Farklı protetik tedavilerin anksiyete ve ağız sağlığına bağlı yaşam kalitesi üzerine etkisi
DOI:
https://doi.org/10.5281/zenodo.7155634Anahtar Kelimeler:
OHIP-14, MDAS, OHRQoL, Durumsal Anksiyete, Ölçek, Protetik TedaviÖzet
Amaç: Diş destekli sabit bölümlü protez (TSFPD), implant destekli sabit bölümlü protez (ISFPD) ve hareketli parsiyel protez (RPD) ile anksiyete ve ağız sağlığına bağlı yaşam kalitesini (OHRQoL) araştırmak.
Gereç ve Yöntem: Bu çalışma için arka bölgede en az bir dişi eksik olan ve ISFPD (n=50), TSFPD (n=50) veya RPD (n=50) endikasyonu olan hastalar seçildi. Kontrol grubunda (KG) ise herhangi bir şikayeti ve eksik dişi olmayan hastalar vardır. STAI-I (Spielberger's State- trait Anxiety Inventory -I), STAI-II (Spielberger's State- trait Anxiety Inventory -I), MDAS (Modifiye Dental Anksiyete Skalası) ve OHIP-14 (Oral Health Impact Profile) ölçekleri çalışma grubuna tedaviden önce ve protez teslim edildikten 3 hafta sonra uygulandı. Aynıölçeklerkontrolgrubunadauygulandı.VerilerShapiroWilk'in, KruskalWallis-H,Post-HocÇokluKarşılaştırmaveWilcoxontestleri(α=0.05)ileanalizedildi.
Bulgular: Sonuçlar, çalışmadaki tüm protetik tedavi yöntemlerinde dental kaygının düşük olduğunu göstermiştir. RPD hastalarının tedavi öncesi (Ortalama: 31,8) ve tedavi sonrası (Ortalama: 28,14) ağız sağlığı ile ilgili yaşam kaliteleri diğer tedavi gruplarına göre daha düşüktür. ISFPD hastalarının tedavi öncesi (Ortalama:26,7) ve tedavi sonrası (Ortalama:24,92) OHRQoL değerleri arasında anlamlı fark saptanmamıştır. Ancak ISFPD grubunda OHIP-14 ortalama değerleri kontrol grubu ortalamasına göre daha düşük çıkmıştır (ISFPD: 24.92, Kontrol Grubu: 26.42)
Sonuç: Her üç protez tedavi seçeneğinin de hastaların OHRQoL'si üzerinde olumlu etkileri olmuştur. Protetik tedavilerin anksiyete üzerine etkisi görülmemiştir.
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