2021
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Abstract: Objective This randomized clinical trial aimed to compare the outcomes of the mandibular overdenture retained by one (1‐IOD) or two (2‐IOD) implants. Materials and methods Participants received new complete dentures, were assessed at baseline and randomly assigned to groups. Early loaded single midline implant (1‐IOD) or two implants in the canine regions bilaterally (2‐IOD). Ball attachments were used for overdenture retention. Post‐treatment outcomes (6‐ and 12‐month follow‐ups) included patient satisfaction… Show more

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“…This study reports a relatively short follow-up period (1-year), which might be considered adequate to reveal the positive effects on patient-reported outcomes, but not sufficient to show the longterm stability of the peri-implant tissues, the occurrence of delayed implant failure, and the incidence of prosthodontics complications and maintenance needs. Nevertheless, previous studies reported a similar incidence of implant failures between SIMO and overdentures retained by two implants (Resende et al, 2021) and an increased failure risk in the immediate post-loading period (Coutinho et al, 2021). The mean marginal bone loss was within 1 mm during the first year after loading (Roos et al, 1997).…”
Section: Discussionmentioning
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“…This study reports a relatively short follow-up period (1-year), which might be considered adequate to reveal the positive effects on patient-reported outcomes, but not sufficient to show the longterm stability of the peri-implant tissues, the occurrence of delayed implant failure, and the incidence of prosthodontics complications and maintenance needs. Nevertheless, previous studies reported a similar incidence of implant failures between SIMO and overdentures retained by two implants (Resende et al, 2021) and an increased failure risk in the immediate post-loading period (Coutinho et al, 2021). The mean marginal bone loss was within 1 mm during the first year after loading (Roos et al, 1997).…”
Section: Discussionmentioning
“…Previous studies indicated that this treatment option requires a low extra cost when the conventional denture is converted into a single‐implant mandibular overdenture (SIMO), and this approach may be a more cost‐effective alternative when compared to other complex solutions with a higher number of implants (Hartmann et al, 2020; Padmanabhan et al, 2020). Also, SIMO may be comparable to the standard treatment using two implants (Alqutaibi et al, 2017; Resende et al, 2021; Walton et al, 2009) and might be regarded as a viable alternative for patients demanding less extensive and less costly interventions with implants.…”
Section: Introductionmentioning
“…The study protocol was previously registered (NCT03691285) and approved by the local ethical research committee (CAEE 65240617.5.0000.5083). A detailed description of the randomized clinical trial is previously published [13], which includes the 1-year results of comparative changes in oral health-related quality of life, patient satisfaction, and chewing function. All patient treatments and data collection were conducted at the School of Dentistry of the Federal University of Goias, Brazil.…”
Section: Methodsmentioning
“…Subjects who did not meet the inclusion and exclusion criteria were referred for appropriate treatment in other clinical settings of the dental school. The study sample size was calculated within the context of the main study [13] and comprised 48 participants, 24 in each group.…”
Section: Participantsmentioning
“…One implant provides remarkable improvements compared to complete dentures with no implants (Amaral et al, 2019; Harder et al, 2011). When comparing one versus two implants, one investigation found a better masticatory performance for two implants (Paleari et al, 2018), while the other investigation could not confirm an inferior masticatory performance with one implant (de Resende et al, 2021). Authors from a systematic literature review concluded that implants placed in the edentulous mandible seem to improve masticatory function irrespective of the number of implants (Boven et al, 2015). Bhat et al (2016) investigated the maximum bite force of ten edentulous patients who received three implants in the mandible, which were successively loaded with a follow‐up interval of 1 month each.…”
Section: Introductionmentioning