Functional and Patient-Centered Treatment Outcomes with Mandibular Overdentures Retained by Two Immediate or Conventionally Loaded Implants: A Randomized Clinical Trial
This study aims to assess the treatment outcomes (functional and subjective) of mandibular overdentures retained on two implants with or without an immediate loading protocol. In this randomized clinical trial, twenty fully edentulous patients were treated with a mandibular two-implant-retained over...
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| Format: | Article |
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MDPI AG
2021-08-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/16/3477 |
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| author | Javier Montero Abraham Dib Yasmina Guadilla Javier Flores Beatriz Pardal-Peláez Norberto Quispe-López Cristina Gómez-Polo |
| author_facet | Javier Montero Abraham Dib Yasmina Guadilla Javier Flores Beatriz Pardal-Peláez Norberto Quispe-López Cristina Gómez-Polo |
| author_sort | Javier Montero |
| collection | DOAJ |
| description | This study aims to assess the treatment outcomes (functional and subjective) of mandibular overdentures retained on two implants with or without an immediate loading protocol. In this randomized clinical trial, twenty fully edentulous patients were treated with a mandibular two-implant-retained overdenture and a complete new maxillary denture. In half of the sample, the implants were loaded immediately by means of VulkanLoc<sup>®</sup> abutments after emplacement of the implant, but in the counterparts, these VulkanLoc<sup>®</sup> abutments were connected to implants two months after the surgery (conventional protocol), and until that time the dentures were retained by healing abutments. Treatment outcomes were assessed at two, six, and twelve months after surgery. Functional outcomes were calculated according to masticatory performance, estimated by the mixed fraction of a two-coloured chewing gum after five, ten, and fifteen chewing strokes, by the occlusal force recorded by pressure-sensitive sheets, and by the bioelectrical muscular activity. The subjective outcomes of the treatment were assessed using both the oral satisfaction scale (visual analogue scale) and the Spanish version of the Oral Health Impact Profile (OHIP-20). The findings of the present study show that new complete dentures resulted in significant improvements in chewing ability, patient satisfaction, and oral health-related quality of life and that subsequent implant-retained overdentures produced further and faster significant improvements. The loading protocol may influence those positive self-reported outcomes rather than the objective functional evaluations. |
| first_indexed | 2024-03-10T08:43:02Z |
| format | Article |
| id | doaj.art-8a2cf311ce654d399e9b11ca43642e0e |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T08:43:02Z |
| publishDate | 2021-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-8a2cf311ce654d399e9b11ca43642e0e2023-11-22T08:08:51ZengMDPI AGJournal of Clinical Medicine2077-03832021-08-011016347710.3390/jcm10163477Functional and Patient-Centered Treatment Outcomes with Mandibular Overdentures Retained by Two Immediate or Conventionally Loaded Implants: A Randomized Clinical TrialJavier Montero0Abraham Dib1Yasmina Guadilla2Javier Flores3Beatriz Pardal-Peláez4Norberto Quispe-López5Cristina Gómez-Polo6Department of Surgery, Faculty of Medicine, University of Salamanca, 37007 Salamanca, SpainDepartment of Surgery, Faculty of Medicine, University of Salamanca, 37007 Salamanca, SpainDepartment of Surgery, Faculty of Medicine, University of Salamanca, 37007 Salamanca, SpainDepartment of Surgery, Faculty of Medicine, University of Salamanca, 37007 Salamanca, SpainDepartment of Surgery, Faculty of Medicine, University of Salamanca, 37007 Salamanca, SpainDepartment of Surgery, Faculty of Medicine, University of Salamanca, 37007 Salamanca, SpainDepartment of Surgery, Faculty of Medicine, University of Salamanca, 37007 Salamanca, SpainThis study aims to assess the treatment outcomes (functional and subjective) of mandibular overdentures retained on two implants with or without an immediate loading protocol. In this randomized clinical trial, twenty fully edentulous patients were treated with a mandibular two-implant-retained overdenture and a complete new maxillary denture. In half of the sample, the implants were loaded immediately by means of VulkanLoc<sup>®</sup> abutments after emplacement of the implant, but in the counterparts, these VulkanLoc<sup>®</sup> abutments were connected to implants two months after the surgery (conventional protocol), and until that time the dentures were retained by healing abutments. Treatment outcomes were assessed at two, six, and twelve months after surgery. Functional outcomes were calculated according to masticatory performance, estimated by the mixed fraction of a two-coloured chewing gum after five, ten, and fifteen chewing strokes, by the occlusal force recorded by pressure-sensitive sheets, and by the bioelectrical muscular activity. The subjective outcomes of the treatment were assessed using both the oral satisfaction scale (visual analogue scale) and the Spanish version of the Oral Health Impact Profile (OHIP-20). The findings of the present study show that new complete dentures resulted in significant improvements in chewing ability, patient satisfaction, and oral health-related quality of life and that subsequent implant-retained overdentures produced further and faster significant improvements. The loading protocol may influence those positive self-reported outcomes rather than the objective functional evaluations.https://www.mdpi.com/2077-0383/10/16/3477patient-reported outcomesprosthodonticsdental implantmasticationoverdentureimmediate loading |
| spellingShingle | Javier Montero Abraham Dib Yasmina Guadilla Javier Flores Beatriz Pardal-Peláez Norberto Quispe-López Cristina Gómez-Polo Functional and Patient-Centered Treatment Outcomes with Mandibular Overdentures Retained by Two Immediate or Conventionally Loaded Implants: A Randomized Clinical Trial Journal of Clinical Medicine patient-reported outcomes prosthodontics dental implant mastication overdenture immediate loading |
| title | Functional and Patient-Centered Treatment Outcomes with Mandibular Overdentures Retained by Two Immediate or Conventionally Loaded Implants: A Randomized Clinical Trial |
| title_full | Functional and Patient-Centered Treatment Outcomes with Mandibular Overdentures Retained by Two Immediate or Conventionally Loaded Implants: A Randomized Clinical Trial |
| title_fullStr | Functional and Patient-Centered Treatment Outcomes with Mandibular Overdentures Retained by Two Immediate or Conventionally Loaded Implants: A Randomized Clinical Trial |
| title_full_unstemmed | Functional and Patient-Centered Treatment Outcomes with Mandibular Overdentures Retained by Two Immediate or Conventionally Loaded Implants: A Randomized Clinical Trial |
| title_short | Functional and Patient-Centered Treatment Outcomes with Mandibular Overdentures Retained by Two Immediate or Conventionally Loaded Implants: A Randomized Clinical Trial |
| title_sort | functional and patient centered treatment outcomes with mandibular overdentures retained by two immediate or conventionally loaded implants a randomized clinical trial |
| topic | patient-reported outcomes prosthodontics dental implant mastication overdenture immediate loading |
| url | https://www.mdpi.com/2077-0383/10/16/3477 |
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