Qualidade de vida associada à saúde bucal em portadores de próteses totais convencionais e implantorretidas: relato de dois casos
Oral health-related quality of life in conventional and implant-retained complete denture wearers: two case reports
Rev. odontol. UNESP, vol.38, n3, p.198-203, 2009
O termo qualidade de vida associada à saúde bucal (QVSB) tem sido adotado para definir medições de como o paciente percebe as suas próprias condições bucais. O objetivo deste estudo foi relatar a autopercepção da QVSB de dois portadores de próteses totais convencionais ou implantorretidas. Uma entrevista foi conduzida com dois pacientes por meio de um questionário baseado no OHIP-EDENT, com respostas em formato aberto. Um deles portava uma overdenture mandibular com prótese total convencional maxilar e o outro, um par de próteses fixas. Evidenciouse que as próteses totais sobre implantes restauraram efetivamente o conforto físico e psicossocial. Limitações relativas ao tratamento foram percebidas, como a retenção de alimento sob próteses fixas, apesar de não influenciarem a QVSB de forma pronunciada. Concluiu-se que, do ponto de vista subjetivo, o uso de prótese total ancorada sobre implantes mostrou-se como uma excelente modalidade de tratamento, apesar de os resultados variarem grandemente em função das necessidades percebidas pelo paciente.
Prótese total, satisfação do paciente, qualidade de vida, implantes dentários
The term oral health-related quality of life (OHRQoL) has been employed for the measurement of subjective parameters of oral conditions. In other words, those parameters are based on self-perception of the patients. The aim of this study was to relate the self-perception by the OHRQoL for conventional and implant-retained complete dentures from two edentulous patients. An interview was conducted by using open format questions similar to those of the OHIP-EDENT inventory. Prosthetic status of the patients comprised (I) a conventional maxillary complete denture and a mandibular overdenture and (II) bimaxillary fixed complete dentures. According to the reports, implant-retained complete dentures restored physical and psycho-social comfort. Functional limitations, i.e. food retention under the denture bases, were perceived but did not influence the quality of life on a pronounced manner. Although the results have widely changed due to the different perceived needs by the patients, it was concluded that implant-retained prostheses are an excellent modality of treatment for edentulous people.
Complete denture, patient satisfaction, quality of life, dental implants.
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