Differences in self-perceived OHRQoL between fully dentate subjects and edentulous patients depending on their prosthesis type, socio-demographic profile, and clinical features

• Published in: Journal of dentistry Vol. 114; p. 103756
• Main Authors: García-Minguillán, Gonzalo, Preciado, Arelis, Romeo, Marta, Río, Jaime Del, Lynch, Christopher D., Castillo-Oyagüe, Raquel
• Format: Journal Article
• Language: English
• Published: England Elsevier Ltd 01.11.2021; Elsevier Limited
• Subjects: Demographics; Dental Implants; Dental materials; Dental Prosthesis, Implant-Supported; Dentistry; Dentition; Denture, Overlay; Dentures; Edentulous; Humans; Implant-retained overdenture wearers; Muco-supported complete dentures; natural dentition; Oral Health; Oral Health Impact Profile (OHIP); Oral health-related quality of life (OHRQoL); Patient Satisfaction; Patients; Perceptions; Prostheses; Prosthodontics; Quality of Life; Quality of Life with Implant Prostheses (QoLIP-10); Questionnaires; Retention; Sociodemographics; Teeth; Transplants & implants; Implant-retained overdenture wearers; natural dentition; Muco-supported complete dentures; Oral health-related quality of life (OHRQoL); Oral Health Impact Profile (OHIP); Quality of Life with Implant Prostheses (QoLIP-10)
• DOI: 10.1016/j.jdent.2021.103756
• ISSN: 0300-5712; 1879-176X

This observational cross-sectional study aimed to evaluate and compare the oral health-related quality of life (OHRQoL) and clinical performance between dentate subjects and edentulous patients restored with conventional dentures or implant overdentures. 85 edentulous patients were grouped as follows: Group-1 (CD): conventional denture wearers (n = 42), and Group-2 (IO): implant-retained overdenture wearers (n = 43). For the OHRQoL comparisons, a control group of subjects with a healthy natural dentition (Group-3, ND; n = 50) was included. Participants completed three validated questionnaires (OHIP-14sp, OHIP-20sp, and QoLIP-10). Socio-demographic data, prosthesis-related factors, clinical condition of the mouth, and patient subjective evaluations, were gathered. Descriptive and non-parametric probes were run (α = 0.05). The ND group was the most unsatisfied (OHIP-14sp; p ≤ 0.001). The OHIP-20sp attributed significantly worse Psychological disability (p = 0.029) and Handicap (p = 0.027) to CD wearers when compared to IO wearers. The CD group showed the significantly highest need for relining (p = 0.041), and the lowest retention (p = 0.011). The OHIP-14sp disclosed a significantly worse OHRQoL for those volunteers who had a job (p = 0.003), a basic education instead of a secondary one (p = 0.022), and no partner (p = 0.006). The overall OHRQoL was comparable for both prosthodontic groups, being modulated by socio-demographic and prosthesis-related features. Nonetheless, CD wearers presented prosthetic complications more frequently. Clinical significance: While dentate subjects were the most critical about their oral condition and its repercussion in their life, implant overdenture wearers tended to observe a better OHRQoL and clinical performance compared to conventional denture wearers.