Randomized clinical trial comparing the efficacy of mandibular implant-supported overdentures and conventional dentures in diabetic patients. Part III: Comparisons of patient satisfaction
Identifieur interne : 009350 ( Main/Exploration ); précédent : 009349; suivant : 009351Randomized clinical trial comparing the efficacy of mandibular implant-supported overdentures and conventional dentures in diabetic patients. Part III: Comparisons of patient satisfaction
Auteurs : Krishan K. Kapur ; Neal R. Garrett ; Michael O. Hamada ; Eleni D. Roumanas ; Earl Freymiller ; Thomas Han ; Randy M. Diener ; Seymour Levin ; Weng Kee WongSource :
- The Journal of Prosthetic Dentistry [ 0022-3913 ] ; 1999.
English descriptors
- KwdEn :
- Anova, Change scores, Cleanliness, Conventional dentures, Dentistry, Denture, Denture cleanliness, Denture hygiene, Denture security, Diabetic patients, Edentulous, Higher percentage, Implant, Kapur, Mandibular, Mandibular overdentures, Maxillary, Maxillofac, Oral maxillofac implants, Original dentures, Overall satisfaction, Overdentures, Patient satisfaction, Percentage distribution, Percentage distributions, Posttreatment, Present dentures, Previous dentures, Prosthesis, Prosthet, Prosthet dent, Prosthetic, Prosthetic dentistry, Randomized, Significant difference, Significant differences, Study dentures, Treatment completion, Treatment groups, Veterans affairs, Wearer.
- Teeft :
- Anova, Change scores, Cleanliness, Conventional dentures, Dentistry, Denture, Denture cleanliness, Denture hygiene, Denture security, Diabetic patients, Edentulous, Higher percentage, Implant, Kapur, Mandibular, Mandibular overdentures, Maxillary, Maxillofac, Oral maxillofac implants, Original dentures, Overall satisfaction, Overdentures, Patient satisfaction, Percentage distribution, Percentage distributions, Posttreatment, Present dentures, Previous dentures, Prosthesis, Prosthet, Prosthet dent, Prosthetic, Prosthetic dentistry, Randomized, Significant difference, Significant differences, Study dentures, Treatment completion, Treatment groups, Veterans affairs, Wearer.
Abstract
Abstract: Statement of problem. There is insufficient evidence to indicate the functional superiority of mandibular implant-supported overdentures to justify their use in edentulous patients. Purpose. This study compared the benefits perceived by patients who received a new maxillary denture and a mandibular conventional denture (CD) and an implant-supported overdenture (IOD). Method. New maxillary and mandibular dentures were delivered to 89 diabetic denture wearers with clinically acceptable metabolic control who treated their diabetes either with insulin (IT) or without insulin (NIT). Of the 89 patients, 37 received maxillary and mandibular CDs and 52 received a maxillary CD and an IOD. Two questionnaires with categorical responses were used; the first contained 13 questions to ascertain a patient’s absolute assessments of original dentures at entry and study dentures at 6- and 24-months after treatment completion; the second questionnaire had 11 questions that assessed the relative change perceived by patients with study dentures. Of the 78 patients who completed the posttreatment (PT) assessments at 6 months, 68 patients provided longitudinal data for questionnaire I and cross-sectional data for questionnaire II. In addition, 46 patients (18 CD and 28 IOD) also provided PT assessments at 24 months. Results. Both mean scores and percentage distributions of longitudinal data for questionnaire I showed perceptual improvements with both types of study dentures. Improvements were higher in the IOD than in the CD group. Mean scores failed to show any significant differences between the 2 treatment groups. The only significant difference was found in the change in percentage distributions for perceptual chewing ability in favor of the IOD group. Even this advantage was lost at 24 months. With the comparative questionnaire, a higher percentage of patients in the IOD group than in the CD group perceived improvements with study dentures from their original dentures in chewing ability, chewing comfort, and denture security. However, mean differences were statistically significant in favor of the IOD group only for chewing ability and less difficulty to chew hard foods. Conclusion. The mandibular implant-supported overdenture offers same advantage in terms of perceived chewing function over the conventional denture. (J Prosthet Dent 1999;82:416-27.)
Url:
DOI: 10.1016/S0022-3913(99)70028-4
Affiliations:
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Le document en format XML
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<term>Dentistry</term>
<term>Denture</term>
<term>Denture cleanliness</term>
<term>Denture hygiene</term>
<term>Denture security</term>
<term>Diabetic patients</term>
<term>Edentulous</term>
<term>Higher percentage</term>
<term>Implant</term>
<term>Kapur</term>
<term>Mandibular</term>
<term>Mandibular overdentures</term>
<term>Maxillary</term>
<term>Maxillofac</term>
<term>Oral maxillofac implants</term>
<term>Original dentures</term>
<term>Overall satisfaction</term>
<term>Overdentures</term>
<term>Patient satisfaction</term>
<term>Percentage distribution</term>
<term>Percentage distributions</term>
<term>Posttreatment</term>
<term>Present dentures</term>
<term>Previous dentures</term>
<term>Prosthesis</term>
<term>Prosthet</term>
<term>Prosthet dent</term>
<term>Prosthetic</term>
<term>Prosthetic dentistry</term>
<term>Randomized</term>
<term>Significant difference</term>
<term>Significant differences</term>
<term>Study dentures</term>
<term>Treatment completion</term>
<term>Treatment groups</term>
<term>Veterans affairs</term>
<term>Wearer</term>
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<term>Higher percentage</term>
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<term>Kapur</term>
<term>Mandibular</term>
<term>Mandibular overdentures</term>
<term>Maxillary</term>
<term>Maxillofac</term>
<term>Oral maxillofac implants</term>
<term>Original dentures</term>
<term>Overall satisfaction</term>
<term>Overdentures</term>
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<term>Percentage distributions</term>
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<front><div type="abstract" xml:lang="en">Abstract: Statement of problem. There is insufficient evidence to indicate the functional superiority of mandibular implant-supported overdentures to justify their use in edentulous patients. Purpose. This study compared the benefits perceived by patients who received a new maxillary denture and a mandibular conventional denture (CD) and an implant-supported overdenture (IOD). Method. New maxillary and mandibular dentures were delivered to 89 diabetic denture wearers with clinically acceptable metabolic control who treated their diabetes either with insulin (IT) or without insulin (NIT). Of the 89 patients, 37 received maxillary and mandibular CDs and 52 received a maxillary CD and an IOD. Two questionnaires with categorical responses were used; the first contained 13 questions to ascertain a patient’s absolute assessments of original dentures at entry and study dentures at 6- and 24-months after treatment completion; the second questionnaire had 11 questions that assessed the relative change perceived by patients with study dentures. Of the 78 patients who completed the posttreatment (PT) assessments at 6 months, 68 patients provided longitudinal data for questionnaire I and cross-sectional data for questionnaire II. In addition, 46 patients (18 CD and 28 IOD) also provided PT assessments at 24 months. Results. Both mean scores and percentage distributions of longitudinal data for questionnaire I showed perceptual improvements with both types of study dentures. Improvements were higher in the IOD than in the CD group. Mean scores failed to show any significant differences between the 2 treatment groups. The only significant difference was found in the change in percentage distributions for perceptual chewing ability in favor of the IOD group. Even this advantage was lost at 24 months. With the comparative questionnaire, a higher percentage of patients in the IOD group than in the CD group perceived improvements with study dentures from their original dentures in chewing ability, chewing comfort, and denture security. However, mean differences were statistically significant in favor of the IOD group only for chewing ability and less difficulty to chew hard foods. Conclusion. The mandibular implant-supported overdenture offers same advantage in terms of perceived chewing function over the conventional denture. (J Prosthet Dent 1999;82:416-27.)</div>
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<name sortKey="Freymiller, Earl" sort="Freymiller, Earl" uniqKey="Freymiller E" first="Earl" last="Freymiller">Earl Freymiller</name>
<name sortKey="Garrett, Neal R" sort="Garrett, Neal R" uniqKey="Garrett N" first="Neal R." last="Garrett">Neal R. Garrett</name>
<name sortKey="Hamada, Michael O" sort="Hamada, Michael O" uniqKey="Hamada M" first="Michael O." last="Hamada">Michael O. Hamada</name>
<name sortKey="Han, Thomas" sort="Han, Thomas" uniqKey="Han T" first="Thomas" last="Han">Thomas Han</name>
<name sortKey="Kapur, Krishan K" sort="Kapur, Krishan K" uniqKey="Kapur K" first="Krishan K." last="Kapur">Krishan K. Kapur</name>
<name sortKey="Levin, Seymour" sort="Levin, Seymour" uniqKey="Levin S" first="Seymour" last="Levin">Seymour Levin</name>
<name sortKey="Roumanas, Eleni D" sort="Roumanas, Eleni D" uniqKey="Roumanas E" first="Eleni D." last="Roumanas">Eleni D. Roumanas</name>
<name sortKey="Wong, Weng Kee" sort="Wong, Weng Kee" uniqKey="Wong W" first="Weng Kee" last="Wong">Weng Kee Wong</name>
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