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Comparison of implant supported mandibular overdentures and conventional dentures on quality of life: a systematic review and meta-analysis of randomized controlled studies.

Identifieur interne : 006352 ( Ncbi/Merge ); précédent : 006351; suivant : 006353

Comparison of implant supported mandibular overdentures and conventional dentures on quality of life: a systematic review and meta-analysis of randomized controlled studies.

Auteurs : G. Sivaramakrishnan [Fidji] ; K. Sridharan [Fidji]

Source :

RBID : pubmed:26836981

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English descriptors

Abstract

Conventional complete dentures and implant supported overdentures are commonly used by dentists to treat completely edentulous mandibular arches. There have been problems associated with retention and stability while treating completely edentulous mandibular arches compared to maxillary arches. Many factors have been attributed to this, primarily focusing on the decreased area available for support and increased resorption. Implant supported overdentures have increased the treatment options for resorbed ridges, especially the mandible. However, no reports have proved the superiority of one treatment option over the other, especially in terms of patient-centric outcome measures such as the Oral Health Impact Profile (OHIP). Hence, this meta-analysis was conducted.

DOI: 10.1111/adj.12416
PubMed: 26836981

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Le document en format XML

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<title xml:lang="en">Comparison of implant supported mandibular overdentures and conventional dentures on quality of life: a systematic review and meta-analysis of randomized controlled studies.</title>
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<name sortKey="Sivaramakrishnan, G" sort="Sivaramakrishnan, G" uniqKey="Sivaramakrishnan G" first="G" last="Sivaramakrishnan">G. Sivaramakrishnan</name>
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<nlm:affiliation>Department of Oral Health, Fiji National University, Suva, Fiji.</nlm:affiliation>
<country xml:lang="fr">Fidji</country>
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<wicri:noRegion>Suva</wicri:noRegion>
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<name sortKey="Sridharan, K" sort="Sridharan, K" uniqKey="Sridharan K" first="K" last="Sridharan">K. Sridharan</name>
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<title xml:lang="en">Comparison of implant supported mandibular overdentures and conventional dentures on quality of life: a systematic review and meta-analysis of randomized controlled studies.</title>
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<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture, Complete, Lower</term>
<term>Humans</term>
<term>Jaw, Edentulous (psychology)</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Quality of Life</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Humains</term>
<term>Mâchoire édentée (psychologie)</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Prothèse dentaire complète inférieure</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Qualité de vie</term>
<term>Résultat thérapeutique</term>
</keywords>
<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr">
<term>Mâchoire édentée</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en">
<term>Jaw, Edentulous</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Jaw, Edentulous</term>
</keywords>
<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr">
<term>Mâchoire édentée</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture, Complete, Lower</term>
<term>Humans</term>
<term>Quality of Life</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Humains</term>
<term>Prothèse dentaire complète inférieure</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Qualité de vie</term>
<term>Résultat thérapeutique</term>
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<div type="abstract" xml:lang="en">Conventional complete dentures and implant supported overdentures are commonly used by dentists to treat completely edentulous mandibular arches. There have been problems associated with retention and stability while treating completely edentulous mandibular arches compared to maxillary arches. Many factors have been attributed to this, primarily focusing on the decreased area available for support and increased resorption. Implant supported overdentures have increased the treatment options for resorbed ridges, especially the mandible. However, no reports have proved the superiority of one treatment option over the other, especially in terms of patient-centric outcome measures such as the Oral Health Impact Profile (OHIP). Hence, this meta-analysis was conducted.</div>
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<DateCompleted>
<Year>2017</Year>
<Month>10</Month>
<Day>10</Day>
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<Year>2017</Year>
<Month>10</Month>
<Day>10</Day>
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<ISSN IssnType="Electronic">1834-7819</ISSN>
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<Volume>61</Volume>
<Issue>4</Issue>
<PubDate>
<Year>2016</Year>
<Month>Dec</Month>
</PubDate>
</JournalIssue>
<Title>Australian dental journal</Title>
<ISOAbbreviation>Aust Dent J</ISOAbbreviation>
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<ArticleTitle>Comparison of implant supported mandibular overdentures and conventional dentures on quality of life: a systematic review and meta-analysis of randomized controlled studies.</ArticleTitle>
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<MedlinePgn>482-488</MedlinePgn>
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<ELocationID EIdType="doi" ValidYN="Y">10.1111/adj.12416</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Conventional complete dentures and implant supported overdentures are commonly used by dentists to treat completely edentulous mandibular arches. There have been problems associated with retention and stability while treating completely edentulous mandibular arches compared to maxillary arches. Many factors have been attributed to this, primarily focusing on the decreased area available for support and increased resorption. Implant supported overdentures have increased the treatment options for resorbed ridges, especially the mandible. However, no reports have proved the superiority of one treatment option over the other, especially in terms of patient-centric outcome measures such as the Oral Health Impact Profile (OHIP). Hence, this meta-analysis was conducted.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A literature search of Medline (via PubMed), the Cochrane Central Register of Clinical Trials (CENTRAL) and the Database of Abstracts of Reviews of Effects (DARE) was performed. The reviewers screened titles, abstracts and performed full-text screening of eligible studies. The references from these studies were further screened for additional relevant studies. A random effects model was applied to measure the significance of the per cent mean difference in OHIP scale improvement between implant and conventional dentures. The Cochrane Risk of Bias Tool was applied to assess the selection, ascertainment and selective reporting biases.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Five studies were reviewed and identified. Results of 441 patients (228 implant and 213 conventional) were pooled for analysis of primary outcome and other secondary outcomes. A forest plot of total OHIP scores and for secondary outcomes were obtained between the interventions. Results of 441 patients (228 implant and 213 conventional) were pooled for analysis of primary outcome with a mean difference [95% confidence interval] in the score of -30.72[-48.39, -13.05]; mean difference [95% confidence interval] in the score of -26.45[-43.56, -9.35] for functional limitation; -29.16[-60.89, 2.56] for physical pain; -77.61[-154.63, -0.60] for psychological discomfort; -33.70[-47.96, -19.44] for physical disability; -41.17[-55.93, -26.40] for psychological disability; -17.27[-29.44, 5.10] for social disability; and -28.45[-33.97, -22.92] for handicap. A statistically significant difference favouring the implant group was obtained except for physical pain.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The implant overdenture group performed better in regard to patient satisfaction as measured using the OHIP questionnaire. Further studies are required to identify superiority between the two treatment options.</AbstractText>
<CopyrightInformation>© 2016 Australian Dental Association.</CopyrightInformation>
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<Keyword MajorTopicYN="N">Complete denture</Keyword>
<Keyword MajorTopicYN="N">edentulous</Keyword>
<Keyword MajorTopicYN="N">implant overdenture</Keyword>
<Keyword MajorTopicYN="N">missing teeth</Keyword>
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