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REVIEW ARTICLE
Year : 2021  |  Volume : 18  |  Issue : 1  |  Page : 65

The effect of complete dentures on edentulous patients' oral health-related quality of life in long-term: A systematic review and meta-analysis


1 Postgraduate Program in Dentistry, School of Dentistry, Fluminense Federal University, Niterói; Department of Specific Formation, School of Dentistry, Fluminense Federal University, Nova Friburgo, Brazil
2 Department of Specific Formation, School of Dentistry; Postgraduate Program in Dentistry of Health Institute of Nova Friburgo, Fluminense Federal University, Nova Friburgo, Brazil
3 Ribeirão Preto Dental School, São Paulo University, São Paulo, Brazil
4 Center of Health Science, Central Library, Rio de Janeiro Federal University, Rio de Janeiro, Brazil
5 Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Rio de Janeiro Federal University, Rio de Janeiro, Rio de Janeiro, Brazil
6 Postgraduate Program in Dentistry, School of Dentistry, Fluminense Federal University, Niterói; Department of Specific Formation, School of Dentistry; Postgraduate Program in Dentistry of Health Institute of Nova Friburgo, Fluminense Federal University, Nova Friburgo, Brazil

Correspondence Address:
Dr. Lívia A. A. Antunes
Department of Specific Formation, Fluminense Federal University, Nova Friburgo, RJ; Rua Dr. Silvio Henrique Braune 22, Centro, Nova Friburgo, Rio de Janeiro 28625-650
Brazil
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1735-3327.324024

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Background: To evaluate whether the long-term use of complete dentures (CD) into promotes significant changes in the oral health-related quality of life (OHRQoL) in edentulous patients. Methods: A systematic review and meta-analysis was conducted. A broad search in Pubmed, Web of Science, Scopus, Cochrane Library, Grey Literature, clinical trials registers and manual search was done. The eligibility criteria were based on population, intervention, comparisons and outcome: (P) edentulous patients, (I) CDs rehabilitation, (C) OHRQoL after CD, (O) change in scores of OHRQoL. Two independent reviewers applied the eligibility criteria, collected qualitative data, performed methodological quality and evaluated the certainty of the evidence (grading of recommendations assessment, development and evaluation). The meta-analysis was analyzed in RevMan 5.4 with 95% confidence intervals (CIs) and P < 0.05. Results: A total of 2452 records were identified. Twenty-four articles were included in qualitative synthesis. Nineteen studies were qualified as good, 3 as fair and 2 as poor quality. Twelve studies were included in quantitative analysis (meta-analysis). The use of CD did not improved OHRQoL in a period of 3 months through the assessment of the Geriatric Oral Health Assessment Index (GOHAI) instrument (P = 0.55; CI; 6.86 [−15.60, 29.31]), and Oral Health Impact Profile-14 (OHIP-14) (P = 0.05; CI; −14.91 [−29.87, 0.04]), with very low certainty of evidence. In a long term, 6 months, GOHAI instrument (P < 0.00001; CI; 16.22 [10.70, 21.74]), OHIP 20 (P = 0.02; CI; −11.09 [−20.54, −1.64]) and OHIP-EDENT (P = 0.0004; CI; −8.59 [−13.32, −3.86]) showed improvement on OHRQoL, with very low and low evidence of certainty, respectively. Conclusion: CD has the strong potential to contribute to oral health-related quality of life in long-term.


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