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Awawdeh M, Alotaibi MB, Alharbi AH, Alnafisah SA, Alasiri TS, Alrashidi NI. A Systematic Review of Patient Satisfaction With Removable Partial Dentures (RPDs). Cureus 2024; 16:e51793. [PMID: 38322077 PMCID: PMC10846565 DOI: 10.7759/cureus.51793] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/07/2024] [Indexed: 02/08/2024] Open
Abstract
Removable partial dentures (RPDs) offer a broad range of aesthetics and restorative functions for partially edentulous patients. This systematic review examines patients' satisfaction rates and the factors that influence RPD satisfaction. This systematic review was conducted according to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines and the Cochrane Handbook for Systematic Reviews. A systematic literature search was done on PubMed, Scopus, and Google Scholar using preset inclusion criteria. A total of 923 non-duplicate articles were screened, and 35 were included in this review. Among the included studies, RPDs generally exhibited high satisfaction rates, with reported rates ranging between 50% and 81%. Several factors influenced satisfaction. Age played a major role, with older adults expressing higher satisfaction. Gender differences were also noted, especially in appearance satisfaction where women were more satisfied with RPDs than men. Prior experience with RPDs correlated positively with overall satisfaction. The number and location of missing teeth, as well as the type of RPD (metal vs. flexible), significantly influenced satisfaction levels. Flexible dentures were more satisfactory than metal RPDs. Attachments, such as magnetic attachments and implants, increased satisfaction. Patient complaints, encompassing pain, aesthetics, and cleanliness, were identified as common sources of dissatisfaction. The results underscore the significance of customizing RPD treatment to individual needs, considering factors that influence RPD satisfaction. Recognizing the importance of influential factors such as age, gender RPD experience, etc., for clinicians seeking to optimize patient outcomes in RPD therapy is crucial.
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Affiliation(s)
- Mohammed Awawdeh
- College of Dentistry, King Saud bin Abdulaziz University for Health Sciences (KSAU-HS), Riyadh, SAU
- King Abdullah International Medical Research Center, Ministry of National Guard Health Affairs, Riyadh, SAU
- Dental Services, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, SAU
- College of Medicine and Dentistry, Ulster University, Birmingham, GBR
| | - Meshari B Alotaibi
- College of Dentistry, King Saud bin Abdulaziz University for Health Sciences (KSAU-HS), Riyadh, SAU
- King Abdullah International Medical Research Center, Ministry of National Guard Health Affairs, Riyadh, SAU
- Dental Services, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, SAU
| | - Abdualrhman H Alharbi
- College of Dentistry, King Saud bin Abdulaziz University for Health Sciences (KSAU-HS), Riyadh, SAU
- King Abdullah International Medical Research Center, Ministry of National Guard Health Affairs, Riyadh, SAU
- Dental Services, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, SAU
| | - Sultan A Alnafisah
- College of Dentistry, King Saud bin Abdulaziz University for Health Sciences (KSAU-HS), Riyadh, SAU
- King Abdullah International Medical Research Center, Ministry of National Guard Health Affairs, Riyadh, SAU
- Dental Services King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, SAU
| | - Turki S Alasiri
- College of Dentistry, King Saud bin Abdulaziz University for Health Sciences (KSAU-HS), Riyadh, SAU
- King Abdullah International Medical Research Center, Ministry of National Guard Health Affairs, Riyadh, SAU
- Dental Services King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, SAU
| | - Naif Ibrahim Alrashidi
- College of Dentistry, King Saud bin Abdulaziz University for Health Sciences (KSAU-HS), Riyadh, SAU
- King Abdullah International Medical Research Center, Ministry of National Guard Health Affairs, Riyadh, SAU
- Dental Services, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, SAU
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Survival and stability of strategic mini-implants with immediate or delayed loading under removable partial dentures: a 3-year randomized controlled clinical trial. Clin Oral Investig 2022; 27:1767-1779. [PMID: 36472683 PMCID: PMC10102135 DOI: 10.1007/s00784-022-04805-2] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2022] [Accepted: 11/27/2022] [Indexed: 12/12/2022]
Abstract
Abstract
Objectives
Stability values of mini-implants (MIs) are ambiguous. Survival data for MIs as supplementary abutments in reduced dentitions are not available. The aim of this explorative research was to estimate the 3-year stability and survival of strategic MIs after immediate and delayed loading by existing removable partial dentures (RPDs).
Material and methods
In a university and three dental practices, patients with unfavorable tooth distributions received supplementary MIs with diameters of 1.8, 2.1, and 2.4 mm. The participants were randomly allocated to group A (if the insertion torque ≥ 35 Ncm: immediate loading by housings; otherwise, immediate loading by RPD soft relining was performed) or delayed loading group B. Periotest values (PTVs) and resonance frequency analysis (RFA) values were longitudinally compared using mixed models.
Results
A total of 112 maxillary and 120 mandibular MIs were placed under 79 RPDs (31 maxillae). The 1st and 3rd quartile of the PTVs ranged between 1.7 and 7.8, and the RFA values ranged between 30 and 46 with nonrelevant group differences. The 3-year survival rates were 92% in group A versus 95% in group B and 99% in the mandible (one failure) versus 87% in the maxilla (eleven failures among four participants).
Conclusions
Within the limitations of explorative analyses, there were no relevant differences between immediate and delayed loading regarding survival or stability of strategic MIs.
Clinical relevance
The stability values for MIs are lower than for conventional implants. The MI failure rate in the maxilla is higher than in the mandible with cluster failure participants.
Clinical trial registration
German Clinical Trials Register (Deutsches Register Klinischer Studien, DRKS-ID: DRKS00007589, www.germanctr.de), January 15, 2015.
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Winter A, Schulz SM, Schmitter M, Brands RC, Straub A, Kübler A, Borgmann A, Hartmann S. Oral-Health-Related Quality of Life in Patients with Medication-Related Osteonecrosis of the Jaw: A Prospective Clinical Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph191811709. [PMID: 36141982 PMCID: PMC9517310 DOI: 10.3390/ijerph191811709] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/03/2022] [Revised: 09/04/2022] [Accepted: 09/13/2022] [Indexed: 05/13/2023]
Abstract
Medication-related osteonecrosis of the jaw (MRONJ) represents an adverse side effect of antiresorptive and antiangiogenic medications. It is associated with impaired quality of life, oral health, and oral function and can be classified into various stages. The purpose of this prospective clinical study is to evaluate the impact of stages I and II MRONJ on oral-health-related quality of life (OHRQoL) and related parameters. Patients' OHRQoL, satisfaction with life, oral discomfort, and oral health were assessed using the German version of the Oral Health Impact Profile (OHIP-G49), visual analog scales (VAS), and Satisfaction with Life Scale (SWLS) at baseline (T0), 10 days (T1), and 3 months after treatment (T2) in 36 patients. Data were analyzed using Kolmogorov-Smirnov test, two-way mixed ANOVAs, and follow-up Mann-Whitney U tests. The impact of treatment effects on the original seven OHIP domain structures and the recently introduced four-dimensional OHIP structure were evaluated using linear regression analysis. Thirty-six patients received surgical MRONJ treatment. Before treatment, patients' perceived OHRQoL, oral discomfort, oral health, and satisfaction with life were negatively affected by MRONJ. Surgical treatment significantly improved OHRQoL and related parameters (all p ≤ 0.012). This improvement was greater in patients with higher impairment at T0. OHRQoL and oral restrictions were still impaired after treatment in patients who needed prosthetic treatment. The four-dimensional structure revealed valuable information beyond the standard seven OHIP domains. Increased awareness of MRONJ risks and an interdisciplinary treatment approach for MRONJ patients are needed.
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Affiliation(s)
- Anna Winter
- Department of Prosthodontics, Julius Maximilian University Würzburg, Pleicherwall 2, 97070 Würzburg, Germany
- Correspondence: ; Tel.: +49-(0)-931-201-73100
| | - Stefan M. Schulz
- Department of Behavioural Medicine and Principles of Human Biology for the Health Sciences, Trier University, Universitätsring 15, 54296 Trier, Germany
| | - Marc Schmitter
- Department of Prosthodontics, Julius Maximilian University Würzburg, Pleicherwall 2, 97070 Würzburg, Germany
| | - Roman C. Brands
- Department of Oral and Maxillofacial Plastic Surgery, University Hospital Würzburg, Pleicherwall 2, 97070 Würzburg, Germany
| | - Anton Straub
- Department of Oral and Maxillofacial Plastic Surgery, University Hospital Würzburg, Pleicherwall 2, 97070 Würzburg, Germany
| | - Alexander Kübler
- Department of Oral and Maxillofacial Plastic Surgery, University Hospital Würzburg, Pleicherwall 2, 97070 Würzburg, Germany
| | - Anna Borgmann
- Department of Oral and Maxillofacial Plastic Surgery, University Hospital Würzburg, Pleicherwall 2, 97070 Würzburg, Germany
| | - Stefan Hartmann
- Department of Oral and Maxillofacial Plastic Surgery, University Hospital Würzburg, Pleicherwall 2, 97070 Würzburg, Germany
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Kim SH, Oh NS, Kim HJ. Survival Rates and Clinical Outcomes of Implant Overdentures in Old and Medically Compromised Patients. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:11571. [PMID: 36141841 PMCID: PMC9517507 DOI: 10.3390/ijerph191811571] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/26/2022] [Revised: 09/11/2022] [Accepted: 09/13/2022] [Indexed: 06/16/2023]
Abstract
Studies on the survival rate of implant overdentures in medically compromised patients are limited because most studies exclude patients with systemic diseases affecting implant prognosis. This retrospective study aimed to evaluate the survival rate and clinical outcomes of dental implants used for overdentures in medically compromised patients. A total of 20 patients (9 men, 11 women; mean age: 67.55 ± 6.84 years, range: 53-81 years) were included. Fourteen patients had more than two systemic diseases, and nine patients had more than three systemic diseases. The mean follow-up period was 39.05 months. Of the 60 implants, 2 failed, resulting in an implant survival rate of 96.6%. No statistical differences were found in implant survival rates according to sex, age, implant diameter, restored arch, or opposing dentition (p > 0.05). A significant difference in mean marginal bone loss (MBL) was noted for restoring the arch (p = 0.022) and opposing dentition (p = 0.036). Implants placed in the mandible and with opposing removable partial dentures and complete dentures showed lower mean MBL. No significant differences in implant MBL were observed in terms of age, sex, or implant diameter (p > 0.05). Favorable clinical outcomes can be expected from implant overdentures using two or four implants in edentulous patients with systemic diseases by ensuring that the patients have a sufficient healing period and regular checkups.
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Affiliation(s)
- So-Hyun Kim
- Department of Dentistry, Inha University Hospital, Inha University School of Medicine, 27 Inhang-ro, Jung-gu, Incheon 22332, Korea
| | - Nam-Sik Oh
- Department of Dentistry, Inha University Hospital, Inha University School of Medicine, 27 Inhang-ro, Jung-gu, Incheon 22332, Korea
| | - Hyo-Jung Kim
- Department of Dentistry, Ulsan University Hospital, University of Ulsan College of Medicine, 877 Bangeojinsunwhando-ro, Dong-gu, Ulsan 44033, Korea
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Pinheiro MA, Meira IA, Magno MB, Maia LC, Rodrigues Garcia RC. Masticatory function improvement with the use of mandibular single-implant overdentures in edentulous subjects: a systematic literature review. MINERVA STOMATOLOGICA 2020; 69:256-268. [PMID: 32945635 DOI: 10.23736/s0026-4970.20.04327-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
INTRODUCTION In this systematic review, several masticatory function parameters assessed during mandibular single-implant overdenture (SIO) use were compared to pre- SIO placement values in edentulous patients with aim of contributing to a consensus regarding denture treatment options. EVIDENCE ACQUISITION This study was registered a priori in the PROSPERO database (CRD42018106567). Two independent reviewers carried out electronic searches in eight databases, without language or time frame limitations, to collate clinical studies comparing masticatory function of edentulous patients before versus after SIO installation with the implant placed on the mandibular midline. Risk of bias was assessed with a before-and-after tool and evidence certainty level was evaluated with the Grading of Recommendations Assessment, Development and Evaluation program. EVIDENCE SYNTHESIS Eleven studies were included in this review (1 prospective, 3 crossover trials, 4 randomized clinical trials, 2 paired clinical trials, and 1 pilot). Enrolled patients were mostly over 60 years old; all patients were using conventional complete dentures (CD) prior to SIO installation. Masticatory performance, masticatory efficiency, bite force, and muscle activity were improved after the SIO placement compared to during mandibular CD use. Mandibular movement and masticatory ability data were inconclusive. Most of the studies had low risk of bias, but all had very low certainly level ratings due to methodological heterogeneity. CONCLUSIONS Placement of SIO improves masticatory function, as reflected mostly by masticatory performance and efficiency data, relative to CD use. Further studies comparing dental rehabilitation options, including SIOs, are needed to improve the quality of evidence in the literature.
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Affiliation(s)
- Mayara A Pinheiro
- Department of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas, Piracicaba, Brazil
| | - Ingrid A Meira
- Department of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas, Piracicaba, Brazil
| | - Marcela B Magno
- Department of Paediatric Dentistry and Orthodontic, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Lucianne C Maia
- Department of Paediatric Dentistry and Orthodontic, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Renata C Rodrigues Garcia
- Department of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas, Piracicaba, Brazil -
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Montero J, Dib A, Guadilla Y, Blanco L, Flores J, Gómez-Polo C. Responsiveness of the different methods for assessing the short-term within-subject change in masticatory function after conventional prosthetic treatments. J Prosthet Dent 2020; 123:602-610. [DOI: 10.1016/j.prosdent.2019.05.007] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2018] [Revised: 04/20/2019] [Accepted: 05/02/2019] [Indexed: 11/30/2022]
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Gnilitskyi I, Pogorielov M, Viter R, Ferraria AM, Carapeto AP, Oleshko O, Orazi L, Mishchenko O. Cell and tissue response to nanotextured Ti6Al4V and Zr implants using high-speed femtosecond laser-induced periodic surface structures. NANOMEDICINE-NANOTECHNOLOGY BIOLOGY AND MEDICINE 2019; 21:102036. [DOI: 10.1016/j.nano.2019.102036] [Citation(s) in RCA: 28] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/29/2019] [Revised: 04/27/2019] [Accepted: 06/02/2019] [Indexed: 11/27/2022]
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Marotti J, Gatzweiler B, Wolfart M, Sasse M, Kern M, Wolfart S. Implant Placement under Existing Removable Dental Prostheses and the Effect on Follow-Up and Prosthetic Maintenance. J Prosthodont 2018; 28:e752-e763. [PMID: 30028055 DOI: 10.1111/jopr.12943] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/02/2018] [Indexed: 12/25/2022] Open
Abstract
PURPOSE The aim of this prospective clinical study was to compare the maintenance interventions required for solely implant-retained overdentures (I-OD) with that of overdentures retained by a combination of telescopic crowns and implants (T/I-OD). MATERIALS AND METHODS The participants in this study were 22 patients who initially presented either with a removable complete denture (n = 11) or with an overdenture retained by 1 to 2 telescopic crowns on natural teeth (n = 11). Subsequently, the total number of abutments was increased to 5 to 6 (maxilla) or 4 to 5 (mandible) by placing implants in strategically advantageous regions, generating two distinct groups: I-OD and T/I-OD. Ball attachments were connected to the implants and integrated into the existing denture. The maintenance aspects were analyzed according to the type of treatment (preventive, biological, and technical) and to the severity of treatment (minimal, moderate, and extensive). RESULTS During a mean observation time of 6.5 years, the tooth survival rate was 89% (T/I-OD) and the implant survival rate 100% (both groups). The survival rates of the overdentures ranged from 90.9% (I-OD) to 100% (T/I-OD). A mean number of 0.6 (I-ODs) and 2.0 (T/I-OD) treatments were performed for biological reasons; and 8.2 (I-ODs) and 9.6 (T/I-OD) for technical reasons, per patient, during the observation time. From biological aspects, significantly more extensive maintenance was found to be necessary in the T/I-OD group than in the I-OD group. CONCLUSIONS The therapeutic concept of implant placement under existing prostheses was promising when performed in indicated cases.
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Affiliation(s)
- Juliana Marotti
- Department of Prosthodontics and Biomaterials, Centre for Implantology, Medical School RWTH Aachen University, Aachen, Germany
| | - Bodo Gatzweiler
- Department of Prosthodontics and Biomaterials, Centre for Implantology, Medical School RWTH Aachen University, Aachen, Germany
| | - Mona Wolfart
- Department of Prosthodontics, Propaedeutics and Dental Materials, Christian-Albrechts University, Kiel, Germany
| | - Martin Sasse
- Department of Prosthodontics, Propaedeutics and Dental Materials, Christian-Albrechts University, Kiel, Germany
| | - Matthias Kern
- Department of Prosthodontics, Propaedeutics and Dental Materials, Christian-Albrechts University, Kiel, Germany
| | - Stefan Wolfart
- Department of Prosthodontics and Biomaterials, Centre for Implantology, Medical School RWTH Aachen University, Aachen, Germany
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Palomares T, Montero J, Rosel EM, Del-Castillo R, Rosales JI. Oral health-related quality of life and masticatory function after conventional prosthetic treatment: A cohort follow-up study. J Prosthet Dent 2018; 119:755-763. [DOI: 10.1016/j.prosdent.2017.07.023] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2017] [Revised: 07/23/2017] [Accepted: 07/24/2017] [Indexed: 11/24/2022]
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Single mandibular implant study (SMIS) − masticatory performance − results from a randomized clinical trial using two different loading protocols. J Dent 2017; 65:64-69. [DOI: 10.1016/j.jdent.2017.07.005] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2017] [Revised: 06/19/2017] [Accepted: 07/07/2017] [Indexed: 12/17/2022] Open
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