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

Abstract

Objective To prospectively evaluate patient‐reported outcome measures (PROMs) and treatment outcomes of mandibular two‐implant retained overdentures (IOD) in an edentulous geriatric cohort with history of deficient complete dentures (CD). Materials and Methods A total of 103 patients with deficient CD received new optimal CD. After a period of 3 months, 80 of the patients voluntarily received IOD. Outcomes collected at pre‐, post‐CD/post‐IOD treatment annually up to 5 years, included (a) Clinical outcomes: denture‐quality (Woelfel's index), complications, and maintenance events, (b) PROMs: patient complaints (maxillary, mandibular functional complaint scores, generic aesthetic complaint scores, frequency, and intensity of complaints) and patient satisfaction, and (c) Maintenance events: technical complications and adverse events. Results Five‐year data were collected from 67 patients (mean age at initiation = 71.3 years, mean observation = 5.9 years) with cumulative implant survival rate = 98.72%. Multiple comparisons for 8 time points showed significant improvements in denture quality and PROMs after new CD and IOD delivery. Further significant improvements were only after IOD delivery in: mandibular denture‐quality, mandibular and generic functional complaints, frequency, intensity of complaints, and overall patient satisfaction score. Thereafter, denture‐quality and PROMs remained stable. Maintenance events clustered on 1st year and within a minority of patients. Technical complications and overall maintenance events significantly correlated with overall patient satisfaction score at 1st year. Conclusions Mandibular IOD was a beneficial treatment option for seniors with history of deficient CD, improving denture‐quality, patient satisfaction, and reducing patient complaints up to 5 years. Maintenance events clustered on 1st year, showing no significant impact on long‐term patient satisfaction and other PROMs.

Self‐administered proximal implant‐supported hygiene measures and the association to peri‐implant conditions

“…More recently, Feine et al, 35 as part of Group 3 of the 6th ITI Consensus Conference concluded that in general, patients are very satisfied with the esthetics of implant-supported restorations and the surrounding mucosa. 36 The current findings suggest that certain patient opinions, perceptions, and characteristics related to oral hygiene measures are significantly associated to the diagnosis of the peri-implant condition. In general, these factors seem to discriminate between healthy conditions and PM, and thus between health and disease.…”

“…and Yao et al., 34 where patient satisfaction improved significantly in all the studied domains after the completion of treatment. More recently, Feine et al., 35 as part of Group 3 of the 6th ITI Consensus Conference concluded that in general, patients are very satisfied with the esthetics of implant‐supported restorations and the surrounding mucosa 36 …”

“…This finding highlights the significance of patient‐reported outcomes measures (PROMs) as potential therapeutical criterium for success in implant dentistry. In fact, it has been suggested that patient function and satisfaction are potentially influenced by complications and adverse events related to their implant‐supported restorations 36 …”

“…In fact, it has been suggested that patient function and satisfaction are potentially influenced by complications and adverse events related to their implant-supported restorations. 36…”

İmplant Destekli̇ Overdenture Protezlerde Kullanilan Hassas Tutucular

“…47 Takahashi ve arkadaĢlarının ball, locator ve mıknatıs tutucuların makaslama gerilimlerini kıyasladıkları çalıĢmada 48 en düĢük makaslama kuvvetinin manyetik tutucuda; en yüksek makaslama kuvvetinin ball tutucuda olduğu bildirilmiĢtir. Zhang ve arkadaĢlarının mıknatıs ve locator tutucuları kıyasladıkları çalıĢmada 49 en fazla komplikasyonun ilk yılda görüldüğü ve mıknatıs tutucuda daha fazla komplikasyon olduğu bildirilmiĢtir.…”