Effectiveness of three treatment modalities for the edentulous mandible
Identifieur interne : 003F90 ( Istex/Checkpoint ); précédent : 003F89; suivant : 003F91Effectiveness of three treatment modalities for the edentulous mandible
Auteurs : Gerry M. Raghoebar [Pays-Bas] ; Henny J. A. Meijer [Pays-Bas] ; Boudewijn Stegenga [Pays-Bas] ; Martin A. Van'T Hof [Pays-Bas] ; Rob P. Van Oort [Pays-Bas] ; Arjan Vissink [Pays-Bas]Source :
- Clinical Oral Implants Research [ 0905-7161 ] ; 2000-06.
English descriptors
- KwdEn :
- Ability questionnaire, Avec ancrage, Better scores, Clinical trials, Complete denture, Complete denture wearers, Complete dentures, Control group, Dental implants, Dental research, Denture, Denture complaints, Denture complaints questionnaire, Denture satisfaction, Edentulous, Edentulous mandible, Edentulous patients, Edentulous period, Endosseous, Endosseous implants, Este estudio, General anaesthesia, Hard food, Healing period, Implant, Implants research, International journal, Longitudinal study, Lower denture, Mandible, Mandibular, Mandibular height, Mandibular overdenture, Mandibular overdentures, Masticatory performance, Maxillofacial, Maxillofacial implants, Maxillofacial prosthodontics, Maxillofacial surgery, Meticulous construction, Modality, Nach, Nuevo juego, Oral implantology, Osseointegrated implants, Other items, Overall denture satisfaction, Overall denture satisfaction rating, Overdenture, Overdentures, Patient satisfaction, Preprosthetic, Preprosthetic surgery, Prosthetic dentistry, Prothese, Prothese amovible, Protheses amovibles, Protocol analysis, Raghoebar, Randomized, Rating scale, Satisfaction rate, Satisfaction rates, Satisfaction scores, Score complaints, Score problems, Score satisfaction rate, Sensory changes, Standard treatment, Standardized procedure, Tough food, Treatment modalities, Treatment options, University hospital groningen, Upper denture, Vestibuloplasty.
- Teeft :
- Ability questionnaire, Avec ancrage, Better scores, Clinical trials, Complete denture, Complete denture wearers, Complete dentures, Control group, Dental implants, Dental research, Denture, Denture complaints, Denture complaints questionnaire, Denture satisfaction, Edentulous, Edentulous mandible, Edentulous patients, Edentulous period, Endosseous, Endosseous implants, Este estudio, General anaesthesia, Hard food, Healing period, Implant, Implants research, International journal, Longitudinal study, Lower denture, Mandible, Mandibular, Mandibular height, Mandibular overdenture, Mandibular overdentures, Masticatory performance, Maxillofacial, Maxillofacial implants, Maxillofacial prosthodontics, Maxillofacial surgery, Meticulous construction, Modality, Nach, Nuevo juego, Oral implantology, Osseointegrated implants, Other items, Overall denture satisfaction, Overall denture satisfaction rating, Overdenture, Overdentures, Patient satisfaction, Preprosthetic, Preprosthetic surgery, Prosthetic dentistry, Prothese, Prothese amovible, Protheses amovibles, Protocol analysis, Raghoebar, Randomized, Rating scale, Satisfaction rate, Satisfaction rates, Satisfaction scores, Score complaints, Score problems, Score satisfaction rate, Sensory changes, Standard treatment, Standardized procedure, Tough food, Treatment modalities, Treatment options, University hospital groningen, Upper denture, Vestibuloplasty.
Abstract
Currently, 3 treatment options are available for patients with denture complaints and an edentulous mandible with a height of at least 15 mm: meticulous construction of a new set of dentures (CD), construction of a new set of dentures following preprosthetic surgery to enlarge the denture‐bearing area (PPS), and construction of an implant‐retained mandibular overdenture (IRO). The aim of this study was to evaluate patient satisfaction and subjective chewing ability of edentulous patients treated with one of these treatment modalities. Ninety edentulous patients (Cawood class IV and V, mean mandibular height 20.7 mm) were randomly assigned to receive 1 of these 3 groups. Denture satisfaction and chewing ability were assessed using questionnaires focusing on denture‐related complaints and problems chewing different types of food were assessed before treatment, and 1‐ and 5‐years after treatment. At the 1‐year evaluation, significantly better scores were observed in the 2 surgical groups (IRO, PPS) than in the CD group. At 5‐year evaluation the “complaints of the lower denture” showed a significantly better score in the IRO group when compared to the PPS and CD groups. No significant differences were observed between the PPS and CD group. From this study it is concluded that both in the short and long term denture satisfaction appears most favourable in the IRO group when compared to the PPS and CD groups. Implant‐retained overdentures are therefore a satisfactory treatment modality for edentulous patients with problems with their lower denture, even in cases of not severely resorbed mandibles.
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DOI: 10.1034/j.1600-0501.2000.011003195.x
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<front><div type="abstract" xml:lang="en">Currently, 3 treatment options are available for patients with denture complaints and an edentulous mandible with a height of at least 15 mm: meticulous construction of a new set of dentures (CD), construction of a new set of dentures following preprosthetic surgery to enlarge the denture‐bearing area (PPS), and construction of an implant‐retained mandibular overdenture (IRO). The aim of this study was to evaluate patient satisfaction and subjective chewing ability of edentulous patients treated with one of these treatment modalities. Ninety edentulous patients (Cawood class IV and V, mean mandibular height 20.7 mm) were randomly assigned to receive 1 of these 3 groups. Denture satisfaction and chewing ability were assessed using questionnaires focusing on denture‐related complaints and problems chewing different types of food were assessed before treatment, and 1‐ and 5‐years after treatment. At the 1‐year evaluation, significantly better scores were observed in the 2 surgical groups (IRO, PPS) than in the CD group. At 5‐year evaluation the “complaints of the lower denture” showed a significantly better score in the IRO group when compared to the PPS and CD groups. No significant differences were observed between the PPS and CD group. From this study it is concluded that both in the short and long term denture satisfaction appears most favourable in the IRO group when compared to the PPS and CD groups. Implant‐retained overdentures are therefore a satisfactory treatment modality for edentulous patients with problems with their lower denture, even in cases of not severely resorbed mandibles.</div>
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<name sortKey="Van Oort, Rob P" sort="Van Oort, Rob P" uniqKey="Van Oort R" first="Rob P." last="Van Oort">Rob P. Van Oort</name>
<name sortKey="Van T Hof, Martin A" sort="Van T Hof, Martin A" uniqKey="Van T Hof M" first="Martin A." last="Van'T Hof">Martin A. Van'T Hof</name>
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