Patient Satisfaction with Implant-Retained Mandibular Overdentures: A Retrospective Study (original) (raw)
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Satisfaction of patients fitted with implant-retained overdentures
Medicina Oral Patología Oral y Cirugia Bucal, 2011
Objective: to evaluate patient satisfaction with implant-retained overdentures, and its relationship with age, sex, period of follow-up, the rehabilitated jaw (maxilla, mandible or both), number of implants, splinting, type of attachment and the antagonist.Material and methods: the study comprised patients with overdentures fitted between January 1996 and June 2007, and with a minimum follow-up of one year. Data regarding patients and prostheses were collected. The patients indicated their overall satisfaction on a visual analogue scale (VAS) from 0 to 10, as well as satisfaction for individual items such as aesthetics, speech, mastication, prosthetic stability and selfesteem. These data were collected one month after fitting the prostheses, at 12 months and at a final examination. Statistical analyses were made using the SPSS version 15, statistical significance was considered for p<0.05.Results: the study included 95 patients, 43 men and 52 women, with a mean age of 55.9 years; 76 edentulous mandibles and 31 edentulous maxillae were rehabilitated with 107 overdentures. One hundred and thirty-seven implants were placed in the maxilla, and 224 in the mandible. The mean level of overall satisfaction was 9 at one month of fitting the prosthesis, 8.8 at 12 months and 8.7 at the final control (mean 71 months).Conclusions: the patients fitted with implant-retained overdentures expressed a high level of overall satisfaction, independently of age, sex, length of follow-up, rehabilitated jaw, number of implants per overdenture, whether splinted or non-splinted, and type of attachment. Men were more satisfied with mastication and stability.
Biomedical journal
The purpose of this study was to compare patients' subjective experiences with respect to long-term satisfaction with mandibular implant-retained overdentures versus conventional complete dentures. Among 85 completely edentulous patients, 60 were treated with four one-stage titanium implants and overdentures retained by a cast bar with extracoronal attachments. These patients constituted the experimental group, and were subsequently evaluated clinically over a period of up to 6 years. The other 25 patients constituted the control group and were treated with conventional complete dentures without implant retained. All the patients (n = 60) in the experimental group responded to questions on their experiences before and after treatment with the implant-retained overdentures. Sixty percent (n = 15) of the 25 patients in the control group responded to the questionnaire. No implants or restorations failed during the observation period. The experimental group, however, showed signific...
Yeditepe Dental Journal, 2020
This study aimed to investigate the effects of two different types of retainers, i.e., the locator system and ball attachment, on patient satisfaction, in patients using conventional complete denture in the maxilla and two implant-supported overdentures (IOD) in the mandible. Material and Methods: This study was carried out in 113 patients using ten questions selected from the OHIP-49 questionnaire. The patients were divided into ball attachment (BALL) and locator (LOC) group according to the retainer type used in their IOD prostheses, and their effects on patient satisfaction were evaluated. Also, changes in satisfaction levels were examined in terms of gender and age. The data were then analyzed statistically. Results: All the 113 study participants were found to be satisfied with IODs, regardless of age and sex, with a score of 10.5 (±7.5) out of 40 points, which was the highest dissatisfaction score. Of the 55 patients (10.07 ±7.94) in the BALL group and 58 patients (10.91 ±7.19) evaluated in the LOC group, no statistically significant difference was observed on the basis of the retainer type in terms of general satisfaction and factors like age and sex. Conclusion: Based on the satisfaction scores of IOD, it was concluded that it had a positive effect on the quality of life of the patients, which remained unaffected by the retainer type and factors like gender and age.
Gerodontology, 2007
Comparing the efficacy of mandibular implant-retained overdentures and conventional dentures among elderly edentulous patients: satisfaction and quality of life Objectives: The aim of this study was to compare the satisfaction and the quality of life in an elderly population using either mandibular conventional dentures or implant-retained overdentures. Materials and methods: A total of 34 patients were divided into two groups: group I -complete dentures users; group II -users of upper complete dentures opposed by implant-retained overdentures. The subjects were submitted to a questionnaire based on Oral Health Impact Profile and oral health related quality of life to evaluate their satisfaction levels and quality of life with their prostheses. Data were evaluated using a non-parametric statistical analysis (Fischer test) with significant difference at a = 0.05. Results: There were no significant differences between the groups in relation to comfort, aesthetics, chewing ability, overall satisfaction, pain, functional, phonetic, social, and psychological limitations (p > 0.05). Comparing the stability of mandibular dentures, group II presented the better results (p < 0.05). Conclusion: Although the stability of the mandibular implant-retained overdenture was enhanced compared to a conventional denture, the quality of life and satisfaction levels were similar for both the groups.
The Use of Mandibular Implant-retained Overdentures Improve Patient Satisfaction and Quality of Life
Journal of Evidence Based Dental Practice, 2010
Impact of implant support for mandibular dentures on satisfaction, oral and general health-related quality of life: a meta-analysis of randomized-controlled trials. Emami E, Heydecke G, Rompre PH, de Grandmont P, Feine JS. Clin Oral Implants Res 2009;20(6):533-44. reviewer J. Mark Thomason, BDS, PhD, FDS, RCS(Ed) purpose/Question Do edentulous individuals who are provided with mandibular conventional or implant-retained overdentures rate their general satisfaction, oral or general health-related quality of life differently? source of funding
Clinical Oral implants research
This study aimed to evaluate patient satisfaction and prosthetic aspects during a 5-year prospective clinical study of mini dental implants (MDIs) retaining mandibular overdentures. Materials and methods: This observational prospective clinical study was conducted on a group of completely edentulous patients (n = 28) with retention problems of conventional mandibular dentures. All patients received new maxillary and mandibular conventional dentures. A total of 112 MDIs (four per patient) were inserted using the flapless surgical approach and immediately loaded by the new mandibular dentures (overdentures). Patients indicated satisfaction with their prosthesis using a questionnaire and a visual analogue scale (VAS). Patient satisfaction and prosthetic complications were recorded 6 months (T 6 m), 1 (T1), 3 (T3), and 5 (T5) years after overdenture insertion. Results: The patient satisfaction with eating (hard/soft) food (P < 0.001), talking (P < 0.001), appearance (P = 0.001), comfort (P < 0.001), healing process (P = 0.013), socialization (P < 0.001), stability/retention of mandibular dentures (P = 0.001), ease of oral hygiene (P = 0.008), and ease of handling the dentures (P < 0.001) increased significantly with time. After 5 years, the most common complication was wear/damage of O/rings (n = 235), O/ring replacement (n = 125), maxillary denture relining times (n = 13), worn teeth (n = 10), overdentures relines (n = 10), detachment of the metal housings (n = 9), and fracture of mandibular overdentures (n = 8). Mucositis, soreness, and decubitis ulcer under overdenture occurred most often at T 6 m and decreased significantly with time (P = 0.002, 0.005, and 0.024, respectively). Conclusion: Within the limitations of this clinical study, patient satisfaction with mini-implant retained mandibular overdentures increased significantly with time. However, this treatment required a considerable amount of prosthetic maintenance and repair after 5 years of service.
The International Journal of Prosthodontics, 2021
To report changes in denture satisfaction and oral health-related quality of life (OHRQoL) in edentulous patients treated with two-implant mandibular overdentures (IODs) over a follow-up of 8 to 10 years. Materials and Methods: This is a follow-up of a previous study carried out between 1997 and 2005. The patients were originally randomly divided into one group receiving IODs and another group who had their conventional mandibular dentures relined (RCD group). The RCD group was offered and received IODs at the 2-year follow-up. The participants completed a self-administered questionnaire containing demographics, 15 variables related to denture satisfaction, and 20 questions from the Oral Health Impact Profile (OHIP-20). Changes over time were analyzed using multilevel linear models for denture satisfaction and multilevel ordinal regression analyses for OHIP-20 variables. Comparisons between groups were analyzed using Mann-Whitney U test for ordinal data and t test for metric data. Results: Disregarding patients who passed away during follow-up, the 29 responders represented a response rate of 76%. The degree of denture satisfaction and the OHIP-20 scores remained high and stable in the IOD group over the 10-year observation period for all but one variable. The same factors showed only a modest improvement in the RCD group for the first 2 years; however, during the subsequent 8 years of the observation period (after receiving IODs), denture satisfaction and OHIP-20 scores improved to the same level as the original IOD group. Conclusion: The positive effect on denture satisfaction and OHRQoL of edentulous patients treated with two-implant mandibular overdentures remained unchanged 8 to 10 years after treatment.
The International Journal of Oral & Maxillofacial Implants
This within-subject comparison tested the null hypothesis that there is no difference in patient satisfaction and oral health-related quality of life when an individual with an edentulous mandible is rehabilitated with a two-implant overdenture or a three-implant-supported fixed dental prosthesis. Materials and Methods: Twelve subjects with an edentulous mandible or failing dentition were rehabilitated with the use of endosseous dental implants. Three implants were placed, and were immediately loaded with a provisional fixed prosthesis with minimal cantilever. After healing for 4 months, two Locator attachments were inserted and an overdenture was trialed; then, after a further 4 months, a fixed prosthesis was placed on the three implants. The fixed prosthesis was fabricated using computer-assisted design, and a titanium framework was manufactured with a resin base and teeth. Patient satisfaction and oral health-related quality of life was assessed before treatment, after wearing the provisional, and after each treatment option using a seven-item visual analog scale and a modified version of the 49-item oral health impact profile. Results: Of the 12 subjects, 11 chose the fixed over the removable prosthesis. A statistically significant (P < .05) and positive effect on the overall score of both assessment tools was reported for both treatment modalities (when compared with pretreatment scores). Although no significant difference (P > .05) was found between the two options in overall scores of both surveys or in any of the seven domains of the modified oral health impact profile, the fixed prosthesis had a statistically higher score for stability, retention, and ease of chewing on a visual analog scale. Conclusion: Both treatment modalities provided a significant and similar improvement in patient satisfaction and oral health-related quality of life compared with a conventional complete mandibular removable dental prosthesis; however, a statistically significant higher score was reported for stability, retention, and ease of chewing for the fixed dental prostheses. Based on the 12 participants in this study, greater stability and ease of chewing with the fixed prosthesis likely influenced patient preference in most but not all subjects.
The International Journal of Oral & Maxillofacial Implants
A common challenge in management of edentulous patients is the atrophied (resorbed) mandibular alveolar ridge. 1 This situation results in construction of dentures with reduced retention and stability, diminished oral function, and psychosocial problems. 2,3 Two-implant-retained mandibular overdentures are considered the minimum prosthodontic care that should be sufficient for most edentulous patients. 4 Such prosthesis provides significant improvement in stability, retention, and patient satisfaction compared with conventional complete dentures. 2 In management of atrophied ridges, two implants stabilizing a mandibular overdenture is an attractive treatment option because of the relatively simple surgical