患者报告结局在全牙弓种植即刻修复效果评价中的应用及进展

doi:10.13591/j.cnki.kqyx.2025.08.012

Abstract

Abstract:

The full-arch immediate implant restoration technique is one of the mainstream treatment options for edentulous patients. With the changes in disease patterns, health concepts, and the emphasis on the “patient-centered” philosophy, restoring function is no longer the sole goal of treatment for patients with tooth loss. Other factors such as patient expectations, improvements in quality of life, aesthetics, low economic burden, and convenience of maintenance are also important indicators for evaluating treatment outcomes. Patient-reported outcomes provide a new perspective for assessing the effectiveness of full-arch immediate implant restoration. This study reviews the application and research progress of patient-reported outcomes in full-arch immediate implant restoration techniques, systematically summarizing four evaluation indicators (oral health-related quality of life, quality of life, patient satisfaction, and health economic evaluation), in order to provide reference for clinical decision-making and humanistic care pathways in full-arch immediate implant restoration techniques.

Key words: edentulous jaw, full-arch fixed prosthesis, patient reported outcomes, quality of life, oral healthrelated quality of life

CLC Number:

R783.4

ZHANG Xinyue, WANG Yinlin, WANG Baixiang, WANG Huiming. Advances in the assessment of the effectiveness of immediate restorative techniques with full arch implants[J]. Stomatology, 2025, 45(8): 631-636.

References 56

[1]	Seifu B, Yigzaw N, Haile K, et al. Prevalence of depression, anxiety and associated factors among patients with dental disease attending outpatient department in Addis Ababa public hospitals, Addis Ababa, ethiopia:A multicenter cross-sectional study[J]. BMC Oral Health, 2021, 21(1): 635.
[2]	Iwasaki M, Hirano H. Decline in oral function and its management[J]. Int Dent J, 2022, 72(4S): S12-S20.
[3]	Mejdahl CT, Schougaard LMV, Hjollund NH, et al. PRO-based follow-up as a means of self-management support - an interpretive description of the patient perspective[J]. J Patient Rep Outcomes, 2017, 2: 38. doi: 10.1186/s41687-018-0067-0 pmid: 30238083
[4]	Hu DY, Hong X, Li X. Oral health in China: Trends and challenges[J]. Int J Oral Sci, 2011, 3(1): 7-12.
[5]	林焕彩. 口腔健康相关生活质量研究及其在国内的开展现状[J]. 中国实用口腔科杂志, 2009, 2(9): 526-528.
[6]	El Osta N, Haddad E, Fakhouri J, et al. Comparison of psychometric properties of GOHAI, OHIP-14, and OHIP-EDENT as measures of oral health in complete edentulous patients aged 60 years and more[J]. Qual Life Res, 2021, 30(4): 1199-1213.
[7]	Wilson IB, Cleary PD. Linking clinical variables with health-related quality of life. A conceptual model of patient outcomes[J]. JAMA, 1995, 273(1): 59-65.
[8]	Department of Health and Human Services FDA Center for Drug Evaluation and Research US, Department of Health and Human Services FDA Center for Biologics Evaluation and Research US, Department of Health and Human Services FDA Center for Devices and Radiological Health US. Guidance for industry: Patient-reported outcome measures: Use in medical product development to support labeling claims: Draft guidance[J]. Health Qual Life Outcomes, 2006, 4: 79.
[9]	Do KY, Moon S. Relationship between subjective oral discomfort and health-related quality of life in the South Korean elderly population[J]. Int J Environ Res Public Health, 2020, 17(6): 1906.
[10]	EuroQol Group. EuroQol: A new facility for the measurement of health-related quality of life[J]. Health Policy, 1990, 16(3): 199-208.
[11]	Hahn EA, Cella D, Chassany O, et al. Precision of health-related quality-of-life data compared with other clinical measures[J]. Mayo Clin Proc, 2007, 82(10): 1244-1254. pmid: 17908530
[12]	ELsyad MA, Elgamal M, Mohammed Askar O, et al. Patient satisfaction and oral health-related quality of life(OHRQoL)of conventional denture, fixed prosthesis and milled bar overdenture for All-on-4 implant rehabilitation: A crossover study[J]. Clin Oral Implants Res, 2019, 30(11): 1107-1117.
[13]	Howe MS, Keys W, Richards D. Long-term(10-year)dental implant survival: A systematic review and sensitivity meta-analysis[J]. J Dent, 2019, 84: 9-21.
[14]	Maló P, de Araújo Nobre M, Lopes A, et al. The all-on-4 concept for full-arch rehabilitation of the edentulous maxillae: A longitudinal study with 5-13 years of follow-up[J]. Clin Implant Dent Relat Res, 2019, 21(4): 538-549.
[15]	范一鸣, 邸萍, 蒋析, 等. 全牙弓种植即刻修复225例患者的长期临床效果分析[J]. 中华口腔医学杂志, 2020, 55(8): 555-564.
[16]	Jung SH, Ryu JI, Tsakos G, et al. A Korean version of the oral impacts on daily performances(OIDP)scale in elderly populations: Validity, reliability and prevalence[J]. Health Qual Life Outcomes, 2008, 6: 17.
[17]	Su NC, van Wijk A, Visscher CM. Psychosocial oral health-related quality of life impact: A systematic review[J]. J Oral Rehabil, 2021, 48(3): 282-292.
[18]	Boljevic T, Vukcevic B, Pajic S, et al. Oral health-related quality of life of patients undergoing different treatment of facial fractures: The OHIP-14 questionnaire[J]. Niger J Clin Pract, 2019, 22(9): 1213-1217. doi: 10.4103/njcp.njcp_124_19 pmid: 31489856
[19]	Navabi N, Nakhaee N, Mirzadeh A. Validation of a Persian version of the oral health impact profile(OHIP-14)[J]. Iran J Public Health, 2010, 39(4): 135-139. pmid: 23113047
[20]	Fernandes MJ, Ruta DA, Ogden GR, et al. Assessing oral health-related quality of life in general dental practice in Scotland: Validation of the OHIP-14[J]. Community Dent Oral Epidemiol, 2006, 34(1): 53-62.
[21]	Mumcu E, Dayan SC, Genceli E, et al. Comparison of four-implant-retained overdentures and implant-supported fixed prostheses using the all-on-4 concept in the maxilla in terms of patient satisfaction, quality of life, and marginal bone loss: A 2-year retrospective study[J]. Quintessence Int, 2020, 51(5): 388-396. doi: 10.3290/j.qi.a44368 pmid: 32253390
[22]	Ayna M, Gülses A, Açil Y. Comprehensive comparison of the 5-year results of all-on-4 mandibular implant systems with acrylic and ceramic suprastructures[J]. J Oral Implantol, 2015, 41(6): 675-683. doi: 10.1563/aaid-joi-D-14-00016 pmid: 24712706
[23]	Borges GA, Barbin T, Dini C, et al. Patient-reported outcome measures and clinical assessment of implant-supported overdentures and fixed prostheses in mandibular edentulous patients: A systematic review and meta-analysis[J]. J Prosthet Dent, 2022, 127(4): 565-577.
[24]	Allen F, Locker D. A modified short version of the oral health impact profile for assessing health-related quality of life in edentulous adults[J]. Int J Prosthodont, 2002, 15(5): 446-450. pmid: 12375458
[25]	Parente RC, Franco JMPL, et al. GOHAI and OHIP-EDENT evaluation in removable dental prostheses users: Factorial analysis and influence of clinical and prosthetic variables[J]. J Prosthodont, 2021, 30(7): 581-589.
[26]	Montero J, Macedo C, López-Valverde A, et al. Validation of the oral health impact profile(OHIP-20sp)for Spanish edentulous patients[J]. Med Oral Patol Oral Cir Bucal, 2012, 17(3): e469-76.
[27]	Haliti F, Rusinovci S, Haliti D, et al. Dental health and quality of life in 117 patients from Kosovo, aged 6-80 years, evaluated using the dental impact on daily living(DIDL)questionnaire and the oral health-related quality of life(OHRQoL)questionnaire[J]. Med Sci Monit, 2022, 28: e938072.
[28]	Wang Y, Bäumer D, Ozga AK, et al. Patient satisfaction and oral health-related quality of life 10 years after implant placement[J]. BMC Oral Health, 2021, 21(1): 30. doi: 10.1186/s12903-020-01381-3 pmid: 33446161
[29]	Brennan DS. Oral Health Impact Profile, EuroQol, and Assessment of Quality of Life instruments as quality of life and health-utility measures of oral health[J]. Eur J Oral Sci, 2013, 121(3 Pt 1): 188-193.
[30]	Devlin N, Pan T, Kreimeier S, et al. Valuing EQ-5D-Y: The Current state of play[J]. Health Qual Life Outcomes, 2022, 20(1): 105.
[31]	Cöster MC, Bremander A, Nilsdotter A. Patient-reported outcome for 17, 648 patients in 5 different Swedish orthopaedic quality registers before and 1 year after surgery: An observational study[J]. Acta Orthop, 2023, 94: 1-7. doi: 10.2340/17453674.2023.6577 pmid: 36701121
[32]	Janssen MF, Birnie E, Bonsel GJ. Quantification of the level descriptors for the standard EQ-5D three-level system and a five-level version according to two methods[J]. Qual Life Res, 2008, 17(3): 463-473. doi: 10.1007/s11136-008-9318-5 pmid: 18320352
[33]	Pickard AS, de Leon MC, Kohlmann T, et al. Psychometric comparison of the standard EQ-5D to a 5 level version in cancer patients[J]. Med Care, 2007, 45(3): 259-263. doi: 10.1097/01.mlr.0000254515.63841.81 pmid: 17304084
[34]	Janssen MF, Birnie E, Haagsma JA, et al. Comparing the standard EQ-5D three-level system with a five-level version[J]. Value Health, 2008, 11(2): 275-284. doi: 10.1111/j.1524-4733.2007.00230.x pmid: 18380640
[35]	Janssen MF, Bonsel GJ, Luo N. Is EQ-5D-5L better than EQ-5D-3L? A head-to-head comparison of descriptive systems and value sets from seven countries[J]. Pharmacoeconomics, 2018, 36(6): 675-697.
[36]	Åstrøm AN, Vold JH, Aas CF, et al. Association between oral and general health related quality of life among Norwegian patients with substance use disorders in opioid agonist therapy[J]. Acta Odontol Scand, 2023, 81(4): 332-339.
[37]	Whynes DK, Group T. Correspondence between EQ-5D health state classifications and EQ VAS scores[J]. Health Qual Life Outcomes, 2008, 6: 94.
[38]	Farzadmoghadam M, Mohammadi TM, Goudarzi R, et al. Is there a relationship between general and oral health-related quality of life in partially edentulous patients before and after implant treatment? A quasi-experimental study[J]. Clin Oral Implants Res, 2020, 31(6): 557-564.
[39]	Heydecke G, Locker D, Awad MA, et al. Oral and general health-related quality of life with conventional and implant dentures[J]. Community Dent Oral Epidemiol, 2003, 31(3): 161-168.
[40]	Sung YT, Wu JS. The visual analogue scale for rating, ranking and paired-comparison(VAS-RRP): A new technique for psychological measurement[J]. Behav Res Methods, 2018, 50(4): 1694-1715.
[41]	Cordaro L, di Torresanto VM, Petricevic N, et al. Single unit attachments improve peri-implant soft tissue conditions in mandibular overdentures supported by four implants[J]. Clin Oral Implants Res, 2013, 24(5): 536-542.
[42]	Hauck KE, Trentin MS, Skiba THI, et al. Clinical and satisfaction outcomes of using one or two dental implants for mandibular overdentures: Preliminary short-term follow-up of a randomized clinical trial[J]. Int J Implant Dent, 2021, 7(1): 10. doi: 10.1186/s40729-020-00286-8 pmid: 33569757
[43]	Cheng T, Sun GF, Huo JY, et al. Patient satisfaction and masticatory efficiency of single implant-retained mandibular overdentures using the stud and magnetic attachments[J]. J Dent, 2012, 40(11): 1018-1023. doi: 10.1016/j.jdent.2012.08.011 pmid: 22925922
[44]	Mifsud DP, Cortes ARG, Attard NJ. Patient-based outcomes with conventional or mini-implants immediately loaded with locator-retained mandibular overdentures: A cohort study[J]. Clin Implant Dent Relat Res, 2020, 22(6): 723-729.
[45]	Allen PF, McMillan AS. A longitudinal study of quality of life outcomes in older adults requesting implant prostheses and complete removable dentures[J]. Clin Oral Implants Res, 2003, 14(2): 173-179.
[46]	Di P, Lin Y, Li JH, et al. Clinical study of "All-on-4" implant immediate function in edentulous patients[J]. Chin J Stomatol, 2010, 45(6): 357-362.
[47]	Zhao X, Di P, Lin Y, et al. Implanting the edentulous jaws with“all-on-4”immediate reconstruction: A preliminary clinical observation[J]. J Peking Univ Health Sci, 2014, 46(5): 720-726.
[48]	ELsyad MA, Tella EAES, Mohamed SS, et al. Within-patient evaluation of chewing efficiency and maximum bite force of conventional dentures, fixed prostheses, and milled bar overdentures used for all-on-4 implant rehabilitation of atrophied mandibular ridges: A short-term randomized trial[J]. Clin Implant Dent Relat Res, 2022, 24(4): 522-531.
[49]	Montero J, Guadilla Y, Flores J, et al. Patient-centered treatment outcomes with full-arch PEEK rehabilitation supported on four immediate or conventionally loaded implants. A randomized clinical trial[J]. J Clin Med, 2021, 10(19): 4589.
[50]	Babbush CA, Kanawati A, Kotsakis GA, et al. Patient-related and financial outcomes analysis of conventional full-arch rehabilitation versus the all-on-4 concept: A cohort study[J]. Implant Dent, 2014, 23(2): 218-224. doi: 10.1097/ID.0000000000000034 pmid: 24394342
[51]	Listl S, Fischer L, Giannakopoulos NN. An economic evaluation of maxillary implant overdentures based on sixvs. four implants[J]. BMC Oral Health, 2014, 14: 105.
[52]	Garber AM. Chapter 4 Advances in cost-effectiveness analysis of health interventions[M]//Handbook of Health Economics. Amsterdam: Elsevier, 2000: 181-221.
[53]	Zitzmann NU, Marinello CP, Sendi P. A cost-effectiveness analysis of implant overdentures[J]. J Dent Res, 2006, 85(8): 717-721. doi: 10.1177/154405910608500806 pmid: 16861288
[54]	Husereau D, Drummond M, Augustovski F, et al. Consolidated health economic evaluation reporting standards 2022(CHEERS 2022)statement: Updated reporting guidance for health economic evaluations[J]. Value Health, 2022, 25(1): 3-9. doi: 10.1016/j.jval.2021.11.1351 pmid: 35031096
[55]	Gafni A. Willingness to pay. what’s in a Name?[J]. Pharmacoeconomics, 1998, 14(5): 465-470. pmid: 10344912
[56]	Thomason JM, Kelly SA, Bendkowski A, et al. Two implant retained overdentures: A review of the literature supporting the McGill and York consensus statements[J]. J Dent, 2012, 40(1): 22-34. doi: 10.1016/j.jdent.2011.08.017 pmid: 21911034

Advances in the assessment of the effectiveness of immediate restorative techniques with full arch implants

RichHTML

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References 56

Related Articles 14

Recommended Articles

Metrics

Comments

[1]	LOU Shu, CAI Xiaoyan, ZHANG Chi, ZHANG Yuan, HAN Minxuan, GUAN Zhaolan. Comparing the effects of clear aligners and fixed braces on the quality of life of adolescent patients [J]. Stomatology, 2024, 44(11): 841-846.
[2]	CAO Wuling, LI Jian. Influencing factors in the phonetic function recovery of edentulous patients with complete dentures [J]. Stomatology, 2023, 43(8): 742-746.
[3]	YANG Ting, TANG Wanrong. Research progress of digital impression in edentulous jaws [J]. Stomatology, 2022, 42(3): 284-288.
[4]	FU Xinliang, WANG Hao, GAN Xueqi. Application of ICam4D photogrammetry in implant-supported fixed full-arch prosthesis: A case report and literature review [J]. Stomatology, 2022, 42(1): 72-78.
[5]	. A preliminary study of the effects of tongue muscle functional training on edentulous patients with tongue retraction [J]. , 2021, 41(7): 623-626.
[6]	. Factors impacting the oral health -related quality of life in middle-aged and elderly people in Jiangsu Province [J]. , 2020, 40(8): 741-745.
[7]	Wei-qian WANG Qiu-Fang XU Dong-ying XUAN. Investigation of preoperative anxiety and postoperative quality of life in patients with periodontally accelerated osteogenic orthodontics surgery [J]. , 2020, 40(6): 491-495.
[8]	. Advances in the application of oral health impact scale in oral lichen planus [J]. , 2020, 40(2): 180-183.
[9]	. Pryosequencing analysis of oral bacteria flora compositions from eleven edentulous patients [J]. , 2018, 38(5): 389-393.
[10]	. Utilization of gland-preserving surgery in the treatment of benign submandibular gland tumor [J]. , 2017, 37(2): 126-130.
[11]	Ai-Xiu GONG Wang yuting. Comparative study of the oral health-related quality of life of adults and adolescent with cleft lip and palate in Jiangsu Province [J]. , 2017, 37(12): 1104-1107.
[12]	. Application of a metal framework with individual crowns in the implant-supported fixed rehabilitation for upper and lower edentulous jaws with severe alveolar ridge atrophy [J]. , 2016, 36(10): 930-933.
[13]	. Impacts of ceramic restoration splinting on severe periodontitis and oral healthrelated quality of life [J]. , 2015, 35(11): 928-932.
[14]	. The effect on the cerebral blood flow of patients with edentulous jaws after biofunctional prosthetics system complete denture treatment [J]. , 2014, 34(8): 597-599.