Oral health status and treatment satisfaction with mandibular implant overdentures and conventional dentures: a randomized clinical trial in a senior population.
OBJECTIVE
The purpose of this study was to compare elderly patients' satisfaction and oral health-related quality of life with mandibular two-implant overdentures and conventional dentures.


METHODS
Sixty edentulous subjects aged 65 to 75 years were randomly assigned to two groups treated with maxillary conventional dentures and either a mandibular conventional denture (n = 30) or an overdenture supported by two implants with ball retainers (n = 30). Subjects rated their general satisfaction, as well as other features of their dentures (comfort, stability, ability to chew, speech, esthetics, and cleaning ability), prior to treatment and 2 months postdelivery. Changes in ratings on the original Oral Health Impact Profile (OHIP) and its short form (OHIP-EDENT) were also used as indicators of oral health-related quality of life.


RESULTS
The primary outcome of this study, ratings of general satisfaction 2 months postdelivery, was significantly better in the group treated with mandibular two-implant overdentures (P = .001). In addition, the implant group gave significantly higher ratings on comfort, stability, and ability to chew. Furthermore, using OHIP-EDENT, subjects who received mandibular two-implant overdentures had significantly fewer oral health-related quality of life problems than did the conventional group.


CONCLUSIONS
These short-term results suggest that mandibular two-implant overdentures combined with maxillary conventional dentures provide better function and oral health-related quality of life than conventional dentures.
Awad
Manal A
MA
Faculty of Health Sciences, Department of Nursing and Health Services Administration and Environmental Health, University of Sharjah, United Arab Emirates.
Lund
James P
JP
Shapiro
Stanley H
SH
Locker
David
D
Klemetti
Esa
E
Chehade
Antoine
A
Savard
Andre
A
Feine
Jocelyne S
JS
D000368:Aged; D015921:Dental Implants; D019094:Dental Prosthesis, Implant-Supported; D003781:Denture Retention; D003826:Denture, Complete, Lower; D003828:Denture, Overlay; D004955:Esthetics, Dental; D005260:Female; D005500:Follow-Up Studies; D006304:Health Status; D006801:Humans; D008297:Male; D008334:Mandible / Q000601:surgery*; D008409:Mastication / Q000502:physiology; D009909:Oral Health; D009910:Oral Hygiene; D017060:Patient Satisfaction; D011788:Quality of Life; D013060:Speech / Q000502:physiology; D016896:Treatment Outcome
D015921:Dental Implants