Original scientific paper
https://doi.org/10.15644/asc56/2/4
Adaptation to New Dentures and 5 Years of Clinical Use: A Comparison between Complete Denture and Mini-implant Mandibular Overdenture Patients based on Oral Health-Related Quality of Life (OHRQoL) and Orofacial Esthetics
Jolanda Topić
; Ph.D. student at the School of Dental Medicine University of Zagreb; Private Dental Office, Makarska, Croatia
Renata Poljak-Guberina
; Department of Dental Prosthodontics School of Medicine, University of Split, Croatia
Sanja Peršić-Kiršić
; Department of Removable Prosthodontics, School of Dental Medicine, University of Zagreb, Croatia
Ines Kovačić
; Department of Removable Prosthodontics, School of Dental Medicine, University of Zagreb, Croatia
Nikola Petričević
; Department of Removable Prosthodontics, School of Dental Medicine, University of Zagreb, Croatia
Aleksandra Popovac
; Higher Assistant, University of Belgrade, School of Dental Medicine, Clinic for Prosthetic Dentistry, Serbia
Asja Čelebić
; Department of Removable Prosthodontics, School of Dental Medicine, University of Zagreb, Croatia
Abstract
Objective of work: It is unclear how long patients need to adapt to new dentures. This study assessed adaptation and five years of clinical use, comparing complete denture wearers (CDs) and mini-implant mandibular overdenture wearers opposing a maxillary CD ( MDI-OD), based on oral health reported quality of life (OHRQoL) and orofacial esthetics (OES). Material and Methods: A total of 36 subjects in the CD group (25 females) and 30 subjects in the MDI group (20 females) completed the 5-year study. All patients received new CDs, but in the MDI-OD group, four mini-implants were inserted interforaminally in the mandible before denture manufacture. Participants filled in the OHIP-EDENT and OES questionnaires one day after dentures’ delivery, on the 3 rd , 8 th , 15 th , 30 th day, and at the 1-, 3- and 5-year follow-up examinations. Statistical analysis comprised descriptive methods, X 2 test, independent t-test, Friedman, and Mann-Whitney test. Results and Conclusions: Both groups’ adaptation to new dentures was completed within a month. The MDI-OD group had significantly better OHRQoL in all follow-ups except for the 3 rd and 8 th day, probably due to soreness and pain, the reason why the MDI-OD group had limitation in functioning in the first days after new dentures’ delivery. Already after the third year and at the fifth year, OHRQoL worsened (p<0.01) in both groups. However it was significantly more pronounced in the conventional CD wearers (p<0.01) than in the MDI-OD group. Orofacial esthetics was highly scored in both groups. The scores dropped down only after three years, equally in both groups.
Keywords
Complete Dentures; Dental Implants; Quality of Life; Dental Esthetics; OHRQoL; OES; prospective study; mini-implants; adaptation
Hrčak ID:
278942
URI
Publication date:
13.6.2022.
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