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Minerva Stomatologica 2018 October;67(5):189-95

DOI: 10.23736/S0026-4970.18.04134-1

Copyright © 2018 EDIZIONI MINERVA MEDICA

lingua: Inglese

Oral health-related quality of life and clinical outcomes of immediately or delayed loaded implants in the rehabilitation of edentulous jaws: a retrospective comparative study

Saverio COSOLA 1, 2, 3 , Simone MARCONCINI 1, 2, Enrica GIAMMARINARO 1, 2, 3, Gian Luca POLI 4, Ugo COVANI 1, 2, Antonio BARONE 2, 5

1 Department of Surgical, Medical, Molecular and Critical Area Pathology, University Hospital of Pisa, Pisa, Italy; 2 Tuscan Stomatologic Institute, Foundation for Dental Clinic, Research and Continuing Education, Versilia General Hospital, Lido di Camaiore, Lucca, Italy; 3 Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, Valencia, Spain; 4 Private Practitioner, Pisa, Italy; 5 Unit of Oral Surgery and Implantology, University of Geneva, Geneva, Switzerland


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BACKGROUND: Patient-centered outcomes are being given great attention by the dental scientific community. The Oral Health Impact Profile -14 questionnaire (OHIP-14) has been introduced to address patients’ success criteria when describing the impact of oral rehabilitations on quality of life (OHrQoL).
METHODS: Thirty-five patients wearing a full-arch implant-prosthesis being in place between 4 and 6 years before this analysis were considered eligible and then enrolled in the present retrospective study. According to their prosthetic anamnesis, two groups were defined: delayed loading group (IL-group) and immediate loading group (IL-group). At the moment of analysis, clinical and radiographic parameters were collected, and patients were asked to complete the Oral Health Impact Profile -14 questionnaire (OHIP-14) in order to measure their OHrQoL.
RESULTS: Independent t-test showed total OHIP-14 scores to be not significantly different between groups; however, the domains “functional limitation” and “physical disability” resulted significantly higher in patients within the DL-group. On the contrary, social disability was higher in the IL-group. When the comparison was performed taking sex into account, no significant differences between groups were highlighted. Instead, the stratification for years of follow-up led to significant evidences. When the follow-up was shorter (less-than-5 years), the functional limitation reported scores were higher.
CONCLUSIONS: Within the limitations of this study, the analysis supports the absence of significant differences between immediate loading and delayed loading full-arch protocol in term of clinical, radiological parameters and OHrQoL.


KEY WORDS: Dental implants - Quality of life - Dental prosthesis, implant-supported

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