Clinical Outcomes

Souza, Raphael Freitas de

doi:10.1007/978-3-319-71181-2_16

Cited by 1 publication

(1 citation statement)

References 29 publications

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“…The exclusion criteria are as follows: (i) severe systemic disease or needing frequent hospitalization (i.e., American Society of Anesthesiologists Physical Status class > II) [ 30 ]; (ii) evidence of cognitive or motor impairment; (iii) acute or chronic symptoms of parafunctional or temporomandibular disorders; (iv) intraoral pathologies, either acute, progressive, potentially malignant, or capable to hamper denture fit; (v) signs of endosseous lesions or residual dental structures in panoramic radiographs; (vi) signs of implant failure, including clinical mobility, peri-implant radiolucency, unacceptable bone loss (0.2 mm/year after 1st year, or < 2 mm any time) and/or persistent signs/symptoms of pain, neuropathy, infection, and/or exudate [ 31 ].…”

Section: Methodsmentioning

confidence: 99%

3D printing vs traditional workflow for the fabrication of mandibular implant overdentures: study protocol for a mixed-methods cross-over RCT

Jafarpour,

El-Amier,

Feine

et al. 2024

Trials

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Background Complete tooth loss is a significant global oral health issue, particularly impacting older individuals with lower socioeconomic status. Computer-assisted technologies enhance oral healthcare access by the elderly. Despite promising in vitro reports on digital denture materials, evidence from randomized clinical trials (RCTs) is lacking to verify their performance. This cross-over RCT will investigate whether 3D-printed implant-retained mandibular overdentures (IMO) are more satisfactory for edentulous seniors than those made through traditional methods. Methods/design We will recruit 26 completely edentulous participants (any sex/gender) based on the following eligibility criteria: age ≥ 60 years, no tooth extraction in the past 12 months, two implants in the lower jaw, and need for new dentures in both jaws. Each participant will receive two denture pairs, either manufactured by 3D printing or traditionally, to be worn in a random order. A timeline of 3 months with each denture pair will be considered for outcome assessment (total: 6 months). Patient satisfaction with dentures will be measured by the McGill Denture Satisfaction Questionnaire. We will evaluate other patient-reported outcomes (including oral health-related quality of life) as well as clinician-assessed quality and cost. At the end of the trial, participants will choose which denture pair they wish to keep and interviewed about their experiences with the 3D-printed IMO. The quantitative and qualitative data will be incorporated through an explanatory mixed-methods strategy. A final quantitative assessment will happen after 12 months with the preferred IMO to assess the long-term performance and maintenance needs. Discussion This mixed-methods RCT will explore patient experiences with 3D-printed IMOs, aiming to assess the potential for altering clinical practice and dental public health policies. Our results will inform policies by showing whether 3D printing offers comparable outcomes at lower costs, facilitating greater access to oral care for the elderly. Trial registration ClinicalTrials.gov, NCT06155630, Registered on 04 December 2023. https://classic.clinicaltrials.gov/ct2/show/NCT06155630

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Section: Methodsmentioning

confidence: 99%