older patients (0.3) for age group (65–90 years).Special questions’ data showed that 94.5% were satisfied with their treatment. 77.3% continued regular check-up after treatment and 96.9% would undergo the same treatment again. 95.5% would recommend implants to a friend of colleague.ConclusionGender and location of implantation have no significant influence on patient satisfaction. Younger patients especially women are less satisfied than older patients. Phobic patients are totally satisfied with implant rehabilitation under general anaesthesia which means that this treatment can be considered as a treatment of choice giving these patients the same opportunity like others to improve their oral health and well-being.
Highlights
Anxious patients due to dental phobia or severe pharyngeal reflexes (SPR) show poorer oral health and more decayed and missing teeth than typical individuals [1]
Eighty two patients were treated with implants under general anesthesia between 01.01.2006 to 31.12.2012 and included and treated in this study
The Oral Health Impact Profile (OHIP)-14 questionnaire was administered to evaluate the level of satisfaction of patients suffer from dental phobia and SPRs with their implant treatment performed under general anesthesia
Summary
Anxious patients due to dental phobia or severe pharyngeal reflexes (SPR) show poorer oral health and more decayed and missing teeth than typical individuals [1]. Prosthetic treatments are needed for recovery of missing teeth in these patients, these patients are uncooperative and show poor dental treatment compliance which complicates any treatment; increases risk of failure and makes it difficult to perform implant-supported rehabilitation [2, 3]. Local anesthesia will be insufficient to perform an adequate operation [4, 5] In such cases, surgery under general anesthesia could be an option that enables patients undergoing implant treatment to improve their oral health, and well-being. This study evaluated patients’ experience of implant-supported prosthetic treatment after implantation performed under general anaesthesia due to dental phobia and severe pharyngeal reflexes (SPR). The effect of gender, age and location of implantation on patient satisfaction was tested
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