Stabilizing mandibular complete dentures by a single midline implant-influence on quality of life: 2-year results from a randomized clinical trial comparing different loading protocols

被引:13
|
作者
Abou-Ayash, Samir [1 ,2 ]
von Maltzahn, Nadine [3 ]
Passia, Nicole [4 ]
Freitag-Wolf, Sandra [5 ,6 ]
Reissmann, Daniel R. [7 ]
Luthardt, Ralph G. [8 ]
Mundt, Torsten [9 ]
Raedel, Michael [10 ]
Rammelsberg, Peter [11 ]
Wolfart, Stefan [12 ]
Kern, Matthias [4 ]
机构
[1] Univ Hosp Freiburg, Dept Prosthodont, Freiburg, Germany
[2] Univ Bern, Dept Reconstruct Dent & Gerodontol, Sch Dent Med, Freibuigstr 7, CH-3010 Bern, Switzerland
[3] Univ Hosp Hannover, Dept Prosthodont, Hannover, Germany
[4] Christian Albrechts Univ Kiel, Dept Prosthodont Propaedeut & Dent Mat, Kiel, Germany
[5] Christian Albrechts Univ Kiel, Ctr Clin Studies, Kiel, Germany
[6] Univ Kiel, Inst Med Informat & Stat, Kiel, Germany
[7] Univ Med Ctr Hamburg Eppendorf, Dept Prosthet Dent, Hamburg, Germany
[8] Ulm Univ Hosp, Ctr Dent, Dept Prosthet Dent, Ulm, Germany
[9] Greifswald Univ Hosp, Dept Prosthodont Gerodontol & Biomat, Greifswald, Germany
[10] Tech Univ Dresden, Fac Med Carl Gustav Carus, Prosthodont, Dresden, Germany
[11] Heidelberg Univ Hosp, Dept Prosthodont, Heidelberg, Germany
[12] Univ Hosp Aachen, Dept Prosthodont & Biomat, Aachen, Germany
关键词
Single mandibular implant; Overdenture; Quality of life; SF-36; Patient-reported outcomes; REPORTED OUTCOME MEASURES; PATIENT SATISFACTION; OVERDENTURES; IMPACT; EDENTULISM; PROSTHESES; ADULTS;
D O I
10.1007/s00784-019-02969-y
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Objectives The knowledge about the influence of dental treatment on health-related quality of life (HRQoL) is still limited. The aim of this multicenter randomized controlled clinical trial was to assess the effect of stabilizing an existing complete denture, by means of a single mandibular implant, on HRQoL. Furthermore, the impact of the loading protocol, i.e., immediate or delayed loading, in edentulous patients was evaluated. Methods One hundred fifty-eight participants aged 60-89 years were randomly assigned to study group A (immediate loading; n = 81) and to group B (delayed loading; n = 78). All participants received a single midline implant in the mandible. The implants were either immediately loaded (group A) or after a closed healing period of 3 months (group B) by connecting the existing mandibular complete dentures to ball attachments. HRQoL was assessed with the Short Form-36 questionnaire of health (SF-36) at baseline, 4 months, and 24 months after implant loading. Results Improvement of HRQoL by means of a single implant-retained mandibular overdenture could not be demonstrated after 4 and 24 months of implant loading. Furthermore, the application of two different loading protocols did not influence HRQoL ratings of study participants. Conclusion The loading protocol is not a factor, influencing HRQoL in patients treated by a single midline implant in the edentulous mandible.
引用
收藏
页码:927 / 935
页数:9
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