Page 107 - Impact of implant retained overdenture treatment and speech, oromyofunction, social participation and quality of life.

Speech, OMF and OHRQoL in OD on MDI in the maxilla
Satisfaction and quality of life
Table 3 shows the results of the satisfaction scores and the impact on quality of life, given by the participants. Overall satisfaction and impact on the Oral health related Quality of Life improved with evolving treatment. Especially the final connection to the implants showed to be of utmost importance in the treatment.
An average of total treatment satisfaction (measured by the VAS) evolved from 67% pretreatment to 66% with the provisional denture and finally 83% with the final loading. The satisfaction with speech (measured by the VAS) evolved from 77% pretreatment to 72% with the provisional loading to 84% with the final loading. The OHIP total score is rather high (21.97) preoperatively, this is also reflected in the scores on the first question in the domain ‘functional limitation’. The answers to this question (‘Have you had trouble pronouncing any words because of problems with your teeth, mouth, dentures, or jaw’) reflect the impact of the denture on speech. Pretreatment people answered mostly with ‘occasionally’, followed by ‘hardly ever’, ‘never’, ‘fairly often’ and ‘very often’. With the provisional denture the OHIP total score decreased as well (16.93). The scores on the first OHIP question in ‘functional limitation’ showed better results. Most people reported to ‘never’ notice an impact of their denture to their speech. The second most reported answer was ‘occasionally’ followed by ‘hardly ever’ and both ‘fairly often’ and ‘very often’. In the last stage of the treatment the average total OHIP score decreases to 8.23. Also participants report mostly ‘never’ to notice an impact of their denture to their speech, followed by ‘hardly ever’, ‘occasionally’ and both ‘fairly often’ and ‘very often’.
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