Gabriela Sumie Yaguinuma Gonçalves1,2, Keith Murieli Ferreira de Magalhães3, Eduardo Passos Rocha3, Paulo Henrique Dos Santos3, Wirley Gonçalves Assunção3. 1. Department of Dental Materials and Prosthodontic, São Paulo State University (UNESP) Araçatuba School of Dentistry, São Paulo, Brazil. gabriela.sumie@unesp.br. 2. Department of Dental Materials and Dental Prosthesis, School of Dentistry of Araçatuba, São Paulo State University Julio de Mesquita Filho (Unesp), José Bonifácio, 1193, Vila Mendonça, Araçatuba, SP, CEP 16015050, Brazil. gabriela.sumie@unesp.br. 3. Department of Dental Materials and Prosthodontic, São Paulo State University (UNESP) Araçatuba School of Dentistry, São Paulo, Brazil.
Abstract
OBJECTIVE: Address oral health-related quality of life (OHRQoL) and patient satisfaction rehabilitated by the all-on-four concept as the primary outcome. MATERIAL AND METHODS: A search was performed in the PubMed/MEDLINE, Web of Science, and Cochrane databases according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis criteria (PRISMA). The PICO question was used to address the following specific question: "What is the level of oral health-related quality of life and satisfaction in edentulous patients and with atrophic jaws who received dental implants for full-arch implant-supported restorations following the all-on-four in the mandible or maxilla?" RESULTS: Eleven studies including 693 patients aged 55 to 71 years were selected. The shortest follow-up period was 3 months and the longest, 7 years. Regarding the OHRQoL assessment method and patient satisfaction, the oral health impact profile (OHIP) and the visual analog scale (VAS) were the most used. CONCLUSION: OHRQoL and satisfaction in patients whose rehabilitation was based on the all-on-four concept were high. However, the current evidence is still limited by the quality of the available studies, making long-term randomized studies necessary to establish the real effectiveness of this surgical-prosthetic approach. CLINICAL RELEVANCE: Carefully analyze the aspects related to satisfaction and oral health-related quality of life of rehabilitated patients with implant-supported total prostheses made according to the all-on-four concept, aiming to achieve success through procedures with greater predictability and less complexity, as these are directly associated with recovery oral health of edentulous individuals with less morbidity and minimized costs.
OBJECTIVE: Address oral health-related quality of life (OHRQoL) and patient satisfaction rehabilitated by the all-on-four concept as the primary outcome. MATERIAL AND METHODS: A search was performed in the PubMed/MEDLINE, Web of Science, and Cochrane databases according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis criteria (PRISMA). The PICO question was used to address the following specific question: "What is the level of oral health-related quality of life and satisfaction in edentulous patients and with atrophic jaws who received dental implants for full-arch implant-supported restorations following the all-on-four in the mandible or maxilla?" RESULTS: Eleven studies including 693 patients aged 55 to 71 years were selected. The shortest follow-up period was 3 months and the longest, 7 years. Regarding the OHRQoL assessment method and patient satisfaction, the oral health impact profile (OHIP) and the visual analog scale (VAS) were the most used. CONCLUSION: OHRQoL and satisfaction in patients whose rehabilitation was based on the all-on-four concept were high. However, the current evidence is still limited by the quality of the available studies, making long-term randomized studies necessary to establish the real effectiveness of this surgical-prosthetic approach. CLINICAL RELEVANCE: Carefully analyze the aspects related to satisfaction and oral health-related quality of life of rehabilitated patients with implant-supported total prostheses made according to the all-on-four concept, aiming to achieve success through procedures with greater predictability and less complexity, as these are directly associated with recovery oral health of edentulous individuals with less morbidity and minimized costs.
Authors: Marco Bevilacqua; Tiziano Tealdo; Maria Menini; Francesco Pera; Alexei Mossolov; Carl Drago; Paolo Pera Journal: J Prosthet Dent Date: 2011-01 Impact factor: 3.426