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Related Experiment Videos

Treatment satisfaction with facial prostheses.

Ting-Ling Chang1, Neal Garrett, Eleni Roumanas

  • 1Division of Advanced Prosthodontics, Weintraub Center for Reconstructive Biotechnology, UCLA School of Dentistry, University of California-Los Angeles, 10833 Le Comte Avenue, Los Angeles, CA 90095-1668, USA. tlchang@dent.ucla.edu

The Journal of Prosthetic Dentistry
|August 30, 2005
PubMed
Summary

Implant-retained facial prostheses significantly improve patient satisfaction and daily function compared to adhesive-retained options. This study highlights enhanced ease of use and retention, leading to greater prosthesis utilization for patients with facial defects.

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Area of Science:

  • Reconstructive surgery
  • Biomaterials science
  • Patient-reported outcomes

Background:

  • Facial defects from cancer, congenital issues, or trauma cause significant functional and psychosocial challenges.
  • Maxillofacial prosthetics aim to restore appearance and improve patient quality of life.
  • Limited research exists on perceived quality of life changes post-maxillofacial prosthetic rehabilitation.

Purpose of the Study:

  • To evaluate patient perceptions of adhesive-retained versus implant-retained facial prostheses.
  • To compare overall patient satisfaction between these two prosthetic retention methods.

Main Methods:

  • A 28-item questionnaire assessed appearance, comfort, fit, retention, wear frequency, ease of use, and perceived value.
  • Patients were divided into adhesive-retained (n=16) and implant-retained (n=19) groups.

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  • Fisher exact tests analyzed questionnaire item differences (alpha=.05).

    • Main Results:

    • The implant-retained group reported higher satisfaction across all 28 items compared to the adhesive group.
    • Significant improvements (P<.05) for implant prostheses included ease of placement/removal, wear frequency, and retention during activities like chores and exertion.
    • Implant retention proved superior during perspiration and respiratory actions (sneezing/coughing).

    Conclusions:

    • Implant-retained facial prostheses offer superior ease of use and retention compared to adhesive-retained options.
    • These enhancements lead to increased prosthesis wear and potentially better patient outcomes.
    • The study supports implant-retained prostheses as a more effective rehabilitation solution.