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A randomized clinical trial comparing patient satisfaction and prosthetic outcomes with mandibular overdentures retained by one or two implants.

Identifieur interne : 001C86 ( PubMed/Corpus ); précédent : 001C85; suivant : 001C87

A randomized clinical trial comparing patient satisfaction and prosthetic outcomes with mandibular overdentures retained by one or two implants.

Auteurs : Joanne N. Walton ; Ned Glick ; Michael I. Macentee

Source :

RBID : pubmed:19639067

English descriptors

Abstract

This randomized clinical trial tested hypotheses that there are no differences in patient satisfaction, component costs, or treatment and maintenance times when mandibular overdentures are retained by one or two implants.

PubMed: 19639067

Links to Exploration step

pubmed:19639067

Le document en format XML

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<title xml:lang="en">A randomized clinical trial comparing patient satisfaction and prosthetic outcomes with mandibular overdentures retained by one or two implants.</title>
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<name sortKey="Walton, Joanne N" sort="Walton, Joanne N" uniqKey="Walton J" first="Joanne N" last="Walton">Joanne N. Walton</name>
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<nlm:affiliation>Department of Oral Health Sciences, University of British Columbia, Vancouver, British Columbia, Canada. jnwalton@interchange.ubc.ca</nlm:affiliation>
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<name sortKey="Glick, Ned" sort="Glick, Ned" uniqKey="Glick N" first="Ned" last="Glick">Ned Glick</name>
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<name sortKey="Macentee, Michael I" sort="Macentee, Michael I" uniqKey="Macentee M" first="Michael I" last="Macentee">Michael I. Macentee</name>
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<title xml:lang="en">A randomized clinical trial comparing patient satisfaction and prosthetic outcomes with mandibular overdentures retained by one or two implants.</title>
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<name sortKey="Walton, Joanne N" sort="Walton, Joanne N" uniqKey="Walton J" first="Joanne N" last="Walton">Joanne N. Walton</name>
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<nlm:affiliation>Department of Oral Health Sciences, University of British Columbia, Vancouver, British Columbia, Canada. jnwalton@interchange.ubc.ca</nlm:affiliation>
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<author>
<name sortKey="Glick, Ned" sort="Glick, Ned" uniqKey="Glick N" first="Ned" last="Glick">Ned Glick</name>
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<author>
<name sortKey="Macentee, Michael I" sort="Macentee, Michael I" uniqKey="Macentee M" first="Michael I" last="Macentee">Michael I. Macentee</name>
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<series>
<title level="j">The International journal of prosthodontics</title>
<idno type="ISSN">0893-2174</idno>
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<term>Aged</term>
<term>Bone Resorption (rehabilitation)</term>
<term>Bone Resorption (surgery)</term>
<term>Costs and Cost Analysis</term>
<term>Dental Implants (economics)</term>
<term>Dental Prosthesis Design</term>
<term>Dental Restoration Failure</term>
<term>Denture Design</term>
<term>Denture Rebasing</term>
<term>Denture Retention</term>
<term>Denture, Complete, Lower (economics)</term>
<term>Denture, Overlay (economics)</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Male</term>
<term>Mandible (surgery)</term>
<term>Patient Satisfaction</term>
<term>Time Factors</term>
<term>Treatment Outcome</term>
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<term>Dental Implants</term>
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<keywords scheme="MESH" qualifier="economics" xml:lang="en">
<term>Denture, Complete, Lower</term>
<term>Denture, Overlay</term>
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<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Bone Resorption</term>
<term>Jaw, Edentulous</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Bone Resorption</term>
<term>Jaw, Edentulous</term>
<term>Mandible</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Aged</term>
<term>Costs and Cost Analysis</term>
<term>Dental Prosthesis Design</term>
<term>Dental Restoration Failure</term>
<term>Denture Design</term>
<term>Denture Rebasing</term>
<term>Denture Retention</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Patient Satisfaction</term>
<term>Time Factors</term>
<term>Treatment Outcome</term>
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<front>
<div type="abstract" xml:lang="en">This randomized clinical trial tested hypotheses that there are no differences in patient satisfaction, component costs, or treatment and maintenance times when mandibular overdentures are retained by one or two implants.</div>
</front>
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<PMID Version="1">19639067</PMID>
<DateCompleted>
<Year>2009</Year>
<Month>12</Month>
<Day>09</Day>
</DateCompleted>
<DateRevised>
<Year>2009</Year>
<Month>07</Month>
<Day>29</Day>
</DateRevised>
<Article PubModel="Print">
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<ISSN IssnType="Print">0893-2174</ISSN>
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<Volume>22</Volume>
<Issue>4</Issue>
<PubDate>
<MedlineDate>2009 Jul-Aug</MedlineDate>
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</JournalIssue>
<Title>The International journal of prosthodontics</Title>
<ISOAbbreviation>Int J Prosthodont</ISOAbbreviation>
</Journal>
<ArticleTitle>A randomized clinical trial comparing patient satisfaction and prosthetic outcomes with mandibular overdentures retained by one or two implants.</ArticleTitle>
<Pagination>
<MedlinePgn>331-9</MedlinePgn>
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<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">This randomized clinical trial tested hypotheses that there are no differences in patient satisfaction, component costs, or treatment and maintenance times when mandibular overdentures are retained by one or two implants.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Subjects wearing conventional complete dentures were randomized to receive either one midline or two bilateral mandibular implants followed by a mandibular denture reline to incorporate implant retention. They indicated on a visual analog scale satisfaction with their dentures before implants and at 2 months and 1 year after implant retention. Satisfaction outcomes between the two groups were compared using the Wilcoxon/Mann-Whitney nonparametric rank test, while changes within each group were analyzed using signed-rank tests. Component costs and times for surgery, prosthodontic treatment, and maintenance were compared using nonparametric and t tests.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Eighty-six subjects enrolled in this study and 85 completed the 1-year follow-up, at which median satisfaction was 93 (maximum 100) in the single-implant group and 94 in the two-implant group (P > .5). Within each group, median improvement in satisfaction was similarly dramatic (approximately 44) and significant (P < .001). Prosthodontic maintenance time was similar for both groups (P > .37), but the single-implant group had significantly lower component costs (P < .001) and lower times for surgery (P = .002), postsurgical denture maintenance (P = .021), and denture reline (P < .001). Five implants failed in four subjects, all in the two-implant group and all before denture reline.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Lower component costs and treatment times, with comparable satisfaction and maintenance time over the first year, indicate that a mandibular overdenture retained by a single midline implant may be an alternative to the customary two-implant overdenture for maladaptive denture patients.</AbstractText>
</Abstract>
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<LastName>Walton</LastName>
<ForeName>Joanne N</ForeName>
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<Language>eng</Language>
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<Country>United States</Country>
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<DescriptorName UI="D003823" MajorTopicYN="N">Denture Rebasing</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D003781" MajorTopicYN="Y">Denture Retention</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D003826" MajorTopicYN="Y">Denture, Complete, Lower</DescriptorName>
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<DescriptorName UI="D003828" MajorTopicYN="Y">Denture, Overlay</DescriptorName>
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<DescriptorName UI="D017060" MajorTopicYN="Y">Patient Satisfaction</DescriptorName>
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