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Measuring the Effect of Intra-oral Implant Rehabilitation on Health-related Quality of Life in a Randomized Controlled Clinical Trial

McGill University Faculty of Dentistry, 3640 University Street, Montreal, Quebec H3A 2B2, Canada

D. Locker

; Community Dental Health Services Research Unit, University of Toronto, Canada

N. Korner-Bitensky

MCoill University School of Physical and Occupational Therapy

J.S. Feine

McGill University Faculty of Dentistry, 3640 University Street, Montreal, Quebec H3A 2B2, Canada, McGill University Faculty of Medicine, Joint Depts. of Epidemiology and Biostatistics, and Occupational Health, Jewish General Hospital, Lady Davis Institute for Medical Research, McGill University, Faculty of Medicine, Dept. of Oncology, feine{at}med.megill.ca

The importance of assessing the impact of treatments for chronic conditions on an individual's quality of life has been well-established. In this randomized clinical trial, oral-health-rclated quality of life, measured with the Oral Health Impact Profile (OHIP), was compared between two groups of edentulous patients. One group (n = 54) received mandibular implant-supported overdentures, and the other group (n = 48) received conventional dentures. Assessments were performed pre-treatment and two months after the prostheses were delivered. The multivariate model showed that implant treatment was significantly associated with lower post-treatment OHIP scores (p = 0.0002), indicating a better quality of life. In addition, pre-treatment OHIP scores, treatment allocation, age, sex, and marital status explained 31% of the variation in post-treatment OHIP scores (F = 0.0001). These results suggest that implant treatment provides significant short-term improvement over conventional treatment in oral-health-related quality of life.

Key Words: oral health • implant prostheses • measurement and quality of life.

REFERENCES

• Allison P., Locker D., Jokovic A., Slade G. (1999). A cross-cultural study of oral health values. J Dent Res 78:643-649.
• Awad MA, Feine JS (1998). Measuring patient satisfaction with mandibular prostheses. Community Dent Oral Epidemiol 26:400-405.[Medline] [Order article via Infotrieve]
• Blomberg S., Lindquist LW (1983). Psychological reactions to edentulousness and treatment with jawbone-anchored bridges. Acta Psychiatr Scand 68:251-262.[Medline] [Order article via Infotrieve]
• Boerrigter E., Geertman M., Van Oort R., Bouma J., Raghoebar G., Van Waas M., et al. (1995). Patient satisfaction with implant retained mandibular overdentures. A comparison with new complete dentures not retained by implants-a multicentre randomized clinical trial. Br J Oral Maxillofac Surg 33:282-288.[Medline] [Order article via Infotrieve]
• Bouma J., Boerrigter LM, van Oort RP, van Sonderen E., Boering G. (1997). Psychosocial effects of implant-retained overdentures. Int J Oral Maxillofac Implants 12:515-522.[Medline] [Order article via Infotrieve]
• Brewin CR, Bradley C. (1989). Patient preferences and randomised clinical trials. BMJ 299:313-315.[Free Full Text]
• Burns DR, Unger JW, Elswick RK Jr, Giglio JA (1995). Prospective clinical evaluation of mandibular implant overdentures: Part II-Patient satisfaction and preference. J Prosthet Dent 73:364-369.[Medline] [Order article via Infotrieve]
• Cibirka RM, Razzoog M., Lang Blr (1997). Critical evaluation of patient responses to dental implant therapy. J Prosthet Dent 78:574-581.[Medline] [Order article via Infotrieve]
• Clancy JM, Buchs AU, Ardjmand H. (1991). A retrospective analysis of one implant system in an oral surgery practice. Phase 1: Patient satisfaction. J Prosthet Dent 65:265-271.[Medline] [Order article via Infotrieve]
• Dawson-Saunders B., Trapp RG (1990). Basic and clinical biostatistics. Norwalk, CT, USA: Appleton and Lange.
• Feine JS, Awad MA, Lund JP ( 1998). The impact of patient preference on the design and interpretation of clinical trials. Community Dent Oral Epidemiol 26:70-74.[Medline] [Order article via Infotrieve]
• Jokovic A., Locker D. (1997). Dissatisfaction with oral health status in an older adult population. J Public Health Dent 57:40-47.[Medline] [Order article via Infotrieve]
• Kent G., Johns R. (1994). Effects of osseointegrated implants on psychological and social well-being: a comparison with replacement removable prostheses. Int J Oral Maxillofac Implants 9:103-106.[Medline] [Order article via Infotrieve]
• Kiyak HA, Beach BH, Worthington P., Taylor T., Bolender C., Evans J. (1990). The psychological impact of osseointegrated dental implants. Int J Oral Maxillofac Implants 5:61-69.[Medline] [Order article via Infotrieve]
• Kressin N., Spiro A. 3rd, Bosse R., Garcia R., Kazis L. (1996). Assessing oral health-related quality of life: findings from the normative ageing study. Med Care 34:416-427.[CrossRef][Medline] [Order article via Infotrieve]
• Laine C., Davidoff F. (1996). Patient-centered medicine. A professional evolution. JAm Med Assoc 275:152-156.[Abstract/Free Full Text]
• Spilker B. (1991). Guide to clinical trials. New York: Raven Press Ltd.
• Slade GD, Spencer AJ (1994a). Development and evaluation of the Oral Health Impact Profile. Community Dent Health 11:3-11.[Medline] [Order article via Infotrieve]
• Slade GD, Spencer AJ (1994b). Social impact of oral conditions among older adults. Aust Dent J 39:358-364.[Medline] [Order article via Infotrieve]
• Tang L., Lund JP, Tache R., Clokie CM, Feine JS (1997). A within-subject comparison of mandibular long-bar and hybrid implant-supported prostheses: psychometric evaluation and patient preference. J Dent Res 76:1675-1683.
• Ware JE Jr (1984). Methodology in behavioral and psychosocial cancer research. Conceptualizing disease impact and treatment outcome. Cancer 53:2316-2326.[Medline] [Order article via Infotrieve]
• Wismeijer D., Vermeeren JI, van Waas MA (1992). Patient satisfaction with overdentures supported by one-stage TPS implants. Int J Oral Maxillofac Implants 7:51-55.[Medline] [Order article via Infotrieve]

Journal of Dental Research, Vol. 79, No. 9, 1659-1663 (2000)
DOI: 10.1177/00220345000790090401


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This Article Abstract Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Awad, M.A. Articles by Feine, J.S. Search for Related Content PubMed PubMed Citation Articles by Awad, M.A. Articles by Feine, J.S. Pubmed/NCBI databases Medline Plus Health Information Dental Health Social Bookmarking                         What's this?