A Randomized Clinical Trial of Oral Health-Related Quality of Life, Peri-Implant and Kinesiograph Parameters in Wearers of One-or Two-Implant Mandibular Overdentures

Autor(es)

Policastro, Vivian Barnabe ^[1] ; Paleari, Andre Gustavo ^[2] ; Perin Leite, Andressa Rosa ^[1] ; Mendoza-Marin, Danny Omar ^[1] ; Balestrero Cassiano, Ana Flavia ^[1] ; Shaddox, Luciana Machion ^[3] ; Compagnoni, Marco Antonio ^[1] ; Pero, Ana Carolina ^[1]

Afiliação do(s) autor(es)

^[1] Univ Estadual Paulista, UNESP, Araraquara Dent Sch, Dept Dent Mat & Prosthodont, Rua Humaita 1680, BR-14801903 Araraquara, SP - Brazil

^[2] Univ Fed Alfenas, Alfenas Dent Sch, Dept Restorat Dent, Alfenas - Brazil

^[3] Univ Florida, Coll Dent, Dept Periodontol, Gainesville, FL - USA

• Tipo de documento: Artigo Científico
• Fonte: JOURNAL OF PROSTHODONTICS-IMPLANT ESTHETIC AND RECONSTRUCTIVE DENTISTRY; v. 28, n. 7, p. 757-765, AUG 2019.
• Citações Web of Science: 1

Resumo

Purpose The present randomized clinical trial compared the oral health-related quality of life (OHRQoL), peri-implant parameters, mandible movements, and maxillary complete denture movement during chewing between wearers of single- (1-IOD) and wearers of two-implant overdentures (2-IODs) for a period of 12 months. Materials and Methods Twenty-one complete denture wearers were randomly allocated into two parallel groups: 1-IOD (n = 11) or 2-IODs (n = 10). The validated Brazilian version of the OHIP-EDENT was used to evaluate the OHRQoL. A kinesiograph recorded maxillary complete denture movement during chewing of hard food testing (polysulphide impression material) and soft food testing (bread). Peri-implant parameters were also recorded: plaque index (PI), bleeding on probing (BOP), and probing depth (PD). The Friedman test was used to compare the OHRQoL data and peri-implant parameters among periods; the Mann-Whitney test was performed to compare the groups (1- and 2-IODs). One-way ANOVA and the Bonferroni test were used to compare mandible movement during chewing among periods, and the t-test for independent samples was used to compare the groups. Maxillary complete denture movement was analyzed using three-way ANOVA followed by the Bonferroni test. All statistical analyses were performed at alpha = 0.05. Results Both treatments led to better general OHRQoL in comparison to conventional complete dentures (p < 0.001). Better OHRQoL was observed among 2-IOD patients at the 12-month follow up (p = 0.034). Peri-implant parameters were similar irrespective of the group and follow-up period. Vertical opening was significantly higher among 1-IOD patients at 3 months (p = 0.038). Decreased maxillary denture vertical intrusions were observed with complete dentures in comparison with overdentures (p = 0.006), regardless of the food test (p = 0.251); however, vertical intrusion was significantly higher among 1-IOD patients (p = 0.043). Conclusions This study suggested that 1-IOD can improve patient OHRQoL and may be similar to 2-IODs in preservation of both peri-implant parameters and masticatory movements. (AU)

• Processo FAPESP: 12/08856-9 - Overdentures mandibulares retidas por um ou dois implantes: um estudo clínico randomizado
• Beneficiário: André Gustavo Paleari
• Modalidade de apoio: Bolsas no Brasil - Pós-Doutorado