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Abstract
THE INFLUENCE OF TREATMENT WITH CORTICO-BASAL IMPLANTS UNDER IMMEDIATE PLACEMENT IMMEDIATE LOADING (IPIL) PROTOCOLS ON PATIENTS’ ORAL HEALTH-RELATED QUALITY OF LIFE. A PROSPECTIVE STUDY
Dr. Aleksandar Lazarov DDM*
ABSTRACT
Background: Research on immediate loading oral implantology has focused on the survival of conventional dental implants with a limited number of studies investigating cortico-basal implants. Objective: To examine the impact on oral health-related quality of life (OHQoL) in patients treated with IPIL cortico-basal implants in relation to demographic and clinical factors. Materials and methods: 98 patients aged 20-79, 51% female, with different oral pathologies, treated with IPIL cortico-basal implants completed pre-operative (preopOHIP-17) and post-operative (postopOHIP-18) questionnaires. Results: The results showed a significant improvement in patients’ overall well-being, articulation, and speech ability, and a significant reduction in functional, psychological, and social problems (p < 0.001) irrespective of demographic and clinical characteristics. Chewing ability improved in 91% of the patients, articulation and psychological state in 89% and 86%, respectively. Patients with treatment of both mandible and maxillae obtained significantly higher satisfaction versus those with treatment in one complete/partial jaw (p = 0.038) and a greater improvement in mastication (p = 0.027) and psychological state (p = 0.018). Problems were minimal and subsided after the 12th post-operative month. Conclusions: Our data show that IPIL cortico-basal implants are an effective method for restoring the oral health and quality of life of completely and partially edentulous patient. The higher satisfaction level of patients requiring and receiving complex treatment of both jaws should be taken under consideration as an argument when choosing between a full restoration supported only by implants or using remaining natural teeth.
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