Immediately loaded single-implant mandibular overdentures compared to conventional complete dentures: A cost-effectiveness analysis

Nogueira, Túlio Eduardo; Silva, Jésio Rodrigues; Nascimento, Lays Noleto; Cardoso, Joyce Borges; Srinivasan, Murali; McKenna, Gerald; Leles, Cláudio Rodrigues

doi:10.1016/j.jdent.2021.103846

Cited by 4 publications

(2 citation statements)

References 37 publications

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“…Due to the high number of unscheduled appointments associated with these maintenance events, their occurrence can be a nonnegligible inconvenience for both patients and dentists. However, these events are considered minor maintenance, as they can be easily and readily managed, and are therefore very little time‐consuming and involve low costs (Hartmann et al, 2020b; Nogueira et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

Prosthodontic outcomes of mandibular overdenture treatment with one or two implants: 4‐year results of a randomized clinical trial

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Menezes

Maniewicz

et al. 2023

Clinical Oral Implants Res

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Objective: To assess the incidence of prosthodontic maintenance events and complications during 4 years of follow-up after mandibular overdenture treatment with one or two implants.Methods: Participants received one or two implants inserted in the midline (1-IOD group) or the lateral incisor-canine area bilaterally (2-IOD group). Implants were loaded with an early loading protocol after 3 weeks. Programmed recall visits were scheduled at the 6-, 12-, 36-, and 48-month follow-ups and nonprogrammed visits in case of prosthodontic complaints. The type of maintenance was registered, and the final treatment outcome was classified as successful, surviving, unknown, dead, repair, or retreatment.Results: Forty-seven participants, mean age 65.4 ± 8.6, 74.5% female, were included (1-IOD = 23; 2-IOD = 24) and 44 completed the 4-year follow-up. A total of 159 prosthodontic maintenance events occurred and 89 in unscheduled visits. The most common event was the need for minor modifications of the denture base due to sore spots in the oral mucosa (n = 56 in 31 patients), matrix activation (n = 54 in 34 patients), and overdenture fracture (n = 25 in 18 patients). A "successful" or "surviving" outcome could be attributed to 57.5% of cases, whereas 38.3% needed repair. No significant differences in the incidence of prosthodontic events or treatment outcomes were found between the two groups.Conclusions: Findings show that 1-IODs perform similar to 2-IODs when considering the incidence of fractures and the need for prosthodontic maintenance, including adjustments of the overdenture and the attachment system.

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Section: Discussionmentioning

confidence: 99%

Prosthodontic outcomes of mandibular overdenture treatment with one or two implants: 4‐year results of a randomized clinical trial

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Menezes

Maniewicz

et al. 2023

Clinical Oral Implants Res

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“…Studies have demonstrated that the bite forces of CRDP wearers are impaired which may be attributed to a combination of factors including retention and stability of the CRDPs, reduced muscle force, degree of jaw opening, as well as pain or frailty (Haraldson et al, 1988; Kapur & Garrett, 1984; Mericske‐Stern et al, 1993; Michael et al, 1990; Slagter et al, 1993). The use of implant support for the rehabilitation of edentulous jaws is a successful treatment modality that improves mastication, patient satisfaction as well as the oral health‐related quality of life (OHRQoL), and these changes are observed even in dependent older adults (Feine et al, 2002; Feine, de Grandmont, et al, 1994; Feine, Maskawi, et al, 1994; Heydecke et al, 2003; Maniewicz et al, 2019; Meijer et al, 2009; Müller et al, 2004, 2012, 2013; Nogueira et al, 2021; Payne et al, 2017; Rashid et al, 2011; Schimmel et al, 2010; Srinivasan et al, 2017; Thomason et al, 2003, 2009, 2012; van der Bilt et al, 2006; van Kampen et al, 2004; Visser et al, 2005; Wismeijer et al, 1997; 2013). There is robust evidence to support dental implant therapy as a predictable long‐term treatment option, in terms of improvement of CRDP retention and stability, implant survival, clinically acceptable peri‐implant marginal bone level changes, and minimal complications.…”

Section: Introductionmentioning

confidence: 99%

Oral function in completely edentulous patients rehabilitated with implant‐supported dental prostheses: A systematic review and meta‐analysis

Srinivasan,

Kamnoedboon,

Angst

et al. 2023

Clinical Oral Implants Res

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ObjectivesThis review evaluated the effects of rehabilitation with implant‐supported prostheses on the oral function of completely edentulous adults.Materials and MethodsSystematic literature searches were performed to identify records reporting on oral function in completely edentulous adults rehabilitated with implant‐supported prostheses. Meta‐analyses were performed on various outcomes including bite force, masticatory performance, muscle activity, mandibular movement/chewing pattern, and salivary flow.Results5507 records were identified. Thirty studies qualified for data extraction and analysis. The kappa (𝛋) for the search and identification strategy ranged between 0.50 and 1.00. Meta‐analysis was performed grouping the studies by outcomes and split by time points of 6–12 months, 12–36 months, and >36 months after implant therapy. The meta‐analyses revealed a significant improvement in oral function of completely edentulous adults after rehabilitation with implant‐supported prostheses at 6–12 months (Z = −4.895, p < .001; 95% CI: −0.703, −0.301; τ2 = .609; Q = 114.953, df = 17, p < .001; I2 = 85.2%), at 12–36 months (Z = −4.886, p < .001; 95% CI: −0.580, −0.248; τ2 = .908; Q = 280.611, df = 35, p < .001; I2 = 87.5%) and at more than 36 months (Z = −9.108, p < .001; 95% CI: −1.472, −0.951; τ2 = .019; Q = 7.918, df = 7, p = .340; I2 = 11.6%). The included studies demonstrated a low to moderate risk of bias.ConclusionsThis systematic review concluded that the oral function of completely edentate adults significantly improved with implant‐supported/retained prostheses, even when only one jaw received implant therapy. Therefore, implant therapy should be promoted for edentulous adults to alleviate the shortcomings of conventional complete removable dental prostheses.

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Comparative evaluation of masticatory efficiency, clinical performance, and patient satisfaction of single implant-retained mandibular overdenture versus conventional complete denture: A prospective in vivo study

Mathew,

Kurian,

Gandhi

et al. 2024

The Journal of Indian Prosthodontic Society

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Aim: The aim of this within-subject prospective clinical study was to investigate the scope of single implant mandibular overdenture by assessing its masticatory efficiency, clinical performance, and patient satisfaction compared to conventional complete dentures. Settings and Design: Prospective In Vivo Study. Material and Methods: This prospective in vivo study was conducted in the Department of Prosthodontics and Crown and Bridge, Christian Dental College, Ludhiana. A total of 12 completely edentulous patients received a single implant in the mandibular anterior midline region. After the healing period, the conventional maxillary and mandibular dentures were fabricated. 15 days post insertion of the conventional dentures, patients were evaluated for masticatory efficiency, clinical performance including retention and stability, and patient satisfaction. To evaluate the masticatory efficiency blue raspberry and original pink “Hubba Bubba tape gum” were used as a test food. Colorimetric analysis was done to assess variance of hue. To assess clinical performance, retention, and stability of the mandibular denture was recorded using a digital force gauge and was tabulated as per CU-modified Kapur's criteria. OHIP-14 index was used to assess patient satisfaction. After evaluation of the parameters of conventional dentures, the denture was converted into an implant-retained mandibular denture by chairside conversion with locator attachments. 15 days post-implant loading, parameters of the implant retained mandibular overdenture were assessed again followed by statistical analysis. Statistical Analysis Used: The masticatory efficiency was assessed using a paired t-test. The patient satisfaction was sequentially assessed with Wilcoxon signed rank test and thereafter paired t-test was used to compare between conventional complete denture and overdenture. Clinical performance was assessed using the Wilcoxon signed rank test. Results: The masticatory efficiency of single implant mandibular overdenture was higher than that of conventional complete dentures. The clinical performance of the overdenture was higher than that of the conventional denture. Stability being a time-dependent parameter might need longer follow-ups for further conclusions. Patient satisfaction with single implant retained overdenture was significantly higher than conventional complete dentures. Conclusion: Single implant mandibular overdenture has improved masticatory efficiency, clinical performance, and patient satisfaction compared to conventional complete dentures.

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Immediately loaded single-implant mandibular overdentures compared to conventional complete dentures: A cost-effectiveness analysis

Cited by 4 publications

References 37 publications

Prosthodontic outcomes of mandibular overdenture treatment with one or two implants: 4‐year results of a randomized clinical trial

Prosthodontic outcomes of mandibular overdenture treatment with one or two implants: 4‐year results of a randomized clinical trial

Oral function in completely edentulous patients rehabilitated with implant‐supported dental prostheses: A systematic review and meta‐analysis

Comparative evaluation of masticatory efficiency, clinical performance, and patient satisfaction of single implant-retained mandibular overdenture versus conventional complete denture: A prospective in vivo study

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