Evaluation of the Effect of Implant-Supported Mandibular Overdentures on Quality of Life: A Pilot Study

Abstract

Purpose: The aim of this study was to examine the effect of mandibular two-implant overdentures on the quality of life of a group of patients.

Materials and Methods: This pilot study was performed with 63 edentulous participants (51-83 years old) who requested implant-supported mandibular overdentures at Adiyaman University, Faculty of Dentistry between 2016 and 2020. Six weeks after two dental implants were placed in the mandibular interforaminal region, mandibular implant-supported overdentures and maxillary conventional complete dentures were applied to each patient. Turkish version of the oral health impact profile (OHIP-14) was used to evaluate the patients' quality of life before and after prosthetic treatment.

Results: Compared with pre-treatment scores, participants had statistically significant improvements in quality of life after receiv-ing their new prostheses (p<0.001). No statistically significant correlation was found between pre- and post-treatment OHIP-14 scores and gender in the chi-square test (p>0.05).

Conclusion: Based on the results of this study, it can be concluded that mandibular two-implant overdentures improve the quality of life of edentulous patients.

Keywords

• complete denture
• implant-supported denture
• life expectancy

İmplant Destekli Mandibular Overdenture Protezlerin Yaşam Kalitesine Olan Etkisinin Değerlendirilmesi: Pilot Çalışma

Abstract

Amaç: Bu çalışmanın amacı, mandibular iki implant destekli protezlerin bir grup hastanın yaşam kalitesine etkisini incelemekti.

Araçlar ve Yöntem: Bu pilot çalışma, 2016 ve 2020 yılları arasında Adıyaman Üniversitesi Diş Hekimliği Fakültesi'nde implant destekli mandibular overdenture protez isteyen tam dişsiz altmış üç katılımcı (51-83 yaşlarında) ile gerçekleştirildi. Mandibular interforaminal bölgesine iki dental implant yerleştirdikten 6 hafta sonra her hastaya mandibular implant destekli overdenture protezler ile maksiller konvansiyonel tam protezler uygulandı. Hastaların protetik tedavi öncesi ve sonrası yaşam kalitesinin değerlendirilmesi için ağız sağlığı etki profilinin (OHIP-14) Türkçe versiyonu kullanılmıştır.

Bulgular: Tedavi öncesi puanlarla karşılaştırıldığında, katılımcılar yeni protezlerini aldıktan sonra yaşam kalitesinde istatistiksel olarak anlamlı iyileşme kaydedildi (p<0.001). Tedavi öncesi ve sonrası OHIP-14 puanları ile cinsiyet arasında ki-kare testinde istatistiksel olarak anlamlı bir ilişki bulunamadı (p>0.05).

Sonuç: Bu çalışmanın sonuçlarına dayanarak, mandibular iki implant destekli overdenture protezlerin tam dişsiz hastalarının yaşam kalitesini iyileştirdiği sonucuna varılabilir.

Keywords

• implant destekli protez
• tam protezler
• yaşam beklentisi

References

1. 1. Brånemark PI. Osseointegration and its experimental background. J Prosthet Dent. 1983;50(3):399-410.
2. 2. Kutkut A, Bertoli E, Frazer R, Pinto-Sinai G, Hidalgo RF, Studts J. A systematic review of studies comparing conventi-onal complete denture and implant retained overdenture. J Prosthodont Res. 2018;62(1):1-9.
3. 3. Feine JS, Carlsson GE, Awad MA, et al. The McGill consensus statement on overdentures. Mandibular two-implant overdentures as first choice standard of care for edentulous patients. Gerodontology 2002;19(1):3-4.
4. 4. Geckili O, Bilhan H, Bilgin T. Impact of mandibular two-implant retained overdentures on life quality in a group of el-derly Turkish edentulous patients. Arch Gerontol Geriatr. 2011;53(2):233-236.
5. 5. Gonçalves F, Campestrini VLL, Rigo-Rodrigues MA, Zanardi PR. Effect of the attachment system on the biomechanical and clinical performance of overdentures: A systematic review. J Prosthet Dent. 2020;123 (4):589-594.
6. 6. Cakarer S, Can T, Yaltirik M, Keskin C. Complications associated with the ball, bar and Locator attachments for imp-lant-supported overdentures. Med Oral Patol Oral Cir Bucal. 2011;16(7):e953-e959.
7. 7. Cristache CM, Muntianu LAS, Burlibasa M, Didilescu AC. Five year clinical trial using three attachment systems for implant overdentures. Clin Oral Implants Res. 2014;25(2):e171-e178.
8. 8. Allen F, Locker D. A modified short version of the oral health impact profile for assessing health-related quality of life in edentulous adults. Int J Prosthodont. 2002;15(5):446-450.

9. 9. Locker D. Measuring oral health: a conceptual framework. Community Dent Health. 1988;5(1):3-18.
10. 10. Sánchez-Siles M, Ballester-Ferrandis JF, Salazar-Sánchez N, Gómez‐García FJ, Moraleja‐Ruiz R, Camacho‐Alonso F. Long-term evaluation of quality of life and satisfaction between implant bar overdentures and conventional complete dentures: A 23 years retrospective study. Clin Implant Dent Relat Res. 2018;20(2):208-214.
11. 11. Değirmenci K, Sabak C. Hareketli bölümlü protez kullanımının kişilerin kısa dönemdeki yaşam kalitesine olan etkisinin OHIP-14 anketi ile değerlendirilmesi: pilot çalışma. FÜ Sağ Bil Tıp Derg. 2021;35(2):134-140.
12. 12. Al-Omiri MK, Karasneh J. Relationship between oral health-related quality of life, satisfaction, and personality in pati-ents with prosthetic rehabilitations. J Prosthodont. 2010;19(1):2-9.
13. 13. Kronstrom M, Carlsson GE. An international survey among prosthodontists of the use of mandibular implant suppor-ted dental prostheses. J Prosthodont. 2019; 28(2):e622-e626.
14. 14. Heydecke G, Tedesco LA, Kowalski C, Inglehart MR. Complete dentures and oral health-related quality of life-do co-ping styles matter? Community Dent Oral Epidemiol. 2004;32(4):297-306.
15. 15. Heydecke G, Locker D, Awad MA, Lund JP, Feine JS. Oral and general health-related quality of life with conventional and implant dentures. Community Dent Oral Epidemiol. 2003;31(3):161-168.
16. 16. Altay MA, Ozarslan MM, Yildirimyan N, Sindel A. What is the Impact of implant-supported mandibular overdentures on oral health-related quality of life? a retrospective study. Clin Exp Health Sci. 2019;9:101-106.
17. 17. Knipfer C, Riemann M, Bocklet T, et al. Speech intelligibility enhancement after maxillary denture treatment and its im-pact on quality of life. Int J Prosthodont. 2014;27(1):61-69.