Short-term quality of life change perceived by patients after transition to mandibular overdentures

• Main Authors: Alessandra Julie SCHUSTER, Raissa Micaella MARCELLO-MACHADO, Amália Machado BIELEMANN, Gustavo Giacomelli NASCIMENTO, Luciana de Rezende PINTO, Altair Antoninha DEL BEL CURY, Fernanda FAOT
• Format: Article
• Language: English
• Published: Sociedade Brasileira de Pesquisa Odontológica 2017-03-01
• Series: Brazilian Oral Research
• Subjects: Oral Health; Quality of Life; Denture, Overlay; Surveys and Questionnaires; Dental Implants
• Online Access: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242017000100220&lng=en&tlng=en

Abstract The aim of this longitudinal observational study was to evaluate the oral health-related quality of life (OHRQoL) following patient rehabilitation with implant-retained mandibular overdentures (IMO) and to identify the contribution of the different domains to OHRQoL. The Oral Health Impact Profile (OHIP-EDENT), Dental Impact on Daily Living (DIDL), and Geriatric Oral Health Assessment Index (GOHAI) questionnaires were completed twice by 25 patients: after 3 months of rehabilitation with complete dentures (CD) and after 3 months of IMO loading using stud abutments. The evaluation after IMO rehabilitation showed significant improvement in three DIDL domains: appearance (p = 0.011), eating and chewing (p = 0.003), and general performance (p = 0.003). The GOHAI results showed significant differences in two domains: psychosocial (p = 0.005) and pain and discomfort (p = 0.0004). The OHIP-EDENT outcomes showed significant improvements in five domains: functional limitation (p = 0.0001), physical pain (p = 0.0002), physical disability (p = 0.0010), and psychological disability and handicap (p = 0.032). The largest observed effect sizes were close to one standard deviation and were observed in the eating and chewing domain (0.93) of the DIDL; the pain and discomfort domain (0.83) of the GOHAI, and the functional limitation (0.89), physical pain (1.02), physical disability (0.84) domains of the OHIP-EDENT. The percentage of satisfied patients increased in all domains. Self-reported OHRQoL of CD wearers was significantly improved after 3 months of treatment with IMO, especially concerning the functional and pain-related aspects.