RESUMO
The purpose of this multicentre observational study was to determine patient satisfaction with either conventional dentures or mandibular 2-implant overdentures in a 'real world' setting. Two hundred and three edentulous patients (mean age 68·8 ± 10·4 years) were recruited at eight centres located in North America, South America and Europe. The patients were provided with new mandibular conventional dentures or implant overdentures supported by two implants and ball attachments. At baseline and at 6 months post-treatment, they rated their satisfaction with their mandibular prostheses on 100-mm visual analogue scale questionnaires. One hundred and two (50·2%) participants had valid baseline and 6-month satisfaction data. Although both groups reported improvements, the implant overdenture group reported significantly higher ratings of overall satisfaction, comfort, stability, ability to speak and ability to chew. These results suggest that edentulous patients who choose mandibular implant overdentures have significantly greater improvements in satisfaction, despite their relatively higher cost, than those who choose new conventional dentures.
Assuntos
Implantes Dentários , Prótese Dentária Fixada por Implante , Prótese Total Inferior , Revestimento de Dentadura , Idoso , Implantes Dentários/psicologia , Planejamento de Prótese Dentária , Prótese Dentária Fixada por Implante/psicologia , Retenção de Dentadura/instrumentação , Prótese Total Inferior/psicologia , Escolaridade , Emprego , Estética Dentária , Feminino , Seguimentos , Humanos , Renda , Arcada Edêntula/reabilitação , Masculino , Mastigação/fisiologia , Higiene Bucal , Satisfação do Paciente , Características de Residência , Fala/fisiologia , Inquéritos e Questionários , Resultado do TratamentoRESUMO
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Assuntos
Humanos , Seio Maxilar/cirurgia , Alvéolo Dental/cirurgiaRESUMO
With the help of new support technology, oral implants can be planned and carried out in altogether new dimensions. The clinician is no longer restricted to his or her experience and the use of two-dimensional image-based procedures. The Stryker Leibinger navigation system now enables surgical planning based on three-dimensional models that can be endlessly manipulated; it produces an intraoperative view of the surgical field (online in real time). The aim of this study was to test a new surgical procedure with the use of a modified system that promises to be safer, more finely controlled, less complicated, and more valid in terms of predictive success than conventional procedures. In this preliminary investigation, the comprehensive system specifications are presented and a critical assessment of the procedural performance and potential is made.
