Satisfaction level and masticatory capacity in edentulous patients with conventional dentures and implant-retained overdentures
AbstractThe difficulty of totally edentulous individual in performing the basic oral functions in a satisfactory and pleasant way directs the investigations for improvement of the rehabilitation techniques. This study aimed to perform an intra-patient analysis of the satisfaction level and masticatory capacity during the phases of the rehabilitation treatment with osseointegrated implants. Twelve edentulous patients (mean age: 61 years) participated. Satisfaction level and masticatory capacity were analyzed based on specific questionnaires for edentulous patients and by a verbal rating scale from 0 to 10, at three moments: with the old dentures, with conventional new ones after they had been received two osseointegrated implants in the mandible (after 60 days of use). After 5 months of the first surgical phase, gold cap ball attachments were adapted and the last evaluation was performed with the upper denture and the lower overdenture, after 30 days of use. The Friedman test was applied. The rehabilitation with implants produced a significant improvement in the satisfaction level (95.83%) and the masticatory capacity (94.07%). The new full dentures produced a better satisfaction and masticatory capacity than the old dentures. Besides, lower overdenture supported by two osseointegrated implants and a new upper conventional denture produced a higher scores than the conventional new dentures.
Kimoto K, Garrett NR. Effect of mandibular ridge height on masticatory performance with mandibular conventiontal and implant-assisted overdentures. Int J Oral Maxillofac Implants. 2003; 18: 523-30.
Awad MA, Lund JP, Shapiro SH, Locker D, Klemetti E, Chehade A, et al. Oral health status and treatment satisfaction with mandibular implant overdentures and conventional dentures: a randomized clinical trial in a senior population. Int J Prosthodont. 2003; 16: 390-6.
van Waas MA. The influence of psychologic factors on patient satisfaction with complete dentures. J Prosthet Dent. 1990; 63: 545-8.
Kalk W, de Baat C. Patients’ complaints and satisfaction 5 years after complete denture treatment. Community Dent Oral Epidemiol. 1990; 18: 27-31.
van Aken AA, van Waas MA, Kalk W, van Rossum GM. Differences in oral stereognosis between complete denture wearers. Int J Prosthodont. 1991; 4: 75-9.
Boerrigter EM, Geertman ME, van Oort RP, Bouma J, Raghoebar GM, van Waas MA, et al. Patient satisfaction with implantretained mandibular overdentures. A comparison with new complete dentures not retained by implants—a multicentre randomized clinical trial. Br J Oral Maxillofac Surg. 1995; 33: 282-8.
Thomason JM, Lund JP, Chehade A, Feine JS.Patient satisfaction with mandibular implant overdentures and conventional dentures 6 months after delivery. Int J Prosthodont. 2003; 16: 467-73.
Slagter AP, Bosman F, Van der Bilt A. Comminution of two artificial test foods by dentate and edentulous subjects. J Oral Rehabil. 1993; 20: 159-76.
Fontijn-Tekamp FA, Slagter AP, Van Der Bilt A, Van ‘T Hof MA, Witter DJ, Kalk W, Jansen JA.Biting and chewing in overdentures, full dentures, and natural dentitions. J Dent Res. 2000; 79: 1519-24.
Kapur KK, Soman SD. Masticatory performance and efficiency in denture wearers. 1964. J Prosthet Dent. 2004; 92: 107-11.
Slagter AP, Olthoff LW, Bosman F, Steen WH. Masticatory ability, denture quality, and oral conditions in edentulous subjects. J Prosthet Dent. 1992; 68: 299-307.
Smith M. Measurement of personality traits and their relation to patient satisfaction with complete dentures. J Prosthet Dent. 1976; 35: 492-503.
Fenlon MR, Sherriff M, Walter JD. An investigation of factors influencing patients’ use of new complete dentures using structural equation modelling techniques. Community Dent Oral Epidemiol. 2000; 28: 133-40.
John MT, Slade GD, Szentpetery A, Setz JM. Oral health-related quality of life in patients treated with fixed, removable, and complete dentures 1 month and 6 to 12 months after treatment. Int J Prosthodont. 2004; 17: 503-11.
Slade GD, Spencer AJ. Development and evaluation of the Oral Health Impact Profile. Community Dent Health. 1994; 11: 3- 11.
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: 446-50.
Ueda M, Niimi A, Murakami I, Kaneda T. Masticatory improvement using osseointegrated implants: analysis of Japanese patients’ responses through questionnaires. Int J Oral Maxillofac Implants. 1993; 8: 568-72.
Geertman ME, Slagter AP, van Waas MA, Kalk W. Comminution of food with mandibular implant-retained overdentures. J Dent Res. 1994; 73: 1858-64.
Geertman ME, van Waas MA, van ‘t Hof MA, Kalk W. Denture satisfaction in a comparative study of implant-retained mandibular overdentures: a randomized clinical trial. Int J Oral Maxillofac Implants. 1996; 11: 194-200.
Kapur KK, Garrett NR, Hamada MO, Roumanas ED, Freymiller E, Han T, et al. A randomized clinical trial comparing the efficacy of mandibular implant-supported overdentures and conventional dentures in diabetic patients. Part I: Methodology and clinical outcomes. J Prosthet Dent. 1998; 79: 555-69.
Pera P, Bassi F, Schierano G, Appendino P, Preti G. Implant anchored complete mandibular denture: evaluation of masticatory efficiency, oral function and degree of satisfaction. J Oral Rehabil. 1998; 25: 462-7.
Bakke M, Holm B, Gotfredsen K. Masticatory function and patient satisfaction with implant-supported mandibular overdentures: a prospective 5-year study. Int J Prosthodont. 2002; 15: 575-81.
Roumanas ED, Garrett NR, Hamada MO, Diener RM, Kapur KK. A randomized clinical trial comparing the efficacy of mandibular implant-supported overdentures and conventional dentures in diabetic patients. Part V: food preference comparisons. J Prosthet Dent. 2002; 87: 62-73.
Awad MA, Lund JP, Dufresne E, Feine JS. Comparing the efficacy of mandibular implant-retained overdentures and conventional dentures among middle-aged edentulous patients: satisfaction and functional assessment. Int J Prosthodont. 2003; 16: 117-22.
Heydecke G, Klemetti E, Awad MA, Lund JP, Feine JS. Relationship between prosthodontic evaluation and patient ratings of mandibular conventional and implant prostheses. Int J Prosthodont. 2003; 16: 307-12.
Meijer HJ, Raghoebar GM, Van’t Hof MA. Comparison of implant-retained mandibular overdentures and conventional complete dentures: a 10-year prospective study of clinical aspects and patient satisfaction. Int J Oral Maxillofac Implants. 2003; 18: 879-85.
Raghoebar GM, Meijer HJ, van’t Hof M, Stegenga B, Vissink A. A randomized prospective clinical trial on the effectiveness of three treatment modalities for patients with lower denture problems. A 10 year follow-up study on patient satisfaction. Int J Oral Maxillofac Surg. 2003; 32: 498-503.
Cune M, van Kampen F, van der Bilt A, Bosman F. Patient satisfaction and preference with magnet, bar-clip, and ball-socket retained mandibular implant overdentures: a cross-over clinical trial. Int J Prosthodont. 2005; 18: 99-105.
MacEntee MI, Walton JN, Glick N. A clinical trial of patient satisfaction and prosthodontic needs with ball and bar attachments for implant-retained complete overdentures: threeyear results. J Prosthet Dent. 2005; 93: 28-37.
Lamb DJ, Ellis B, Kent G. Measurement of changes in complete mandibular denture security using visual analogue scales. Int J Prosthodont. 1994; 7: 30-4.
Geertman ME, Slagter AP, van ‘t Hof MA, van Waas MA, Kalk W. Masticatory performance and chewing experience with implant-retained mandibular overdentures. J Oral Rehabil. 1999; 26: 7-13.
Kapur KK, Garrett NR, Hamada MO, Roumanas ED, Freymiller E, Han T, et al. Randomized clinical trial comparing the efficacy of mandibular implant-supported overdentures and conventional dentures in diabetic patients. Part III: comparisons of patient satisfaction. J Prosthet Dent. 1999; 82: 416-27.
Feine JS, Dufresne E, Boudrias P, Lund JP. Outcome assessment of implant-supported prostheses. J Prosthet Dent. 1998; 79: 575-9.
Vervoorn JM, Duinkerke AS, Luteijn F, van de Poel AC. Assessment of denture satisfaction. Community Dent Oral Epidemiol. 1988; 16: 364-7.
Branemark PI, Hansson BO, Adell R, Breine U, Lindstrom J, Hallen O, et al. Osseointegrated implants in the treatment of the edentulous jaw. Experience from a 10-year period. Scand J Plast Reconstr Surg Suppl. 1977; 16: 1-132.
Wismeyer D, Van Waas Ma, Vermeeren Ji, Mulder J, Kalk W. Patient satisfaction with implant-supported mandibular overdentures. A comparison of three treatment strategies with ITI-dental implants. International Oral Maxillofac Surg. 1997; 26: 263-67.
Awad MA, Locker D, Korner-Bitensky N, Feine JS. Measuring the effect of intra-oral implant rehabilitation on health-related quality of life in a randomized controlled clinical trial. J Dent Res. 2000;79:1659-63.
Feine JS, Awad MA, Lund JP. The impact of patient preference on the design and interpretation of clinical trials. Community Dent Oral Epidemiol. 1998; 26: 70-4.
Timmerman R, Stoker GT, Wismeijer D, Oosterveld P, Vermeeren JI, van Waas MA. An eight-year follow-up to a randomized clinical trial of participant satisfaction with three types of mandibular implant-retained overdentures. J Dent Res. 2004; 83: 630-3.
Cork RC, Isaac I, Elsharydah A, Saleemi S, Zavisca F, Alexander L. A comparison of the verbal rating scale and the visual analog scale for pain assessment. Internet J Anesthesiol. 2004; 8 [cited 2006 nov]. Available from: http://www.ispub.com/ostia/ index.php?xmlFilePath=journals/ija/archives.xml
The Brazilian Journal of Oral Sciences uses the Creative Commons license (CC), thus preserving the integrity of the articles in an open access environment.