A within-subject comparison of mandibular long-bar and hybrid implant-supported prostheses: psychometric evaluation and patient preference.
Identifieur interne : 009C53 ( Main/Exploration ); précédent : 009C52; suivant : 009C54A within-subject comparison of mandibular long-bar and hybrid implant-supported prostheses: psychometric evaluation and patient preference.
Auteurs : L. Tang [Canada] ; J P Lund ; R. Taché ; C M Clokie ; J S FeineSource :
- Journal of dental research [ 0022-0345 ] ; 1997.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Conception d'appareil de prothèse dentaire (), Conception d'appareil de prothèse dentaire (psychologie), Femelle, Humains, Mandibule, Mâchoire édentée (psychologie), Mâchoire édentée (rééducation et réadaptation), Mâle, Overdenture (), Prothèse dentaire implanto-portée (), Prothèse dentaire implanto-portée (psychologie), Prothèse mandibulaire (), Prothèse mandibulaire (psychologie), Psychométrie, Résultat thérapeutique, Satisfaction du patient (), Sujet âgé, Études croisées.
- MESH :
- psychologie : Conception d'appareil de prothèse dentaire, Mâchoire édentée, Prothèse dentaire implanto-portée, Prothèse mandibulaire.
- rééducation et réadaptation : Mâchoire édentée.
- Adulte, Adulte d'âge moyen, Conception d'appareil de prothèse dentaire, Femelle, Humains, Mandibule, Mâle, Overdenture, Prothèse dentaire implanto-portée, Prothèse mandibulaire, Psychométrie, Résultat thérapeutique, Satisfaction du patient, Sujet âgé, Études croisées.
English descriptors
- KwdEn :
- Adult, Aged, Cross-Over Studies, Dental Prosthesis, Implant-Supported (psychology), Dental Prosthesis, Implant-Supported (statistics & numerical data), Denture Design (psychology), Denture Design (statistics & numerical data), Denture, Overlay (statistics & numerical data), Female, Humans, Jaw, Edentulous (psychology), Jaw, Edentulous (rehabilitation), Male, Mandible, Mandibular Prosthesis (psychology), Mandibular Prosthesis (statistics & numerical data), Middle Aged, Patient Satisfaction (statistics & numerical data), Psychometrics, Treatment Outcome.
- MESH :
- psychology : Dental Prosthesis, Implant-Supported, Denture Design, Jaw, Edentulous, Mandibular Prosthesis.
- rehabilitation : Jaw, Edentulous.
- statistics & numerical data : Dental Prosthesis, Implant-Supported, Denture Design, Denture, Overlay, Mandibular Prosthesis, Patient Satisfaction.
- Adult, Aged, Cross-Over Studies, Female, Humans, Male, Mandible, Middle Aged, Psychometrics, Treatment Outcome.
Abstract
Although it has been shown that patients are more satisfied with prostheses supported by implants than with conventional dentures, there have been few direct comparisons of the various designs of implant-supported prostheses. This within-subject crossover clinical trial was designed to compare two forms of removable prostheses which are frequently prescribed for the edentulous mandible: a long-bar overdenture supported by 4 implants and a two-implant hybrid overdenture. Sixteen completely edentulous subjects were given a new maxillary conventional denture: Ten of them received the mandibular long-bar prosthesis first and six the hybrid. After a two-month adaptation period, psychometric measures of various aspects of the prostheses and physiological tests of masticatory efficiency were carried out over three weeks. The mandibular prostheses were then changed and the procedures repeated. At the end of the study, subjects were asked to choose the mandibular prosthesis that they wished to keep, and final psychometric measures were taken. In this paper, the results of the psychometric assessment and patient preference are presented. Subjects assessed factors such as general satisfaction, quality of life, stability, retention, comfort, esthetics, ease of cleaning, speaking, and chewing, and how well-chewed foods were before being swallowed. Most of the factors except ease of cleaning and speaking were rated significantly better with long-bar overdentures than with hybrid ones. These results are consistent with the fact that all subjects chose long-bar overdentures, reporting stability, ease of chewing, and comfort as the most important factors influencing their choice. These results suggest that, although subjects assign high ratings for most factors to hybrid overdentures, they find long-bar overdentures to be significantly more stable, comfortable, and easier for chewing.
DOI: 10.1177/00220345970760100901
PubMed: 9326900
Affiliations:
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Le document en format XML
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<term>Aged</term>
<term>Cross-Over Studies</term>
<term>Dental Prosthesis, Implant-Supported (psychology)</term>
<term>Dental Prosthesis, Implant-Supported (statistics & numerical data)</term>
<term>Denture Design (psychology)</term>
<term>Denture Design (statistics & numerical data)</term>
<term>Denture, Overlay (statistics & numerical data)</term>
<term>Female</term>
<term>Humans</term>
<term>Jaw, Edentulous (psychology)</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Male</term>
<term>Mandible</term>
<term>Mandibular Prosthesis (psychology)</term>
<term>Mandibular Prosthesis (statistics & numerical data)</term>
<term>Middle Aged</term>
<term>Patient Satisfaction (statistics & numerical data)</term>
<term>Psychometrics</term>
<term>Treatment Outcome</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Conception d'appareil de prothèse dentaire ()</term>
<term>Conception d'appareil de prothèse dentaire (psychologie)</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mandibule</term>
<term>Mâchoire édentée (psychologie)</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Overdenture ()</term>
<term>Prothèse dentaire implanto-portée ()</term>
<term>Prothèse dentaire implanto-portée (psychologie)</term>
<term>Prothèse mandibulaire ()</term>
<term>Prothèse mandibulaire (psychologie)</term>
<term>Psychométrie</term>
<term>Résultat thérapeutique</term>
<term>Satisfaction du patient ()</term>
<term>Sujet âgé</term>
<term>Études croisées</term>
</keywords>
<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Conception d'appareil de prothèse dentaire</term>
<term>Mâchoire édentée</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Prothèse mandibulaire</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Dental Prosthesis, Implant-Supported</term>
<term>Denture Design</term>
<term>Jaw, Edentulous</term>
<term>Mandibular Prosthesis</term>
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<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Dental Prosthesis, Implant-Supported</term>
<term>Denture Design</term>
<term>Denture, Overlay</term>
<term>Mandibular Prosthesis</term>
<term>Patient Satisfaction</term>
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<term>Aged</term>
<term>Cross-Over Studies</term>
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<term>Male</term>
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<term>Mâle</term>
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<term>Prothèse dentaire implanto-portée</term>
<term>Prothèse mandibulaire</term>
<term>Psychométrie</term>
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<front><div type="abstract" xml:lang="en">Although it has been shown that patients are more satisfied with prostheses supported by implants than with conventional dentures, there have been few direct comparisons of the various designs of implant-supported prostheses. This within-subject crossover clinical trial was designed to compare two forms of removable prostheses which are frequently prescribed for the edentulous mandible: a long-bar overdenture supported by 4 implants and a two-implant hybrid overdenture. Sixteen completely edentulous subjects were given a new maxillary conventional denture: Ten of them received the mandibular long-bar prosthesis first and six the hybrid. After a two-month adaptation period, psychometric measures of various aspects of the prostheses and physiological tests of masticatory efficiency were carried out over three weeks. The mandibular prostheses were then changed and the procedures repeated. At the end of the study, subjects were asked to choose the mandibular prosthesis that they wished to keep, and final psychometric measures were taken. In this paper, the results of the psychometric assessment and patient preference are presented. Subjects assessed factors such as general satisfaction, quality of life, stability, retention, comfort, esthetics, ease of cleaning, speaking, and chewing, and how well-chewed foods were before being swallowed. Most of the factors except ease of cleaning and speaking were rated significantly better with long-bar overdentures than with hybrid ones. These results are consistent with the fact that all subjects chose long-bar overdentures, reporting stability, ease of chewing, and comfort as the most important factors influencing their choice. These results suggest that, although subjects assign high ratings for most factors to hybrid overdentures, they find long-bar overdentures to be significantly more stable, comfortable, and easier for chewing.</div>
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