Comparative clinical study of conventional dental implant and mini dental implant-retained mandibular overdenture : A 5- to 8-Year prospective clinical outcomes in a previous randomized clinical trial

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AIM: To compare the long-term prospective clinical outcomes in a previous randomized controlled clinical trial (RCT) of 2 Mini Dental Implant (2MDI), 4 Mini Dental Implant (4MDI), and 2 Conventional Dental Implant (2CDI)-retained mandibular overdenture with follow-up between 5 to 8 years.

MATERIALS AND METHODS: Thirty-seven patients formerly participated in the Comparative Clinical Study of CDI and MDI for Mandibular Overdenture were requested for examination of clinical outcomes. A total of 104 implants were placed with mean follow-up periods 6.64 ± 0.60 years. In Group 1 (2MDI) and Group 2 (4MDI), implants were placed and immediately loaded with Equator® attachments to retained mandibular overdenture. In Group 3 (2CDI), implants were placed and delayed 3 months for denture loading with ball attachment. The success rate, survival rate, clinical implant performance scale (CIP scale), peri-implant tissue status, prosthetic complication, implant stability quotient (ISQ), marginal bone level change (MBLC), and patient satisfactions were analyzed.

RESULTS: After 5 to 8 years follow-up, the success rate in Groups 1, 2, and 3 were 90.91%, 93.33%, and 54.55%, respectively. The success rate in Group 3 was significantly lesser than Group 1 (p = 0.016) and Group 2 (p < 0.001). The survival rate in Groups 1, 2, and 3 was 100%, 96.67%, and 90.91%, respectively, and showed no significant differences. Mean ISQ reported no significant differences between groups. Mean MBLC were 0.57 ± 1.19 mm, 0.68 ± 0.90 mm, and 1.55 ± 1.60 mm in Groups 1, 2, and 3, respectively. Group 3 reported significantly greater mean MBLC than Group 1 (p = 0.016) and Group 2 (p = 0.011), but Groups 1 and 2 were not significantly differences. The overall patient satisfactions were reported as not significant differences between groups.

CONCLUDE: Two MDI-retained mandibular overdentures with immediate loaded protocol performed had favorable clinical outcomes, cost effectiveness, and overall patient satisfactions after 5 to 8 years follow-up.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:24

Enthalten in:

Clinical implant dentistry and related research - 24(2022), 4 vom: 15. Aug., Seite 475-487

Sprache:

Englisch

Beteiligte Personen:

Chatrattanarak, Wipawan [VerfasserIn]
Aunmeungtong, Weerapan [VerfasserIn]
Khongkhunthian, Pathawee [VerfasserIn]

Links:

Volltext

Themen:

Dental Implants
ISQ
Immediate loaded protocol
Implant retained-mandibular overdenture
Journal Article
Long-term clinical study
Marginal bone level change
Mini dental implant
Patient satisfaction
Success rate
Survival rate

Anmerkungen:

Date Completed 19.08.2022

Date Revised 22.08.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/cid.13098

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM341973432