Patient-centered and clinical outcomes of mandibular overdentures retained with the locator system: A prospective observational study.
J Prosthet Dent
; 117(3): 367-372, 2017 Mar.
Article
en En
| MEDLINE
| ID: mdl-27692578
ABSTRACT
STATEMENT OF PROBLEM:
Whether clinical or demographic variables affect the perception of treatment in terms of quality of life and satisfaction is unknown.PURPOSE:
The purpose of this prospective study was to make an evidence-based assessment of the treatment outcomes (patient- and clinically based) of locator-retained mandibular overdentures. MATERIAL ANDMETHODS:
This prospective observational study assessed patients with edentulism who had worn mandibular overdentures supported by 2 implants and retained by the locator system for at least 1 year of functional life (N=80). Medical histories were reviewed, and patients underwent oral examinations. Prosthetic clinical outcomes and patient well-being were registered using the Oral Health Impact Profile 20 (OHIP-20) and Oral Satisfaction Scale (OSS).RESULTS:
Patient well-being scored an overall OHIP-20 score of 19.0 ±14.0 of 80 (the higher the score, the greater the impact and the worse the oral health-related quality of life); overall oral satisfaction was 8.3 ±1.7 of 10. Women suffered greater social impact (0.8 ±1.0) and disability (0.4 ±0.8) than men (0.4 ±0.7 versus 0.2 ±0.4, respectively). Impact on well-being was inversely proportional to both patient age and the age of the prosthesis (r=-0.25; P<.01). Implants had been placed on average 73.6 ±39.2 months previously, showing a survival rate of 82.5%. Most of the overdentures had been functioning for over 60 months. Relining (46.3%), readjustments (82.5%), and changes of nylon retention (1.5 ±1.8 per patient over 60 months of use) devices negatively influenced well-being.CONCLUSIONS:
Mandibular overdentures produced good results with regard to quality of life and oral satisfaction, but attention should be paid to factors affecting clinical outcomes and patient well-being.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Implantes Dentales
/
Retención de Dentadura
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Prótesis Dental de Soporte Implantado
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Prótesis de Recubrimiento
/
Mandíbula
Tipo de estudio:
Observational_studies
/
Prognostic_studies
Límite:
Aged
/
Female
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Humans
/
Male
País/Región como asunto:
Europa
Idioma:
En
Revista:
J Prosthet Dent
Año:
2017
Tipo del documento:
Article