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. 2022 Jun;56(2):132-142.
doi: 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  1 , Renata Poljak-Guberina  2 , Sanja Persic-Kirsic  3 , Ines Kovacic  3 , Nikola Petricevic  3 , Aleksandra Popovac  4 , Asja Čelebić  3
Affiliations

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 et al. Acta Stomatol Croat. 2022 Jun.

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 3rd, 8th, 15th, 30th 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 3rd and 8th 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: OHRQoL, OES, prospective study, complete dentures, mini-implants, adaptation.

Mesh terms: Complete Dentures; Dental Implants; Quality of Life; Dental Esthetics.

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Conflict of interest statement

Conflict of interest All authors of the manuscript declare no conflict of Interest

Figures

Figure 1
Figure 1
Mean OHIP-EDENT scores in the CD group and the MDI-OD group together with standard deviations
Figure 2
Figure 2
Mean OES scores in the CD group and the MDI-OD group together with standard deviations
See this image and copyright information in PMC

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