Background
The effectiveness of mandibular overdentures retained by 2 dental implants and its impact on oral health–related quality of life (OHRQoL) and patient satisfaction has been extensively documented over the last decades. Therefore, this treatment approach is nowadays considered as an evidence-based and cost-effective treatment option improving the function and quality of life of mandibular edentulous patients. The impact of implant retained removable prostheses on quality of life is less documented in the upper maxilla, especially with individual attachments such as locators.
Aim/Hypothesis
The aim of the present study, was to assess the improvement of patient satisfaction and OHRQoL when an existing full denture is connected to 4 implants with locator attachments.
Material and Methods
Thirty consecutive patients with edentulous maxillae were enrolled. At baseline, the existing conventional dentures were adjusted if necessary and validated. Four implants (Standard® Tissue Level, Basel, Straumann, Switzerland) were placed in the upper maxilla according to the bone availability. After 8-weeks, the implants were connected to the prosthesis with the attachments (Locators®, Zestanchors, Escondido, CA, USA). Patient satisfaction was evaluated using a VAS questionnaire and for OHRQoL, a shortened version of the original Oral Health Impact Profile test (OHIP-EDENT) was used. Patient-centered outcomes were recorded prior to surgery and 6 months after prosthesis connection.
Results
Patient mean age reached 66.4 ± 7.7 years old. One patient dropped out. The VAS overall score, with a maximum of 60, raised from 41.7 to 51.9 (p<0.0001). Results from OHIP-EDENT also showed a statistically significant improvement when comparing baseline and 6-month results (p<0.0001) (fig. 1).
Conclusions and clinical implications
Within the limits of this study, patient-centered outcomes showed significant improvement once the conventional removable denture was connected to 4 implant attachments. Therefore, this data suggests that such rehabilitation at the upper maxilla expands patients well being compared to conventional removable prosthesis.
Background
The effectiveness of mandibular overdentures retained by 2 dental implants and its impact on oral health–related quality of life (OHRQoL) and patient satisfaction has been extensively documented over the last decades. Therefore, this treatment approach is nowadays considered as an evidence-based and cost-effective treatment option improving the function and quality of life of mandibular edentulous patients. The impact of implant retained removable prostheses on quality of life is less documented in the upper maxilla, especially with individual attachments such as locators.
Aim/Hypothesis
The aim of the present study, was to assess the improvement of patient satisfaction and OHRQoL when an existing full denture is connected to 4 implants with locator attachments.
Material and Methods
Thirty consecutive patients with edentulous maxillae were enrolled. At baseline, the existing conventional dentures were adjusted if necessary and validated. Four implants (Standard® Tissue Level, Basel, Straumann, Switzerland) were placed in the upper maxilla according to the bone availability. After 8-weeks, the implants were connected to the prosthesis with the attachments (Locators®, Zestanchors, Escondido, CA, USA). Patient satisfaction was evaluated using a VAS questionnaire and for OHRQoL, a shortened version of the original Oral Health Impact Profile test (OHIP-EDENT) was used. Patient-centered outcomes were recorded prior to surgery and 6 months after prosthesis connection.
Results
Patient mean age reached 66.4 ± 7.7 years old. One patient dropped out. The VAS overall score, with a maximum of 60, raised from 41.7 to 51.9 (p<0.0001). Results from OHIP-EDENT also showed a statistically significant improvement when comparing baseline and 6-month results (p<0.0001) (fig. 1).
Conclusions and clinical implications
Within the limits of this study, patient-centered outcomes showed significant improvement once the conventional removable denture was connected to 4 implant attachments. Therefore, this data suggests that such rehabilitation at the upper maxilla expands patients well being compared to conventional removable prosthesis.