Oral health-related quality of life in tumour patients treated with patient-specific dental implants

Dental rehabilitation after surgically acquired bone deficiency related to tumour treatment remains a challenge. The insertion of patient-specific implants geared to the contour of the remaining bone is a feasible method of supporting fixed or removable dentures. As oral health-related quality of li...

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Bibliographic Details
Published in:International journal of oral and maxillofacial surgery 2020-08, Vol.49 (8), p.1067-1072
Main Authors: Jehn, P., Spalthoff, S., Korn, P., Stoetzer, M., Gercken, M., Gellrich, N.-C., Rahlf, B.
Format: Article
Language:English
Subjects:
dental rehabilitation
Dentistry
oral health impact profile
oral health-related quality of life
patient-specific implants
preprosthetic surgery
tumour treatment
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Summary:Dental rehabilitation after surgically acquired bone deficiency related to tumour treatment remains a challenge. The insertion of patient-specific implants geared to the contour of the remaining bone is a feasible method of supporting fixed or removable dentures. As oral health-related quality of life (OHRQoL) is of great interest in these cases, 12 individuals treated with patient-specific implants for severe bone deficiency were surveyed and their Oral Health Impact Profile (OHIP) scores after dental rehabilitation were evaluated. The OHIP-G53 questionnaire was used to measure overall treatment outcomes. The distribution of OHIP sum-scores for participants treated with patient-specific implants was almost homogeneous when compared to those cited in the literature for patients treated with conventional dental implants. OHIP items related to functional impairment and physical pain showed the highest scores (occurring occasionally), and financial loss related to treatment was frequently stated. Moreover, higher scores were detected in almost all OHIP dimensions for participants with patient-specific implant-supported removable dentures. Conversely, those treated with patient-specific dental implants and fixed dentures showed lower psychosocial impact scores and equal or superior OHRQoL. Hence, patient-specific dental implants, especially combined with fixed dentures, can lead to a positive OHRQoL in patients with severe bone deficiencies related to tumour therapy.
ISSN:0901-5027
1399-0020
DOI:10.1016/j.ijom.2020.01.011