Quality of life as a measure of the single-step dental implantation effectiveness





dental implantation, quality of life


Aim. The study aims to examine the quality-of-life dynamics in patients after single-step dental implantation depending on the technique of its implementation.

Materials and methods. The study included 51 patients who underwent single-step dental implantation. Depending on the dental implantation technique, the patients were divided into two groups: the study group consisted of 25 patients who underwent implant placement in the preliminary prepared bed with a post-extraction socket grafting using Sensobone xenograft, followed by a formation of soft-tissue cuff reinforced with a bone grafting material (Sensobone xenograft and free connective tissue autograft were placed on the soft tissue area) with subsequent fixation of a temporary crown. The comparison group included 26 patients who underwent implant placement in the preliminary prepared bed with a post-extraction socket grafting using Sensobone xenograft, followed by the Sensobone xenograft placement on the soft tissue area and a temporary crown fixation. To assess the quality of life (QOL), the patients were asked to fill out the OHIP-14 questionnaire before the implantation, three months and one year after the implantation. The study results were processed using the statistical licensed software package Statistica, version 13 (Copyright 1984-2018 TIBCO Software Inc. All rights reserved. License No. JPZ804I382130ARCN10-J).

Results. Problems with one or two teeth in patients requiring dental implantation led to limited QOL difficulties, reflected in the overall increase in the OHIP-14 total score. Patients in both groups had unsatisfactory QOL before implantation that was associated with a significant increase in almost all OHIP-14 items, which was significantly depended on the number of implants placed in a patient. In both groups, poor QOL was mainly due to psychosocial aspects, a physical factor, and a lower life satisfaction caused by dental problems. It has been found that a significant increase in the QOL level to a satisfactory state was seen as early as 3 months after the implantation in both groups. However, QOL was better in the study group than in the comparison group, as was evidenced by a 12 % significantly lower OHIP-14 total score. One year after implantation, the study group patients reported the OHIP-14 total score of 8.5 ± 0.8 indicating good QOL. In the comparison group, this index was 14.2 ± 0.8 showing satisfactory QOL. Normalization of QOL in the study group patients was due to the restoration of physical condition, pain relief, normalization of psychosocial state, and increased feeling of satisfaction with their life. Some patients in the comparison group reported continuing problems with physical and psychosocial disorders.

Conclusions. Single-step dental implantation is a significant factor influencing the improvement of QOL in patients. QOL is an important measure of the single-step dental implantation effectiveness. The use of a soft tissue cuff reinforced with bone grafting material allows achieving good QOL compared to the use of a bone grafting material matrix alone (due to a higher aesthetic result), since QOL remains satisfactory after the same time.

Author Biographies

Ye. Yu. Niezhentsev, Zaporizhzhia State Medical and Pharmaceutical University, Ukraine

MD, Postgraduate Student of the Department of Surgical and Propaedeutic Dentistry

S. O. Chertov, Zaporizhzhia State Medical and Pharmaceutical University, Ukraine

MD, PhD, Associate Professor, Head of the Department of Surgical and Propaedeutic Dentistry


Borisenko A, Antonenko M, Zelinsky N, Stolyar V, Popov R. Early postoperative complications in dental implant patients. Georgian Med News. 2020;(302):23-8.

Sayardoust S, Norstedt W, Shah FA. The long-term impact of alveolar ridge preservation with xenograft bone mineral on peri-implant health after 5 years in function: A retrospective cohort study of 108 patients assessed clinically and radiologically. Clin Exp Dent Res. 2022;8(3):640-9. doi: https://doi.org/10.1002/cre2.583

Zhang K, Yang C, Luo S. Immediate implants show good therapeutic and aesthetic effect in patients with class III and IV bone loss of the anterior teeth. Am J Transl Res. 2023;15(4):2885-93.

Ning H, Xia FR, Zhang Y. [Clinical observation of delayed implantation and immediate implantation after minimally invasive extraction]. Shanghai Kou Qiang Yi Xue. 2019 Dec;28(6):657-61. Chinese.

Spanemberg JC, Cardoso JA, Slob EM, López-López J. Quality of life related to oral health and its impact in adults. J Stomatol Oral Maxillofac Surg. 2019;120(3):234-9. doi: https://doi.org/10.1016/j.jormas.2019.02.004

Malik R, K T, Singh V, Jain A, Mitra S, Singh S. Impact of Dental Treatment on Oral Health-Related Quality of Life of Patients. Cureus. 2023;15(5):e38625. doi: https://doi.org/10.7759/cureus.38625

Alzarea BK. Assessment and Evaluation of Quality of Life (OHRQoL) of Patients with Dental Implants Using the Oral Health Impact Profile (OHIP-14) – A Clinical Study. J Clin Diagn Res. 2016;10(4):ZC57-60. doi: https://doi.org/10.7860/JCDR/2016/18575.7622

Teng CJ, Lin SC, Chen JH, Chen Y, Kuo HC, Ho PS. The association between denture self-satisfaction rates and OHRQoL – a follow-up study. BMC Oral Health. 2020;20(1):140. doi: https://doi.org/10.1186/s12903-020-01119-1

Yeh DY, Kuo HC, Yang YH, Ho PS. The Responsiveness of Patients’ Quality of Life to Dental Caries Treatment-A Prospective Study. PLoS One. 2016;11(10):e0164707. doi: https://doi.org/10.1371/journal.pone.0164707

Association of Periodontitis With Oral Health Related Quality of Life. Case Medical Research. 2020 Jan 22 [cited 2024 Apr 10]. Available from: https://ichgcp.net/clinical-trials-registry/NCT04240015

Sekulic S, John MT, Häggman-Henrikson B, Theis-Mahon N. Dental patients’ functional, pain-related, aesthetic, and psychosocial impact of oral conditions on quality of life-Project overview, data collection, quality assessment, and publication bias. J Oral Rehabil. 2021;48(3):246-55. doi: https://doi.org/10.1111/joor.13045

Larsson P, Bondemark L, Häggman-Henrikson B. The impact of oro-facial appearance on oral health-related quality of life: A systematic review. J Oral Rehabil. 2021;48(3):271-81. doi: https://doi.org/10.1111/joor.12965

Zou Y, Zhan D. Patients’ expectation and satisfaction with complete denture before and after the therapy. Vojnosanit Pregl. 2015;72(6):495-8. doi: https://doi.org/10.2298/vsp140229002z

Oghli I, List T, Su N, Häggman-Henrikson B. The impact of oro-facial pain conditions on oral health-related quality of life: A systematic review. J Oral Rehabil. 2020;47(8):1052-64. doi: https://doi.org/10.1111/joor.12994

Raes S, Raes F, Cooper L, Giner Tarrida L, Vervaeke S, Cosyn J, et al. Oral health-related quality of life changes after placement of immediately loaded single implants in healed alveolar ridges or extraction sockets: a 5-year prospective follow-up study. Clin Oral Implants Res. 2017;28(6):662-7. doi: https://doi.org/10.1111/clr.12858

Vetter TR. Descriptive Statistics: Reporting the Answers to the 5 Basic Questions of Who, What, Why, When, Where, and a Sixth, So What? Anesth Analg. 2017;125(5):1797-1802. doi: https://doi.org/10.1213/ANE.0000000000002471

Le Boedec K. Sensitivity and specificity of normality tests and consequences on reference interval accuracy at small sample size: a computer-simulation study. Vet Clin Pathol. 2016;45(4):648-56. doi: https://doi.org/10.1111/vcp.12390

McGee M. Case for omitting tied observations in the two-sample t-test and the Wilcoxon-Mann-Whitney Test. PLoS One. 2018;13(7):e0200837. doi: https://doi.org/10.1371/journal.pone.0200837

Pripp AH. Pearsons eller Spearmans korrelasjonskoeffisienter [Pearson’s or Spearman’s correlation coefficients]. Tidsskr Nor Laegeforen. 2018;138(8). Norwegian. doi: https://doi.org/10.4045/tidsskr



How to Cite

Niezhentsev YY, Chertov SO. Quality of life as a measure of the single-step dental implantation effectiveness. Zaporozhye Medical Journal [Internet]. 2024May31 [cited 2024Jul.24];26(3):192-9. Available from: http://zmj.zsmu.edu.ua/article/view/299461