Oral health-related quality of life in tumour patients treated with patient-specific dental implants |
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| Affiliation: | 1. Institute of Maxillofacial Surgery, Teknon Medical Centre Barcelona, Barcelona, Spain;2. Department of Oral and Maxillofacial Surgery, Universitat Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, Spain;1. Department of Head and Neck Surgical Oncology, VPS Lakeshore Hospital, Cochin, Kerala, India;2. Department of Plastic Surgery, VPS Lakeshore Hospital, Cochin, Kerala, India;1. Department of Oral and Maxillofacial Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China;2. Department of Oral and Maxillofacial Surgery, Mother and Childhood Hospital, Ministry of Health, Ibb City, Yemen;1. Department of Oral and Maxillofacial Surgery, University Medical Center Groningen and University of Groningen, Groningen, The Netherlands;2. Department of Oral and Maxillofacial Surgery, Radboud University Medical Center, Nijmegen, The Netherlands;1. Department of Neurosurgery, Medical University of Vienna, Vienna, Austria;2. Institute of Science and Technology Austria, Klosterneuburg, Austria;3. Institute for Simulation and Graphics, Otto-von-Guericke-University Magdeburg, Magdeburg, Germany;4. Department of Radiology, Medical University of Vienna, Vienna, Austria;5. Centre for Anatomy and Cell Biology, Medical University of Vienna, Vienna, Austria;6. Department of Neurosurgery, Neuroscience Institute, Qatar;7. Department of Oral and Maxillofacial Surgery Medical University of Vienna, Vienna, Austria;1. Department of Periodontics, The Affiliated Stomatology Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China;2. Key Laboratory of Oral Biomedical Research of Zhejiang Province, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China;3. Zhejiang Provincial Centre for Disease Control and Prevention, Hangzhou, Zhejiang, China;4. Department of Oral Implantology and Prosthodontics, The Affiliated Stomatology Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China |
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| Abstract: | 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. |
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| Keywords: | tumour treatment patient-specific implants preprosthetic surgery dental rehabilitation oral health impact profile oral health-related quality of life |
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