Mandibular Overdentures Retained by Conventional or Mini Implants

Conditions

Edentulous Jaw, Edentulous Mouth

Keywords

Cost estimates, Complete Denture, Dental Economics, Dental Implants, Dental Prosthesis, Implant-Supported, Denture Retention, Edentulous, Edentulism, Mini dental implant, Oral Health-Related Quality of Life, Overdenture, Patient Acceptance of Health Care, Quality of Health Care, Quality of Life, Patient Satisfaction

Brief summary

This study aims to compare mandibular overdentures retained either by mini or standard size implants as a treatment for edentulous adults, in terms of patient-reported satisfaction and oral health-related quality of life. We will also evaluate post surgical discomfort, the success rate of prostheses and implants in the long term, denture quality and costs.

Maria Paula Della Vecchia, Cláudio Rodrigues Leles, Tatiana Ramírez Cunha, Adriana Barbosa Ribeiro, Danilo Balero Sorgini et al. (9 authors)

JDR Clinical & Translational Research2017-11-2030 citations

10.1177/2380084417741446

Mini vs. Standard Implants for Mandibular Overdentures

Raphael Freitas de Souza, Adriana Barbosa Ribeiro, Maria Paula Della Vecchia, LUCIANO CARLOS AZEVEDO DA COSTA, Tatiana Ramírez Cunha et al. (7 authors)

Journal of Dental Research2015-08-20111 citations

10.1177/0022034515601959

Short‐term post‐operative pain and discomfort following insertion of mini‐implants for retaining mandibular overdentures: a randomized controlled trial

Adriana Barbosa Ribeiro, Maria Paula Della Vecchia, Tatiana Ramírez Cunha, Danilo Balero Sorgini, Andréa Cândido dos Reis et al. (8 authors)

Journal of Oral Rehabilitation2015-03-1349 citations

10.1111/joor.12287

Interventions

DEVICEImplant-retained mandibular overdenture

Insertion of implants in the lower arch in order to retain existing complete dentures. Tested implants are approved by the Brazilian National Health Surveillance Agency for clinical use.

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

SINGLE (Outcomes Assessor)

Eligibility

Sex/Gender

ALL

Age

45 Years to No maximum

Healthy volunteers

No

Inclusion criteria

* Complete edentulism; * Request of implant stabilization of the existing lower conventional denture; * Clinically acceptable maxillary and mandibular complete dentures; * Adequate space in the anterior mandible for the placement of four mini implants and two conventional implants (regular diameter); * Ability to maintain adequate oral hygiene and clean dentures; * Systemic health status that permits minor surgical procedures; * Adequate understanding of written and spoken Portuguese; * Capacity of giving written informed consent.

Exclusion criteria

* Lack of minimum vertical mandibular bone height of 11mm in the interforaminal region; * Acute or chronic symptoms of parafunctional disorders; * History of radiation therapy to the orofacial region; * Specific conditions that may jeopardize the treatment, i.e. alcoholism and smoking; * Severe/serious illness that requires frequent hospitalization; * Impaired cognitive function; * Impossibility to return for evaluations/study recalls.

Design outcomes

Primary

Measure	Time frame	Description
Denture satisfaction	2 years	To be assessed by specific questionnaires
Oral health-related quality of life	2 years	To be assessed by means of the Brazilian version of the OHIP-EDENT.

Secondary

Measure	Time frame	Description
Post-surgical discomfort	7 days	Pain and discomfort following the insertion of dental implants, as assessed by a specific questionnaire.
Success rate of implant-retained mandibular overdentures	2 years	Survival of implant-retained overdentures.
Denture quality	2 years	Functional aspects of mandibular overdentures, as assessed by a dentist.
Treatment costs	2 years	This outcome will be measured by means of specific forms, according to 2 components: * Direct costs: cost of labor, materials, radiographs and medications; * Indirect costs: patient's time and transportation expenses.

Countries

Brazil

Outcome results

None listed