Page 142 - Impact of implant retained overdenture treatment and speech, oromyofunction, social participation and quality of life.

Chapter 6
The results of the OHIP-14 and the VAS scales revealed respectively an improvement of impact on OHRQoL and satisfaction with oral health and satisfaction with speech. Despite the considerably high percentage of patients with speech problems in the final stage of the treatment, the satisfaction with speech is high (paper 1-3). It is possible that when patients rate their speech on the VAS and the OHIP-14 form, they consider both their production of the sounds and their comfort of speaking in the evaluation. It is very important to ask the patients opinion about the outcome of the treatment before giving a professional evaluation of their functioning. Besides the overall improvement of satisfaction with oral health and OHRQoL during treatment, the results of the overdenture treatment in the mandible and the maxilla show a slight deterioration after provisionalisation of the denture on both aspects in rehabilitation of the mandible and on satisfaction with oral health in rehabilitation of the maxilla (paper 1& 3). One can assume that patients expect the biggest improvement after surgery, and when this improvement is not what they hoped for, patients may be disappointed. Another explanation can be that the prosthesis applies pressure on the wound after surgery. This can cause discomfort for the patient and possible concerns about the rest of the treatment. This underlines the importance of providing good pre-intervention counseling. One has to stress that the postoperative period may lead to some discomfort. In the final stage, after loading with the actively retained overdenture the satisfaction rises tremendously to a level that is comparable to the ones previously reported. An overview of the results of the final connection of the overdenture to the implants is given in table 1.
Table 1. Overview of results the assessment of speech, oromyofunctional behavior, OHRQoL and satisfaction after final connection of the overdenture to the implants per patient group.
Speech Problems
/s/, /t/, /l/, /n/
/s/, /z/, /l/ /
/s/, /z/, /t/
Oromyofunctional Problems
OHRQoL (OHIP) and Satisfaction (VAS)
Mean VAS total 78% Mean total OHIP 9.16 Mean VAS Speech 82%
Mean VAS total 82.95% Mean total OHIP 8.00 Mean VAS Speech 82.63%
Mean VAS total 83% Mean total OHIP 8.23 Mean VAS speech 84%
Paper 1 Mandible Paper 2 Maxilla
Paper 3 Maxilla MID
Jaw movement, lip movement, whistling, tongue movement.
movement,
whistling,
Jaw
tongue movement.
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