Long‐term evaluation of quality of life and satisfaction between implant bar overdentures and conventional complete dentures: A 23 years retrospective study

Sánchez‐Siles, Mariano; Ballester-Ferrandis, Jose Francisco; Salazar-Sánchez, Noemí; Gómez-García, Francisco; Moraleja-Ruiz, Román; Camacho-Alonso, Fabio

doi:10.1111/cid.12576

Cited by 24 publications

(21 citation statements)

References 42 publications

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“…Two implant‐retained mandibular overdentures provide a simple and cost‐effective alternative that should be implemented more frequently in low‐ and middle‐income countries . Since the publication of the McGill and York Consensus, implant‐retained mandibular overdentures are considered the minimum protocol for rehabilitation of edentulous individuals, mainly because of the increased retention and stability of the mandibular prosthesis, which in turn improves retentive forces and benefits masticatory function . Although the McGill Consensus Statement states that mandibular overdentures retained by 2 implants should be widely recommended as the minimal protocol for rehabilitation of totally edentulous individuals, a systematic review by Fitzpatrick concluded that there is still no strong evidence to support only a single standard of care in edentulous jaws.…”

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confidence: 99%

“…12 Since the publication of the McGill and York Consensus, implant-retained mandibular overdentures are considered the minimum protocol for rehabilitation of edentulous individuals, 13 mainly because of the increased retention and stability of the mandibular prosthesis, which in turn improves retentive forces and benefits masticatory function. [14][15][16][17][18] Although the McGill Consensus Statement states that mandibular overdentures retained by 2 implants should be widely recommended as the minimal protocol for rehabilitation of totally edentulous individuals, a systematic review by Fitzpatrick concluded that there is still no strong evidence to support only a single standard of care in edentulous jaws. The outcomes of this study suggest that patient choice has a greater impact on treatment success than the dentist's treatment preferences and highlight the importance of informing edentulous patients about the surgical risks to enable them to make an informed decision.…”

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confidence: 99%

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Relationship Between Masticatory Function Impairment and Oral Health‐Related Quality of Life of Edentulous Patients: An Interventional Study

Miranda

Possebon

Schuster

et al. 2019

Journal of Prosthodontics

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Purpose To investigate the influence of impaired masticatory function on the oral health‐related quality of life of conventional complete denture wearers before and after the transition to implant‐retained mandibular overdentures. Materials and Methods Masticatory function and oral health‐related quality of life were evaluated in 40 edentulous patients after 3 months of adaptation to complete dentures and after transition to implant‐retained mandibular overdentures. Masticatory function was evaluated through the swallowing threshold test with a standardized portion of an artificial test food (Optocal) to determine median particle size (×50) and homogenization index (B). After the test, the masticatory function outcomes were used to categorize patients in 2 groups according to chewing performance: (i) satisfactory or (ii) unsatisfactory. The cutoff value for ×50 was based on a preestablished value of 3.68 mm, whereas for the B index, median values were adopted for categorization. The oral health‐related quality of life was analyzed via the Oral Health Impact Profile for Edentulous Adults (OHIP‐EDENT) questionnaire. The Mann‐Whitney test was used to compare masticatory function outcomes and OHIP‐EDENT scores, and associations were checked using the Spearman correlation test and multiple linear regression. Results Masticatory function was significantly correlated with functional limitation (p = 0.02) and physical disability (p = 0.04) for complete denture wearers with unsatisfactory masticatory function. After the transition to implant‐retained mandibular overdentures, only the psychological discomfort domain (p = 0.02) was influenced by the masticatory function category. Multiple linear regression analysis revealed that only the functional limitation domain (p < 0.001) of the complete denture wearers was associated with masticatory function outcomes. Conclusions Implant‐retained mandibular overdentures eliminate the problems that lead to functional limitations, consequently improving masticatory function and oral health‐related quality of life of these individuals; however, patients with unsatisfactory masticatory function after transition to implant‐retained mandibular overdentures still experience more psychological discomfort.

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Relationship Between Masticatory Function Impairment and Oral Health‐Related Quality of Life of Edentulous Patients: An Interventional Study

Miranda

Possebon

Schuster

et al. 2019

Journal of Prosthodontics

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“…All these factors are responsible for the low oral healthrelated quality of life perceived by the patients wearing removable dentures [1]. This explains why a better quality of life can be achieved with implant-retained prosthesis compared to conventional dentures in terms of physical pain and disability, psychological discomfort and disability, and functional limitations [2]. It must be noted that edentulism can lead to a significant functional impairment together with unfavourable aesthetic and psychological changes in patients.…”

Section: Introductionmentioning

confidence: 99%

Multidisciplinary Oral Rehabilitation of a Severely Compromised Dentition

Maiorana

Andreoni

Polacco

et al. 2020

Case Reports in Dentistry

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The decision-making process of complex clinical cases should involve multiple specialists to obtain a predictable result on a long-term basis. In view of the above, the present report is aimed at describing the multidisciplinary management of a partially edentulous female patient presenting with a severely compromised residual dentition. To improve function and aesthetics, the treatment combined multiple extractions, temporary rehabilitation with a complete removable denture, guided bone regeneration and implant insertion, soft tissue management, tooth alignment, and restorative dentistry. Thus, several dental branches were embraced during the treatment phases, including oral surgery and implantology, periodontology, orthodontics, and prosthodontics. The involvement of different specialists ensured the achievement of a good result from biological, functional, and aesthetic aspects. The patient was satisfied with the final outcome. In conclusion, to meet the patient’s expectations particularly in complex clinical situations, the interdisciplinary approach becomes essential from the early phases in order to identify the ideal treatment plan with the correct time sequence.

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“…Evidence shows that overdentures can provide better retention and stability and are more easily accepted by patients compared with conventional dentures [3]. Also, overdentures can easily provide optimal lip and soft tissue support [4].…”

Section: Introductionmentioning

confidence: 99%

Oral Health Related Quality of Life of Patients Using Conventional Dentures versus Implant-Supported Overdentures

Azar

Semyari

Kharazifard

2020

fid

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Objectives: This study aimed to compare the oral health related quality of life (OHRQoL) of patients using conventional dentures versus implant-supported overdentures. Materials and Methods: This study evaluated the OHRQoL of 90 patients between 35 to 75 years who were selected from several public and private dental clinics in Tehran in 2018. Of all, 45 had conventional dentures of both jaws, and 45 had a mandibular overdenture supported by two implants at the site of mandibular canine teeth and a conventional maxillary denture. The OHRQoL of patients was determined using the Oral Health Impact Prfile-20 (OHIP-20). The questionnaire was translated to Persian, and its content validity and internal consistency were confirmed. Data were analyzed by one-way ANOVA, Mann-Whitney test, and independent t-test. Results: In the conventional denture group, 46.7% had good, 46.7% had moderate, and 6.6% had poor OHRQoL. These values were 55.6%, 37.8% and 6.6% in the overdenture group, respectively. Level of education had a significant correlation with the total score of OHIP-20 in both groups (P<0.05). But no significant association was noted between the residential status and gender of patients with different domains of OHRQoL (P>0.05) except for the psychological disability domain, which had a higher mean value in males with conventional dentures (P<0.05). Conclusion: Patients with a mandibular overdenture supported by two implants at the site of canine teeth and a conventional maxillary denture had higher OHRQoL than patients with conventional dentures of both jaws.

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Long‐term evaluation of quality of life and satisfaction between implant bar overdentures and conventional complete dentures: A 23 years retrospective study

Abstract: Implant overdentures on cobalt chrome and gold bars offer an excellent long-term solution for edentulism compared with conventional denture.

Cited by 24 publications

References 42 publications

Relationship Between Masticatory Function Impairment and Oral Health‐Related Quality of Life of Edentulous Patients: An Interventional Study

Relationship Between Masticatory Function Impairment and Oral Health‐Related Quality of Life of Edentulous Patients: An Interventional Study

Multidisciplinary Oral Rehabilitation of a Severely Compromised Dentition

Oral Health Related Quality of Life of Patients Using Conventional Dentures versus Implant-Supported Overdentures

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