Comparison of Three Prosthodontic Treatment Modalities for Patients with Periodontally Compromised Anterior Mandibular Teeth: A 2-year follow-up study

Abstract

Objectives To prospectively assess self-perceived chewing function (CF) and oral health-related quality of life (OHRQoL) in geriatric patients after receiving three different treatment modalities in the mandible: removable partial denture (CD-RPD), complete denture (CDs), or complete overdenture supported by mini dental implants (CD-MDI). At baseline, all patients had mobile anterior teeth (1 mm or >) and missing posterior teeth in the mandible. Patients were completely edentulous in the maxilla. After treatment, patients were recalled at the 3-month and the 2-year post-treatment period. Materials and Methods A total of 176 patients participated (CD group, n=68; CD-RPD group, n=58; CD-MDI group, n=50). Self-reported CF was assessed using the Chewing Function questionnaire (CFQ), The OHRQoL was evaluated using the OHIP14 questionnaire, which the patients completed 1. before treatment, 2. three months after treatment, and 3. at the 2-year post-treatment stage. Results The OHRQoL and the self-perceived CF significantly improved in all groups after treatment (p<0.01). The highest improvement of a CF was recorded in the CD-MDI group. The OHRQoL was significantly higher in the CD-MDI group in comparison to the CDs group after treatment (p<0.01). At the 2-year post-treatment stage, self-perceived CF significantly further improved in the CD-MDI group, while it worsened in the CD and the CD-RPD groups (p<0.01). The same pattern was recorded for the OHIP14 summary scores. The highest amount of denture repairs and adjustments was recorded in the CD-RPD group, although maintenance was also demanding in the CD-MDI group. Conclusion Within the limitations of this study, rehabilitation with mandibular MDI retained overdenture can be considered as preferred treatment with the constant improvement of OHRQoL and a chewing function in comparison to mandibular CD or mandibular RPD option in patients with mobile anterior mandibular teeth.

A cohort study on short mini‐implants for mandibular overdentures compared to those of standard length

“…It has been also reported that mandibular ODs supported by four MDIs lead to a long‐lasting treatment‐induced improvement in oral health‐related quality of life (Čelebić et al, ; Reissmann et al, ).…”

Assessment of Pattern of Oral Prosthetic Treatment and Prevalence of Oral Diseases in Edentulous Patients in North Indian Population: A Cross-sectional Study

“…Patients with the edentulous area in the anterior tooth region preferred removable partial denture, whereas implant-supported overdenture led to significant improvement in the chewing function. [ 11 12 13 ] Even though, chewing competency and dietary status signify when insufficient dentition edentulous state is amended with partial/complete dentures; masticatory function in these rehabilitation prostheses is less efficient in comparison to the original intact natural teeth. Hence, it is the foremost duty of the dentist to maintain the natural dentition by carrying out various prophylactic measures along with giving instructions for maintaining the overall oral and general health.…”

Khat Chewing Induces a Floral Shift in Dental Material-Associated Microbiota: A Preliminary Study

“…Oral biofilm and periodontal parameters are reported to be influenced by all the appliances that are in contact with mucosa for many hours per day, such as prosthodontic frameworks [34] and orthodontic appliances [35] or continuous chewing of substances [36].…”