RESUMO

Full edentulism is characterized by the complete loss of permanent teeth, resulting in aesthetic, structural and functional changes which can negatively impact quality of life, and which are minimized through rehabilitation with complete dentures. The aim of this study was to compare oral healthrelated quality of life in patients with complete original dentures three months after installation of new dentures and two years after fabrication of new complete removable dentures. In this longitudinal comparative study, 15 volunteers of both genders, aged 50 to 82 years, who sought treatment at the Department of Dentistry of the Federal University of Rio Grande do Norte, participated in the preparation of new dentures. The Brazilian version of the Oral Health Impact Profile for edentulous patients (OHIPEDENT) was used to evaluate quality of life. Data analysis was performed descriptively and with hypothesis testing using the Friedman and Wilcoxon tests with 5% significance level. In relation to the OHIPEDENT domains, there was a difference for chewing discomfort and inability to chew between baseline and two years. However, there was no difference between the evaluated periods in the areas of pain and orofacial muscle discomfort, psychological inability and social disability. Improvement indicators in patient quality of life were observed in the area of discomfort and inability to chew between baseline and 2 years.

O edentulismo completo caracterizase pela perda total dos dentes permanentes, resultando em alterações estéticas, estruturais e funcionais, podendo impactar negativamente na qualidade de vida, sendo minimizado através da reabilitação com a prótese dentária. O objetivo deste estudo foi comparar a qualidade de vida relacionada à saúde oral em pacientes com a prótese original completamaxilar e mandibular, três meses após instalação da nova prótese e dois anos depois da confecção da nova prótese total bimaxilar removível. Nesse estudo compara tivo longitudinal, participaram 15 voluntários, com faixa etária entre 50 e 82 anos, de ambos os sexos, que buscaram tratamento no Departamento de Odontologia da Universidade Federal do Rio Grande do Norte, para a confecção de novas próteses. Utilizouse a versão brasileira do Oral Health Impact Profile para pacientes edêntulos (OHIPEDENT) para avaliar a qualidade de vida. A análise dos dados foi realizada de forma descritiva e analítica com os testes de Friedman e Wilcoxon, com nível de significância de 5%.Em relação aos domínios do OHIPEDENT, verificouse diferença para desconforto e incapacidade mastigatória entre a avaliação inicial e após dois anos. Nos domínios Dor e desconforto orofacial, Incapacidade Psicológica e Incapa cidade Social, não ocorreram diferenças entre os períodos avaliados. Foram observados indicadores de melhora na qualidade de vida dos pacientes, no domínio desconforto e incapacidade mastigatória entre a avaliação e a 2 anos.

Assuntos

RESUMO

Full edentulism is characterized by the complete loss of permanent teeth, resulting in aesthetic, structural and functional changes which can negatively impact quality of life, and which are minimized through rehabilitation with complete dentures. The aim of this study was to compare oral healthrelated quality of life in patients with complete original dentures three months after installation of new dentures and two years after fabrication of new complete removable dentures. In this longitudinal comparative study, 15 volunteers of both genders, aged 50 to 82 years, who sought treatment at the Department of Dentistry of the Federal University of Rio Grande do Norte, participated in the preparation of new dentures. The Brazilian version of the Oral Health Impact Profile for edentulous patients (OHIPEDENT) was used to evaluate quality of life. Data analysis was performed descriptively and with hypothesis testing using the Friedman and Wilcoxon tests with 5% significance level. In relation to the OHIPEDENT domains, there was a difference for chewing discomfort and inability to chew between baseline and two years. However, there was no difference between the evaluated periods in the areas of pain and orofacial muscle discomfort, psychological inability and social disability. Improvement indicators in patient quality of life were observed in the area of discomfort and inability to chew between baseline and 2 years (AU)

O edentulismo completo caracterizase pela perda total dos dentes permanentes, resultando em alterações estéticas, estruturais e funcionais, podendo impactar negativamente na qualidade de vida, sendo minimizado através da reabilitação com a prótese dentária. O objetivo deste estudo foi comparar a qualidade de vida relacionada à saúde oral em pacientes com a prótese original completamaxilar e mandibular, três meses após instalação da nova prótese e dois anos depois da confecção da nova prótese total bimaxilar removível. Nesse estudo compara tivo longitudinal, participaram 15 voluntários, com faixa etária entre 50 e 82 anos, de ambos os sexos, que buscaram tratamento no Departamento de Odontologia da Universidade Federal do Rio Grande do Norte, para a confecção de novas próteses. Utilizouse a versão brasileira do Oral Health Impact Profile para pacientes edêntulos (OHIPEDENT) para avaliar a qualidade de vida. A análise dos dados foi realizada de forma descritiva e analítica com os testes de Friedman e Wilcoxon, com nível de significância de 5%.Em relação aos domínios do OHIPEDENT, verificouse diferença para desconforto e incapacidade mastigatória entre a avaliação inicial e após dois anos. Nos domínios Dor e desconforto orofacial, Incapacidade Psicológica e Incapa cidade Social, não ocorreram diferenças entre os períodos avaliados. Foram observados indicadores de melhora na qualidade de vida dos pacientes, no domínio desconforto e incapacidade mastigatória entre a avaliação e a 2 anos (AU)

Assuntos

RESUMO

BACKGROUND: Because peri-implant mucositis may progress to peri-implantitis, effective treatment resulting in resolution of inflammation could prevent peri-implantitis. Current treatment protocols for this condition are still unpredictable. The purpose of this study is to analyze efficacy of non-surgical treatment for patients with peri-implant mucositis during a 6-month follow-up period. METHODS: This controlled, randomized, double-masked clinical trial included 37 patients diagnosed with peri-implant mucositis, randomly assigned into test group (basic periodontal therapy + 0.12% chlorhexidine) with 61 implants; and control group (basic periodontal therapy + placebo) with 58 implants. Therapy consisted of adaptation of the full-mouth scaling and root planing protocol. Clinical parameters of visible plaque index (VPI), gingival bleeding index (GBI), probing depth (PD), and bleeding on probing (BOP) were measured in implants and were evaluated at baseline and at 1, 3, and 6 months post-therapy. Data were analyzed using the split-plot analysis of variance and χ2 tests with a significance level of 5%. RESULTS: Intragroup analysis showed that VPI, GBI, PD, and BOP presented statistically significant improvements compared with baseline. No statistically significant differences were found between the test and control groups at any time. CONCLUSIONS: Both isolated mechanical therapy and its association with 0.12% chlorhexidine mouthwash reduced peri-implant mucositis. Therefore, 0.12% of chlorhexidine was not more effective than placebo.

Assuntos