Patient‐reported outcome measures of edentulous patients restored with implant‐supported removable and fixed prostheses: A systematic review

Abstract

Objective: The aim of this systematic review was to compare patient-reported outcomes measures (PROMs) of implant-supported fixed complete dentures (IFCDs) and overdentures (IODs). Material and methods: PubMed, Cochrane Library, EMBASE, Scopus and Web of Science were searched, complemented by manual search. Studies published in English up to November 2016 comparing removable with fixed implant-supported prosthesis on fully edentulous patients were included. The review focused on impact on patients' oral health-related quality of life (OHRQoL), satisfaction or other patientreported outcomes measures. Results: Of 1,563 initially screened articles, 13 studies including 8 prospective and 5retrospective studies fulfilled the inclusion criteria. OHRQoL and patient satisfaction were the most common PROMs. When evaluating the levels of evidence, five of thirteen studies were graded as level III and seven reached level II. The only randomized control trial was rated as Ib. The methods used to evaluate PROMs were heterogeneous among studies, and there was a lack of standardization in the measurements employed. In general, IFCD and IOD showed no significant differences when compared for PROMs, with a slight trend of IFCD being superior to IOD in most included studies. However, conflicting results were observed in many aspects such as chewing function, phonetics-related function, overall satisfaction and aesthetics.Conclusions: Inconsistent results were observed in PROMs when comparing IFCD and IOD for fully edentulous patients. A guideline for standardizing the assessment of PROMs in clinical research is needed in order to produce more meaningful evidence-based information. K E Y W O R D Sdental prosthesis, edentulous, implant-supported, outcome assessment (Health Care), patient satisfaction, patient-reported outcomes measures, personal satisfaction, quality of life This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

Patient satisfaction and clinical outcomes in implant‐supported overdentures retained by milled bars: Two‐year follow‐up

“…A limitation of this study may be the lack of data about bite force and blood markers estimated before and after treatment, which could have provided more robust evidence on changes in the nutritional state of patients. Although the sample size is relatively low in our study, it is comparable to other reports of the current available literature . Another limitation is related to the absence of a control group, which could reduce the generalisability of the results.…”

“…In addition, it is known that patient satisfaction may be modulated by individual characteristics, and it is thus relevant to adjust the subjective perception for age, gender, habits (eg smoking status) and systemic health (ie diabetes) to provide independent and objective evidence and address the influence of confounding variables. The questionnaires used in the present study were validated in a number of studies both in its complete form (with 49 items) and in its short one (14 items) …”

Patient‐reported outcome measures (PROMs) and maintenance events in 2‐implant‐supported mandibular overdenture patients: A 5‐year prospective study

“…Although several studies have evaluated clinical outcomes of IOD treatment, there are little data systematically documenting PROMs, in particular, those temporally documented throughout pretreatment to long‐term maintenance phases (Yao et al, ). The strengths of the present investigation include combining objective observations of the quality of the dentures and IOD, systematic registration of complications and maintenance events, and prospective, systematic recording of PROMs.…”

“…Although several studies have evaluated clinical outcomes of IOD treatment, there are little data systematically documenting PROMs, in particular, those temporally documented throughout pretreatment to long-term maintenance phases (Yao et al, 2018). The strengths of the present investigation include combining objective 2.00 (0.00, 6.00)…”

“…As the significance of providing "patient centered" care is increasingly recognized (Marshall, Haywood, & Fitzpatrick, 2006), PROMs have emerged as critical parameters to supplement the assessment of clinical treatment success (Lang & Zitzmann, 2012;McGrath, Lam, & Lang, 2012). As this domain is yet at its early stages within oral rehabilitation research, examples of systematic assessments of PROMs with regards to overdentures are still scarce, in particular when it comes to prospective data concerning edentulous patient experiences at different phases of IOD therapy and maintenance (Yao, Cao, Bornstein, & Mattheos, 2018).…”