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Prognosis of removable complete dentures considering the level of mandibular residual ridge resorption: a systematic review and meta-analysis

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Autor(es):
Borges, Guilherme Almeida ; Borges, Maria Helena Rossy ; Dini, Caroline ; Marcello-Machado, Raissa Micaella ; Barao, Valentim A. R. ; Mesquita, Marcelo Ferraz
Número total de Autores: 6
Tipo de documento: Artigo Científico
Fonte: CLINICAL ORAL INVESTIGATIONS; v. 29, n. 6, p. 12-pg., 2025-05-21.
Resumo

Objective To compare clinical outcomes in atrophic (AM) and non-atrophic (NAM) mandibles of edentulous patients rehabilitated with mandibular removable complete dentures (CD) or implant mandibular overdentures (IMO). Materials and methods Non-randomized clinical studies were searched in 8 databases. Articles were assessed by the risk of bias in non-randomized studies of interventions. Datasets for CDs comparing AM and NAM were plotted [masticatory function, maximum occlusal biting force (MOBF), oral health-related quality of life (OHRQoL)]. Residual ridge (AM and NAM) data (masticatory function, OHRQoL, implant survival, marginal bone loss, and maintenance events) in IMO were also combined. Results 23 studies were included. Only 1 was classified as low risk of bias. Superior masticatory performance was observed in the NAM group rehabilitated with CD (P <.001). NAM group rehabilitated with CD exhibited increased MOBF (P <.05). Once patients were treated with IMO, improvements were observed in swallowing threshold (number of cycles and time) in the NAM group (P <.05). Comparable results of OHRQoL were noted for both groups (AM and NAM) and rehabilitations (CD and IMO). Similar peri-implant outcomes were displayed for IMO rehabilitation in AM and NAM patients. Most common event for IMO wearers (AM and NAM) was replacement of retention insert. Conclusion AM patients presented suboptimum masticatory function whether using CD or IMO. CD wearers with AM also had a reduced MOBF compared with NAM patients. (AU)

Processo FAPESP: 22/07353-5 - Desenvolvimento de superfície antimicrobiana e osteogênica por meio da eletrodeposição de filme de polipirrol em superfícies de titânio tratadas por plasma eletrolítico de oxidação: um revestimento multifuncional para implantes dentários
Beneficiário:Maria Helena Rossy Pantoja Borges
Modalidade de apoio: Bolsas no Brasil - Doutorado
Processo FAPESP: 22/16267-5 - Desenvolvimento de superfície antimicrobiana e osteogênica por meio da eletrodeposição de filme de polipirrol em superfícies de titânio tratadas por plasma eletrolítico de oxidação: um revestimento multifuncional para implantes dentários
Beneficiário:Valentim Adelino Ricardo Barão
Modalidade de apoio: Auxílio à Pesquisa - Regular
Processo FAPESP: 23/02180-8 - Desenvolvimento de nanopartículas de quitosana-g-poli(N-vinilcaprolactama) como carreador de agentes para degradação de DNA extracelular da matriz e terapia de células epiteliais orais infectadas por bactérias para aplicação na doença peri-implantar
Beneficiário:Caroline Dini
Modalidade de apoio: Bolsas no Brasil - Pós-Doutorado