Posttreatment Quantification of Patient Experiences With Full-Arch Implant Treatment Using a Modification of the OHIP-14 Questionnaire
Patient well-being is always the goal of rehabilitation of edentulism; however, evaluations of treatment success often overlook the patient's subjective feelings about comfort, function, speech, social image, social inhibitions, psychological discomfort, and/or disabilities. The purpose of this study was to assess these patient responses using an oral health questionnaire. To assess such feelings, a self-administered 20-question multiple-choice patient-reported Edentulous Patient Impact Questionnaire was developed, based upon the previously validated Oral Health Impact Profile patient-assessment tool. Responses were solicited from randomly selected patients treated with an implant-supported, fixed, immediately loaded full arch prosthesis. The questionnaires were completed by 250 patients. Of the respondents, 95% described themselves as being either extremely satisfied (74%) or satisfied (21%) with their new teeth, and 98% said they would definitely recommend similar treatment (88%) or consider recommending it (10%) to a friend or colleague. Based upon an oral health impact survey completed by 250 patients treated with full-arch implant-supported, immediately loaded fixed dental prostheses, it appears that patient satisfaction is high and that treated patients would generally be willing to recommend this treatment to others.
Edentulous Patient Impact Questionnaire.
(a) Preoperative panoramic view of cone-beam computed tomography scan of the edentulous maxilla and mandible. (b) Preoperative clinical view of the maxilla. (c) Preoperative clinical view of the mandible. (d) Immediate postoperative panoramic radiograph demonstrating the maxillary and mandibular All-on-Four implants in position. (e) Postoperative follow-up clinical photograph of the fixed implant bridge from a frontal view in both the maxilla and mandible. (f) The 34-month postoperative periapical follow-up radiographs of both the maxillary and mandibular All-on-Four implants.
(a) Preoperative cone beam computed tomography (CBCT) scan showing a severe degree of protrusion in both the maxillary and mandibular arch. (b) Preoperative clinical view showing protrusion of anterior teeth. (c) Preoperative clinical view demonstrating the deterioration of the patient's dentition. (d) Immediate postoperative panoramic view of the CBCT scan demonstrating the maxillary and mandibular implants in position. (e) Postoperative follow-up demonstrating the definitive fixed implant bridge with the lips in a relaxed position. (f) Postoperative clinical view of the fixed implant bridge for both the maxilla and mandible. (g) Twelve-month postoperative periapical radiographs of the maxillary and mandibular implants illustrate the excellent bone-level maintenance.
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(a) Preoperative panoramic radiograph. (b) Preoperative clinical frontal view of the patient's deteriorated dentition. (c) The immediate postoperative panoramic view of cone beam computed tomography scan of the maxillary and mandibular All-on-Four implants in position. (d) Postoperative follow-up clinical photograph of the fixed implant bridge from a frontal view in both the maxilla and mandible. (e) Postoperative periapical radiographs demonstrating the 13th month bone level around the maxillary implants. (f) Postoperative periapical radiographs demonstrating the 13th month bone level around the mandibular implants. Note the superb bone level.
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Contributor Notes