Statement of problem
Patient-reported outcomes represent an additional and often overlooked measure of dental implant and bone augmentation treatment. Few implant studies have evaluated patient-reported outcomes in those with systemic bone compromise.
The purpose of this cohort study was to assess oral health-related quality of life (OHRQoL) outcomes in postmenopausal women receiving dental implants with normal bone density or mild osteopenia (“healthy” group; all DXA T-scores at femoral neck, total hip, and L1-L4 spine>−2.0) versus moderate osteopenia or osteoporosis (“bone compromised” group; any DXA T-score at femoral neck, total hip, or L1-L4 spine≤−2.0).
Material and methods
A total of 115 patients were recruited at the University of Connecticut School of Dental Medicine as part of a standard of care, prospective, nonrandomized cohort study. All participants received 1 of 3 bone augmentation procedures with implant placement. At baseline and at various intervals after implant placement, OHRQoL was measured by using the Oral Health Impact Profile-14 (OHIP-14) and surveys of patient expectations and satisfaction. These measures were compared between healthy and bone compromised groups (α=.05).
For all OHRQoL measures across linear mixed effects models, no significant differences were found between bone groups at baseline and at each time point after implant placement (P>.05). Using the minimally important difference (MID) for OHIP-14, no definitive clinical differences were found in patient outcomes between bone groups at all postimplant time points (P>.05). From baseline to 24 months after implant placement, both healthy and bone compromised groups exhibited significant improvements in OHIP-14 and patient expectations scores (P<.05). While no within group differences were found in patient satisfaction scores, the mean satisfaction score remained high over time in both groups.
Patient-reported outcomes as measured through OHIP-14, patient expectations, and patient satisfaction surveys suggest similar postimplant OHRQoL improvement in healthy and bone compromised individuals. OHRQoL improvements between bone groups were similar both in continuity and in scope, with no evidence of statistically significant score differences between groups at 24 months after implant placement across all measures and with no definitive evidence of clinical differences as measured by OHIP-14 MID comparisons across all timepoints.
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- A review of dental implants and infection.J Hosp Infect. 2009; 72: 104-110
- Outcomes of Dental Implants in Osteoporotic Patients. i Literature Review.J Prosthodont. 2009; 18: 309-323
- Biomechanical determinants of the stability of dental implants: influence of the bone–implant interface properties.J Biomech. 2014; 47: 3-13
- Derivation and validation of a short-form oral health impact profile.Community Dent Oral Epidemiol. 1997; 25: 284-290
- Satisfaction with dental implants: a literature review.Implant Dent. 2005; 14: 399-408
- Patients’ expectations from dental implants: a systematic review of the literature.Heal Qual Life Outcomes. 2014; 12: 1-14
- Patient-based assessment of the outcomes of implant therapy: a review of the literature.Int J Prosthodont. 1998; 11: 453-461
- Evaluation of the efficacy of mandibular conventional and implant prostheses in a group of Turkish patients: a quality of life study.J Prosthodont. 2014; 23: 390-396
- Do mandibular implant overdentures and conventional complete dentures meet the expectations of edentulous patients?.Quintessence Int. 2008; 39: 803-809
- A case-control study assessing oral-health-related quality of life after immediately loaded single implants in healed alveolar ridges or extraction sockets.Clin Oral Implants Res. 2012; 23: 602-608
- Clinical and radiographic outcome following immediate loading and delayed loading of single-tooth implants: randomized clinical trial.Clin Implant Dent Relat Res. 2017; 19: 549-558
- Change in subjective oral health after single dental implant treatment.Int J oral Maxillofac Implant. 2011; 26: 571-577
- Dental implant supported restorations improve quality of life in osteoporotic women.Int J Dent. 2015; 2015: 451923
- Bone mineral density thresholds for pharmacological intervention to prevent fractures.Arch Intern Med. 2004; 164: 1108-1112
- Bisphosphonate-Associated Osteonecrosis of the Jaw: report of a task force of the American Society for bone and mineral research.J Bone Miner Res. 2007; 22: 1479-1491
- American Association of Oral and Maxillofacial Surgeons position paper on medication-related osteonecrosis of the jaw--2014 update.J Oral Maxillofac Surg. 2014; 72: 1938-1956
- Dental management of patients receiving oral bisphosphonate therapy.J Am Dent Assoc. 2006; 137: 1144-1150
- Psychological impact of osseointegrated dental implants.Int J Oral Maxillofac Implants. 1990; 5: 61-69
- Within-subject comparisons of implant-supported mandibular prostheses: psychometric evaluation.J Dent Res. 1994; 73: 1096-1104
- Assessment of clinically significant changes in oral health - Results from the German short version of the Oral Health Impact Profile (OHIP-G14).Dtsch Zahnarztl Z. 2008; 63: 668-680
- Recommendations for use and scoring of oral health impact profile versions.J Evid Based Dent Pract. 2022; 22101619
- Treatment of osteopenia.Rev Endocr Metab Disord. 2011; 13: 209-223
- Quality of life improves among post-menopausal women who received bone augmentation during dental implant therapy.Int J Oral Maxillofac Surg. 2012; 41: 1558-1562
Published online: February 18, 2023
Publication stageIn Press Corrected Proof
Funding: Supported by NIDCR R01DE017873.
Presented at the Academy of Osseointegration Annual Meeting in San Diego, CA, February 25, 2022.
© 2023 by the Editorial Council for the Journal of Prosthetic Dentistry.