title: Satisfaction and psychosocial aspects of patients with an extremely resorbed mandible treated with implant-retained overdentures. A prospective, comparative study.
abstract: The objective of the present report was to study the effect of implant treatment on subjective parameters in edentulous patients with an extremely resorbed mandible. Three different treatment modalities to support an overdenture were compared: transmandibular implant according to Bosker, augmentation of the mandible followed by four endosseous implants, and the insertion of four short endosseous implants. Sixty patients [50 women and 10 men, mean (+/- SD) age 59 (+/- 11) years] met the inclusion criteria and were assigned in one of the three treatment groups. Before treatment and 12 months after placement of the new overdentures, denture satisfaction, psychosocial aspects and experiences during the surgical phase were assessed with a battery of questionnaires. After 1 year, 58 patients were available for evaluation: one patient had died, and one patient had moved out of the region. There was a significant improvement of patient satisfaction and psychosocial functioning in all three treatment groups. At the 1-year evaluation, differences amongst the three groups were not significant. However, in terms of discomfort and pain during the surgical phase as well as the length of this phase (at least 6 months), the augmentation using an autologous bone graft from the iliac crest followed by inserting four endosseous implants 3 months later appeared the least favorite option of the three modalities studied.
authors.affiliation: Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University Hospital, Groningen, The Netherlands. c.stellingsma@kchir.azg.nl
authors.forename: Kees
authors.initials: K
authors.lastname: Stellingsma
authors.forename: Jelte
authors.initials: J
authors.lastname: Bouma
authors.forename: Boudewijn
authors.initials: B
authors.lastname: Stegenga
authors.forename: Henny J A
authors.initials: HJ
authors.lastname: Meijer
authors.forename: Gerry M
authors.initials: GM
authors.lastname: Raghoebar
mesh_terms: D000540:Alveolar Ridge Augmentation; D000704:Analysis of Variance; D001294:Attitude to Health; D001862:Bone Resorption / Q000473:pathology* / Q000601:surgery; D016025:Bone Transplantation; D003758:Dental Implantation, Endosseous; D015921:Dental Implants / Q000523:psychology; D017267:Dental Prosthesis Design; D019094:Dental Prosthesis, Implant-Supported / Q000523:psychology; D003781:Denture Retention; D003828:Denture, Overlay; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007575:Jaw, Edentulous / Q000534:rehabilitation* / Q000601:surgery; D008297:Male; D008334:Mandible / Q000473:pathology* / Q000601:surgery; D008875:Middle Aged; D017060:Patient Satisfaction; D011183:Postoperative Complications; D011446:Prospective Studies; D011788:Quality of Life; D018709:Statistics, Nonparametric
chemical_list: D015921:Dental Implants