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OHRQoL, masticatory performance and crestal bone loss with single‐implant, magnet‐retained mandibular overdentures with conventional and shortened dental arch

Identifieur interne : 000B13 ( Istex/Corpus ); précédent : 000B12; suivant : 000B14

OHRQoL, masticatory performance and crestal bone loss with single‐implant, magnet‐retained mandibular overdentures with conventional and shortened dental arch

Auteurs : Manita Grover ; Anand Kumar Vaidyanathan ; Padmanabhan Thallam Veeravalli

Source :

RBID : ISTEX:1673FCE7C635FF568F5FD058E6D15437C473C444

Abstract

The aim of this study was to assess the use of single implant–supported, magnet‐retained mandibular overdentures to improve the oral health–related quality of life (OHRQoL) and masticatory performance of patients wearing conventional complete dentures. The study also aimed at comparing the OHRQoL, masticatory performance, and crestal bone loss with two different types of overdenture prosthesis.

Url:
DOI: 10.1111/clr.12111

Links to Exploration step

ISTEX:1673FCE7C635FF568F5FD058E6D15437C473C444

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Purpose
<p>The aim of this study was to assess the use of single implant–supported, magnet‐retained mandibular overdentures to improve the oral health–related quality of life (
<hi rend="fc">OHRQ</hi>
o
<hi rend="fc">L</hi>
) and masticatory performance of patients wearing conventional complete dentures. The study also aimed at comparing the
<hi rend="fc">OHRQ</hi>
o
<hi rend="fc">L</hi>
, masticatory performance, and crestal bone loss with two different types of overdenture prosthesis.</p>
Materials and methods
<p>Ten completely edentulous patients with atrophic mandibular residual alveolar ridges and having difficulty coping with technically adequate mandibular dentures were selected for implant‐supported overdentures (
<hi rend="fc">ISOD</hi>
). To assess the success of the implant fixture clinically, a crossover study design was followed, and the patients were divided into two groups. Group
<hi rend="fc">A</hi>
received
<hi rend="fc">ISOD</hi>
with conventional complete dental arch, and group
<hi rend="fc">B</hi>
received
<hi rend="fc">ISOD</hi>
with a shortened dental arch for the first 3 months and vice versa for the next 3 months. The
<hi rend="fc">OHRQ</hi>
o
<hi rend="fc">L</hi>
was measured with the
<hi rend="fc">OHIP</hi>
‐49 questionnaire, and masticatory performance was assessed with the sieve method using peanuts as test food. Peri‐apical radiographs were taken to evaluate the crestal bone loss.</p>
Results
<p>A significant improvement was seen both subjectively and objectively when conventional complete dentures were modified to implant‐supported prosthesis. When comparing the implant overdenture prosthesis, patients were more satisfied with conventional arch than with the shortened dental arch. In the first 3 months following implant placement, less bone loss was seen with the shortened dental arch overdenture (
<hi rend="italic">P</hi>
 < 0.05).</p>
Conclusion
<p>Single implant–supported, magnet‐retained mandibular overdentures significantly improve the
<hi rend="fc">OHRQ</hi>
o
<hi rend="fc">L</hi>
of completely edentulous patients.</p>
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<keyword xml:id="clr12111-kwd-0002">completely edentulous</keyword>
<keyword xml:id="clr12111-kwd-0003">crossover study design</keyword>
<keyword xml:id="clr12111-kwd-0004">early loading</keyword>
<keyword xml:id="clr12111-kwd-0005">implant‐supported overdentures</keyword>
<keyword xml:id="clr12111-kwd-0006">magnets</keyword>
<keyword xml:id="clr12111-kwd-0007">shortened dental arch</keyword>
<keyword xml:id="clr12111-kwd-0008">single</keyword>
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<title type="main">Abstract</title>
<section xml:id="clr12111-sec-0001">
<title type="main">Purpose</title>
<p>The aim of this study was to assess the use of single implant–supported, magnet‐retained mandibular overdentures to improve the oral health–related quality of life (
<fc>OHRQ</fc>
o
<fc>L</fc>
) and masticatory performance of patients wearing conventional complete dentures. The study also aimed at comparing the
<fc>OHRQ</fc>
o
<fc>L</fc>
, masticatory performance, and crestal bone loss with two different types of overdenture prosthesis.</p>
</section>
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<title type="main">Materials and methods</title>
<p>Ten completely edentulous patients with atrophic mandibular residual alveolar ridges and having difficulty coping with technically adequate mandibular dentures were selected for implant‐supported overdentures (
<fc>ISOD</fc>
). To assess the success of the implant fixture clinically, a crossover study design was followed, and the patients were divided into two groups. Group
<fc>A</fc>
received
<fc>ISOD</fc>
with conventional complete dental arch, and group
<fc>B</fc>
received
<fc>ISOD</fc>
with a shortened dental arch for the first 3 months and vice versa for the next 3 months. The
<fc>OHRQ</fc>
o
<fc>L</fc>
was measured with the
<fc>OHIP</fc>
‐49 questionnaire, and masticatory performance was assessed with the sieve method using peanuts as test food. Peri‐apical radiographs were taken to evaluate the crestal bone loss.</p>
</section>
<section xml:id="clr12111-sec-0003">
<title type="main">Results</title>
<p>A significant improvement was seen both subjectively and objectively when conventional complete dentures were modified to implant‐supported prosthesis. When comparing the implant overdenture prosthesis, patients were more satisfied with conventional arch than with the shortened dental arch. In the first 3 months following implant placement, less bone loss was seen with the shortened dental arch overdenture (
<i>P</i>
 < 0.05).</p>
</section>
<section xml:id="clr12111-sec-0004">
<title type="main">Conclusion</title>
<p>Single implant–supported, magnet‐retained mandibular overdentures significantly improve the
<fc>OHRQ</fc>
o
<fc>L</fc>
of completely edentulous patients.</p>
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<title>OHRQoL, masticatory performance and crestal bone loss with single‐implant, magnet‐retained mandibular overdentures with conventional and shortened dental arch</title>
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<name type="personal">
<namePart type="given">Manita</namePart>
<namePart type="family">Grover</namePart>
<affiliation>Department of Prosthodontics, Faculty of Dental Sciences, Sri Ramachandra University, Chennai, India</affiliation>
<affiliation>Department of Prosthodontics, Faculty of Dental SciencesSri Ramachandra UniversityChennai 600116IndiaTel.: +91 9218600103Fax: +91 1792 220862e‐mail:</affiliation>
<affiliation>E-mail: grovermanita@gmail.com</affiliation>
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<namePart type="given">Anand Kumar</namePart>
<namePart type="family">Vaidyanathan</namePart>
<affiliation>Department of Prosthodontics, Faculty of Dental Sciences, Sri Ramachandra University, Chennai, India</affiliation>
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<name type="personal">
<namePart type="given">Padmanabhan Thallam</namePart>
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<affiliation>Department of Prosthodontics, Faculty of Dental Sciences, Sri Ramachandra University, Chennai, India</affiliation>
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<edition>Grover M, Vaidyanathan AK, Veeravalli PT. OHRQoL, masticatory performance and crestal bone loss with single‐implant, magnet‐retained mandibular overdentures with conventional and shortened dental arch. Clin. Oral Impl. Res. 25, 2014, 580–586</edition>
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<abstract>The aim of this study was to assess the use of single implant–supported, magnet‐retained mandibular overdentures to improve the oral health–related quality of life (OHRQoL) and masticatory performance of patients wearing conventional complete dentures. The study also aimed at comparing the OHRQoL, masticatory performance, and crestal bone loss with two different types of overdenture prosthesis.</abstract>
<abstract>Ten completely edentulous patients with atrophic mandibular residual alveolar ridges and having difficulty coping with technically adequate mandibular dentures were selected for implant‐supported overdentures (ISOD). To assess the success of the implant fixture clinically, a crossover study design was followed, and the patients were divided into two groups. Group A received ISOD with conventional complete dental arch, and group B received ISOD with a shortened dental arch for the first 3 months and vice versa for the next 3 months. The OHRQoL was measured with the OHIP‐49 questionnaire, and masticatory performance was assessed with the sieve method using peanuts as test food. Peri‐apical radiographs were taken to evaluate the crestal bone loss.</abstract>
<abstract>A significant improvement was seen both subjectively and objectively when conventional complete dentures were modified to implant‐supported prosthesis. When comparing the implant overdenture prosthesis, patients were more satisfied with conventional arch than with the shortened dental arch. In the first 3 months following implant placement, less bone loss was seen with the shortened dental arch overdenture (P < 0.05).</abstract>
<abstract>Single implant–supported, magnet‐retained mandibular overdentures significantly improve the OHRQoL of completely edentulous patients.</abstract>
<subject>
<genre>keywords</genre>
<topic>central implant</topic>
<topic>completely edentulous</topic>
<topic>crossover study design</topic>
<topic>early loading</topic>
<topic>implant‐supported overdentures</topic>
<topic>magnets</topic>
<topic>shortened dental arch</topic>
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<identifier type="ISSN">0905-7161</identifier>
<identifier type="eISSN">1600-0501</identifier>
<identifier type="DOI">10.1111/(ISSN)1600-0501</identifier>
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<date>2014</date>
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