Impact of unilateral removable partial dentures versus removable partial dentures with major connector on oral health-related quality of life of elder patients: a clinical study
Abstract Objective This study aimed to establish the survival rate of unilateral removable partial dentures (u-RPD) comparative with bilateral RPD (bi-RPD) with major connector in elder patients, as well as to determine both their treatment satisfaction and oral health. Methods The study sample incl...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-03-01
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| Series: | BMC Oral Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12903-023-02870-x |
| _version_ | 1797853539791273984 |
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| author | Luciana Goguta Mirela Frandes Adrian Candea Codruta Ille Anca Jivanescu |
| author_facet | Luciana Goguta Mirela Frandes Adrian Candea Codruta Ille Anca Jivanescu |
| author_sort | Luciana Goguta |
| collection | DOAJ |
| description | Abstract Objective This study aimed to establish the survival rate of unilateral removable partial dentures (u-RPD) comparative with bilateral RPD (bi-RPD) with major connector in elder patients, as well as to determine both their treatment satisfaction and oral health. Methods The study sample included 17 patients treated with u-RPD and 17 patients treated with bi-RPD with a major connector. The patients were followed over five years with recalls every 6 months. A 5- points Likert scale was used to determine the satisfaction of the patients. The Oral Health Impact Profile-14 (OHIP-14) questionnaire was used to evaluate their oral health after each type of administrated treatment. The local oral examined aspects included the maintenance of the abutment teeth periodontal health, the fractures of the removable dentures, the fractures of the connectors, the chipping of the aesthetic material. Kaplan–Meier survival analysis was conducted to evaluate the performance of the two treatments. Results The mean survival time in years was 4.882 ± 0.114, 95% CI (4.659; 5.106) and 4.882 ± 0.078, 95% CI (4.729; 5.036), for the u-RPD and the bi-RPD, respectively. The five-year survival rates for the two dentures were 94.1% for u-RPD vs. 88.2% for bi-RPD with a major connector, without a statistically significant difference between them (Log-rank test χ2(1) = 0.301, p = 0.584). The patients receiving u-RPD presented significantly higher satisfaction scores compared to the patients receiving bi-RPD, 4.88 ± 0.48 vs. 4.41 ± 0.62, Mann-Whitney U test, p = 0.026. Conclusion Patients receiving u-RPD presented higher levels of treatment satisfaction and better oral health than patients receiving bi-RPD. The survival rates of the treatments u-RPD and bi-RPD were similar. |
| first_indexed | 2024-04-09T19:52:15Z |
| format | Article |
| id | doaj.art-b0ba095ecca64caabab006c741787405 |
| institution | Directory Open Access Journal |
| issn | 1472-6831 |
| language | English |
| last_indexed | 2024-04-09T19:52:15Z |
| publishDate | 2023-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Oral Health |
| spelling | doaj.art-b0ba095ecca64caabab006c7417874052023-04-03T05:42:52ZengBMCBMC Oral Health1472-68312023-03-012311710.1186/s12903-023-02870-xImpact of unilateral removable partial dentures versus removable partial dentures with major connector on oral health-related quality of life of elder patients: a clinical studyLuciana Goguta0Mirela Frandes1Adrian Candea2Codruta Ille3Anca Jivanescu4Department of Prosthodontics, Faculty of Dentistry, “Victor Babes” University of Medicine and PharmacyDepartment of Functional Sciences - Biostatistics and Medical Informatics, Faculty of Medicine, “Victor Babes” University of Medicine and PharmacyDepartment of Prosthodontics, Faculty of Dentistry, “Victor Babes” University of Medicine and PharmacyDepartment of Prosthodontics, Faculty of Dentistry, “Victor Babes” University of Medicine and PharmacyDepartment of Prosthodontics, Faculty of Dentistry, “Victor Babes” University of Medicine and PharmacyAbstract Objective This study aimed to establish the survival rate of unilateral removable partial dentures (u-RPD) comparative with bilateral RPD (bi-RPD) with major connector in elder patients, as well as to determine both their treatment satisfaction and oral health. Methods The study sample included 17 patients treated with u-RPD and 17 patients treated with bi-RPD with a major connector. The patients were followed over five years with recalls every 6 months. A 5- points Likert scale was used to determine the satisfaction of the patients. The Oral Health Impact Profile-14 (OHIP-14) questionnaire was used to evaluate their oral health after each type of administrated treatment. The local oral examined aspects included the maintenance of the abutment teeth periodontal health, the fractures of the removable dentures, the fractures of the connectors, the chipping of the aesthetic material. Kaplan–Meier survival analysis was conducted to evaluate the performance of the two treatments. Results The mean survival time in years was 4.882 ± 0.114, 95% CI (4.659; 5.106) and 4.882 ± 0.078, 95% CI (4.729; 5.036), for the u-RPD and the bi-RPD, respectively. The five-year survival rates for the two dentures were 94.1% for u-RPD vs. 88.2% for bi-RPD with a major connector, without a statistically significant difference between them (Log-rank test χ2(1) = 0.301, p = 0.584). The patients receiving u-RPD presented significantly higher satisfaction scores compared to the patients receiving bi-RPD, 4.88 ± 0.48 vs. 4.41 ± 0.62, Mann-Whitney U test, p = 0.026. Conclusion Patients receiving u-RPD presented higher levels of treatment satisfaction and better oral health than patients receiving bi-RPD. The survival rates of the treatments u-RPD and bi-RPD were similar.https://doi.org/10.1186/s12903-023-02870-xPatient satisfactionRemovable partial denturesOral healthQuality of lifeSurvival analysis |
| spellingShingle | Luciana Goguta Mirela Frandes Adrian Candea Codruta Ille Anca Jivanescu Impact of unilateral removable partial dentures versus removable partial dentures with major connector on oral health-related quality of life of elder patients: a clinical study BMC Oral Health Patient satisfaction Removable partial dentures Oral health Quality of life Survival analysis |
| title | Impact of unilateral removable partial dentures versus removable partial dentures with major connector on oral health-related quality of life of elder patients: a clinical study |
| title_full | Impact of unilateral removable partial dentures versus removable partial dentures with major connector on oral health-related quality of life of elder patients: a clinical study |
| title_fullStr | Impact of unilateral removable partial dentures versus removable partial dentures with major connector on oral health-related quality of life of elder patients: a clinical study |
| title_full_unstemmed | Impact of unilateral removable partial dentures versus removable partial dentures with major connector on oral health-related quality of life of elder patients: a clinical study |
| title_short | Impact of unilateral removable partial dentures versus removable partial dentures with major connector on oral health-related quality of life of elder patients: a clinical study |
| title_sort | impact of unilateral removable partial dentures versus removable partial dentures with major connector on oral health related quality of life of elder patients a clinical study |
| topic | Patient satisfaction Removable partial dentures Oral health Quality of life Survival analysis |
| url | https://doi.org/10.1186/s12903-023-02870-x |
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