Patients Satisfaction after Receiving Prosthesis of Some Missing Anterior Elements among Patients with Missing Posterior Teeth: Making Case for the Concept of Shortened Dental Arch. International Journal Contemporary Medical Research 2014; 1(1):03-11. (original) (raw)
Related papers
2014
Objectives: The study investigated the demography, reason(s) for seeking treatment and outcome of treatment of prosthodontic patients after receiving prosthesis of missing anterior elements among patients with missing posterior teeth. Materials and Methods: A four-year prospective study involving interview and clinical examination of prosthetic patients. Patients were interviewed and examined at presentation and on the 7 th and 28 th and 72 nd day post-insertion. Results: There were 144 patients comprising 32(22.2%) males and 112(77.8%) females that met the inclusion criteria. The age range (mean) is 18-80 (44.4 + 4.23) years. The most common and significant reason for replacement of missing teeth was aesthetics (58.3%, p<0.05). Patient's reported treatment outcome reveals a 100% success following treatment of anterior edentulous spaces. Conclusion: This study found that patients' are mostly concerned with replacement of anterior teeth and lends support the school of thought that SDA concept is a viable option in the management of edentulousness, since aesthetics rather than mastication is the most common indication for seeking to treat edentulousness.
The Journal of Prosthetic Dentistry, 2003
The clinical success of implant-supported fixed partial dentures has been documented. However, few studies have reported long-term results or any association between implant outcomes and host determinants. This study reports on implant and prosthesis outcomes in a group of partially edentulous patients treated with Brånemark implants in the posterior zones. It also examines factors described in the medical history that may influence implant survival. The charts of patients treated with implants from 1983 and followed prospectively through December 2001 at the University of Toronto were reviewed. One hundred thirty partially edentulous patients treated with implant-supported restorations in the posterior zones (area distal to mental foramen) were selected. Implant and prosthesis treatment outcomes were recorded and analyzed through the Kaplan-Meier and Cox regression methods (P&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;.05). A total of 130 patients received 432 Brånemark dental implants in 174 posterior edentulous spans. The mean age of the patients at the time of insertion of the implants was 50.97 +/- 13.27 years. At 15 years, the overall implant and prosthesis survival rates were 91.6% and 89%, respectively. At 5 years, the survival rate of the wide-platform 5-mm-diameter implants was 76.3%. Implant diameter (P=.0001) and a history of a chronic medical condition (P=.01) were correlated with implant survival outcomes. High success of implant-supported prostheses in the posterior zones of both the maxilla and mandible. It corroborated other studies that have shown higher failure rates for wide-platform implants, emphasizing the need for proper establishment of clinical trials prior to marketing of new implant designs.
Factors influencing edentulous patients’ preferences for prosthodontic treatment
Journal of Oral Rehabilitation, 2010
The aim of this study was to identify factors influencing edentulous patients' preferences for treatment using conventional or implant dentures (ID). A consecutive sample of 112 patients was selected in a university facility. All patients responded to a questionnaire concerning preferences about treatment and factors influencing preferences for conventional complete dentures (CD), implant-retained overdentures (IRO) and fixed implant-supported prostheses (FISP). Subsequently, a set of 21 questions was presented, and patients were requested to rate the importance of various potential reasons influencing their choice of treatment. Preference for CD was more prevalent for maxilla (52AE7%) and mandible (41AE1%). Fixed implant-supported prostheses and IRO were preferred for the mandible (FISP = 37AE5%; IRO = 21AE4%) rather than maxilla (FISP = 27AE7%; IRO = 19AE6%). The most preferred treatment option among the subjects when evaluating both arches was the implant-supported fixed or removable prosthesis (FISP ⁄ IRO). A preference for combined upper and lower CD was also commonly reported (39AE3%). Factor analysis identified six components that accounted for 72AE2% of the total variance: (i) psychosocial benefits, (ii) functional performance, (iii) technical and financial concerns, (iv) post-insertion complaints, (v) removability and (vi) longevity. Technical and financial concerns (cost, complexity, surgery risks and duration of treatment) were more relevant for those who preferred ID (P < 0AE001). With the exception of post-insertion complaints, all mean scores of component factor loadings were positive for ID. Conventional complete dentures are associated with lower expected outcomes by patients, and cost-related issues are the major factors associated with the preferences for implant treatment of edentulous patients.
The International Journal of Prosthodontics, 2021
To investigate whether pretreatment patient satisfaction, oral health-related quality of life, or diagnostic complexity are predictive of a decision to choose implant treatment. Materials and Methods: Edentulous patients requesting dentures were enrolled in a prospective observational study. All subjects were provided with conventional dentures and then given the option to proceed with the placement of two mandibular implants and to have their prosthesis modified into an implant overdenture. Subjects were classified according to the Prosthodontic Diagnostic Index (PDI-CE) and asked to complete a Denture Satisfaction Questionnaire and the Oral Health Impact Profile for edentulous patients (OHIP-EDENT) at pretreatment, following the provision of new dentures, and following modification to overdentures. Results: Of the 125 subjects who had conventional dentures, 15 proceeded with implant treatment. The subjects who decided to have implants were not significantly different in terms of diagnostic complexity or level of satisfaction. Those who chose implants were significantly younger, had newer dentures, and had higher OHIP-EDENT scores at baseline. The most common reason for not being satisfied with dentures but avoiding implants was fear of surgery. Conclusion: The majority of subjects in this study were satisfied with conventional denture treatment, despite registering its limitations. Subjects who were more anatomically compromised were not more likely to choose implant treatment. It remains to be shown whether fear of surgery can be overcome in order to increase the uptake of implant treatment and improve patient outcomes.
SciDoc Publishers, 2021
Aesthetics and functions of the orofacial region are very important aspects of human life which can be highly affected by tooth loss and have an impact on the quality of life. Need for prosthesis is important for maintaining diet and nutritional status. Hence the aim of this study was to evaluate the frequency of different prosthetic treatments opted by middle aged adults with missing maxillary anteriors. A retrospective study was carried out. Data was collected through reviewing the records of 86000 patients visiting a hospital in Chennai from June(2019) to March(2020). A total of 898 patients of age group 35-50 years who reported with missing maxillary anteriors were evaluated. Data such as age, gender, missing tooth and type of prosthesis were noted. Both frequency and Chi-square tests were done through IBM SPSS statistical analysis. In this study, 53% of the patients were males and 47% were females. About 41% of the participants preferred FPD and 36% preferred RPD. In the age group of 35-40, FPD was highly preferred and in the age group of 45-50, RPD was highly preferred. The present study provided epidemiological information of different prosthetic treatments opted by patients with missing maxillary anteriors which provides data for future oral health care services.
Egyptian dental journal, 2018
Purpose: The aim of this study was to compare patient satisfaction and prosthetic maintenance of fixed detachable prosthesis and conventional complete dentures.Materials and method: Eight completely edentulous patients received complete dentures for six months (Group I), then fixed detachable prostheses on four implants for the following six months (GroupII). For both designs, patient satisfaction using visual analogue scale (VAS) and prosthetic maintenance were evaluated.Results: Results of patient satisfaction parameters for group II were significantly higher than group I for retention, mastication and metallic taste. For aesthetics and hygiene, group|I showed better results than group II. However the difference was insignificant. Regarding prosthetic maintenance, the overall maintenance and service required for group I was greater than group II. Regarding base fracture, relining and occlusal adjustment, more service was needed for group I than group II. Hyperplasia under metal fr...
Journal (Canadian Dental Association), 2002
This paper reports on the long-term outcome of implant-supported posterior-zone prostheses in the first 35 consecutive, partially edentulous patients treated in the Implant Prosthodontic Unit (IPU) at the University of Toronto, Toronto, Ontario. A total of 106 Brånemark dental implants were placed in 46 posterior edentulous spans in 35 patients for the management of multiple missing teeth; the patients were followed prospectively. Treatment planning principles involved a minimum of 2 or 3 implants at each edentulous site and scrupulous occlusal prosthodontic designs. The overall survival of posterior implants was 94%. No factors in the patients' history adversely affected implant survival. This clinical update suggests that the use of Brånemark implants in the rehabilitation of patients who are partially edentulous in the posterior zone is highly effective and that survival of the implants is excellent.
Implant-supported prostheses versus conventional permanent and removable dentures
Current Issues in Pharmacy and Medical Sciences, 2014
Social, economic and technological progress results in an increasing range of treatment and rehabilitation methods for patients with partial or complete edentulism. The role of the dentist is to inform the patient about the full range of available missing teeth treatment options leading to complete rehabilitation of the masticatory organ in agreement with the patient’s aesthetic and functional expectations. The aim of the paper was to identify the type of prostheses used by patients before opting for implantsupported teeth replacements, according to the patients’ age, sex, marital status, place of residence and education. The study covered 464 patients, women and men, aged 20-74, treated with dental implants. The patients answered questions in an anonymous questionnaire. The influence of the prosthetic replacement type according to age and marital status was highly statistically significant, whereas it was statistically significant according to sex, place of residence and education....
International Journal of Research -GRANTHAALAYAH, 2022
Background: The impact of edentulism on oral health status is an important public health issue. Conventional complete dentures, implant-supported removable dentures and implant-supported fixed dentures are evidence-based treatment IRPtions in the treatment of complete edentulism. Quality of life may be compromised due to various reasons such as functional problems, diseases, nutritional deficiency, physiological and psychosocial problems in individuals using prostheses. Objectives: Our aim in this study is to evaluate patient satisfaction of completely edentulous patients treated with conventional complete dentures, implant-supported removable dentures and implant-supported fixed dentures, oral health-related quality of life and to compare the effects on quality of life. Methods: In this study, total of 140 patients involved, 49 female and 91 males, aged between 40 and 90 who were completely edentulous and treated at least 6 months ago in the Prosthetic Dentistry Clinic. Patients were divided into 3 groups as conventional complete denture (CD), implant retained overdenture (IRP) and implant supported fixed prosthesis (ISFP). By Oral Health Impact Profile (OHIP-14), Oral Health-Related Quality of Life-United Kingdom (OHQoL-UK) questionnaires oral health-related quality of life was measured analyzed and obtained parameters were compared. Results: When all findings were evaluated, the oral health-related quality of life of the group treated with implant-supported fixed prosthesis were found to be higher than the conventional complete denture and implant-supported fixed prosthesis group. In addition, it was determined that implant-supported fixed and removable treatments had positive effects on patient satisfaction, quality of life compared to conventional complete denture treatment. Conclusions: Support from dental implants while making a prosthetic treatment plan in edentulous patients will contribute positively to the stability and retention of the prosthesis. This will increase the quality of life of the person by supporting patient satisfaction, adaptation to the prosthesis and nutrition.
Journal of Pharmaceutical Research International, 2021
A conventional complete denture is still a widely used prosthesis. Even after lots of advancement in the field of prosthodontics very little attention has been paid to the emotional status and satisfaction of the patient related to the fabrication of the prosthesis. In this study, all the patients with complete dentures in the department of prosthodontics in Sharad Pawar dental college, were asked to fill the questionnaire regarding the satisfaction of the patient related to the complete denture prosthesis delivered in our department and the result was evaluated by the response given by the patient.