Evaluation of the quality of life and satisfaction in patients using complete dentures versus mandibular overdentures. Systematic review and meta‐analysis

Abstract

Background The World Health Organization (WHO) recognizes edentulism as a physical impairment that results in a negative impact in the daily activities. Objective The study aimed to compare the satisfaction and the quality of life, in patients treated with implant retained overdentures with two mandibular implants (IOD) against those with mandibular conventional complete dentures (CCD). Methods Different search strategies were used to screen for articles in Pubmed/Medline, Cochrane Library and Scielo of the last 17 years (2003–2020). The keywords used were: “quality of life OR satisfaction” AND “complete denture OR conventional denture” AND “overdenture OR implant retained.” Results Six articles and two more were added by manual search. The population was 400 in the CCD and 412 for IOD. The mean age was 64.3 ± 6.41 years. The group was comprised of 283 men and 427 women. The scores obtained in the visual analog scale (VAS) before and after the treatment were statistically significant in favor of the IOD for overall satisfaction, (WMD: 12.329; 95% CI: 4.873 to 19.784, p‐value = 0.001), comfort, speech and stability. For esthetics and chewing there was non‐significant improvement while hygiene worsened for the IOD. For the comparison after the treatment between both treatment modalities a statistically significant improvement was found in overall satisfaction (WMD: 14.408; 95% CI: 8.589 to 20.226, p‐value < 0.001), comfort, speech, chewing and stability in favor of the IOD but not in esthetics or hygiene. Conclusions This systematic review and meta‐analysis show the superiority of the IOD, despite is not achieved in all aspects.

Effect of implant angulation and patrice on the retention of overdenture attachment systems: An in vitro study

“…5,8 Evaluation of the Third National Health and Nutrition Examination Survey (NHANES III) prosthodontic data found that approximately 60% of conventional denture users have at least one problem with their conventional denture 9 such as pain, chewing difficulties, speech alterations, and nutrition deficits. 3,4,[10][11][12] Due to these numerous, negative patient-based outcomes, other treatment modalities have been proposed to improve the stability and retention of a prosthesis, such as implant-retained overdenture. There is strong evidence that oral health-related quality of life measures are significantly improved with mandibular two-implant overdentures.…”

“…There is strong evidence that oral health-related quality of life measures are significantly improved with mandibular two-implant overdentures. 4,[10][11][12][13][14][15] and that even the placement of a single implant may positively affect patient-based outcome measures. [16][17][18] These patients have an increase in social and sexual activity, 19 improved esthetics, speech, and stability of their prostheses.…”

“…Oral rehabilitation following tooth loss has been shown to lead to significant improvement in oral health‐related quality of life 5,8 . Evaluation of the Third National Health and Nutrition Examination Survey (NHANES III) prosthodontic data found that approximately 60% of conventional denture users have at least one problem with their conventional denture 9 such as pain, chewing difficulties, speech alterations, and nutrition deficits 3,4,10–12 . Due to these numerous, negative patient‐based outcomes, other treatment modalities have been proposed to improve the stability and retention of a prosthesis, such as implant‐retained overdenture.…”

“…Due to these numerous, negative patient‐based outcomes, other treatment modalities have been proposed to improve the stability and retention of a prosthesis, such as implant‐retained overdenture. There is strong evidence that oral health‐related quality of life measures are significantly improved with mandibular two‐implant overdentures 4,10–15 . and that even the placement of a single implant may positively affect patient‐based outcome measures 16–18 .…”

Cost/effectiveness analysis of treatment options for the rehabilitation of the total edentulous mandible

“…10 Several attempts have been made to detect patients' satisfaction with different types of prosthesis, confirming the best performance of fixed denture, compared to the other options. 6,11 Nevertheless, in addition to the purely clinical aspect, economic considerations are important for the choice of rehabilitation.…”