Abstract
Objective: This study assessed the impact of oral rehabilitation with immediate-loading fixed prostheses on the quality of life of patients with mandibular edentulism. Materials and Methods: A longitudinal study was conducted on an outpatient basis. The sample included 14 patients over 18 years of age, treated in the Implantology Specialization programs of the Brazilian Dental Association (in Juiz de Fora, Brazil) and the School of Dentistry, Federal University of Juiz de Fora. Participants were interviewed about identification data, self-perceived general health and oral health, and socioeconomic data. The Oral Health Impact Profile (OHIP-14) was used. After the Kolmogorov-Smirnov normality test, the OHIP-14 central tendency values were compared using the Wilcoxon paired test with a 5% significance level. Results: The overall mean found for the quality of life questionnaire was 30.14 (before) and 48.93 (after). There was a significant reduction of impact in all areas in the post-surgical period, except for functional limitation. No impact was identified for the dimensions of physical pain and disability after installing implants. Conclusion: Prosthetic rehabilitation and self-perception have high impact on oral health, thus emphasizing the need for care, careful observation of all the factors that may have an influence on infirmities, and not only their signs and symptoms.
Highlights
The loss of teeth is a condition as old as man himself and is due to numerous factors such as poor hygiene, trauma, pathologies, endodontic complications, iatrogenies, among others
A few years ago, it could be said that tooth loss was seen, socially, as a natural condition attributed to aging, and can be explained by the antiquated public policies that were essentially curative and mutilating
It was observed that the quality of life of patients who underwent the installation of implant-supported prostheses, with immediate loading, in edentulous mandibles, was mainly impacted by the psychological discomfort domain before surgery, and afterwards, the domains with lower impact were physical pain and disability
Summary
The loss of teeth is a condition as old as man himself and is due to numerous factors such as poor hygiene, trauma, pathologies, endodontic complications, iatrogenies, among others. A few years ago, it could be said that tooth loss was seen, socially, as a natural condition attributed to aging, and can be explained by the antiquated public policies that were essentially curative and mutilating. This resulted in a reality marked by a high prevalence of missing teeth and a great need for rehabilitation services using prostheses, which generates an even greater public cost [2]. Unnecessary wasting of a natural tooth to support conventional fixed bridges is avoided, and the alveolar bone is preserved as well, since bone resorption from tooth loss does not occur
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