Effect of mandibular bone atrophy on maxillary and mandibular bone remodeling and quality of life with an implant-retained mandibular overdenture after 3 years

This paper presents a combined surgical-prosthetic procedure of reconstructing mandibular bone defect in a 53 year old patient, following enucleation of a mandibular cyst (Cystectomy Partsch II). After a thorough diagnostic evaluation, a surgical procedure was planned with the particular attention to the nature of the disease, patient?s condition, size and extension of the cyst, tissue loss, and the possibilities of prosthetic management of a mandibular bone defect with partial postresection dental prosthesis. It is of great importance to point to the significance of teamwork of a maxillofacial surgeon and a specialist in prosthodontics. This kind of cooperation provided very effective and less risky soft tissue, as well as bone tissue regeneration (osteogenesis). The patient?s recovery was fast, and he could return to his daily activities and work without significant changes regarding quality of life after surgery and prosthetic treatment.

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The Influence of Momentary Retention Forces on Patient Satisfaction and Quality of Life of Two-Implant–Retained Mandibular Overdenture Wearers

The International Journal of Oral & Maxillofacial Implants ◽

10.11607/jomi.3774 ◽

2015 ◽

Vol 30 (2) ◽

pp. 397-402 ◽

Cited By ~ 9

Author(s):

Onur Geckili ◽

Altug Cilingir ◽

Ozge Erdogan ◽

Aysun Coskun Kesoglu ◽

Caglar Bilmenoglu ◽

...

Keyword(s):

Quality Of Life ◽

Patient Satisfaction ◽

Mandibular Overdenture

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Early Loaded Single Implant Reinforced Mandibular Overdenture

Case Reports in Dentistry ◽

10.1155/2016/4213753 ◽

2016 ◽

Vol 2016 ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

K. Nischal ◽

R. Chowdhary

Keyword(s):

Quality Of Life ◽

Treatment Modality ◽

Cost Effective ◽

Common Complication ◽

Metal Mesh ◽

Early Loading ◽

Metal Framework ◽

Mandibular Overdenture ◽

Single Implant

Rehabilitating atrophied mandible with two-implant supported denture is a common treatment modality for implant retained removable overdenture in mandible. This paper aims to design a treatment modality where single implant reinforced overdenture is fabricated for a severely atrophied mandibular ridge with early loading protocol. Results of studies have shown that a single implant mandibular overdenture significantly increases the satisfaction and quality of life of patients with edentulism. Midline fracture of the prosthesis is the most common complication related to single implant and two-implant retained mandibular overdentures. To manage such complication, a thin metal mesh is used to reinforce the overdenture and also to make the prostheses lighter and cost effective as compared to conventional cast metal framework.

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Bite Force, Masseter Thickness, and Oral Health–Related Quality of Life of Elderly People with a Single-Implant Mandibular Overdenture

The International Journal of Prosthodontics ◽

10.11607/ijp.6386 ◽

2019 ◽

Vol 32 (6) ◽

pp. 503-508

Author(s):

Camilla do Amaral ◽

Mayara Pinheiro ◽

Mariana Câmara-Souza ◽

Talita Carletti ◽

Renata Rodrigues Garcia

Keyword(s):

Quality Of Life ◽

Oral Health ◽

Elderly People ◽

Bite Force ◽

Health Related Quality ◽

Related Quality ◽

Health Related ◽

Mandibular Overdenture ◽

Single Implant

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Oral Health Related Quality of Life of Patients Using Conventional Dentures versus Implant-Supported Overdentures

Frontiers in Dentistry ◽

10.18502/fid.v17i1.3964 ◽

2020 ◽

Author(s):

Ramtin Azar ◽

Hassan Semyari ◽

Mohamad Javad Kharazifard

Keyword(s):

Quality Of Life ◽

Oral Health ◽

Health Impact ◽

Mean Value ◽

Health Related Quality ◽

Public And Private ◽

Related Quality ◽

Health Related ◽

Mandibular Overdenture

Objectives: This study aimed to compare the oral health related quality of life (OHRQoL) of patients using conventional dentures versus implant-supported overdentures. Materials and Methods: This study evaluated the OHRQoL of 90 patients between 35 to 75 years who were selected from several public and private dental clinics in Tehran in 2018. Of all, 45 had conventional dentures of both jaws, and 45 had a mandibular overdenture supported by two implants at the site of mandibular canine teeth and a conventional maxillary denture. The OHRQoL of patients was determined using the Oral Health Impact Prfile-20 (OHIP-20). The questionnaire was translated to Persian, and its content validity and internal consistency were confirmed. Data were analyzed by one-way ANOVA, Mann-Whitney test, and independent t-test. Results: In the conventional denture group, 46.7% had good, 46.7% had moderate, and 6.6% had poor OHRQoL. These values were 55.6%, 37.8% and 6.6% in the overdenture group, respectively. Level of education had a significant correlation with the total score of OHIP-20 in both groups (P<0.05). But no significant association was noted between the residential status and gender of patients with different domains of OHRQoL (P>0.05) except for the psychological disability domain, which had a higher mean value in males with conventional dentures (P<0.05). Conclusion: Patients with a mandibular overdenture supported by two implants at the site of canine teeth and a conventional maxillary denture had higher OHRQoL than patients with conventional dentures of both jaws.

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Improvement of Quality of Life with Implant-Supported Mandibular Overdentures and the Effect of Implant Type and Surgical Procedure on Bone and Soft Tissue Stability: A Three-Year Prospective Split-Mouth Trial

Journal of Clinical Medicine ◽

10.3390/jcm8060773 ◽

2019 ◽

Vol 8 (6) ◽

pp. 773 ◽

Cited By ~ 1

Author(s):

Ron Doornewaard ◽

Maarten Glibert ◽

Carine Matthys ◽

Stijn Vervaeke ◽

Ewald Bronkhorst ◽

...

Keyword(s):

Quality Of Life ◽

Soft Tissue ◽

High Survival ◽

Success Rates ◽

Tissue Thickness ◽

Implant Surface ◽

Soft Tissue Thickness ◽

Chewing Ability ◽

Mandibular Overdenture

In fully edentulous patients, the support of a lower dental prosthesis by two implants could improve the chewing ability, retention, and stability of the prosthesis. Despite high success rates of dental implants, complications, such as peri-implantitis, do occur. The latter is a consequence of crestal bone loss and might be related to the implant surface and peri-implant soft tissue thickness. The aim of this paper is to describe the effect of implant surface roughness and soft tissue thickness on crestal bone remodeling, peri-implant health, and patient-centered outcomes. The mandibular overdenture supported by two implants is used as a split-mouth model to scrutinize these aims. The first study compared implants placed equicrestal to implants placed biologically (i.e., dependent on site-specific soft tissue thickness). The second clinical trial compared implants with a minimally to a moderately rough implant neck. Both studies reported an improvement in oral health-related quality of life and a stable peri-implant health after three years follow-up. Only equicrestal implant placement yielded significantly higher implant surface exposure, due to the establishment of the biologic width. Within the limitations of this study, it can be concluded that an implant supported mandibular overdenture significantly improves the quality of life, with limited biologic complications and high survival rates of the implants.

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