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Patient satisfaction and chewing ability with implant-retained mandibular overdentures: A comparison with new complete dentures with or without preprosthetic surgery

Identifieur interne : 006557 ( Istex/Corpus ); précédent : 006556; suivant : 006558

Patient satisfaction and chewing ability with implant-retained mandibular overdentures: A comparison with new complete dentures with or without preprosthetic surgery

Auteurs : E. M Boerrigter ; B. Stegenga ; G. M Raghoebar ; G. Boering

Source :

RBID : ISTEX:CC505B836C06289DD1CE0132658E66A447D59F78

English descriptors

Abstract

Abstract: Purpose: The objective of this study was to compare denture satisfaction and chewing ability of edentulous patients treated with dental implant-retained overdentures or with full dentures with or without previous preprosthetic surgery. Patients and Methods: This study was a controlled clinical trial. Thirty-eight men and 52 women participated in the study. The mean height of the anterior mandible was 21 mm (range, 16 to 25 mm), measured on a lateral cephalometric radiograph. The subjects were randomly assigned to the three treatment modalities. The main outcome measures were denture satisfaction and chewing ability, which were assessed using questionnaires focusing on denturerelated complaints and the ability to chew different types of food, and an overall denture satisfaction score. Results: Based on the baseline data from the “denture complaints” and “chewing ability” questionnaires, nine interpretable factors could be extracted. Two factors did not vary following treatment and were excluded from the outcome analysis. At the 1-year evaluation five of seven factors showed significantly better scores for the two surgical groups than for the control group. The same was found for the overall denture satisfaction rate. Conclusion: Overdentures retained by dental implants or complete dentures made after a vestibuloplasty and deepening of the floor of the mouth provide a more satisfactory solution for denture-related problems than complete dentures alone. For the scale “functional complaints lower denture,” the overdenture group showed even a significantly better score than the preprosthetic surgery group.

Url:
DOI: 10.1016/0278-2391(95)90627-4

Links to Exploration step

ISTEX:CC505B836C06289DD1CE0132658E66A447D59F78

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<ce:article-footnote>
<ce:label></ce:label>
<ce:note-para>Received from the Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthodontics, University Hospital Groningen, Groningen, The Netherlands.</ce:note-para>
</ce:article-footnote>
<ce:article-footnote>
<ce:label>☆☆</ce:label>
<ce:note-para>This study is part of the Academic Dutch Implant-Overdenture Study, supported by The National Health Insurance Council (Grant OG: 89-76).</ce:note-para>
</ce:article-footnote>
<ce:dochead>
<ce:textfn>Clinical article</ce:textfn>
</ce:dochead>
<ce:title>Patient satisfaction and chewing ability with implant-retained mandibular overdentures: A comparison with new complete dentures with or without preprosthetic surgery</ce:title>
<ce:author-group>
<ce:author>
<ce:given-name>E.M</ce:given-name>
<ce:surname>Boerrigter</ce:surname>
<ce:degrees>DDS, PhD</ce:degrees>
<ce:cross-ref refid="COR1">
<ce:sup></ce:sup>
</ce:cross-ref>
<ce:cross-ref refid="FN1">
<ce:sup></ce:sup>
</ce:cross-ref>
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<ce:author>
<ce:given-name>B</ce:given-name>
<ce:surname>Stegenga</ce:surname>
<ce:degrees>DDS, PhD</ce:degrees>
<ce:cross-ref refid="FN2">
<ce:sup></ce:sup>
</ce:cross-ref>
</ce:author>
<ce:author>
<ce:given-name>G.M</ce:given-name>
<ce:surname>Raghoebar</ce:surname>
<ce:degrees>DDS, MD, PhD</ce:degrees>
<ce:cross-ref refid="FN2">
<ce:sup></ce:sup>
</ce:cross-ref>
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<ce:author>
<ce:given-name>G</ce:given-name>
<ce:surname>Boering</ce:surname>
<ce:degrees>DDS, PhD</ce:degrees>
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<ce:sup></ce:sup>
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<ce:label></ce:label>
<ce:text>Address correspondence and reprint requests to Dr Boerrigter: Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthodontics, University Hospital Groningen, PO Box 30.001, 9700 RB Groningen, The Netherlands.</ce:text>
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<ce:label></ce:label>
<ce:note-para>Student.</ce:note-para>
</ce:footnote>
<ce:footnote id="FN2">
<ce:label></ce:label>
<ce:note-para>Assistant Professor.</ce:note-para>
</ce:footnote>
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<ce:section-title>Abstract</ce:section-title>
<ce:abstract-sec>
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<rm>
<unl type="bar">Purpose</unl>
</rm>
</math>
: The objective of this study was to compare denture satisfaction and chewing ability of edentulous patients treated with dental implant-retained overdentures or with full dentures with or without previous preprosthetic surgery.</ce:simple-para>
<ce:simple-para>
<math altimg="si2.gif">
<rm>
<unl type="bar">Patients and Methods</unl>
</rm>
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: This study was a controlled clinical trial. Thirty-eight men and 52 women participated in the study. The mean height of the anterior mandible was 21 mm (range, 16 to 25 mm), measured on a lateral cephalometric radiograph. The subjects were randomly assigned to the three treatment modalities. The main outcome measures were denture satisfaction and chewing ability, which were assessed using questionnaires focusing on denturerelated complaints and the ability to chew different types of food, and an overall denture satisfaction score.</ce:simple-para>
<ce:simple-para>
<math altimg="si3.gif">
<rm>
<unl type="bar">Results</unl>
</rm>
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: Based on the baseline data from the “denture complaints” and “chewing ability” questionnaires, nine interpretable factors could be extracted. Two factors did not vary following treatment and were excluded from the outcome analysis. At the 1-year evaluation five of seven factors showed significantly better scores for the two surgical groups than for the control group. The same was found for the overall denture satisfaction rate.</ce:simple-para>
<ce:simple-para>
<math altimg="si4.gif">
<rm>
<unl type="bar">Conclusion</unl>
</rm>
</math>
: Overdentures retained by dental implants or complete dentures made after a vestibuloplasty and deepening of the floor of the mouth provide a more satisfactory solution for denture-related problems than complete dentures alone. For the scale “functional complaints lower denture,” the overdenture group showed even a significantly better score than the preprosthetic surgery group.</ce:simple-para>
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<abstract lang="en">Abstract: Purpose: The objective of this study was to compare denture satisfaction and chewing ability of edentulous patients treated with dental implant-retained overdentures or with full dentures with or without previous preprosthetic surgery. Patients and Methods: This study was a controlled clinical trial. Thirty-eight men and 52 women participated in the study. The mean height of the anterior mandible was 21 mm (range, 16 to 25 mm), measured on a lateral cephalometric radiograph. The subjects were randomly assigned to the three treatment modalities. The main outcome measures were denture satisfaction and chewing ability, which were assessed using questionnaires focusing on denturerelated complaints and the ability to chew different types of food, and an overall denture satisfaction score. Results: Based on the baseline data from the “denture complaints” and “chewing ability” questionnaires, nine interpretable factors could be extracted. Two factors did not vary following treatment and were excluded from the outcome analysis. At the 1-year evaluation five of seven factors showed significantly better scores for the two surgical groups than for the control group. The same was found for the overall denture satisfaction rate. Conclusion: Overdentures retained by dental implants or complete dentures made after a vestibuloplasty and deepening of the floor of the mouth provide a more satisfactory solution for denture-related problems than complete dentures alone. For the scale “functional complaints lower denture,” the overdenture group showed even a significantly better score than the preprosthetic surgery group.</abstract>
<note>Received from the Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthodontics, University Hospital Groningen, Groningen, The Netherlands.</note>
<note>This study is part of the Academic Dutch Implant-Overdenture Study, supported by The National Health Insurance Council (Grant OG: 89-76).</note>
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