14Dec 2017

DOES EVIDENCE SUPPORT PROSTHETIC OR SURGICAL REHABILITATION FOR PATIENTS WITH MAXILLARY DEFECT REGARDING THE QUALITY OF LIFE SYSTEMATIC REVIEW.

  • Assistant Lecture, Department of prosthodontics , Faculty of Dentistry, University of Beni-Suef. Egypt .
  • Professor,Department of prosthodontics, Faculty of oral and dental medicine, University of Cairo. Cairo ,Egypt.
  • Professor,Department of prosthodontics ,Faculty of oral and dental medicine,University of Cairo.Cairo ,Egypt.
  • Assistant professor, Department of prosthodontics , Faculty of Dentistry, University of Beni-Suef. Egypt .
  • Abstract
  • Keywords
  • References
  • Cite This Article as
  • Corresponding Author

Purpose: To assess the ability of prosthetic rehabilitation versus surgical rehabilitation in improving the QOL for patients with maxillary defects. Material and methods: A systematic search of PubMed,Scopus data base, Cochrane database,Ovid database and Latin America & Caribbean database for articles published before September 2017 was performed by two independent reviewers. A manual search of articles published from January 2000 to September 2017 was also conducted .Only English studies were included which evaluate the QoL in patients with head and neck cancers .Any confusion between the two independent reviewers was resolved by means of a moderated discussion between the reviewers. Results: Five studies fulfilled the inclusion criteria for this study. Many parameters were used regarding evaluation of QOL as the EORTC Head and Neck 35 assessment , UW-QOL , OHIP?14 , VAS, OFS, MHI ,HAD,Body Satisfaction Scale,Oral symptom check list, Swallowing, Diet consist, Pain control,Postoertive complication and Speech . Two studies supported the surgical line of treatment for improving the QOL as compared to the prosthetic one ,another two studies showed a statistically insignificant improvement in the patients? QOL with the surgical line , while only one revealed insignificant difference in QoL with both lines of treatment. Conclusions: Surgical rehabilitation provide a better line of treatment in improving the QOL for patients with maxillary defects , On the other hand prosthetic has proved effectiveness in the immediate post-surgical times as temporary strategy, and it has represented a good alternative when the surgical obturation is compromised .


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[Sharaf .M.Y, Ibrahim S. I, Eskander A.E and Shawky A F. (2017); DOES EVIDENCE SUPPORT PROSTHETIC OR SURGICAL REHABILITATION FOR PATIENTS WITH MAXILLARY DEFECT REGARDING THE QUALITY OF LIFE SYSTEMATIC REVIEW. Int. J. of Adv. Res. 5 (Dec). 710-722] (ISSN 2320-5407). www.journalijar.com


Sharaf Mohamed Yahia
Department of prosthodontics , Faculty of Dentistry, University of Beni-Suef. Cairo ,Egypt .

DOI:


Article DOI: 10.21474/IJAR01/6011      
DOI URL: https://dx.doi.org/10.21474/IJAR01/6011