title: Oral health status and treatment satisfaction with mandibular implant overdentures and conventional dentures: a randomized clinical trial in a senior population.
abstract: 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.
authors.affiliation: Faculty of Health Sciences, Department of Nursing and Health Services Administration and Environmental Health, University of Sharjah, United Arab Emirates.
authors.forename: Manal A
authors.initials: MA
authors.lastname: Awad
authors.forename: James P
authors.initials: JP
authors.lastname: Lund
authors.forename: Stanley H
authors.initials: SH
authors.lastname: Shapiro
authors.forename: David
authors.initials: D
authors.lastname: Locker
authors.forename: Esa
authors.initials: E
authors.lastname: Klemetti
authors.forename: Antoine
authors.initials: A
authors.lastname: Chehade
authors.forename: Andre
authors.initials: A
authors.lastname: Savard
authors.forename: Jocelyne S
authors.initials: JS
authors.lastname: Feine
mesh_terms: 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
chemical_list: D015921:Dental Implants