Patient-reported effect in patients receiving implant or tooth-supported fixed prosthesis
Esben B Øzhayat1, Klaus Gotfredsen1
1Section of Oral Rehabilitation, Department of Odontology, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Journal of Oral Rehabilitation
|August 28, 2019
Summary
Implant-supported fixed prostheses (ISFP) and fixed dental prostheses (FDP) offer similar, clinically meaningful improvements in oral health for patients with minor tooth loss. Both treatments provide a moderate positive impact on patient-reported outcomes.
Area of Science:
- Dental prosthetics
- Oral health outcomes
- Patient-reported outcome measures
Background:
- Tooth loss affects oral health and quality of life.
- Fixed dental prostheses (FDP) and implant-supported fixed prostheses (ISFP) are treatment options.
- Comparing patient-reported effects is crucial for treatment selection.
Purpose of the Study:
- To compare the patient-reported effect of ISFP versus FDP.
- To evaluate outcomes in patients with a small number of missing teeth.
Main Methods:
- Matched-pair comparison of 68 patients (34 pairs).
- Assessed changes in the short-form oral health impact (OHIP-14) pre- and post-treatment.
- Utilized effect size (ES) and standardized response mean (SRM) to quantify impact.
Main Results:
- Both ISFP and FDP significantly improved OHIP-14 scores (P < .01).
- No significant difference in improvement between ISFP and FDP groups.
- Moderate magnitude of change observed for both, with slightly higher effect in ISFP group (ES=0.52, SRM=0.58).
Conclusions:
- ISFP and FDP yield similar, clinically meaningful patient-reported effects.
- Both treatments demonstrate moderate positive impact for minor tooth replacement.
- Patient-reported outcomes support the efficacy of both prosthetic options.
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