Resumé
Background: There is a regular demand for replacement of lost teeth, which is an indication that loss of
teeth has negative impact on the affected individuals. The impact of prosthetic rehabilitation with acrylic
RPDs is not clear yet in our environment.
Objective: To assess the impact of acrylic RPDs on the quality of life of edentulous patients.
Patients and method: A prospective study was carried out using the OHIP questionnaire to assess the
effects of acrylic RPDs on the quality of life of partially edentulous patients. Data collected was analysed
using SPSS version 19 software and Chi-square test was used to assess the impact of acrylic denture on
the quality of life of the patients. Level of statistical significance was set at p < 0.05.
Results: The majority, 59.6% of the patients had maxillary RPDs, while 19.2% had a combination of
upper and lower RPDs. The greatest impact of partial edentulousness on oral functions was on selfconsciousness with a score of 17, which reduced to 9 following rehabilitation with acrylic RPDs. Two
patients had the worst severity of impact (31 -40 scores) without RPDs while none had the worst severity
of impact after the insertion of the RPDs. There was a significant difference between the severity
(p=0.004) and extent of impact (p=0.000) when the values before was compared with that after the use of
dentures.
Conclusion: The use of acrylic RPDs significantly reduced the severity and extent of impact of
edentulousness on quality of life of partially edentulous patient, and thereby improved their overall
wellbeing.
Key words: Acrylic removable denture, Quality of life, Partially edentulous Patients
Résumé
Contexte : Il y a une demande régulière de remplacement des dents perdues, ce qui indique que la perte
de dents a des effets négatifs sur les personnes touchées. L’impact de la réhabilitation prothétique
avec les RPDs acrylique n’est pas encore clair dans notre environnement.
Objectif : Pour évaluer l’impact des RPDs acrylique sur la qualité de vie des patients
édentés.
Patients et méthode : Une étude prospective a été réalisée à l’aide du questionnaire OHIP afin d’évaluer
les effets des RPDs acrylique sur la qualité de vie des patients partiellement édentés. Les données
recueillies ont été analysées à l’aide du logiciel SPSS version 19 et un test de chi carré a été utilisé pour
évaluer l’impact de la prothèse acrylique sur la qualité de vie des patients. Le niveau de signification
statistique a été fixé à p d” 0,05.
Résultats : La majorité, 59,6% des patients étaient atteints des RPDs maxillaire, tandis que 19,2%
présentaient une combinaison des RPDs supérieurs et inférieurs. Le plus grand impact de
l’édentement partiel sur les fonctions buccales était sur la conscience de soi, avec un score de 17, qui a
réduit à 9 après la réhabilitation avec des RPDs acrylique. Deux patients avaient l’impact plus grave
(scores de 31 - 40) sans RPDs, tandis qu’aucun n’avait d’impact plus grave après l’insertion des RPDs. Il
y avait une différence significative entre la sévérité (p = 0,004) et l’étendue de l’impact (p = 0,000)
lorsque les valeurs antérieures étaient comparées à celles après l’utilisation d’une prothèse dentaire.
Conclusion : L’utilisation des RPDs acryliques a considérablement réduit la gravité et l’ampleur de
l’impact de l’édentement sur la qualité de vie des patients partiellement édentés et a ainsi amélioré leur
bien-être général.
Mots-clés : Prothèse amovible en acrylique, qualité de vie, patients partiellement édentés
Correspondence: Dr. T.J. Ogunrinde, Department of Restorative Dentistry, College of Medicine, University of
Ibadan, Ibadan, Nigeria. E-mail: tunde_ogunrinde2001@yahoo.com
Referencer
Odusanya SA. Tooth loss among Nigerians: Causes and pattern of Mortality. Int J Oral Maxillofac Surg. 1987; 16: 184 – 189.
Zaigham AM and Muneer MU. Pattern of partial edentulism and its association with age and gender. Pakistan Oral Dent J. 2010; 30: 260 – 263.
Ogunrinde TJ, Ajayi DM and Dosumu OO. Causes and pattern of fracture of acrylic dentures among patients seen in a Nigerian teaching hospital. Afr J Med med Sci. 2007; 36: 365 – 369.
Cunha-Cruz J, Hujoel PP and Nadanovsky P. Secular trends in socio-economic disparities in edentulism: USA, 1972–2001. J Dent Res. 2007; 86: 131–136.
Shillingburg HT, Hobo S, Whitsett LD, Jacob R and Brackett SE. Fundermental of fixed prosthetics. 3rd ed. London. Quintessence publishing Co, Inc. 1997; 85-88.
Manappallil JJ. Basic Dental Materials. 1st ed. Jaypee Brothers Medical Publishers Ltd. New Delhi, India. 1998; 94-99.
MacGregor AR. Fenn, Liddelow and Gimsons’ Clinical Dental Prosthetic. 3rd ed. London. Butter worths Co. Publishers Ltd. 1989; 241.
Ogunrinde TJ, Gbadebo SO and Sulaiman AO. Trend in prosthetic rehabilitation of partially edentulous patients in a Nigerian Teaching Hospital. J West Afr Coll Surgeons. 2015; 5: 61 – 76.
Veeraiyan DN, Karthikeyan R and Vinaya B. Textbook of Prosthodontics. 4th ed. New Dehli, India: Jaypee Brothers Medical Publishers Ltd; 2003; 270- 272, 377.
Davenport JC, Basker RM, Health JR, Ralph JP and Glantz PO. Connectors. Br Dent J. 2001; 190: 184-191.
Miller EL and Grasso JE. Removable partial prosthodontics 1st ed. Baltimore. The Williams and Wilkins Co. 1972; 171-189.
Slade GD and Spencer AJ. Development and evaluation of the oral health impact profile. Community Dent Health. 1994; 11: 3-11.
Slade GD, Nuttall N, Sanders AE, et al. Impacts of oral disorders in the United Kingdom and Australia. Br Dent J. 2005; 198: 489 - 493.
Lawal FB, Taiwo JO and Arowojolu MO. How valid are the psychometric properties of the oral health impact profile -14 measure in adult dental patients in Ibadan, Nigeria? Ethiop J Health Sci. 2014; 24: 245 – 252.
Olusile AO and Esan TA. Pattern of demand of removable partial dentures in Ile-Ife. Nig J Hlth Sci. 2002; 2: 6-8.
Arigbede AO and Taiwo JO. Pattern of demand for acrylic partial denture (RPD) in the city of Port-Harcourt, Nigeria: The Nigerian Health Journal. 2011; 11: 47 – 50.
Ogunrinde TJ and Gbadebo SO. Removable partial dentures: Patterns and reasons for demands among patients seen in a Teaching Hospital in Southwest Nigeria. Eur J Prosth. 2014; 2: 8- 10.
Dyas R, Nathanael M, Indrasari M, et al., Analysis of the effects of removable dentures on the psychological status, quality of life, and masticatory function of the elderly. J Phys. 2017, Conf Ser 884012084.
Dosumu OO and Ogunrinde TJ. Selective Impression Technique for Conventional Denture Rehabilitation in Ectodermal Dysplasia Patients: A Case Report. West Afr J Med. 2008; 27: 171 – 174.
Shekhawal KS, Chauhan A and Ramalingam N. Impact of Removable Partial Denture on Quality of Life measured after 6 months and 1 year of use. World J. Dent. 2017; 8:81 -85.
Barreto AO, Aquino LM, Aquino AR, et al. Impact on quality of life of removable denture wearers after 2 years of use. Braz J Oral Sci. 2011;10: 50-54.
Jones JA, Orner MB, Spiro A, and Kressin NR, “Toothloss and dentures: patients’ perspectives,” Int J Dent. 2003; 53: 327–334.
Hagglin C, Berggren U and Lundgren J. A Swedish version of the GOHAI index. Psychometric properties and validation. Swed Dent J. 2004; 29: 113-114.
Fiske J, David D, Frances C and Gelbier S. The emotional effect of tooth loss in edentulous people. Br Dent J. 1998;184: 90 -93.
John MT, Koepsell TD, Hujoel P et al., Demographic factors, denture status and oral health related quality of life. Community Dent Oral Epidemiol. 2004; 32: 125 – 132.