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Ky J, Scepanovic T, Senthilvadevel N, Mati S, Ming ALC, Ng M, Nguyen D, Yeo P, Zhao T, Paolini R, Lim MAWT, Celentano A. The effect of clinical interventions on the oral health-related quality of life in older adults. Aust Dent J 2022; 67:302-313. [PMID: 35916114 DOI: 10.1111/adj.12932] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/29/2022] [Indexed: 11/29/2022]
Abstract
This paper reviews the literature to assess the effectiveness of oral health interventions in influencing oral health-related quality of life (OHRQoL) in older adults. Clinical studies published in 2010 onwards reporting oral health interventions in older adults and subsequent changes in OHRQoL were systematically searched in Medline, Web of Science and EMBASE databases. Reporting followed Preferred Reporting Items for Systematic Review and Meta-Analysis criteria. Eligibility evaluation and data abstraction from eligible studies were guided by predefined PICO questions and bias assessment by the Quality in Prognosis Studies tool. The search retrieved 144 articles. Of the 20 articles that met the eligibility criteria, 45% (9) reported a statistically significant improvement in OHRQoL. The majority of studies were conducted in adults with complete edentulism (70%) and mainly focused on implant provision to support a removable prosthesis (30%). The search indicates the limited scope of current literature on geriatric dental interventions, focusing mainly on denture realignments, denture fabrication and implant placement. Although the majority of the oral health interventions focused on edentulism and removable prostheses, there are many areas of oral health interventions and their potential impact on OHRQoL in this demographic group that have yet to be explored.
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Affiliation(s)
- Jimmy Ky
- Melbourne Dental School, University of Melbourne, 720 Swanston Street, Carton, VIC, 3053, Australia
| | - Tamara Scepanovic
- Melbourne Dental School, University of Melbourne, 720 Swanston Street, Carton, VIC, 3053, Australia
| | - Nigashiny Senthilvadevel
- Melbourne Dental School, University of Melbourne, 720 Swanston Street, Carton, VIC, 3053, Australia
| | - Sarah Mati
- Melbourne Dental School, University of Melbourne, 720 Swanston Street, Carton, VIC, 3053, Australia
| | - Anna L C Ming
- Melbourne Dental School, University of Melbourne, 720 Swanston Street, Carton, VIC, 3053, Australia
| | - Matthew Ng
- Melbourne Dental School, University of Melbourne, 720 Swanston Street, Carton, VIC, 3053, Australia
| | - David Nguyen
- Melbourne Dental School, University of Melbourne, 720 Swanston Street, Carton, VIC, 3053, Australia
| | - Priscilla Yeo
- Melbourne Dental School, University of Melbourne, 720 Swanston Street, Carton, VIC, 3053, Australia
| | - Tong Zhao
- Melbourne Dental School, University of Melbourne, 720 Swanston Street, Carton, VIC, 3053, Australia
| | - Rita Paolini
- Melbourne Dental School, University of Melbourne, 720 Swanston Street, Carton, VIC, 3053, Australia
| | - Mathew A W T Lim
- Melbourne Dental School, University of Melbourne, 720 Swanston Street, Carton, VIC, 3053, Australia
| | - Antonio Celentano
- Melbourne Dental School, University of Melbourne, 720 Swanston Street, Carton, VIC, 3053, Australia
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Patients' Satisfaction and Oral Health-Related Quality of Life of Edentulous Patients Using Conventional Complete Dentures and Implant-Retained Overdentures in Saudi Arabia. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19010557. [PMID: 35010815 PMCID: PMC8744659 DOI: 10.3390/ijerph19010557] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/07/2021] [Revised: 12/23/2021] [Accepted: 12/29/2021] [Indexed: 11/28/2022]
Abstract
The aim of this study was to compare patients’ satisfaction and quality of life (QoL) when using implant overdentures vs. conventional dentures. The QoL of Saudi patients who were provided mandibular implant-supported overdentures was assessed using a structured questionnaire. Overall satisfaction; ability to speak, eat, and chew food; comfort; esthetics; stability; and satisfaction of general oral health were measured. A total of 48.3% vs. 6.9% were, overall, very satisfied with their implant overdentures and conventional dentures, respectively. A total of 37.9% of the patients were very satisfied regarding speaking with their implant overdentures vs. 17.2% with conventional dentures. Furthermore, 41.4% were very comfortable with their implant overdentures vs. 5.2% were very comfortable using conventional dentures. However, only 15.5% were very satisfied with the esthetics of the conventional dentures compared to 43.1% being satisfied with implant overdentures. Only 1.7% were very satisfied with the stability of conventional dentures vs. 44.8% being satisfied using implant overdentures. About 8.6% of the candidates were very satisfied regarding chewing food with conventional dentures vs. 36.2% being very satisfied using implant overdentures. Approximately 10.3% were very satisfied with their general oral health using conventional dentures compared to 29.3% being very satisfied using implant overdentures. Mandibular implant overdentures had a strong impact on patients’ quality of life over conventional complete dentures and should be considered the minimum standard of care provided to completely edentulous patients.
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Gennai S, Izzetti R, Pioli MC, Music L, Graziani F. Impact of rehabilitation versus edentulism on systemic health and quality of life in patients affected by periodontitis: A systematic review and meta-analysis. J Clin Periodontol 2021; 49 Suppl 24:328-358. [PMID: 34761419 DOI: 10.1111/jcpe.13526] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2021] [Revised: 05/27/2021] [Accepted: 06/21/2021] [Indexed: 12/18/2022]
Abstract
AIM To investigate the effect of rehabilitation in fully/partially edentulous patients with stage IV periodontitis on oral-health-related quality of life (OHRQoL) and systemic health. MATERIALS AND METHODS A systematic electronic and manual search was conducted. Three authors independently reviewed, selected, and extracted the data. Outcomes were OHRQoL (Oral Health Impact Profile 14 [OHIP-14] and OHIP-49, General Oral Health Assessment Index [GOHAI], visual analogue scale, symptoms registration) and systemic health-related outcomes (incidence and prevalence of systemic diseases, values of systemic disease indicators). Qualitative data were synthesized for OHRQoL and systemic health-related outcomes. Meta-analysis was conducted on available quantitative data. RESULTS The search identified 59 articles (6724 subjects in total). OHRQoL improved across all the studies, irrespective of the number of missing teeth, their location, or treatment modality. Meta-analysis showed significant improvement of OHIP-49 (36.86, p < .01) in manuscripts including subjects affected by periodontitis, consistently with the remaining literature (reduction of score points post rehabilitation: OHIP-14 = 10.52, OHIP-49 = 56.02, GOHAI = 5.40, p < .01 for all). Non-rehabilitated subjects exhibited inferior cognitive status, higher medication intake, and frailty. However, our data are limited and should be interpreted with caution. CONCLUSIONS Oral rehabilitation improves OHRQoL and, potentially, systemic health in edentulous patients. It is unclear whether these findings may be extrapolated to patients with stage IV periodontitis.
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Affiliation(s)
- Stefano Gennai
- Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, Pisa, Italy.,Sub-Unit of Periodontology, Halitosis and Periodontal Medicine, University Hospital of Pisa, Pisa, Italy
| | - Rossana Izzetti
- Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, Pisa, Italy.,Sub-Unit of Periodontology, Halitosis and Periodontal Medicine, University Hospital of Pisa, Pisa, Italy
| | - Maria C Pioli
- Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, Pisa, Italy
| | - Larisa Music
- Department of Periodontology, School of Dental Medicine, University of Zagreb, Zagreb, Croatia
| | - Filippo Graziani
- Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, Pisa, Italy.,Sub-Unit of Periodontology, Halitosis and Periodontal Medicine, University Hospital of Pisa, Pisa, Italy
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Rosa CDDRD, de Souza Leão R, Guerra CMF, Pellizzer EP, Silva Casado BGD, Moraes SLDD. Do ball-type attachment systems for overdenture result in better patient-satisfaction? A systematic review of randomized crossover clinical trial. Saudi Dent J 2021; 33:299-307. [PMID: 34434031 PMCID: PMC8376671 DOI: 10.1016/j.sdentj.2021.03.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2020] [Revised: 02/22/2021] [Accepted: 03/01/2021] [Indexed: 12/27/2022] Open
Abstract
Objective This review is to compare patient-satisfaction with ball-type overdenture attachment systems with others attachment systems. Material and methods This study was registered in PROSPERO (CRD42018097234) and adheres the PRISMA guidelines. Electronic searches on PubMed/MEDLINE, Scopus, Cochrane, and Web of Science databases for published articles were performed before October 2020. The PICO question was: “Do patients with a ball-type overdenture retention system have greater satisfaction, when compared to other attachment systems?” The evaluation of risk of bias was performed using the Cochrane risk of bias tool. Results After searching the databases, seven articles were selected out of a total of 2583. A total of 312 implants were placed in 139 patients, with a mean age of 65.9 years. The risk of bias in the included studies varied according to the different domains in a risk of uncertain bias or low bias risk. No difference was found between the ball attachment systems and the others systems, with respect to patient-satisfaction. The meta-analysis revealed no statistically significant difference between the ball systems and another systems (P = 0.11; MD: 10.90; 95% CI: −2.55 to 24.35). Conclusions Regarding patient general satisfaction, it was not possible to determine differences between the ball system and another types of attachment system for overdenture. The ball-type system was statistically superior only to the magnet system.
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Affiliation(s)
- Cleber Davi Del Rei Daltro Rosa
- Department of Dental Materials and Prosthodontics, Dentistry School, UNESP - São Paulo State University, R: José Bonifácio, 1193, Vila Mendonça, Araçatuba, SP, Brazil
| | - Rafaella de Souza Leão
- Dentistry School, UPE - University of Pernambuco, Av. General Newton Cavalcanti, 1650, Tabatinga, Camaragibe, PE, Brazil
| | | | - Eduardo Piza Pellizzer
- Department of Dental Materials and Prosthodontics, Dentistry School, UNESP - São Paulo State University, R: José Bonifácio, 1193, Vila Mendonça, Araçatuba, SP, Brazil
| | - Bruno Gustavo da Silva Casado
- Dentistry School, UPE - University of Pernambuco, Av. General Newton Cavalcanti, 1650, Tabatinga, Camaragibe, PE, Brazil
| | - Sandra Lúcia Dantas de Moraes
- Dentistry School, UPE - University of Pernambuco, Av. General Newton Cavalcanti, 1650, Tabatinga, Camaragibe, PE, Brazil
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Functional and Patient-Centered Treatment Outcomes with Mandibular Overdentures Retained by Two Immediate or Conventionally Loaded Implants: A Randomized Clinical Trial. J Clin Med 2021; 10:jcm10163477. [PMID: 34441773 PMCID: PMC8396916 DOI: 10.3390/jcm10163477] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2021] [Revised: 07/19/2021] [Accepted: 07/22/2021] [Indexed: 10/25/2022] Open
Abstract
This study aims to assess the treatment outcomes (functional and subjective) of mandibular overdentures retained on two implants with or without an immediate loading protocol. In this randomized clinical trial, twenty fully edentulous patients were treated with a mandibular two-implant-retained overdenture and a complete new maxillary denture. In half of the sample, the implants were loaded immediately by means of VulkanLoc® abutments after emplacement of the implant, but in the counterparts, these VulkanLoc® abutments were connected to implants two months after the surgery (conventional protocol), and until that time the dentures were retained by healing abutments. Treatment outcomes were assessed at two, six, and twelve months after surgery. Functional outcomes were calculated according to masticatory performance, estimated by the mixed fraction of a two-coloured chewing gum after five, ten, and fifteen chewing strokes, by the occlusal force recorded by pressure-sensitive sheets, and by the bioelectrical muscular activity. The subjective outcomes of the treatment were assessed using both the oral satisfaction scale (visual analogue scale) and the Spanish version of the Oral Health Impact Profile (OHIP-20). The findings of the present study show that new complete dentures resulted in significant improvements in chewing ability, patient satisfaction, and oral health-related quality of life and that subsequent implant-retained overdentures produced further and faster significant improvements. The loading protocol may influence those positive self-reported outcomes rather than the objective functional evaluations.
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van de Rijt LJM, Stoop CC, Weijenberg RAF, de Vries R, Feast AR, Sampson EL, Lobbezoo F. The Influence of Oral Health Factors on the Quality of Life in Older People: A Systematic Review. THE GERONTOLOGIST 2020; 60:e378-e394. [PMID: 31729525 DOI: 10.1093/geront/gnz105] [Citation(s) in RCA: 56] [Impact Index Per Article: 14.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2019] [Indexed: 12/28/2022] Open
Abstract
BACKGROUND AND OBJECTIVES The number of people aged 65 years or older is growing substantially. As a result of increased health burden and tooth retention, more oral health problems are expected in this age group. A poor oral health-related quality of life (OHQoL) can compromise a person's psychological state, social relationships, personal beliefs, and physical health. The aim of this systematic review was to identify oral health factors associated with OHQoL in people aged 65 years or older and to give a comprehensive overview of the body of literature for each oral health factor separately. RESEARCH DESIGN AND METHODS A comprehensive search was performed in five databases. The following terms were used as index terms or free-text words: "Oral Health," "Quality of Life," "Older People." Two researchers independently assessed studies for eligibility based on predefined criteria. RESULTS Of 3,702 references retrieved from the databases, 68 studies were eligible and included (9 randomized clinical trials, 6 cohort studies, and 53 cross-sectional studies). All results were reported descriptively. OHQoL in people aged 65 years or older is positively associated with higher number of teeth, higher number of occluding pairs, implant-retained overdentures, and the shortened dental arch concept and negatively associated with xerostomia, orofacial pain, and poor chewing ability. In the current literature, there is no consensus on the association between edentulism, caries, and periodontal conditions and OHQoL. DISCUSSION AND IMPLICATIONS Having a functional dentition (either natural or prosthetic) is important for a good OHQoL, whereas painful or functional complaints are associated with impaired OHQoL.
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Affiliation(s)
- Liza J M van de Rijt
- Faculty of Dentistry, Department of Orofacial Pain & Dysfunction, Academic Centre of Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, The Netherlands
| | - Celine C Stoop
- Faculty of Dentistry, Department of Orofacial Pain & Dysfunction, Academic Centre of Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, The Netherlands
| | - Roxane A F Weijenberg
- Faculty of Dentistry, Department of Orofacial Pain & Dysfunction, Academic Centre of Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, The Netherlands
| | - Ralph de Vries
- Medical Library, Vrije Universiteit Amsterdam, The Netherlands
| | - Alexandra R Feast
- Marie Curie Palliative Care Research Department, Division of Psychiatry, University College Londen, UK
| | - Elizabeth L Sampson
- Marie Curie Palliative Care Research Department, Division of Psychiatry, University College Londen, UK.,Barnet Enfield and Haringey Mental Health Trust Liaison Psychiatry Team, North Middlesex University Hospital, London, UK
| | - Frank Lobbezoo
- Faculty of Dentistry, Department of Orofacial Pain & Dysfunction, Academic Centre of Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, The Netherlands
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Schierz O, Baba K, Fueki K. Functional oral health-related quality of life impact: A systematic review in populations with tooth loss. J Oral Rehabil 2020; 48:256-270. [PMID: 32333415 DOI: 10.1111/joor.12984] [Citation(s) in RCA: 39] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2019] [Revised: 04/03/2020] [Accepted: 04/12/2020] [Indexed: 12/11/2022]
Abstract
Patients perceive the impact of oral disorder in four major areas, the dimensions of oral health-related quality life (OHRQoL) Oral Function, Orofacial Pain, Orofacial Appearance, and Psychosocial Impact. The functional aspect is essential given the need of chewing, biting, speech and swallowing. The objective of this study was to identify OHRQoL information for dental subjects with functional oral health problems. In a systematic review, distinct and clinically relevant groups of dental subject samples, in this study called "population groups," with such functional OHRQoL information based on the Oral Health Impact Profile (OHIP) were identified (PROSPERO registration: CRD42017064033). The search strategy was "Oral Health Impact Profile" or OHIP. Searches were conducted in the PubMed interface of the Medline database, EMBASE, Cochrane, CINAHL and PsyINFO on 8 June 2017 and updated on 14 January 2019. Published OHIP domain data of different versions were recalculated into OHIP-14`s Physical Disability domain score, characterising the subject's Oral Function impact. 3,653 potentially abstracts were screened. We identified 78 publications reporting dimensional information on 154 subject samples with 52 populations. A typical mean functional impact for partially dentate subjects was 1.6 units on a 0 to 8 unit metric, while for edentate subjects, the mean functional impact was 2.6 units. The functional impact score ranged from 0 to 7.9 units with 50% of the patient samples located between 0.8 and 2.6 units. For the first time, we provide normalised and therefore comparable metric information about the functional OHRQoL impact for a substantial number of functional oral conditions.
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Affiliation(s)
- Oliver Schierz
- Department of Prosthodontics and Materials Science, University of Leipzig, Leipzig, Germany
| | - Kazuyoshi Baba
- Department of Prosthodontics, Showa University, Tokyo, Japan
| | - Kenji Fueki
- Removable Partial Prosthodontics, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
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Reissmann DR, Wolfart S, John MT, Marré B, Walter M, Kern M, Kohal R, Nothdurft F, Stark H, Schierz O, Wöstmann B, Hannak W, Mundt T, Pospiech P, Boldt J, Edelhoff D, Busche E, Jahn F, Luthardt RG, Hartmann S, Heydecke G. Impact of shortened dental arch on oral health-related quality of life over a period of 10 years - A randomized controlled trial. J Dent 2018; 80:55-62. [PMID: 30355509 DOI: 10.1016/j.jdent.2018.10.006] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2018] [Revised: 09/20/2018] [Accepted: 10/17/2018] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVES To compare oral health-related quality of life (OHRQoL) in patients with either molar replacement by partial removable dental prostheses (PRDP) or with restored shortened dental arches (SDA) over a period of 10 years. METHODS In this multi-center RCT, a consecutive sample of 215 patients with bilateral molar loss in at least one jaw was initially recruited in 14 prosthodontic departments. Of those patients, 150 could be randomly allocated to the treatment groups (SDA: n = 71; PRDP: n = 79), received the allocated treatment, and were available for follow-up assessments. OHRQoL was assessed using the 49-item version of the Oral Health Impact Profile (OHIP) before treatment (baseline) and at follow-ups after treatment (4-8 weeks and 6, 12, 24, 36, 48, 60, 96, and 120 months). To investigate the course of OHRQoL over time, we longitudinally modelled treatment and time effects using mixed-effects models. RESULTS OHRQoL substantially improved from baseline to first follow-up in both groups indicated by a mean decrease in OHIP scores of 20.0 points (95%-CI: 12.5-27.5). When compared to the SDA group, OHRQoL in the PRDP group was not significantly different (-0.6 OHIP points; 95%-CI: -7.1 to 5.9) during the study period when assuming a constant time effect. OHRQoL remained stable over the 10 years with a statistically insignificant time effect (p = 0.848). CONCLUSIONS For patients requesting prosthodontic treatment for their lost molars, treatments with SDA or PRDP improve clinically relevantly OHRQoL and maintain it over a period of 10 years with no option being superior to the other. CLINICAL SIGNIFICANCE Since there was no significant difference between the two treatment options over the observation period of 10 years, and since results have stayed stable over time, patients can be informed that both treatment concepts are equivalent concerning OHRQoL.
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Affiliation(s)
- Daniel R Reissmann
- Department of Prosthetic Dentistry, Center for Dental and Oral Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
| | - Stefan Wolfart
- Department of Prosthodontics and Biomaterials, Medical Faculty, RWTH Aachen University, Aachen, Germany
| | - Mike T John
- Department of Diagnostic and Biological Sciences, School of Dentistry, University of Minnesota, Minneapolis, MN, USA
| | - Birgit Marré
- Department of Prosthetic Dentistry, Technische Universität Dresden, University Hospital Carl Gustav Carus Dental School, Dresden, Germany
| | - Michael Walter
- Department of Prosthetic Dentistry, Technische Universität Dresden, University Hospital Carl Gustav Carus Dental School, Dresden, Germany
| | - Matthias Kern
- Department of Prosthetic Dentistry, Christian-Albrechts University, Kiel, Germany
| | - Ralf Kohal
- Department of Prosthetic Dentistry, Albert-Ludwig University of Freiburg, Freiburg, Germany
| | - Frank Nothdurft
- Department of Prosthetic Dentistry and Dental Materials Sciences, Saarland University, Homburg, Saar, Germany
| | - Helmut Stark
- Department of Prosthodontics, Preclinical Education and Dental Materials Science, University of Bonn, Bonn, Germany
| | - Oliver Schierz
- Department of Prosthodontics and Materials Science, University of Leipzig, Leipzig, Germany
| | - Bernd Wöstmann
- Department of Prosthetic Dentistry, Justus-Liebig University of Giessen, Giessen, Germany
| | - Wolfgang Hannak
- Department of Prosthodontics, Geriatic Dentistry and Craniomandibular Disorders, Charité - Universitätsmedizin Berlin, Berlin, Germany
| | - Torsten Mundt
- Department of Prosthodontics, Gerodontology and Biomaterials, Dental School, Ernst-Moritz-Arndt University of Greifswald, Greifswald, Germany
| | - Peter Pospiech
- Department of Prosthodontics, Geriatic Dentistry and Craniomandibular Disorders, Charité - Universitätsmedizin Berlin, Berlin, Germany
| | - Julian Boldt
- Department of Prosthodontics, University of Würzburg, Würzburg, Germany
| | - Daniel Edelhoff
- Department of Prosthetic Dentistry, University Hospital, LMU Munich, Munich, Germany
| | - Eckhard Busche
- Department of Prosthetic Dentistry, Witten-Herdecke University, Witten, Germany
| | - Florentine Jahn
- Department of Prosthetic Dentistry and Dental Material Science, Friedrich-Schiller University of Jena, Jena, Germany
| | - Ralph G Luthardt
- Department of Prosthetic Dentistry, Center of Dentistry, Ulm University, Ulm, Germany
| | - Sinsa Hartmann
- Department of Prosthetic Dentistry, Johannes- Gutenberg University of Mainz, Mainz, Germany
| | - Guido Heydecke
- Department of Prosthetic Dentistry, Center for Dental and Oral Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
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A systematic review of studies comparing conventional complete denture and implant retained overdenture. J Prosthodont Res 2018; 62:1-9. [DOI: 10.1016/j.jpor.2017.06.004] [Citation(s) in RCA: 61] [Impact Index Per Article: 10.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2017] [Revised: 06/05/2017] [Accepted: 06/12/2017] [Indexed: 11/19/2022]
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Sánchez-Siles M, Ballester-Ferrandis JF, Salazar-Sánchez N, Gómez-García FJ, Moraleja-Ruiz R, Camacho-Alonso F. Long-term evaluation of quality of life and satisfaction between implant bar overdentures and conventional complete dentures: A 23 years retrospective study. Clin Implant Dent Relat Res 2017; 20:208-214. [DOI: 10.1111/cid.12576] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2017] [Revised: 11/06/2017] [Accepted: 11/23/2017] [Indexed: 11/30/2022]
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Patients Are More Satisfied With Implant-Supported Mandibular Overdentures Than With Conventional Dentures. J Evid Based Dent Pract 2017; 17:411-413. [PMID: 29197445 DOI: 10.1016/j.jebdp.2017.10.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
ARTICLE TITLE AND BIBLIOGRAPHIC INFORMATION Comparison of implant supported mandibular overdentures and conventional dentures on quality of life: a systematic review and meta-analysis of randomized controlled studies. Sivaramakrishnan G, Sridharan K. Aust Dent J. 2016; 61(4):482-8. SOURCE OF FUNDING The authors received no financial support for this study. TYPE OF STUDY/DESIGN Systematic review.
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Batisse C, Bonnet G, Veyrune JL, Nicolas E, Bessadet M. Predictive Parameters of Oral Health Quality of Life in Complete Mandibular Denture Wearers Stabilized by Mini-Implants: A Two-Year Follow-Up Study. MATERIALS 2017; 10:ma10101197. [PMID: 29048334 PMCID: PMC5667003 DOI: 10.3390/ma10101197] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/28/2017] [Revised: 10/03/2017] [Accepted: 10/10/2017] [Indexed: 11/26/2022]
Abstract
The frequent instability of mandibular removable complete dentures affects patient Oral Health Related Quality of Life (OHRQoL). An innovative therapeutic strategy used to improve stability involves placing four symphyseal mini-implants. This study was aimed at assessing OHRQoL over time in subjects in which mini-implants were placed and exploring if certain parameters could predict the evolution of their OHRQoL. The Quality of life of subjects with dentures was assessed using the Geriatric Oral Health Assessment Index (GOHAI) before (T0), 2–6 months (T1), twelve months (T2) and twenty-four or more months (T3) after mini-implant setting. Age, gender and chewing ability were tested as explanatory variables for the change in OHRQoL with time. Thirteen women and six men were included (mean age: 69 ± 10 years). After mini-implant placement, mean GOHAI scores at T1, T2 and T3 increased significantly (p < 0.001). The GOHAI-Add mean score was not affected by age or gender. Baseline chewing ability impacted the “functional” and “pain and discomfort” fields of the mean GOHAI scores (p < 0.05). The OHRQoL was quickly improved after mini-implant placement in complete denture wearers and then stabilized over time. Baseline chewing ability can be used as a predictive parameter of OHRQoL.
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Affiliation(s)
- Cindy Batisse
- Université Clermont Auvergne, CROC EA4847, BP 10448, F-63000 Clermont-Ferrand, France; CHU de Clermont-Ferrand, Service d'Odontologie, F-63000 Clermont-Ferrand, France.
| | - Guillaume Bonnet
- Université Clermont Auvergne, CROC EA4847, BP 10448, F-63000 Clermont-Ferrand, France; CHU de Clermont-Ferrand, Service d'Odontologie, F-63000 Clermont-Ferrand, France.
| | - Jean-Luc Veyrune
- Université Clermont Auvergne, CROC EA4847, BP 10448, F-63000 Clermont-Ferrand, France; CHU de Clermont-Ferrand, Service d'Odontologie, F-63000 Clermont-Ferrand, France.
| | - Emmanuel Nicolas
- Université Clermont Auvergne, CROC EA4847, BP 10448, F-63000 Clermont-Ferrand, France; CHU de Clermont-Ferrand, Service d'Odontologie, F-63000 Clermont-Ferrand, France.
| | - Marion Bessadet
- Université Clermont Auvergne, CROC EA4847, BP 10448, F-63000 Clermont-Ferrand, France; CHU de Clermont-Ferrand, Service d'Odontologie, F-63000 Clermont-Ferrand, France.
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Reissmann DR, Dard M, Lamprecht R, Struppek J, Heydecke G. Oral health-related quality of life in subjects with implant-supported prostheses: A systematic review. J Dent 2017; 65:22-40. [DOI: 10.1016/j.jdent.2017.08.003] [Citation(s) in RCA: 34] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2017] [Revised: 07/09/2017] [Accepted: 08/02/2017] [Indexed: 12/11/2022] Open
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14
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Geerts GAVM. Neutral zone or conventional mandibular complete dentures: a randomised crossover trial comparing oral health-related quality of life. J Oral Rehabil 2017; 44:702-708. [PMID: 28600815 DOI: 10.1111/joor.12533] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/06/2017] [Indexed: 11/28/2022]
Abstract
There is widespread consensus that the neutral zone (NZ) concept contributes to improved stability for mandibular complete dentures (CDs). However, little is known about its impact on oral health-related quality of life (OHRQoL) of edentulous patients compared to conventionally (CV) manufactured dentures. In this prospective crossover trial, performed at the Oral Health Centre of the University of the Western Cape, CV and NZ mandibular dentures were made for each patient. Scores from the 20-item oral health impact profile (OHIP-20) for both types of dentures were compared with pre-treatment scores using paired t-tests. Treatment effect size (ES) was established. Associations of OHIP-20 scores and several patient variables (age, gender, period of edentulousness, quality of the denture-bearing tissue, denture dimensions, preference) were performed using the generalised linear model. Significance was set at P = 0·05. Records of thirty-five participants were included in the study (mean age of 62·3 years, range 47-85 years). There were highly significant differences between pre-treatment and both post-treatment OHIP-20 scores with t = 6·470 for CV and t = 6·713 for NZ. Treatment ES was large for both types of dentures (>0·8). Difference of ES between NZ and CV dentures was small (ES < 0·2). None of the patient variables showed significant associations with OHIP-20 scores of the two types of dentures, except for preference and NZ OHIP-20 scores. For this group of patients, both treatment methods improved OHRQoL significantly and patient-related factors did not influence impact on OHRQoL differently for both interventions.
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Affiliation(s)
- G A V M Geerts
- Department of Restorative Dentistry, Faculty of Dentistry, University of the Western Cape, Bellville, South Africa
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15
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Terheyden H, Wüsthoff F. Occlusal rehabilitation in patients with congenitally missing teeth-dental implants, conventional prosthetics, tooth autotransplants, and preservation of deciduous teeth-a systematic review. Int J Implant Dent 2016; 1:30. [PMID: 27747652 PMCID: PMC5005685 DOI: 10.1186/s40729-015-0025-z] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2015] [Accepted: 08/27/2015] [Indexed: 01/24/2023] Open
Abstract
Background Implant patients with congenitally missing teeth share some common charateristics and deserve special attention. Methods The PICO question was “In patients with congenitally missing teeth, does an early occlusal rehabilitation with dental implants in comparison to tooth autotransplants, conventional prosthetics on teeth or preservation of deciduous teeth have better general outcomes in terms of survival, success and better patient centered outcomes in terms of quality of life, self-esteem, satisfaction, chewing function?” After electronic database search, a total of 63 relevant studies were eligible, of which 42 qualified for numerical data synthesis, 26 being retrospective studies. A data synthesis was performed by weighted means for survival/success/annual failure rates. Results The mean survival of implants was 95.3 % (prosthesis survival 97.8 %), autotransplants 94.4 %, deciduous teeth 89.6 %, and conventional prostheses 60.2 %. The implant survival in children, adolescents, and adults was 72.4, 93.0, and 97.4 %. Annual failure rates of implants 3.317 %, autotransplants 1.061 %, deciduous teeth 0.908 %, and conventional prostheses 5.144 % indicated better results for natural teeth and more maintenance needs for the both prosthetic treatments. The mean OHIP score was 27.8 at baseline and a mean improvement of 14.9 score points was reported after implant prosthetics. The mean satisfaction rates were 93.4 (implants), 76.6 (conventional prostheses), 72.0 (autotransplants), and 65.5 % (orthodontic space closure). Conclusions In synopsis of general and patient-centered outcomes, implants yielded the best results, however, not in children <13 years. Autotransplants and deciduous teeth had low annual failure rates and are appropriate treatments in children and adolescents at low costs. Conventional prosthetics had lower survival/success rates than the other options. Due to heterogeneity and low number of studies, patient-reported outcomes in this review have to be interpreted with caution.
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Affiliation(s)
- Hendrik Terheyden
- Department of Oral and Maxillofacial Surgery, Red Cross Hospital, Hansteinstr. 29, D-34121, Kassel, Germany.
| | - Falk Wüsthoff
- Department of Oral and Maxillofacial Surgery, Schleswig-Holstein University Hospital, Arnold-Heller-Straße 3, Haus 26, 2D-4105, Kiel, Germany
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16
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Sônego MV, Goiato MC, Dos Santos DM. Electromyography evaluation of masseter and temporalis, bite force, and quality of life in elderly patients during the adaptation of mandibular implant-supported overdentures. Clin Oral Implants Res 2016; 28:e169-e174. [PMID: 27616640 DOI: 10.1111/clr.12980] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/02/2016] [Indexed: 11/29/2022]
Abstract
OBJECTIVES The aim of this study was to investigate the outcomes of the installation of two implant-supported overdentures until such treatment is complete. Although this treatment is well established in the literature, there are no studies comparing what happens to muscles and the quality of life (QoL) of patients during the treatment. METHODS We selected 13 completely edentulous patients, according to inclusion and exclusion criteria, to rehabilitate with mandibular overdentures retained by two dental implants and a complete denture as antagonists. We evaluated the efficacy of the treatment and its evolution in five steps: (i) initially, with the old complete dentures, (ii) after the implants' placement with the mandibular prosthesis relined, (iii) after the placement of the healing abutments, (iv) after the installation and adaptation of new prostheses, and (v) after a 3-month follow-up period. At each stage, we evaluated patients via temporal and masseter electromyography (EMG), molar and incisive bite force, and QoL. RESULTS The results for EMG found a decrease in muscle activity during rest, the mastication of raisins, and lateral movements when the overdentures were installed. For the bite force and QoL, there was a gradual improvement from the placement of the healing abutments period (P ˂ 0.05), which was sustained until the follow-up. CONCLUSIONS Comfort and stability improved during the treatment, demonstrated by the QoL and bite force results. These results are positive for elderly patients who might refuse an implant-supported overdenture due to treatment length.
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Affiliation(s)
- Mariana Vilela Sônego
- Department of Dental Materials and Prosthodontics, Aracatuba Dental School, UNESP - Univ Estadual Paulista, Aracatuba, Brazil
| | - Marcelo Coelho Goiato
- Department of Dental Materials and Prosthodontics, Aracatuba Dental School, UNESP - Univ Estadual Paulista, Aracatuba, Brazil
| | - Daniela Micheline Dos Santos
- Department of Dental Materials and Prosthodontics, Aracatuba Dental School, UNESP - Univ Estadual Paulista, Aracatuba, Brazil
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17
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Kodama N, Singh BP, Cerutti-Kopplin D, Feine J, Emami E. Efficacy of Mandibular 2-implant Overdenture: An Updated Meta-analysis on Patient-based Outcomes. JDR Clin Trans Res 2016; 1:20-30. [PMID: 30931700 DOI: 10.1177/2380084416630508] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
The extent of heterogeneity regarding the efficacy of the mandibular 2-implant overdenture is still in question. The aim of this meta-analysis is to provide an update on the existing evidence from randomized controlled trials assessing the efficacy of the mandibular 2-implant overdenture in regard to patient-based outcomes. Electronic searches were carried out to September 2015 through MEDLINE, EMBASE, the Cochrane Central Register of Controlled Trials, and the Cochrane Systematic Reviews. Only randomized controlled trials that compared conventional dentures with mandibular 2-implant overdentures were included. Patient-based outcomes were assessed, including patient satisfaction and oral health- and general health-related quality of life. Random effects models were used to pool the effect sizes of all included studies. Further stratified analyses and heterogeneity analyses were tested, as was publication bias. In addition to the 7 randomized controlled trials that were included in the previous meta-analysis, 4 new trials were identified and included in this update. A random effects model showed that, when compared with conventional dentures, mandibular 2-implant overdentures significantly improved patient satisfaction (pooled effect size = 0.87, z = 5.31, 95% confidence interval: 0.55 to 1.19, P < 0.0001, χ2 = 41.82, df = 8, P < 0.0001, I2 = 81%) and oral health-related quality of life (pooled effect size = -0.66, z = 2.72, 95% confidence interval: -1.13 to -0.18, P = 0.007, χ2 = 21.26, df = 4, P = 0.0003, I2 = 81%). The differences in participant recruitment and their pretreatment condition were important sources of heterogeneity among the studies. Only 1 study investigated the impact of mandibular implant overdentures on perceived general health, and it revealed no between-treatment differences. The 2-implant mandibular overdenture improves patient satisfaction and quality of life for the general edentate population. Health status, poor oral condition, and patient characteristics may effect patient-based outcomes and should be considered by clinicians in treatment planning. Knowledge Transfer Statement: This meta-analysis shows that mandibular 2-implant overdentures are significantly more satisfactory to the general edentate populations than new conventional dentures. The results also show that mandibular 2-implant overdentures provide significantly better oral health-related quality of life than do new conventional dentures. These results should be shared with edentate patients in planning their treatment.
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Affiliation(s)
- N Kodama
- 1 Department of Occlusal and Oral Functional Rehabilitation, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
| | - B P Singh
- 2 Department of Prosthodontics, King George's Medical University, Lucknow, India
| | - D Cerutti-Kopplin
- 3 Department of Dental Public Health, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - J Feine
- 4 Oral Health and Society Research Unit, Faculty of Dentistry; Department of Epidemiology and Biostatistics and Department of Oncology, Faculty of Medicine, McGill University, Montreal, Canada
| | - E Emami
- 5 Département de Dentisterie de Restauration, Faculté de Médecine Dentaire, Université de Montréal, Montréal, Canada
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18
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Khalid T, Yunus N, Ibrahim N, Elkezza A, Masood M. Patient-reported outcome and its association with attachment type and bone volume in mandibular implant overdenture. Clin Oral Implants Res 2016; 28:535-542. [DOI: 10.1111/clr.12831] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/26/2016] [Indexed: 11/29/2022]
Affiliation(s)
- Taimur Khalid
- Department of Restorative Dentistry; Faculty of Dentistry; University of Malaya; Kuala Lumpur Malaysia
| | - Norsiah Yunus
- Department of Restorative Dentistry; Faculty of Dentistry; University of Malaya; Kuala Lumpur Malaysia
| | - Norliza Ibrahim
- Department of Oro-Maxillofacial and Medical Sciences; University of Malaya; Kuala Lumpur Malaysia
| | - Aeman Elkezza
- Department of Restorative Dentistry; Faculty of Dentistry; University of Malaya; Kuala Lumpur Malaysia
| | - Mohd Masood
- Faculty of Dentistry; Center of Population Oral Health & Clinical Prevention Studies; Universiti Teknologi MARA; Selangor Shah Alam Malaysia
- Division of Population & Patient Health; King's College; London UK
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19
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van Eekeren PJA, Aartman IHA, Tahmaseb A, Wismeijer D. The effect of implant placement in patients with either Kennedy class II and III on oral health-related quality of life: a prospective clinical trial. J Oral Rehabil 2015; 43:291-6. [DOI: 10.1111/joor.12370] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/16/2015] [Indexed: 11/30/2022]
Affiliation(s)
- P. J. A. van Eekeren
- Department of Oral Function Section of Oral Implantology and Fixed Prosthetics; Academic Centre of Dentistry Amsterdam; Amsterdam
| | - I. H. A. Aartman
- Department of Social Dentistry and Behavioral Sciences; Academic Centre of Dentistry Amsterdam; Amsterdam The Netherlands
| | - A. Tahmaseb
- Department of Oral Function Section of Oral Implantology and Fixed Prosthetics; Academic Centre of Dentistry Amsterdam; Amsterdam
| | - D. Wismeijer
- Department of Oral Function Section of Oral Implantology and Fixed Prosthetics; Academic Centre of Dentistry Amsterdam; Amsterdam
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20
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Quirynen T, Quirynen M, Duyck J. Prevention of distal extension cantilever fracture in mandibular overdentures. J Dent 2015; 43:1140-1147. [PMID: 26130581 DOI: 10.1016/j.jdent.2015.06.007] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2014] [Revised: 06/12/2015] [Accepted: 06/23/2015] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVES Fractures of distal bar extensions, supporting a mandibular overdenture, do occur with significant functional and economic consequences for the patient. This study therefore aims to evaluate the effect of different bar cross-sectional shapes and surfaces, bar extension lengths and the placement of a support rib under the distal bar extension on fracture resistance. MATERIALS AND METHODS The 2nd moment area and static strength were calculated for 11 frequently used bar designs using finite element analysis (FEA). For two specific designs (Ackermann round Ø 1.8mm and Dolder-Y macro, the former with and without a support rib) additional physical static and fatigue strength tests were included. RESULTS The FEA static strength data corresponded well to the 2nd moment area (a similar ranking when maximum allowed force was considered). The application of a rib support (Ackermann Ø 1.8mm) and limitations of the bar extension length (6mm for the Ackermann Ø 1.8mm, 8mm for the Dolder-Y macro) allowed the bars to exceed 5 × 10(6) cycles of 120 and 250N, respectively, before fracture. The region of highest stresses in FEA corresponded well with the locations of the fractures observed in static- and fatigue-testing. CONCLUSIONS With some simple guidelines/modifications, the number of bar extension fractures can be reduced significantly. CLINICAL SIGNIFICANCE This study focusses on distal bar extensions which improve the positioning of an implant supported overdenture. By combining laboratory testing and finite element simulations we aim to: (1) explain why fractures occur (dependent on physical characteristics of the bar), and (2) give clinical guidelines on how to prevent such fractures.
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Affiliation(s)
- Thomas Quirynen
- Department of Mechanical Engineering, Biomechanics Section, KU Leuven, Leuven, Belgium.
| | - Marc Quirynen
- Department of Oral Health Sciences, University Hospitals & Dentistry Leuven, Periodontology, KU Leuven, Belgium.
| | - Joke Duyck
- Department of Oral Health Sciences, University Hospitals & Dentistry Leuven, Prosthetic Dentistry, KU Leuven, Belgium.
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21
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Aarabi G, John MT, Schierz O, Heydecke G, Reissmann DR. The course of prosthodontic patients’ oral health-related quality of life over a period of 2 years. J Dent 2015; 43:261-8. [DOI: 10.1016/j.jdent.2014.09.006] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2014] [Revised: 09/04/2014] [Accepted: 09/09/2014] [Indexed: 11/24/2022] Open
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22
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Kremer U, Schindler S, Enkling N, Worni A, Katsoulis J, Mericske-Stern R. Bone resorption in different parts of the mandible in patients restored with an implant overdenture. A retrospective radiographic analysis. Clin Oral Implants Res 2014; 27:267-72. [DOI: 10.1111/clr.12523] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/10/2014] [Indexed: 11/30/2022]
Affiliation(s)
- Urs Kremer
- Department of Prosthodontics; School of Dental Medicine; University of Bern; Bern Switzerland
| | - Sven Schindler
- Department of Prosthodontics; School of Dental Medicine; University of Bern; Bern Switzerland
| | - Norbert Enkling
- Department of Prosthodontics; School of Dental Medicine; University of Bern; Bern Switzerland
| | - Andreas Worni
- Department of Prosthodontics; School of Dental Medicine; University of Bern; Bern Switzerland
| | - Joannis Katsoulis
- Department of Prosthodontics; School of Dental Medicine; University of Bern; Bern Switzerland
| | - Regina Mericske-Stern
- Department of Prosthodontics; School of Dental Medicine; University of Bern; Bern Switzerland
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23
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Boven GC, Raghoebar GM, Vissink A, Meijer HJA. Improving masticatory performance, bite force, nutritional state and patient's satisfaction with implant overdentures: a systematic review of the literature. J Oral Rehabil 2014; 42:220-33. [PMID: 25307515 DOI: 10.1111/joor.12241] [Citation(s) in RCA: 129] [Impact Index Per Article: 12.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/15/2014] [Indexed: 11/29/2022]
Abstract
Oral function with removable dentures is improved when dental implants are used for support. A variety of methods is used to measure change in masticatory performance, bite force, patient's satisfaction and nutritional state. A systematic review describing the outcome of the various methods to assess patients' appreciation has not been reported. The objective is to systematically review the literature on the possible methods to measure change in masticatory performance, bite force, patient's satisfaction and nutritional state of patients with removable dentures and to describe the outcome of these. Medline, Embase and The Cochrane Central Register of Controlled Trials were searched (last search July 1, 2014). The search was completed by hand to identify eligible studies. Two reviewers independently assessed the articles. Articles should be written in English. Study design should be prospective. The outcome should be any assessment of function/satisfaction before and at least 1 year after treatment. Study population should consist of fully edentulous subjects. Treatment should be placement of any kind of root-form implant(s) to support a mandibular and/or maxillary overdenture. Fifty-three of 920 found articles fulfilled the inclusion criteria. A variety of methods was used to measure oral function; mostly follow-up was 1 year. Most studies included mandibular overdentures, three studies included maxillary overdentures. Implant-supported dentures were accompanied by high patient's satisfaction with regard to denture comfort, but this high satisfaction was not always accompanied by improvement in general quality of life (QoL) and/or health-related QoL. Bite force improved, masseter thickness increased and muscle activity in rest decreased. Patients could chew better and eat more tough foods. No changes were seen in dietary intake, BMI and blood markers. Improvements reported after 1 year apparently decreased slightly with time, at least on the long run. Treating complete denture wearers with implants to support their denture improves their chewing efficiency, increases maximum bite force and clearly improves satisfaction. The effect on QoL is uncertain, and there is no effect on nutritional state.
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Affiliation(s)
- G C Boven
- Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
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24
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Emami E, Michaud PL, Sallaleh I, Feine JS. Implant-assisted complete prostheses. Periodontol 2000 2014; 66:119-31. [DOI: 10.1111/prd.12041] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/12/2013] [Indexed: 11/28/2022]
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25
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Quirynen M, Al-Nawas B, Meijer HJA, Razavi A, Reichert TE, Schimmel M, Storelli S, Romeo E. Small-diameter titanium Grade IV and titanium-zirconium implants in edentulous mandibles: three-year results from a double-blind, randomized controlled trial. Clin Oral Implants Res 2014; 26:831-40. [PMID: 24713048 DOI: 10.1111/clr.12367] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/10/2014] [Indexed: 01/23/2023]
Abstract
OBJECTIVE The aim of this study was to compare crestal bone-level changes, soft tissue parameters and implant success and survival between small-diameter implants made of titanium/zirconium (TiZr) alloy or of Grade IV titanium (Ti) in edentulous mandibles restored with removable overdentures. MATERIALS AND METHODS This was a randomized, controlled, double-blind, split-mouth multicenter clinical trial. Patients with edentulous mandibles received two Straumann bone-level implants (diameter 3.3 mm), one of Ti Grade IV (control) and one of TiZr (test), in the interforaminal region. Implants were loaded after 6-8 weeks and removable Locator-retained overdentures were placed within 2 weeks of loading. Modified plaque and sulcus bleeding indices, radiographic bone level, and implant survival and success were evaluated up to 36 months. RESULTS Of 91 treated patients, 75 completed the three-year follow-up. Three implants were lost (two control and one test implant). The survival rates were 98.7% and 97.3%, and the mean marginal bone level change was -0.78 ± 0.75 and -0.60 ± 0.71 mm for TiZr and Ti Grade IV implants. Most patients had a plaque score of 0 or 1 (54% for test and 51.7% for control), and a sulcus bleeding score of 0 (46.1% for test and 44.9% for control). No significant differences were found between the two implant types for bone-level change, soft tissue parameters, survival and success. CONCLUSIONS After 36 months, similar outcomes were found between Ti Grade IV and TiZr implants. The results confirm that the results seen at 12 months continue over time.
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Affiliation(s)
| | | | - Henny J A Meijer
- University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
| | - Amir Razavi
- Cantonal Hospital Lucerne, Lucerne, Switzerland
| | | | | | - Stefano Storelli
- University of Milan Dental Clinic, San Paolo Hospital, Milan, Italy
| | - Eugenio Romeo
- University of Milan Dental Clinic, San Paolo Hospital, Milan, Italy
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Emami E, de Souza RF, Bernier J, Rompré P, Feine JS. Patient perceptions of the mandibular three-implant overdenture: a practice-based study. Clin Oral Implants Res 2014; 26:639-43. [DOI: 10.1111/clr.12351] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/19/2014] [Indexed: 11/27/2022]
Affiliation(s)
- Elham Emami
- Department of Restorative Dentistry; Faculty of Dentistry; Université de Montréal; Montreal QC Canada
- Department of Social and Preventive Medicine; School of Public Health; Université de Montréal; Montreal QC Canada
| | - Raphael F. de Souza
- Department of Dental Materials and Prosthodontics; Ribeirão Preto Dental School; University of São Paulo; Ribeirão Preto Brazil
| | | | - Pierre Rompré
- Département de Stomatologie; Faculté de Médecine Dentaire; Université de Montréal; Montreal QC Canada
| | - Jocelyne S. Feine
- Oral Health and Society Research Unit; Faculty of Dentistry; McGill University; Montreal QC Canada
- Department of Epidemiology and Biostatistics and Department of Oncology; Faculty of Medicine; McGill University; Montreal QC Canada
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