Assessment Of Denture Maintenance And Comfortability In Patients With Mandibular Implant-Supported Overdentures- An Original Research

Abstract

Aim: The purpose of the present research was to evaluate the maintenance as well as comfortability of Mandibular implant supported overdentures (MISOD) in patients.

Methodology: Forty-five consecutive patients were included (22, group A- ball vs. 23, group B- locator attachments). Attachment incorporation into the MISOD was conducted in a direct (chair-side) intraoral technique at the time of denture insertion. Routine follow-up included yearly visits. The number of visits requiring prosthetic aftercare, either during the follow-up or during the additional visit, was recorded. Outcome parameters included—prosthetic aftercare—the number of aftercare (primary outcome parameter) visits, and dental treatment received (pressure sores relief, liner changes due to loss of retention, loss of retention due to debris accumulation, denture repair—secondary outcome parameters); oral hygiene—gingival index (primary outcome parameter).

Results: The mean follow-up of the entire study population was 84 ± 21 months, range 39–120 months. Statistical analysis revealed a lower need for prosthetic aftercare interventions in group A (p < 0.001). The mean number of visits dedicated to pressure sores relief (6.09 ± 1.04 vs. 3.03 ± 0.77, p < 0.001) and liner exchange due to loss of retention (5.6 ± 1.03 vs. 2.09 ± 1.04, p < 0.001), were significantly lower in group A.

Conclusion: It can be concluded that using ball attachments for MISOD yields less need for aftercare treatments and improved oral hygiene status over the years.