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Quality of life assessment of patients utilizing orbital implant-supported prostheses

Journal article
Authors F. M. de Oliveira
R. Salazar-Gamarra
David Öhman
Ulf Nannmark
V. Pecorari
L. L. Dib
Published in Clinical Implant Dentistry and Related Research
Volume 20
Issue 4
Pages 438-443
ISSN 1523-0899
Publication year 2018
Published at Institute of Odontology
Institute of Odontology, Section 1
Pages 438-443
Language en
Links dx.doi.org/10.1111/cid.12602
Keywords extraoral implants, facial prosthesis, quality of life, soft-tissue evaluation, extraoral implants, craniofacial prostheses, survival rates, neck-cancer, rehabilitation, satisfaction, reconstruction, defects, head
Subject categories Biomaterials

Abstract

Statement of ProblemEvaluate the effect of orbital prosthesis retained by implants through a specific quality of life (QOL) questionnaire provides important information on patients QOL, great incentive for the multidisciplinary team and public health support to continue work in this area. PurposeThe objective of the study was to evaluate patient satisfaction with orbital implant-supported prostheses using an adapted quality of life questionnaire. Materials and MethodsForty five patients using orbital implant-supported prostheses for a period ranging from six to 120 months. The subjects answered a questionnaire that consisted of 10 questions covering appearance, retention, conspicuousness, self-confidence, difficulty of placement, difficulty of removal, cleaning, limitation of activities, discomfort of tissues, and recommendation of the method to other patients. Answers were expressed using a visual 100-mm scale. The arithmetic mean of the responses was converted into a percentage to represent the satisfaction index. ResultsPatients demonstrated a high level of satisfaction on all items, with the lowest rate being for aesthetics and the highest being for recommending the method to other patients. High satisfaction rates regarding the placement and removal of the prosthesis, discomfort to the tissues, and cleaning suggest the ease of handling of the prosthesis. High satisfaction with retention, self-confidence, conspicuousness of the prosthesis, and limitation of activities indicated an association with a better social life. ConclusionsThe results showed that use of bone anchorage technique of extraoral prostheses provided a high level of satisfaction among patients, confirming that osseointegrated implants are a very important resource for the rehabilitation of orbital deformities.

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