“Longitudinal Oral Health‐Related Quality of Life in maxillary mini dental implant overdentures after 3 years in function”

Self Cite

Background: Implant-supported overdentures (IOD) are becoming a more commonly used treatment in the dental practice and it risks causing speech problems.Purpose: The aim of this study was investigating the changes in speech, satisfaction with speech, and overall oral health-related quality of life (OHRQoL) in edentulous patients during and after treatment with maxillary IODs.Materials and methods: Twenty-one patients receiving an IOD participated in speech assessment. They were examined preoperatively with their conventional denture (CD) with full palatal coverage, after connection of the implant-bar connected denture, without palatal coverage, and 3 years thereafter. The examination included assessment of articulation in speech, OHRQoL based on total OHIP-14, and satisfaction with overall oral health and speech (visual analogue scale).Results: There was a reduction in mean number of articulation disorders from 1.00 at baseline to 0.55 at connection, although statistically insignificant (p = 0.059). Especially the /s/ sound is vulnerable. At 3 years follow-up, still 6/16 (37.5%) of the patients suffered from this speech problem. Overall satisfaction improved from 64.05/100 at baseline to 82.95/100 at connection (p = 0.008) and remained unchanged with 81.69/100 after 3 years follow-up. Patients' satisfaction with speech increased from 70.62/100 with CD to 82.63/100, 3 years follow-up (p = 0.009). Total OHIP-14 decreased from 21.45/56 with CD to 8.00/56 (p < 0.001) with IOD and 6.13/56 3 years after connection (p = 0.001). Significant improvement of all seven domains in OHRQoL was observed with IOD compared to CD.Conclusions: Patients treated with maxillary IODs show improved OHRQoL 3 years after connection of the IOD compared to the CD. Even though patients reported improvement of satisfaction and OHRQoL, articulation disorders were still present, suggesting that patients should be informed about possible speech issues.Ester Fonteyne and Eline Burms contributed equally to this study.

Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Four‐implant‐supported overdenture treatment in the maxilla. Part II: Speech‐ and oral health‐related quality of life in patients with implant‐supported overdentures in the maxilla—A prospective 3‐year follow‐up

Fonteyne

Burms

Matthys

et al. 2021

Self Cite

Five years clinical outcome of maxillary mini dental implant overdenture treatment: A prospective multicenter clinical cohort study

Doorne

Vandeweghe

Matthys

et al. 2023

Self Cite

BackgroundThe long‐term clinical outcome of mini dental implants (MDIs) to support an overdenture is underreported especially in severely atrophic maxillae and when installed flaplessly.PurposeThe current report is a 5‐years follow‐up of the previously published 2‐ and 3‐years clinical outcome of MDIs supporting a maxillary overdenture in narrow alveolar ridges. MDI survival, marginal bone level, peri‐implant health, technical complications, and oral health related quality of life (OHIP) and respective changes over time are reported.Materials and methodsSubjects aged 50 years or older, in need of improvement of maxillary denture retention, were included. The MDIs were 2.4 mm diameter one‐piece tapered implants, Class 4 pure Titanium, and lengths 10 or 11.5 mm. Under local anesthesia, 5–6 MDIs were placed in atrophic maxillae with a free‐handed flapless approach. One week postoperative the denture was adapted with a retentive soft reliner. The final prosthetic connection was established after 6 months with a metal‐reinforced horse‐shoe denture. Clinical outcome after 5 years was assessed with probing pocket depts (PPD), bleeding on probing (BoP), and additional cone beam computed tomography (CBCT) MDI bone level measurements were performed. Oral Health‐Related Quality of Life (OHRQoL) investigated with OHIP‐14 was assessed preoperative, during provisional loading, and after final prosthetic connection up to 5 years.ResultsInitially, 31 patients (14 females and 17 males) with mean age 62.30 underwent treatment. In the provisional loading interval, 16 patients encountered 32/185 MDIs failures, resulting in a failure of 17.3%; 170 MDIs were functionally loaded in 29 patients. Additionally, 14 implants were lost in three patients, all of whom had had already previous failures.Reimplantation of 17 MDIs were performed during the provisional loading and 2 MDI after functional loading. After 5 years, the absolute implant failure rate was 46/204 (22.5%), corresponding to a cumulative failure rate of 23.2%. Prosthetic failure was observed in four patients due to implant loss and in two patients related to excessive one‐piece implant ball attachment wear, making the 5‐years prosthetic success 80.0%.The mean PPD and absence/presence of BoP for 149 implants at 5 years was 4.3 and 0.2 mm, respectively. Average mesial‐distal‐vestibular‐palatal bone loss in the interval 2–5 years was 0.08 mm. No statistically significant difference in marginal MDI bone loss between male or female (p = 0.835), smoking and nonsmoking (p = 0.666) was observed. The five‐years total measured CBCT interdental bone level (mesial and distal) correlates with the 5‐years PPD (Pearson 0.434; p = 0.01). After 5 years, OHRQoL with the treatment procedure was assessed in 27/31 participants. Decreasing mean total OHIP‐14 scores with improved OHRQoL, was observed in 27/31 participants, with values of 21.3 at baseline to 15.6 at the time of provisional loading which significantly (p = 0.006) decrease to 7.3 at the final prosthetic connection. The next 3–5 years further decrease was observed with 6.5 and 4.96, respectively.ConclusionsMaxillary MDIs for overdentures are an accessible and acceptable treatment option. Although after 5 years between one fifth and one fourth of the MDIs were lost, prosthetic success remains 80.0% and high OHRQoL could be achieved.

Immediately loaded full arch implant rehabilitation and oral health‐related quality of life: A retrospective cohort study from primary dental care

Legg,

Hare,

Campbell

2023

AimsThis study evaluates patient‐centered outcomes in patients undergoing full‐arch rehabilitation, with immediate loading of implants. Using the Oral Health Impact Profile questionnaire pre‐and post‐treatment, it assesses the hypothesis that immediate full arch loading significantly improves quality of life.MethodologyA dataset was defined as: 20 consecutive patients from a research database who had undergone IFAL surgery (maxilla, mandible, or both) and definitive restoration by a single clinician, and completed the OHIP‐14 questionnaire prior to treatment and after restoration.ResultsPre (T0) and post (T1) treatment questionnaires were analyzed from 20 consecutive patients in whom a total of 160 implants were placed. The mean T0 score was 26.7, and mean T1 score 4.6. Differences were statistically significant (p = 0.00008). Greatest improvements were seen in psychological discomfort and disability, and pain. Worsening quality of life was shown by questions relating to speech in six patients and taste in three patients.ConclusionThis study demonstrates that overall IFAL significantly improves tooth‐related quality of life. It suggests reasons for patients to seek treatment while providing evidence to manage expectations, such as possible implications on speech, thus supporting informed consent of future patients in a primary care setting.