Oral Health–Related Quality of Life in Different Types of Mandibular Implant Overdentures in Function Longer Than 3 Years

Peršić, Sanja; Ćelić, Robert; Vojvodić, Denis; Petričević, Nikola; Kranjčić, Josip; Zlatarić, Dubravka Knezović; Čelebić, Asjâ

doi:10.11607/ijp.4457

Cited by 22 publications

(40 citation statements)

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“…No significant differences regarding cumulative 1‐year survival rate, both at the implant level and at the patient level between the Short‐ and the Standard‐MDI groups indicate good clinical behavior of short MDIs. Survival rates obtained in this study for the both groups are in accordance with other reports for standard length MDIs (Elsyad, ; Elsyad et al, ; Goiato et al, ; Griffitts et al, ; Hasan et al, ; Klein et al, ; Lemos et al, ; Marcello‐Machado, Faot, Schuster, Nascimento, & Del Bel Cury, ; Mundt, Schwahn, Biffar, & Heinemann, ; Mundt, Schwahn, Stark, et al, ; Park, Lee, & Shin, ; Peršić et al, ; Scepanovic et al, ; Šćepanović et al, ; Schiegnitz & Al‐Nawas, ; de Souza et al, ; Zygogiannis et al, ).…”

Section: Discussionsupporting

confidence: 91%

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

Kovačić

Peršić

Kranjčić

et al. 2019

Clinical Oral Implants Res

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Objectives To assess peri‐implant bone level, survival and success rates of short (6 or 8 mm long) one‐piece mini‐implants (MDIs) in edentulous patients with extremely resorbed alveolar ridge (interforaminal height <10 mm) rehabilitated with mandibular implant overdentures and to compare them with patients having standard length MDIs in 1‐year prospective clinical study. Material and methods The Short MDI group consisted of 28 participants with interforaminal height ≤10 mm. Implants being, both, short and slim (short MDIs: 6 or 8 mm long, 2 or 2.5 mm wide) were inserted. The Standard‐MDI group included 35 participants (interforaminal height >13 mm) who received standard length MDIs (10–14 mm long, 2 or 2.5 mm wide). Primary outcomes were assessments of MDI peri‐implant bone level, survival and success rates; secondary outcomes were assessments of peri‐implant tissue, oral hygiene, and prosthodontic maintenance. Results The Short MDI group had mean marginal bone loss (MBL) of 0.26 ± 0.35 mm, 6.4% of failure, and 92.6% of, both, success and survival rates. The Standard‐MDI group had mean MBL of 0.34 ± 0.40 mm, 5% of failure, 95% of survival, and 94.3% success. There were no significant differences in MBL (p = .420), survival (p = .414), and success (p = .571) between the groups. The Short MDI group had significantly less plaque (p = .001) and bleeding on probing (p < .001). Conclusion Within the limitations of this study, short MDIs (6 or 8 mm long) in extremely atrophied mandibles (interforaminal height <10 mm) showed good clinical results in the first year of function.

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Section: Discussionsupporting

confidence: 91%

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

Kovačić

Peršić

Kranjčić

et al. 2019

Clinical Oral Implants Res

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“…Screening of these papers yielded four studies comparing mini-implant-retained overdentures and standard diameter implant overdentures and were found eligible to be included in the systematic review [8–11]. Two studies [8, 11] comparing patient satisfaction between the groups were included for the meta-analysis. The PRISMA flow diagram is depicted in Fig.…”

Section: Resultsmentioning

confidence: 99%

“…1. The key characteristics of the included studies are mentioned in Table 1 [8–11]. Risk of bias of the included studies is depicted in Fig.…”

Section: Resultsmentioning

confidence: 99%

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Comparison of patient satisfaction with mini-implant versus standard diameter implant overdentures: a systematic review and meta-analysis of randomized controlled trials

Sivaramakrishnan

Sridharan

2017

Int J Implant Dent

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Mini-implants have certain advantages over standard size implants which are being tested in various randomized controlled trials. This systematic review and meta-analysis aims to compare conventional implant overdentures to mini-implant-retained overdentures as regards to patient satisfaction. Electronic databases were searched for eligible studies data required were extracted. The extracted data were analyzed using non-Cochrane mode in RevMan 5.0 software. The heterogeneity between the studies was assessed using Forest plot, I 2 statistics, and chi-square test with a statistical P value of less than 0.10 to indicate statistical significance. Random-effect models were used in case of moderate heterogeneity. Four studies were included for the review and two for meta-analysis. Two studies in 177 patients comparing quality of life with mini or standard diameter implants showed a pooled result of −4.76 [−6.48, −3.04] favoring the use of mini-implants. The results for other outcomes were incomputable due to inadequate studies. GRADE approach was used for quality of life, and the strength of evidence was observed to be “low”. Mini-implant-supported overdentures had better patient satisfaction levels compared to standard diameter implant overdenture. There is definite lack of evidence to support the use of mini-implants for overdentures.

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“…Clinical success of short MDIs for retention of mandibular overdenture would be of tremendous benefit, as most patients with extreme alveolar ridge atrophy do not use their complete dentures at all, not even with denture adhesives, and most of them do not want extensive surgical treatments [25, 26].…”

Section: Discussionmentioning

confidence: 99%

Rehabilitation of an Extremely Resorbed Edentulous Mandible by Short and Narrow Dental Implants

Kovačić

Peršić

Kranjčić

et al. 2018

Case Reports in Dentistry

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Serious consequences of long-term complete denture wearing may be extreme residual ridge atrophy and a reduced area of keratinized oral mucosa of a denture-bearing area. This paper presents five clinical cases of extreme mandibular ridge atrophy, rehabilitated by means of mandibular overdentures retained by short mini dental implants. The patients had a reduced mandibular bone volume in the interforaminal region, bone height less than 10 mm, and buccolingual bone width less than 4 mm. In order to avoid bone augmentation, patients received four short mini dental implants (MDIs) (6 or 8 mm long; 2.0 or 2.5 mm wide) for the support of mandibular overdentures, which is a new rehabilitation option. After insertion, the MDIs were early loaded with new mandibular overdentures reinforced with the CoCr framework. The patients have been wearing their overdentures for 2 years. One MDI broke during insertion and a new one was added. One patient lost one MDI but successfully continued to wear the overdenture retained by the remaining three MDIs. Mean marginal bone loss (MBL) was 0.20 ± 0.19 mm. Patients significantly improved their OHRQoL and chewing function by reducing the summary scores of the OHIP-14 and the chewing function questionnaires. The improvements remained unchanged throughout the observation period.

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Oral Health–Related Quality of Life in Different Types of Mandibular Implant Overdentures in Function Longer Than 3 Years

Cited by 22 publications

References 0 publications

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

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

Comparison of patient satisfaction with mini-implant versus standard diameter implant overdentures: a systematic review and meta-analysis of randomized controlled trials

Rehabilitation of an Extremely Resorbed Edentulous Mandible by Short and Narrow Dental Implants

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