title: Impact of rehabilitation with metal-ceramic restorations on oral health-related quality of life.
abstract: Dental ceramics present excellent ability to reproduce the natural teeth regarding esthetic and biomechanics. Recently, due to the advancement of ceramic technology, metal-free restorations were developed. However, the traditional metal-ceramic restorations still present the requirements of high strength, long survival in the oral environment and favorable aesthetics. In this context, it is essential to know the specificity of each ceramic system available in order to apply it properly to various clinical situations. This report describes an integrated rehabilitation using metal-ceramic restorations of a patient at 50 years of age, who presented edentulous spaces, and previous unsatisfactory composite and amalgam restorations, and indirect metallic restorations, leading to compromised quality of life in both functional and psychosocial aspects. The impact on quality of life was measured using a generic instrument, OHIP-14, validated for the World Health Organization, which covers both the biological and the psychosocial dimensions. This instrument was applied to the patient before and after treatment. The patient had an overall OHIP-14 score of 28 before the treatment and after treatment the score decreased to 0, showing that dental and oral health conditions are factors that do impact on the quality of life. Rehabilitation has provided functional and aesthetic restorations, harmony of the stomatognathic system and improvement of life quality.
authors.affiliation: Department of Operative Dentistry and Dental Materials, Dental School, Federal University of Uberlândia, Uberlândia, MG, Brazil.
authors.forename: Gisele Rodrigues
authors.initials: GR
authors.lastname: da Silva
authors.forename: Marina Guimarães
authors.initials: MG
authors.lastname: Roscoe
authors.forename: Cristianne Pacheco
authors.initials: CP
authors.lastname: Ribeiro
authors.forename: Adérito Soares
authors.initials: AS
authors.lastname: da Mota
authors.forename: Luís Roberto Marcondes
authors.initials: LR
authors.lastname: Martins
authors.forename: Carlos José
authors.initials: CJ
authors.lastname: Soares
mesh_terms: D000900:Anti-Bacterial Agents / Q000009:adverse effects; D001294:Attitude to Health; D003776:Dental Porcelain / Q000737:chemistry*; D019232:Dental Restoration Failure; D003779:Denture Design / Q000523:psychology*; D005157:Facial Pain / Q000534:rehabilitation; D005260:Female; D005500:Follow-Up Studies; D005893:Gingivoplasty / Q000379:methods; D006801:Humans; D016876:Metal Ceramic Alloys / Q000737:chemistry*; D008875:Middle Aged; D009065:Mouth Rehabilitation / Q000523:psychology*; D009909:Oral Health; D010347:Patient Care Planning; D017060:Patient Satisfaction; D011788:Quality of Life; D012904:Smiling; D013524:Surgical Flaps / Q000601:surgery; D013752:Tetracycline / Q000009:adverse effects; D014075:Tooth Discoloration / Q000139:chemically induced / Q000534:rehabilitation; D014716:Vertical Dimension
chemical_list: D000900:Anti-Bacterial Agents; D016876:Metal Ceramic Alloys; D003776:Dental Porcelain; D013752:Tetracycline