Implant or Tooth?—A Prospective Clinical Study on Oral Health-Related Quality of Life for Patients with “Unrestorable” Teeth
In cases of severely compromised teeth, dental practitioners are confronted with the therapeutic decision of whether to restore a tooth or replace it with an implant. Comparative scientific evidence on patient perception of both treatment approaches is scarce. The subject of this prospective clinica...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-12-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/24/7496 |
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| author | Maria Bruhnke Michael Naumann Florian Beuer Insa Herklotz Mats Wernfried Heinrich Böse Stefan Neumeyer Manja von Stein-Lausnitz |
| author_facet | Maria Bruhnke Michael Naumann Florian Beuer Insa Herklotz Mats Wernfried Heinrich Böse Stefan Neumeyer Manja von Stein-Lausnitz |
| author_sort | Maria Bruhnke |
| collection | DOAJ |
| description | In cases of severely compromised teeth, dental practitioners are confronted with the therapeutic decision of whether to restore a tooth or replace it with an implant. Comparative scientific evidence on patient perception of both treatment approaches is scarce. The subject of this prospective clinical study was to compare oral health-related quality of life (OHRQoL) between two treatment groups: restoration of severely destroyed teeth after orthodontic extrusion (FOE) versus tooth extraction and implant-supported single crown restoration (ISC). A self-selected trial was performed with 21 patients per group. OHRQoL was assessed with the aid of the Oral Health Impact Profile (OHIP-G49) at different time intervals: before treatment (T1), after treatment (T2), after restoration (T3) and at recall (T4). Overall, OHIP scores improved from baseline to follow-up for both concepts with no significant differences between groups. There were no significant differences in subscales between FOE and ISC at T1, T3 and T4. In terms of functional limitations (<i>p</i> = 0.003) and physical disability (<i>p</i> = 0.021), patients in the FOE group temporarily exhibited lower OHRQoL at T2 in comparison to the ISC group. However, at baseline, after final restoration and at recall, the study demonstrates the same level of OHRQoL for both treatment concepts. |
| first_indexed | 2024-03-09T16:16:02Z |
| format | Article |
| id | doaj.art-a2827a8b8d854f4eb40a5798a6a5f347 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T16:16:02Z |
| publishDate | 2022-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-a2827a8b8d854f4eb40a5798a6a5f3472023-11-24T15:46:36ZengMDPI AGJournal of Clinical Medicine2077-03832022-12-011124749610.3390/jcm11247496Implant or Tooth?—A Prospective Clinical Study on Oral Health-Related Quality of Life for Patients with “Unrestorable” TeethMaria Bruhnke0Michael Naumann1Florian Beuer2Insa Herklotz3Mats Wernfried Heinrich Böse4Stefan Neumeyer5Manja von Stein-Lausnitz6Department of Prosthodontics, Geriatric Dentistry and Craniomandibular Disorders, Charité—Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt—Universität zu Berlin and Berlin Institute of Health, Aßmannshauser Straße 4-6, 14197 Berlin, GermanyDepartment of Prosthodontics, Geriatric Dentistry and Craniomandibular Disorders, Charité—Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt—Universität zu Berlin and Berlin Institute of Health, Aßmannshauser Straße 4-6, 14197 Berlin, GermanyDepartment of Prosthodontics, Geriatric Dentistry and Craniomandibular Disorders, Charité—Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt—Universität zu Berlin and Berlin Institute of Health, Aßmannshauser Straße 4-6, 14197 Berlin, GermanyDepartment of Prosthodontics, Geriatric Dentistry and Craniomandibular Disorders, Charité—Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt—Universität zu Berlin and Berlin Institute of Health, Aßmannshauser Straße 4-6, 14197 Berlin, GermanyDepartment of Prosthodontics, Geriatric Dentistry and Craniomandibular Disorders, Charité—Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt—Universität zu Berlin and Berlin Institute of Health, Aßmannshauser Straße 4-6, 14197 Berlin, GermanyPrivate Practice Dr. Neumeyer & Partner, Leminger Straße 10, 93458 Eschlkam, GermanyDepartment of Prosthodontics, Geriatric Dentistry and Craniomandibular Disorders, Charité—Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt—Universität zu Berlin and Berlin Institute of Health, Aßmannshauser Straße 4-6, 14197 Berlin, GermanyIn cases of severely compromised teeth, dental practitioners are confronted with the therapeutic decision of whether to restore a tooth or replace it with an implant. Comparative scientific evidence on patient perception of both treatment approaches is scarce. The subject of this prospective clinical study was to compare oral health-related quality of life (OHRQoL) between two treatment groups: restoration of severely destroyed teeth after orthodontic extrusion (FOE) versus tooth extraction and implant-supported single crown restoration (ISC). A self-selected trial was performed with 21 patients per group. OHRQoL was assessed with the aid of the Oral Health Impact Profile (OHIP-G49) at different time intervals: before treatment (T1), after treatment (T2), after restoration (T3) and at recall (T4). Overall, OHIP scores improved from baseline to follow-up for both concepts with no significant differences between groups. There were no significant differences in subscales between FOE and ISC at T1, T3 and T4. In terms of functional limitations (<i>p</i> = 0.003) and physical disability (<i>p</i> = 0.021), patients in the FOE group temporarily exhibited lower OHRQoL at T2 in comparison to the ISC group. However, at baseline, after final restoration and at recall, the study demonstrates the same level of OHRQoL for both treatment concepts.https://www.mdpi.com/2077-0383/11/24/7496forced orthodontic extrusionendodontically treated toothoral health-related quality of lifepatient perceptionforced eruptionorthodontic extrusion |
| spellingShingle | Maria Bruhnke Michael Naumann Florian Beuer Insa Herklotz Mats Wernfried Heinrich Böse Stefan Neumeyer Manja von Stein-Lausnitz Implant or Tooth?—A Prospective Clinical Study on Oral Health-Related Quality of Life for Patients with “Unrestorable” Teeth Journal of Clinical Medicine forced orthodontic extrusion endodontically treated tooth oral health-related quality of life patient perception forced eruption orthodontic extrusion |
| title | Implant or Tooth?—A Prospective Clinical Study on Oral Health-Related Quality of Life for Patients with “Unrestorable” Teeth |
| title_full | Implant or Tooth?—A Prospective Clinical Study on Oral Health-Related Quality of Life for Patients with “Unrestorable” Teeth |
| title_fullStr | Implant or Tooth?—A Prospective Clinical Study on Oral Health-Related Quality of Life for Patients with “Unrestorable” Teeth |
| title_full_unstemmed | Implant or Tooth?—A Prospective Clinical Study on Oral Health-Related Quality of Life for Patients with “Unrestorable” Teeth |
| title_short | Implant or Tooth?—A Prospective Clinical Study on Oral Health-Related Quality of Life for Patients with “Unrestorable” Teeth |
| title_sort | implant or tooth a prospective clinical study on oral health related quality of life for patients with unrestorable teeth |
| topic | forced orthodontic extrusion endodontically treated tooth oral health-related quality of life patient perception forced eruption orthodontic extrusion |
| url | https://www.mdpi.com/2077-0383/11/24/7496 |
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