Oral health-related quality of life of patients using single or two-implant mandibular overdentures with immediate loading protocols: A randomized controlled trial

Aim: Single implant-retained mandibular overdentures (1IMO) is a viable alternative to 2 implant-retained overdentures (2IMO) in edentulous patients. However, literature lacks in the quality of life (QoL) of these patients when treated with immediate loading protocols. The purpose of this study was...

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Autores principales:	Pravinkumar G Patil, Liang Lin Seow
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer Medknow Publications 2021
Materias:	mandibular overdenture patient-reported outcomes quality of life single implant overdenture Dentistry RK1-715
Acceso en línea:	https://doaj.org/article/7074bc8c35124279aa5820e37b495175
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spelling	oai:doaj.org-article:7074bc8c35124279aa5820e37b4951752021-11-19T10:59:31ZOral health-related quality of life of patients using single or two-implant mandibular overdentures with immediate loading protocols: A randomized controlled trial0972-40521998-405710.4103/jips.jips_328_21https://doaj.org/article/7074bc8c35124279aa5820e37b4951752021-01-01T00:00:00Zhttp://www.j-ips.org/article.asp?issn=0972-4052;year=2021;volume=21;issue=4;spage=375;epage=382;aulast=Patilhttps://doaj.org/toc/0972-4052https://doaj.org/toc/1998-4057Aim: Single implant-retained mandibular overdentures (1IMO) is a viable alternative to 2 implant-retained overdentures (2IMO) in edentulous patients. However, literature lacks in the quality of life (QoL) of these patients when treated with immediate loading protocols. The purpose of this study was to compare oral health-related QoL (OHRQoL) of patients using 1IMO or 2 IMO with immediate loading protocols at 1 month and 1 year. Settings and Design: Randomized Controlled Trial. Materials and Methods: Fifty-two edentulous participants treated with mandibular overdentures using either single implant (n = 26) or two implants (n = 26) with immediate loading protocol by a single operator. The low-profile stud-attachments (LOCATOR; Zest Anchors) were attached to the implants and female attachments were picked up within 0–7 days of implant placement. The OHRQoL was recorded using Oral Health Impact Profile-14 (OHIP-14) questionnaire either in English or in the Malay language before treatment and 1 month and 1 year after treatment. Statistical Analysis Used: Kruskal Wallis test was used to find out significant difference amongst 3 timepoints and 7 OHIP-14 domains and Mann-Whitney-U test to compare 1IMO or 2IMO groups. Results: Compared to baseline OHIP-14 scores, participants had a statistically significant decrease in total OHIP-14 at 1 month and 1 year after-treatment time points in both 1IMO and 2IMO groups (P < 0.05). The difference between 1 month and 1 year after-treatment total and subscale scores were also found to be statistically significant (P < 0.05). The overall QoL improvement was comparatively higher in 2IMO group than 1IMO group. The OHIP-14 scores were statistically different within seven domains (P < 0.05). Overall total scores between 1IMO and 2IMO groups were also found to be statistically significant (P < 0.05) at baseline and insignificant (P > 0.05) at 1 month and 1 year. Conclusions: Mandibular single and 2IMO improve the QoL of elderly edentulous Malaysian participants at 1 month of immediate loading and 1 year of recall. 1IMO may provide comparable QoL with the elderly patients using 2 implants.Pravinkumar G PatilLiang Lin SeowWolters Kluwer Medknow Publicationsarticlemandibular overdenturepatient-reported outcomesquality of lifesingle implant overdentureDentistryRK1-715ENThe Journal of Indian Prosthodontic Society, Vol 21, Iss 4, Pp 375-382 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	mandibular overdenture patient-reported outcomes quality of life single implant overdenture Dentistry RK1-715
spellingShingle	mandibular overdenture patient-reported outcomes quality of life single implant overdenture Dentistry RK1-715 Pravinkumar G Patil Liang Lin Seow Oral health-related quality of life of patients using single or two-implant mandibular overdentures with immediate loading protocols: A randomized controlled trial
description	Aim: Single implant-retained mandibular overdentures (1IMO) is a viable alternative to 2 implant-retained overdentures (2IMO) in edentulous patients. However, literature lacks in the quality of life (QoL) of these patients when treated with immediate loading protocols. The purpose of this study was to compare oral health-related QoL (OHRQoL) of patients using 1IMO or 2 IMO with immediate loading protocols at 1 month and 1 year. Settings and Design: Randomized Controlled Trial. Materials and Methods: Fifty-two edentulous participants treated with mandibular overdentures using either single implant (n = 26) or two implants (n = 26) with immediate loading protocol by a single operator. The low-profile stud-attachments (LOCATOR; Zest Anchors) were attached to the implants and female attachments were picked up within 0–7 days of implant placement. The OHRQoL was recorded using Oral Health Impact Profile-14 (OHIP-14) questionnaire either in English or in the Malay language before treatment and 1 month and 1 year after treatment. Statistical Analysis Used: Kruskal Wallis test was used to find out significant difference amongst 3 timepoints and 7 OHIP-14 domains and Mann-Whitney-U test to compare 1IMO or 2IMO groups. Results: Compared to baseline OHIP-14 scores, participants had a statistically significant decrease in total OHIP-14 at 1 month and 1 year after-treatment time points in both 1IMO and 2IMO groups (P < 0.05). The difference between 1 month and 1 year after-treatment total and subscale scores were also found to be statistically significant (P < 0.05). The overall QoL improvement was comparatively higher in 2IMO group than 1IMO group. The OHIP-14 scores were statistically different within seven domains (P < 0.05). Overall total scores between 1IMO and 2IMO groups were also found to be statistically significant (P < 0.05) at baseline and insignificant (P > 0.05) at 1 month and 1 year. Conclusions: Mandibular single and 2IMO improve the QoL of elderly edentulous Malaysian participants at 1 month of immediate loading and 1 year of recall. 1IMO may provide comparable QoL with the elderly patients using 2 implants.
format	article
author	Pravinkumar G Patil Liang Lin Seow
author_facet	Pravinkumar G Patil Liang Lin Seow
author_sort	Pravinkumar G Patil
title	Oral health-related quality of life of patients using single or two-implant mandibular overdentures with immediate loading protocols: A randomized controlled trial
title_short	Oral health-related quality of life of patients using single or two-implant mandibular overdentures with immediate loading protocols: A randomized controlled trial
title_full	Oral health-related quality of life of patients using single or two-implant mandibular overdentures with immediate loading protocols: A randomized controlled trial
title_fullStr	Oral health-related quality of life of patients using single or two-implant mandibular overdentures with immediate loading protocols: A randomized controlled trial
title_full_unstemmed	Oral health-related quality of life of patients using single or two-implant mandibular overdentures with immediate loading protocols: A randomized controlled trial
title_sort	oral health-related quality of life of patients using single or two-implant mandibular overdentures with immediate loading protocols: a randomized controlled trial
publisher	Wolters Kluwer Medknow Publications
publishDate	2021
url	https://doaj.org/article/7074bc8c35124279aa5820e37b495175
work_keys_str_mv	AT pravinkumargpatil oralhealthrelatedqualityoflifeofpatientsusingsingleortwoimplantmandibularoverdentureswithimmediateloadingprotocolsarandomizedcontrolledtrial AT lianglinseow oralhealthrelatedqualityoflifeofpatientsusingsingleortwoimplantmandibularoverdentureswithimmediateloadingprotocolsarandomizedcontrolledtrial
_version_	1718420137530359808

Oral health-related quality of life of patients using single or two-implant mandibular overdentures with immediate loading protocols: A randomized controlled trial

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