Abstract
BackgroundTo evaluate oral health related quality of life (OHQoL) in edentulous patients treated with immediately loaded implants in the maxilla.MethodsFifty-one edentulous patients in two centers received six maxillary implants each were loaded within 24 h with provisional restoration. Definitive restoration was delivered 20–24 weeks later. OHQoL was evaluated preoperatively with the Oral Health Impact Profile 49 questionnaire (OHIP-49) and on five subsequent occasions. OHIP-49 includes seven domains representing functional limitation, physical pain, psychological discomfort, physical disability, psychological disability, social disability, and handicap. A reduction in OHIP scores indicated an improved OHQoL.ResultsForty-five patients reached the three-year follow up. OHQoL improved after treatment. A plateau of OHQoL improvement was observed at 12 months after surgery. The seven domains improved at different pace, 12 weeks to 12 months after treatment. OHIP showed continuously low scores with no significant changes at consecutive visits 12 months to three years after treatment. Dental status with removable prosthesis in the mandible had a negative impact on OHQoL prior to and during treatment, but did not affect OHQoL after permanent restoration was placed. Patients age or gender did not affect OHQoL.ConclusionsPatients with edentulous maxilla who received prosthetic rehabilitation on immediately loaded implants experienced the highest improved OHQoL 12 months after implant installation. Quality of life related to oral health continued to be high after three years. Edentulous patients with atrophy of the maxilla experience an improved OHQoL after implant treatment with immediate loading protocol.Trial registrationClinicalTrials.gov Identifier NCT00711022.
Highlights
To evaluate oral health related quality of life (OHQoL) in edentulous patients treated with immediately loaded implants in the maxilla
Dental implant rehabilitation has traditionally been provided as a two-stage surgical procedure with a conventional loading protocol
The technique with dental implants followed by early and immediate loading has emerged as an alternative treatment to the standard loading protocol [10]
Summary
To evaluate oral health related quality of life (OHQoL) in edentulous patients treated with immediately loaded implants in the maxilla. Dental implant rehabilitation has traditionally been provided as a two-stage surgical procedure with a conventional loading protocol. The procedure with immediately loaded implants, fixed as well as removable prostheses, may result in shorter treatment time, fewer surgical interventions and eliminates the need for a temporary removable prosthesis [11]. Promising results have been achieved with this treatment strategy [12, 13] Important parameters such as aesthetic outcome and patient OHQoL are often underexposed in implant studies [14]. The Oral Health Impact Profile 49 (OHIP-49) provides a recognized method to follow improvements and regression in OHQoL [15,16,17,18]. The OHIP measures frequency of oral problems and gives a profile of how affected a patient’s life can be because of these problems
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