Comparison of Three Prosthodontic Treatment Modalities for Patients with Periodontally Compromised Anterior Mandibular Teeth: A 2-year follow-up study
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 su...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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University of Zagreb. School of Dental Medicine
2019-01-01
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| Series: | Acta Stomatologica Croatica |
| Subjects: | |
| Online Access: | https://hrcak.srce.hr/file/318178 |
| _version_ | 1797207486731649024 |
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| author | Asja Čelebić Sanja Peršić Ines Kovačić Dino Buković Nikolina Lešić Ksenija Rener-Sitar |
| author_facet | Asja Čelebić Sanja Peršić Ines Kovačić Dino Buković Nikolina Lešić Ksenija Rener-Sitar |
| author_sort | Asja Čelebić |
| collection | DOAJ |
| description | 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; CDMDI 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 CDRPD 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. |
| first_indexed | 2024-04-24T09:23:41Z |
| format | Article |
| id | doaj.art-87cc2db65e2b443bb7a95a990e30a678 |
| institution | Directory Open Access Journal |
| issn | 0001-7019 1846-0410 |
| language | English |
| last_indexed | 2024-04-24T09:23:41Z |
| publishDate | 2019-01-01 |
| publisher | University of Zagreb. School of Dental Medicine |
| record_format | Article |
| series | Acta Stomatologica Croatica |
| spelling | doaj.art-87cc2db65e2b443bb7a95a990e30a6782024-04-15T15:24:03ZengUniversity of Zagreb. School of Dental MedicineActa Stomatologica Croatica0001-70191846-04102019-01-0153141610.15644/asc53/1/1Comparison of Three Prosthodontic Treatment Modalities for Patients with Periodontally Compromised Anterior Mandibular Teeth: A 2-year follow-up studyAsja Čelebić0Sanja Peršić1Ines Kovačić2Dino Buković3Nikolina Lešić4Ksenija Rener-Sitar5Department of Prosthodontics, School of Dental Medicine & Clinical Hospital Centre Zagreb, University of Zagreb, Zagreb, CroatiaDepartment of Prosthodontics, School of Dental Medicine, University of Zagreb, Zagreb, CroatiaDepartment of Prosthodontics, School of Dental Medicine, University of Zagreb, Zagreb, CroatiaDepartment of Prosthodontics, School of Dental Medicine, University of Zagreb, Zagreb, CroatiaPrivate Dental Office, Zagreb, CroatiaDepartment of Prosthodontics, Division of Dental Medicine, Faculty of Medicine, University of Ljubljana & University Medical Center, University Dental Clinics, Ljubljana, SloveniaObjectives: 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; CDMDI 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 CDRPD 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.https://hrcak.srce.hr/file/318178Dental ProsthesisMandiblePatient SatisfactionMasticationDiagnostic Self EvaluationGeriatric Dentistry |
| spellingShingle | Asja Čelebić Sanja Peršić Ines Kovačić Dino Buković Nikolina Lešić Ksenija Rener-Sitar Comparison of Three Prosthodontic Treatment Modalities for Patients with Periodontally Compromised Anterior Mandibular Teeth: A 2-year follow-up study Acta Stomatologica Croatica Dental Prosthesis Mandible Patient Satisfaction Mastication Diagnostic Self Evaluation Geriatric Dentistry |
| title | Comparison of Three Prosthodontic Treatment Modalities for Patients with Periodontally Compromised Anterior Mandibular Teeth: A 2-year follow-up study |
| title_full | Comparison of Three Prosthodontic Treatment Modalities for Patients with Periodontally Compromised Anterior Mandibular Teeth: A 2-year follow-up study |
| title_fullStr | Comparison of Three Prosthodontic Treatment Modalities for Patients with Periodontally Compromised Anterior Mandibular Teeth: A 2-year follow-up study |
| title_full_unstemmed | Comparison of Three Prosthodontic Treatment Modalities for Patients with Periodontally Compromised Anterior Mandibular Teeth: A 2-year follow-up study |
| title_short | Comparison of Three Prosthodontic Treatment Modalities for Patients with Periodontally Compromised Anterior Mandibular Teeth: A 2-year follow-up study |
| title_sort | comparison of three prosthodontic treatment modalities for patients with periodontally compromised anterior mandibular teeth a 2 year follow up study |
| topic | Dental Prosthesis Mandible Patient Satisfaction Mastication Diagnostic Self Evaluation Geriatric Dentistry |
| url | https://hrcak.srce.hr/file/318178 |
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