Dental implants have become a mainstream treatment approach in daily practice, and because of their high survival rates over time, they have become the preferred treatment option for prosthetic rehabilitation in many situations. Despite the relatively high predictability of implant therapy and high costs to patients, patient perceptions of success and patient-reported outcome measures have become increasingly significant in implant dentistry. Increasing numbers of publications deal with oral health-related quality of life and/or patient-reported outcome measures. The aim of this paper was to provide an overview of the available evidence on oral health-related quality of life of fully and partially dentate patients rehabilitated with fixed and removable implant-supported dental prostheses. A comprehensive electronic search was performed on publications in English up to 2021. A selection of standardized questionnaires and scales used for the evaluation of oral health-related quality of life were analyzed and explained. The analysis encompassed three aspects: a functional evaluation of oral health-related quality of life, an esthetic assessment of oral health-related quality of life, and a cost-related evaluation of oral health-related quality of life for rehabilitation with dental implants. The data demonstrated that the preoperative expectations of patients markedly affected the outcomes perceived by the patients. As expected, reconstructions supported by implants substantially improved the stability of conventional dentures and allowed improved function and patient satisfaction. However, from a patient's perspective, oral health-related quality of life was not significantly greater for dental implants compared with conventional tooth-supported prostheses. The connection of the implants to the prostheses with locators or balls indicated high oral health-related quality of life. The data also suggest that patient expectation is not a good predictor of treatment outcome. In terms of esthetic outcomes, the data clearly indicate that patients’ perceptions and clinicians' assessments differed, with those of clinicians yielding higher standards. There were no significant differences found between the esthetic oral health-related quality of life ratings for soft tissue-level implants compared with those for bone-level implants. Comparison of all-ceramic and metal-ceramic restorations showed no significant differences in patients’ perceptions in terms of esthetic outcomes. Depending on the choice of outcome measure and financial marginal value, supporting a conventional removable partial denture with implants is cost-effective when the patient is willing to invest more to achieve a higher oral health-related quality of life. In conclusion, the oral health-related quality of life of patients rehabilitated with implant-supported dental prostheses did not show overall superiority over conventional prosthetics. Clinicians' and patients' evaluations, especially of esthetic outcomes, are, in the majority of cases, incongruent. Nevertheless, patient-reported outcomes are important in the evaluation of function, esthetics, and the cost-effectiveness of treatment with implant-supported dental prostheses, and should be taken into consideration in daily practice.

中文翻译：

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使用固定和可拆卸种植体支持的假牙修复患者的口腔健康相关生活质量

种植牙已成为日常实践中的主流治疗方法，并且由于其随着时间的推移具有较高的存活率，因此在许多情况下已成为修复体康复的首选治疗选择。尽管种植治疗的可预测性相对较高并且患者的成本较高，但患者对成功的看法和患者报告的结果测量在种植牙科中变得越来越重要。越来越多的出版物涉及与口腔健康相关的生活质量和/或患者报告的结果测量。本文的目的是概述使用固定和可拆卸种植体支持的义齿修复的全齿和部分齿患者的口腔健康相关生活质量的现有证据。对截至 2021 年的英文出版物进行了全面的电子搜索。对用于评估口腔健康相关生活质量的标准化问卷和量表进行了分析和解释。该分析包括三个方面：口腔健康相关生活质量的功能评估、口腔健康相关生活质量的美学评估以及口腔健康相关生活质量的成本相关评估，以进行种植牙修复。数据表明，患者的术前期望显着影响患者感知的结果。正如预期的那样，由种植体支持的重建大大提高了传统假牙的稳定性，并改善了功能和患者满意度。但是，从患者的角度来看，与传统的牙齿支撑修复体相比，种植牙的口腔健康相关生活质量并没有显着提高。植入物与带有定位器或球的假体的连接表明与口腔健康相关的高生活质量。数据还表明，患者的期望并不是治疗结果的良好预测指标。在美学结果方面，数据清楚地表明患者的看法和临床医生的评估不同，临床医生的标准更高。与骨水平植入物相比，软组织水平植入物的美学口腔健康相关生活质量评级之间没有显着差异。比较全陶瓷和金属陶瓷修复体，患者对美学效果的看法没有显着差异。根据结果​​测量和财务边际价值的选择，当患者愿意投资更多以实现更高的口腔健康相关生活质量时，支持带有种植体的传统可摘局部义齿是具有成本效益的。总之，使用种植体支持的义齿修复患者的口腔健康相关生活质量并未显示出优于传统义齿的整体优势。在大多数情况下，临床医生和患者的评估，尤其是对美学结果的评估是不一致的。然而，患者报告的结果在评估功能、美学、