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
Della Vecchia, Maria Paula; Regis, R.R.; Muglia, Valdir Antonio; Souza, R.F.
Rev. odontol. UNESP, vol.38, n3, p.198-203, 2009
Resumo
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.
Palavras-chave
Prótese total, satisfação do paciente, qualidade de vida, implantes dentários
Abstract
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.
Keywords
Complete denture, patient satisfaction, quality of life, dental implants.
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