Comparison of three-implant-supported fixed dentures and two-implant-retained overdentures in the edentulous mandible

A pilot study of treatment efficacy and patient satisfaction

Ingeborg J. De Kok, Kuang Han Chang, Tsui Shan Lu, Lyndon F. Cooper

Research output: Contribution to journalArticle

38 Citations (Scopus)

Abstract

Purpose: The mandibular two-implant overdenture has been shown to be a highly successful treatment. However, overdenture patients who desire a fixed prosthesis may not be satisfied with a removable overdenture. This prospective study sought to compare prosthetic outcomes, patient satisfaction, and survival rates of implants between two-implant-supported overdentures (IODs) and three-implant-supported fixed dentures (ISFDs). Materials and Methods: Twenty completely edentulous patients were randomly and equally assigned to two groups. New conventional complete dentures were made, and the mandibular denture was used as a surgical guide during implant placement. Implants were placed in one stage, followed by a mandibular denture soft reline (provisional loading). Ball attachments were inserted at 8 weeks, and ISFDs were delivered at 16 weeks. IODs were connected to the attachments at 8 weeks, using each patients’s existing denture. The definitive ISFDs were fabricated using computer-aided design/computer-assisted manufacture milled titanium frameworks and acrylic resin base and teeth. Patient satisfaction and panoramic radiographs were investigated at 6 and 12 months. Results: Both treatments had significant and positive effects on patient satisfaction and quality of life. None of the 50 implants placed had failed at 12 months of follow-up; therefore, the implant survival rate was 100%. Prosthetic complications were generally rare and easily manageable. Conclusions: Both the treatment modalities-the ISFD supported by three implants and the IOD supported by two implants-significantly and similarly improved patient satisfaction and oral health-related quality of life, and prosthetic complications were relatively rare for both treatments. Three implants can be used to support a mandibular fixed prosthesis; however, a longer observation period is needed to validate this treatment modality.

Original languageEnglish
Pages (from-to)415-426
Number of pages12
JournalInternational Journal of Oral and Maxillofacial Implants
Volume26
Issue number2
Publication statusPublished - 2011 Jan 1

Fingerprint

Implant-Supported Dental Prosthesis
Overlay Denture
Patient Satisfaction
Mandible
Dentures
Mandibular Prosthesis
Survival Rate
Quality of Life
Therapeutics
Computer-Aided Design
Acrylic Resins
Complete Denture
Oral Health
Titanium
Prostheses and Implants
Tooth
Observation
Prospective Studies

Keywords

  • Dental implant
  • Mandibular fixed denture
  • Mandibular overdenture
  • Patient satisfaction
  • Prosthetic outcome

ASJC Scopus subject areas

  • Oral Surgery

Cite this

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title = "Comparison of three-implant-supported fixed dentures and two-implant-retained overdentures in the edentulous mandible: A pilot study of treatment efficacy and patient satisfaction",
abstract = "Purpose: The mandibular two-implant overdenture has been shown to be a highly successful treatment. However, overdenture patients who desire a fixed prosthesis may not be satisfied with a removable overdenture. This prospective study sought to compare prosthetic outcomes, patient satisfaction, and survival rates of implants between two-implant-supported overdentures (IODs) and three-implant-supported fixed dentures (ISFDs). Materials and Methods: Twenty completely edentulous patients were randomly and equally assigned to two groups. New conventional complete dentures were made, and the mandibular denture was used as a surgical guide during implant placement. Implants were placed in one stage, followed by a mandibular denture soft reline (provisional loading). Ball attachments were inserted at 8 weeks, and ISFDs were delivered at 16 weeks. IODs were connected to the attachments at 8 weeks, using each patients’s existing denture. The definitive ISFDs were fabricated using computer-aided design/computer-assisted manufacture milled titanium frameworks and acrylic resin base and teeth. Patient satisfaction and panoramic radiographs were investigated at 6 and 12 months. Results: Both treatments had significant and positive effects on patient satisfaction and quality of life. None of the 50 implants placed had failed at 12 months of follow-up; therefore, the implant survival rate was 100{\%}. Prosthetic complications were generally rare and easily manageable. Conclusions: Both the treatment modalities-the ISFD supported by three implants and the IOD supported by two implants-significantly and similarly improved patient satisfaction and oral health-related quality of life, and prosthetic complications were relatively rare for both treatments. Three implants can be used to support a mandibular fixed prosthesis; however, a longer observation period is needed to validate this treatment modality.",
keywords = "Dental implant, Mandibular fixed denture, Mandibular overdenture, Patient satisfaction, Prosthetic outcome",
author = "{De Kok}, {Ingeborg J.} and Chang, {Kuang Han} and Lu, {Tsui Shan} and Cooper, {Lyndon F.}",
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AU - Lu, Tsui Shan

AU - Cooper, Lyndon F.

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