|
|
|
| Impact of Shortened Dental Arch on Oral Health-related Quality of Life over a Period of 10 Years |
| WANG Xin-rong, JIN Hong |
| Department of Stomatology, 215 Hospital of Shaanxi Nuclear Industry, Xianyang Shaanxi 712000 |
|
|
|
|
Abstract 【Objective】To compare oral health-related quality of life (OHRQoL) in patients with either molar replacement by partial removable dental prostheses (PRDP) or with restored shortened dental arches (SDA) over a period of 10 years. 【Methods】A total of 151 patients with bilateral molar loss in Department of Prosthodontics from March 2008 to March 2010 were enrolled, and they were divided into two groups by different treatment methods, the RPD group (n=77) and SDA group (n=74). OHRQoL of patients were assessed by Oral Health Impact Profile-14 (OHIP-14). The OHIP-14 score before treatment, 1~2 months, 6 months, 1 year, 2 years, 3 years, 4 years, 5 years, 6 years, 7 years, 8 years, 9 years, and 10 years after treatment were recorded. And the repair effects in patients with different characteristics after treatment and OHIP-14 scores were recorded. Multiple linear regression analysis was used to analyze the influencing factors of OHRQoL after treatment with SDA. 【Results】After treatment, the OHIP-14 scores in both groups were lower than before treatment (P<0.05). However, the OHIP-14 scores at different time points after treatment had no significant difference between the two groups (P>0.05). After treatment, the OHIP-14 scores of patients with different ages and education levels were significantly different (P<0.05). The incidence of gingival bleeding and prosthetic detachment in the SDA group was significantly lower than that in the RPD group. The satisfaction degree of restoration in the SDA group was significantly higher than that of RPD group (P<0.05). Multiple linear regression analysis showed that age and education level were independent risk factors for OHRQoL after treatment (P<0.05). The OHRQoL of both groups showed no significant difference in terms of treatment method and treatment time. (P>0.05). 【Conclusion】Both RPD and SDA treatment can significantly improve OHRQoL in patients with molar loss. During 10 years of follow-up, the influence of the two treatment options on OHRQoL has no significant difference and remains stable, however, SDA has a lower incidence of gingival bleeding and prosthetics-shedding, and higher satisfaction degree. So clinical treatment should be applied based on actual situation of patients.
|
|
Received: 23 March 2021
|
|
|
|
|
|
[1] 王旭,徐小乔,吴昊,等.西安市养老机构老年人牙齿缺失状况及GOHAI分析[J].中华老年口腔医学杂志,2018,16(2):107-110.
[2] 王璐. (牙合)垫式可摘局部义齿在牙列缺损合并重度磨损患者咬合功能恢复的影响[J].实用临床医药杂志, 2019, 23(8):54-56.
[3] 董沁媛,周毅.短牙弓对口腔余留牙的影响[J].口腔医学研究,2018,34(4):353-355.
[4] KHAN S, CHIKTE U, OMAR R.Impact of removable partial dental prostheses on the oral health‐related quality of life of a south african cohort with varied distributions of missing posterior teeth[J].J Prosthodont,2019,28(1):434-439.
[5] GERRITSEN A E.Long-term follow-up indicates unimpaired oral health-related quality of life for people having shortened dental arches[J].J Dent,2017,65(23):41-44.
[6] 马净植. 口腔疾病诊疗指南[M].北京:科学出版社, 2013.
[7] 杨佳迪, 边策, 袁硕. 两种可摘局部义齿对各基牙牙周影响的回顾性研究[J].临床口腔医学杂志, 2020, 36(2):109-112.
[8] 王夏衡, 高平. 短牙弓修复法的临床研究进展[J].现代口腔医学杂志, 2009,10(5):104-106.
[9] 孙梅, 刘红. 磁性附着体与卡环联合应用修复可摘局部义齿的临床效果观察[J].口腔颌面修复学杂志, 2014, 15(5):310.
[10] 辛蔚妮,凌均棨.《口腔健康影响程度量表(OHIP-14中文版)》与《老年口腔健康评价指数(GOHAI中文版)》的比较研究[J].口腔医学研究,2014,30(3):252-257.
[11] 卫新.国家卫生计生委发布全国第四次口腔健康流行病学调查结果[J].中国卫生画报,2017,12(9):64.
[12] 孙真.活动和固定义齿在牙周病伴牙列缺损修复治疗中的临床疗效[J].中国地方病防治杂志,2017,32(3):350.
[13] 周静,黄建波,芮媚.固定-活动义齿联合修复牙列缺损对患者临床疗效及咀嚼功能的影响[J].实用口腔医学杂志,2018,34(6):133-136.
[14] LEVEY C, DUNBAR C.Shortened dental arch concept shown to be cost effective[J].Evid Based Dent,2015,16(1):19-20.
[15] 王小丹,余喻连,刘晓晶,等.海口市老年人口腔健康相关生活质量影响因素[J].中国老年学杂志,2017,37(16):4122-4124.
[16] 陈国勇.活动义齿治疗老年口腔疾病患者的临床特点与效果观察[J].中国急救医学,2018,38(2):105.
|
| [1] |
. [J]. JOURNAL OF CLINICAL RESEARCH, 2021, 38(9): 1437-1440. |
|
|
|
|
2021, Vol. 38 
