Publication: Estudio comparativo de calidad de vida de pacientes portadores de implantoprótesis en función del método de retención
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2017-05-26
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Universidad Complutense de Madrid
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Abstract
Es importante valorar diferentes alternativas restauradoras para poder elegir el tipo de rehabilitación más adecuado en cada caso de edentulismo. Sin embargo, para alcanzar el éxito clínico, también resulta imprescindible conocer la percepción del paciente con respecto al impacto que tienen los diferentes tratamientos protésicos sobre su bienestar o calidad de vida, condición para la cual se emplea el término internacional “OHRQoL” (Calidad de Vida relacionada con la Salud Oral). El objetivo de la presente investigación es comparar distintos tipos de implantoprótesis de acuerdo a un amplio compendio de criterios socio-demográficos, clínicos, protésicos y referentes a calidad de vida. De este modo podremos predecir qué diseño destacará respecto a cada característica y obtendremos resultados clínicamente aplicables. Asimismo, se evaluaron las diferencias en cuanto a la autopercepción de calidad de vida de los pacientes tratados con implantoprótesis respecto a aquéllos rehabilitados con prótesis completas convencionales mucosoportadas y respecto a pacientes completamente dentados. Se obtuvo una muestra de 235 pacientes, que se clasificaron en cinco grupos dependiendo del tipo de restauración que portaban. Se consideraron dos grupos control: dentición natural (Grupo DN) y prótesis completas convencionales mucosoportadas (Grupo PC); y tres grupos de estudio: sobredentaduras implantológicas (Grupo SD), implantoprótesis fijas atornilladas (Grupo PF ator) e implantoprótesis fijas cementadas (Grupo PC cem)...
Nowadays, global population growth rates, along with an extended life expectancy may lead to an increase of pathologies such as total and partial edentulism. In this regard, implant restorations become one of the best treatment options. Nevertheless, it is important to consider different alternatives in order to choose the most appropriate prosthetic solution in each case. Therefore, it is also essential to know the patient’s perception in relation to the impact that the different prosthetic treatments have on his or her quality of life. For this reason, ‘OHRQoL’ (Oral Health related Quality of Life) may be another basic point in decision-making. Many factors, such as age; systemic pathologies; teeth loss; diet; and other cultural, psychological, and social aspects, may affect the OHRQoL, which also depends on the type of prosthetic restoration worn by the patient. Hence, different scales have been proposed to assess the relationship among different dental treatments and OHRQoL. The aim of the present study was to compare different types of implant prostheses according to an extended number of parameters, such as socialdemographic, peri-implant/support, prosthetic, or related to quality of life. This may help predict what the best rehabilitation design is regarding each parameter in attempt to obtain clinically applicable results depending on the patient profile. Moreover, the implant restorations analyzed were compared to conventional complete dentures and to natural dentition in terms of the OHRQoL experienced by the patients...
Nowadays, global population growth rates, along with an extended life expectancy may lead to an increase of pathologies such as total and partial edentulism. In this regard, implant restorations become one of the best treatment options. Nevertheless, it is important to consider different alternatives in order to choose the most appropriate prosthetic solution in each case. Therefore, it is also essential to know the patient’s perception in relation to the impact that the different prosthetic treatments have on his or her quality of life. For this reason, ‘OHRQoL’ (Oral Health related Quality of Life) may be another basic point in decision-making. Many factors, such as age; systemic pathologies; teeth loss; diet; and other cultural, psychological, and social aspects, may affect the OHRQoL, which also depends on the type of prosthetic restoration worn by the patient. Hence, different scales have been proposed to assess the relationship among different dental treatments and OHRQoL. The aim of the present study was to compare different types of implant prostheses according to an extended number of parameters, such as socialdemographic, peri-implant/support, prosthetic, or related to quality of life. This may help predict what the best rehabilitation design is regarding each parameter in attempt to obtain clinically applicable results depending on the patient profile. Moreover, the implant restorations analyzed were compared to conventional complete dentures and to natural dentition in terms of the OHRQoL experienced by the patients...
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Tesis inédita de la Universidad Complutense de Madrid de la Facultad de Odontología del Departamento de Estomatología I, leída el 9 de Abril de 2016