Oral Health-Related Quality of Life and Satisfaction Following Implant Restoration After Sinus Floor Augmentation: A Prospective Evaluation
Sažetak
Background/Aim: Alveolar ridge resorption and maxillary sinus pneumatisation present significant challenges for implant rehabilitation. Although lateral window sinus floor augmentation (LWSFA) is a predictable surgical approach, patient-reported outcomes remain essential for evaluating treatment success beyond osseointegration. This study aimed to evaluate longitudinal oral health-related quality of life (OHRQoL) and satisfaction in patients undergoing implant therapy after LWSFA.
Methods: This prospective longitudinal study included 39 patients with 57 posterior maxillary edentulous sites and residual bone height ≤4 mm. All patients underwent LWSFA using a mixture of allograft, synthetic bone substitute and platelet-rich fibrin. After six months of graft maturation, implants were placed, followed by definitive prosthetic restoration after a further six months. OHRQoL was assessed using the Oral Health Impact Profile-14 (OHIP-14) at baseline and at one week, six months and 12 months after functional loading. Patient Satisfaction Score (PSS) was measured using a visual analogue scale.
Results: Mean OHIP-14 scores improved significantly from 24.28 ± 9.77 at baseline to 6.13 ± 2.82 at 12 months (p < 0.001). Most domain-specific improvements appeared to stabilise by six months. PSS increased significantly from 8.92 ± 0.81 at one week to 9.44 ± 0.55 at six months (p < 0.017), before reaching a plateau. Across all time points, female patients consistently reported significantly higher OHIP-14 scores than males (p < 0.05). Satisfaction in single-tooth cases stabilised within one week, whereas multi-unit cases required six months.
Conclusion: LWSFA followed by implant-supported restoration significantly improves OHRQoL and satisfaction. Maximum satisfaction and functional comfort are typically achieved and sustained after six months of functional loading.
Reference
Fillion M, Aubazac D, Bessadet M, Allègre M, Nicolas E. The impact of implant treatment on oral health related quality of life in a private dental practice: a prospective cohort study. Health Qual Life Outcomes. 2013;11:197. doi: 10.1186/1477-7525-11-197.
Nickenig HJ, Terheyden H, Reich RH, Wichmann M, Kreppel M, Schnitker J. Oral health related quality of life (OHRQoL) and implant therapy: a prospective multicenter study of preoperative, intermediate, and posttreatment assessment. J Craniomaxillofac Surg. 2024;52(1):59 64. doi: 10.1016/j.jcms.2023.08.003.
Pjetursson BE, Tan WC, Zwahlen M, Lang NP. A systematic review of the success of sinus floor elevation and survival of implants inserted in combination with sinus floor elevation. J Clin Periodontol. 2008;35(8 Suppl):216 40. doi: 10.1111/j.1600-051X.2008.01272.x.
Cavalcanti MC, Guirado TE, Sapata VM, Costa C, Pannuti CM, Jung RE, et al. Maxillary sinus floor pneumatization and alveolar ridge resorption after tooth loss: a cross sectional study. Braz Oral Res. 2018;32:e64. doi: 10.1590/1807-3107BOR-2018.vol32.0064.
Almudarris BA, Poonia PS, Mansuri AH, Almalki SA, Gupta S, Mohanty R, et al. Assessment of patient satisfaction and oral health related quality of life following full mouth rehabilitation with implant supported prostheses. J Pharm Bioallied Sci. 2024;16(Suppl):S2143 S2145. doi: 10.4103/jpbs.jpbs_119_24.
Nguyen XT, Le LN, Do TT, Le KPV. Increasing bone regeneration in maxillary sinus augmentation using platelet rich fibrin: an interventional pre post study. J Contemp Dent Pract. 2024;25(9):814 9. doi: 10.5005/jp-journals-10024-3747.
Van Vo N, Duc Le L. Eight year follow up of oral health related quality of life in anodontia patients after dental implant rehabilitation. J Dent. 2026;164:106207. doi: 10.1016/j.jdent.2025.106207.
Wittneben JG, Wismeijer D, Brägger U, Joda T, Abou Ayash S. Patient reported outcome measures focusing on aesthetics of implant and tooth supported fixed dental prostheses: a systematic review and meta analysis. Clin Oral Implants Res. 2018;29(Suppl 16):224 40. doi: 10.1111/clr.13295.
Slade GD, Spencer AJ. Development and evaluation of the Oral Health Impact Profile. Community Dent Health. 1994;11(1):3 11.
Wen C, Jiang R, Zhang Z, Lei B, Zhong Y, Zhou H. Esthetic evaluation and acceptability of different hole designs on implant crowns from the perspective of patients and dentists in China. Patient Prefer Adherence. 2022;16:427 37. doi: 10.2147/PPA.S351143.
Al Zarea BK. Satisfaction with appearance and the desired treatment to improve aesthetics. Int J Dent. 2013;2013:912368. doi: 10.1155/2013/912368.
Nguyen GH, Le KVP, Le LN, Vo NV. Histological and histomorphometric assessment of lateral window sinus augmentation in severe maxillary atrophy using a mixed allograft with β-TCP/HA and autologous platelet-rich fibrin. BMC Oral Health. 2026 Apr 28. doi: 10.1186/s12903-026-08332-4.
Chakraborty N, Almudarris BA, Gautam P, Laddha R, Giri TK, Patel VD. Patient satisfaction and quality of life outcomes following dental implant placement. J Pharm Bioallied Sci. 2024;16(Suppl 4):S3338 S3340. doi: 10.4103/jpbs.jpbs_831_24.
Asyikin Saad N, Izwan Omar N, Ahmad Yaziz Y, Abdul Manab EE. Patients’ satisfaction and quality of life after dental implant rehabilitation: a cross sectional study. IIUM J Orofac Health Sci. 2023;4(1):47 58. doi: 10.31436/ijohs.v4i1.174.
Wang Y, Bäumer D, Ozga AK, Körner G, Bäumer A. Patient satisfaction and oral health related quality of life 10 years after implant placement. BMC Oral Health. 2021;21(1):30. doi: 10.1186/s12903-020-01381-3.
Manfredini M, Pellegrini M, Rigoni M, Veronesi V, Beretta M, Maiorana C, et al. Oral health related quality of life in implant supported rehabilitations: a prospective single center observational cohort study. BMC Oral Health. 2024;24:531. doi: 10.1186/s12903-024-04265-y.
Grandi T, Toti P, Paoleschi C, Giorgi M, Covani U, Menchini Fabris GB. Psychosocial impact of Maxilla For All treatment using standard and long implants on patients with severe maxillary atrophies: a 1 year prospective study with PIDAQ 23 and OHIP 14. J Clin Med. 2025;14(10):3544. doi: 10.3390/jcm14103544.
Corbella S, Taschieri S, Del Fabbro M. Long term outcomes for the treatment of atrophic posterior maxilla: a systematic review of literature. Clin Implant Dent Relat Res. 2015;17(1):120 32. doi: 10.1111/cid.12077.
Starch Jensen T, Bruun NH, Spin Neto R. Maxillary sinus membrane elevation and coagulum compared with maxillary sinus floor augmentation and a composite graft: a 1 year single blinded randomized controlled trial. Clin Implant Dent Relat Res. 2023;25(6):1056 68. doi: 10.1111/cid.13251.
Mauland EK, Beheshti Maal M, Melbye EL, Aarbu NØ, Sørensen K, Ellingsen SA, et al. The impact of peri implant diseases and complications on oral health related quality of life following dental implant therapy in Norway: a cross sectional study. Clin Oral Implants Res. 2025;36(10):1219 33. doi: 10.1111/clr.14467.
Brennan M, Houston FJ, O’Sullivan M, O’Connell B. Patient satisfaction and oral health related quality of life outcomes of implant overdentures and fixed complete dentures. Int J Oral Maxillofac Implants. 2010;25(4):791 800. PMID: 20657876.
Oh SH, Kim Y, Park JY, Jung YJ, Kim SK, Park SY. Comparison of fixed implant supported prostheses, removable implant supported prostheses, and complete dentures: patient satisfaction and oral health related quality of life. Clin Oral Implants Res. 2016;27(2):e31 e37. doi: 10.1111/clr.12514.
Reissmann DR, Dard M, Lamprecht R, Struppek J, Heydecke G. Oral health related quality of life in subjects with implant supported prostheses: a systematic review. J Dent. 2017;65:22 40. doi: 10.1016/j.jdent.2017.08.003.
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).