Improving masticatory performance, bite force, nutritional state and patient's satisfaction with implant overdentures: a systematic review of the literature.
Identifieur interne : 000113 ( Main/Exploration ); précédent : 000112; suivant : 000114Improving masticatory performance, bite force, nutritional state and patient's satisfaction with implant overdentures: a systematic review of the literature.
Auteurs : G C Boven [Pays-Bas] ; G M Raghoebar ; A. Vissink ; H J A. MeijerSource :
- Journal of oral rehabilitation [ 1365-2842 ] ; 2015.
Descripteurs français
- KwdFr :
- Bouche édentée (rééducation et réadaptation), Force occlusale, Humains, Mastication (physiologie), Muscle masséter (anatomie et histologie), Muscles masticateurs (physiologie), Prothèse dentaire complète, Prothèse dentaire implanto-portée, Qualité de vie, Résultat thérapeutique, Satisfaction du patient, État nutritionnel.
- MESH :
- anatomie et histologie : Muscle masséter.
- physiologie : Mastication, Muscles masticateurs.
- rééducation et réadaptation : Bouche édentée.
- Force occlusale, Humains, Prothèse dentaire complète, Prothèse dentaire implanto-portée, Qualité de vie, Résultat thérapeutique, Satisfaction du patient, État nutritionnel.
English descriptors
- KwdEn :
- MESH :
- anatomy & histology : Masseter Muscle.
- physiology : Mastication, Masticatory Muscles.
- rehabilitation : Mouth, Edentulous.
- Bite Force, Dental Prosthesis, Implant-Supported, Denture, Complete, Humans, Nutritional Status, Patient Satisfaction, Quality of Life, Treatment Outcome.
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.
DOI: 10.1111/joor.12241
PubMed: 25307515
Affiliations:
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Le document en format XML
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<term>Humans</term>
<term>Masseter Muscle (anatomy & histology)</term>
<term>Mastication (physiology)</term>
<term>Masticatory Muscles (physiology)</term>
<term>Mouth, Edentulous (rehabilitation)</term>
<term>Nutritional Status</term>
<term>Patient Satisfaction</term>
<term>Quality of Life</term>
<term>Treatment Outcome</term>
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<term>Force occlusale</term>
<term>Humains</term>
<term>Mastication (physiologie)</term>
<term>Muscle masséter (anatomie et histologie)</term>
<term>Muscles masticateurs (physiologie)</term>
<term>Prothèse dentaire complète</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Qualité de vie</term>
<term>Résultat thérapeutique</term>
<term>Satisfaction du patient</term>
<term>État nutritionnel</term>
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<term>Prothèse dentaire implanto-portée</term>
<term>Qualité de vie</term>
<term>Résultat thérapeutique</term>
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<front><div type="abstract" xml:lang="en">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.</div>
</front>
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