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Patients’ expectations, satisfaction, and quality of life with immediate loading protocol
Author(s) -
Menassa Melanie,
Grandmont Pierre,
Audy Nicholas,
Durand Robert,
Rompré Pierre,
Emami Elham
Publication year - 2016
Publication title -
clinical oral implants research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.407
H-Index - 161
eISSN - 1600-0501
pISSN - 0905-7161
DOI - 10.1111/clr.12515
Subject(s) - quality of life (healthcare) , medicine , personality , oral health , patient satisfaction , life satisfaction , physical therapy , clinical psychology , psychology , dentistry , social psychology , surgery , nursing
Objectives To examine patients’ expectations, the level of satisfaction, and the oral health‐related quality of life ( OHRQ oL) with regard to the implants’ immediate loading protocol (ILP) in edentate individuals. Methods This pilot trial used a pre–post design to assess patient‐centered outcomes in 18 edentate individuals (mean age 62.4 ± 7.7 years) who have received a 2‐implant (unsplinted) mandibular overdenture through an ILP. Visual analog scales, the McGill denture satisfaction questionnaire, and the oral health impact profile ( OHIP ‐20) questionnaire were used to evaluate patients’ expectations, satisfaction, and OHRQ oL at baseline, 2 weeks, 1 month, and 4 months after surgery. Personality trait and socio‐demographic information were obtained using the revised NEO personality inventory and a self‐administered questionnaire, respectively. Non‐parametric methods and Brunner–Langer approach were used to analyze the data. Results The participants had a wide range of expectations regarding the ILP. Expectations included short‐term positive impact on aesthetics (83.3%) and social life (55.7%), as well as negative effects on comfort (5.6%), the ability to chew (11.1%), and the ability to clean the lower denture (11.1%). The ILP satisfied 94.4% of the participants, regardless of socio‐demographic and personality profiles. There was a statistically significant improvement in overall satisfaction, comfort, perceived aesthetics, stability of the overdenture, and ability to chew from baseline to 2‐week, 1‐, and 4‐month follow‐up ( P < 0.001). There was 100% agreement among patients on recommending this procedure to others. There was a statistically significant decrease in the total OHIP scores and all its domains ( P < 0.001) from baseline to 2 weeks. These differences remained statistically significant at 4‐month follow‐up. The ILP improved patients’ OHRQ oL, regardless of the implant loss, the socio‐demographic characteristics, and personality traits. Conclusions The ILP of two unsplinted implants with a mandibular overdenture significantly improved satisfaction and short‐term OHRQ oL, and appears to meet expectations in edentulous elders. There was 100% agreement among patients on recommending this procedure to others.