The single mandibular implant study – Short-term effects of the loading protocol on Oral Health-related Quality of Life

Schwindling, Franz Sebastian; Raedel, Michael; Passia, Nicole; Freitag‐Wolf, Sandra; Wolfart, Stefan; Att, Wael; Mündt, Torsten; Reißmann, Daniel R.; Ismail, Fadi; Königsmark, Valerie von; Kern, Matthias

doi:10.1016/j.jpor.2017.12.003

Cited by 24 publications

(42 citation statements)

References 12 publications

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“…It is also assumed to be a more feasible option for geriatric patients due to their reduced functional demands and the favourable local bone condition in the symphyseal region that ensures satisfactory primary implant stability. Previous clinical studies reported favourable results on patient satisfaction and dental patient‐reported outcomes measures, 6,7 independently of the implant loading protocol, 8 as well as other clinical and radiographic outcomes such as implant survival rate, marginal bone loss and longitudinal implant stability 9 . Despite differences across clinical studies regarding their experimental design, implant and retention systems, loading protocols and selected outcomes, there is convincing evidence on the marked improvements provided by the IOD compared to the conventional treatment.…”

Section: Introductionmentioning

confidence: 99%

A parallel 3‐group randomised clinical trial comparing different implant treatment options for the edentulous mandible: 1‐year effects on dental patient‐reported outcomes and chewing function

Hartmann

Bandeira

Araújo

et al. 2020

J of Oral Rehabilitation

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Objective This parallel three‐group randomised clinical trial compared the 1‐year changes in dental patient‐reported outcomes and chewing function associated with three treatment strategies for the edentulous mandible: single‐implant (G‐I; n = 11) or two‐implant overdentures (G‐II; n = 13), and fixed 4‐implant complete denture (G‐III; n = 13). Methods Complete denture (CD) treatment was provided to all participants and after an adaptation period, they were randomly assigned to one of the three study groups. Implants (Neodent TI Cortical, Brazil) were inserted using single‐stage surgery and conventional loading. The mandibular dentures were incorporated into implants using specific retention systems and procedures according to the treatment group: O’ring/ball attachments for G‐I and GII, and mini‐conical abutments for G‐III. Patients were assessed at baseline (CD stage) and up to 1‐year after implant‐retained prosthodontic treatment. Treatment outcomes included oral health‐related quality of life (OHIP‐Edent), satisfaction with the dentures and chewing function using a mixing ability test. Data analyses included pairwise comparison tests, estimates of effect sizes and regression analysis using Generalized Estimating Equations. Results Results showed improvement in patient‐reported outcomes (lower OHIP‐Edent scores and higher satisfaction) and chewing function, compared to baseline. No significant between‐group differences were found, although effect sizes were lower for G‐III. Conclusions All treatments improved the assessed outcomes after transition from the baseline condition. Findings suggest that simplified implant treatments for edentulous patients result in favourable outcomes and may be considered as suitable alternatives to more complex interventions.

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Section: Introductionmentioning

confidence: 99%

A parallel 3‐group randomised clinical trial comparing different implant treatment options for the edentulous mandible: 1‐year effects on dental patient‐reported outcomes and chewing function

Hartmann

Bandeira

Araújo

et al. 2020

J of Oral Rehabilitation

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“…Liddelow and Henry (6) reported 100% survival rate after three-year observation period for all implants loaded immediately at the day of implant placement. The present results could be compared to 82% implant survival rate in the studies published by Kronström et al who observed that immediately loaded implants failed within the first twelve months (18,20). The slightly higher implant failure rate occurred in Kronström et al (18,20) studies may be attributed to implant overloading by laboratory inaccuracies, as the researchers did not intra-orally relate the implant components to the denture.…”

Section: Discussionmentioning

confidence: 45%

“…Although good clinical results have been reported for immediate loading on ball attachments, (3,5,6,12,15,(18)(19)(20) studies available for reliable data on immediately loaded locator attachments are limited in the literature (11). Therefore, the aim of this study was to assess primarily the influence of locator attachment on the initial stability and bone height changes for immediately loaded SIMO.…”

Section: Introductionmentioning

confidence: 99%

“…As the single midline dental implant is located in an excellent host site for oral implantology at thick cortical bone in the symphysis, those implants are showed high success rate for delayed (13,17) and immediate loading protocols (12,18). Fortunately; immediate loading concepts could lead to a shorter overall treatment time and the patients could benefit earlier from the advantages provided by the implantassisted overdenture (3,19). However, many authors noticed a significant increase in early failures of immediately-loaded implants (6,20).…”

Section: Introductionmentioning

confidence: 99%

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The Implant stability and bone height changes for immediately loaded single implant-retained mandibular overdentures with locator attachments

Abdel-Khalek

Mekawy

2018

Int Dent Res

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Aim: The aim was to evaluate the efficacy of attachment placement on initial stability and bone height changes for immediately loaded single-implants retaining mandibular overdentures. Methodology: Twenty edentulous patients were recruited for this study; 9 females (45.0%) and, 11 males (55.0%) (age ranged from 59.0 to 70.0 year). Single endoosseos implant was inserted in the mandibular midline region. Immediately after surgery; Locator abutment was secured on the implant and the male housing was connected intraorally using direct pick-up procedure. Marginal bone height measurements and implant stability values were assessed at the time of implant placement (baseline), 2,4,6,8, 12, 24 weeks then every 6-month interval up to 18 months post-implant placement. Results: The implant stability values decreased markedly from the baseline, during 4 weeks and, then increased gradually until reaching the initial values after 12 weeks followed by continuous increase to study’s end (p<0.05). The peri-implant marginal bone level revealed an acceptable range of bone loss with a statistically signiﬁcant differences between different follow-up times and it continued to the end of the study (p<0.05). Conclusion: Retaining an overdenture by immediately loaded single implant could be a successful treatment option for mandibular edentulous arches, especially in people with limited financial resources. The use of Locator attachment seemed to have a favorable effect on implant stability and marginal bone around immediately loaded single implant mandibular overdenture after 18-months of function.

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“…These results corroborate previous studies that described a relevant improvement in OHRQoL after implant placement under existing RDPs. 5 However, this conversion technique entails lower costs for the patient.…”

Section: Discussionmentioning

confidence: 99%

Improving Oral Health–Related Quality of Life by Converting Fractured Abutment Teeth in Double Crown–Retained Removable Prostheses into Root-Anchored Ball Attachments

Rauch¹,

Hahnel²,

Köthe³

et al. 2019

Int J Prosthodont

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The single mandibular implant study – Short-term effects of the loading protocol on Oral Health-related Quality of Life

Abstract: The single mandibular implant concept was associated with a positive impact on quality of life. However, no statistically significant influence of implant loading on quality of life was found.

Cited by 24 publications

References 12 publications

A parallel 3‐group randomised clinical trial comparing different implant treatment options for the edentulous mandible: 1‐year effects on dental patient‐reported outcomes and chewing function

A parallel 3‐group randomised clinical trial comparing different implant treatment options for the edentulous mandible: 1‐year effects on dental patient‐reported outcomes and chewing function

The Implant stability and bone height changes for immediately loaded single implant-retained mandibular overdentures with locator attachments

Improving Oral Health–Related Quality of Life by Converting Fractured Abutment Teeth in Double Crown–Retained Removable Prostheses into Root-Anchored Ball Attachments

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