RESEARCH PAPER
Evaluation of patient’s satisfaction and the quality of life after using
a single implant-supported lower jaw overdenture
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Katedra Protetyki Stomatologicznej, Warszawski Uniwersytet Medyczny
Department of Prosthodontics, Medical University of Warsaw
Acceptance date: 2022-08-17
Publication date: 2022-09-06
Prosthodontics 2022;72(3):231-240
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ABSTRACT
Introduction:
Despite many imperfections
complete conventional denture is an economic
and classic form of prosthetic rehabilitation
of edentulous patients. Nevertheless, poor
retention and stability of prosthetic restorations
is a common problem, especially in patients with
the edentulous mandible, which prevents their
smooth functioning. The question then arises
whether a single implant can be an alternative
to the treatment using two implants as resistance
elements for complete lower jaw denture. A wider
application of this method in everyday clinical
practice can be an option for patients with the low
socio-economic status and adaptive difficulties to
conventional prosthetic restorations.
Aim of the study:
To assess patient’s satisfaction
and the quality of life after using a single
implant as a resistance element for lower jaw
overdenture (OVD) compared to the previously
used conventional dentures.
Material and methods:
31 fully edentate patients (22 women and 9 men) who for the
previous twelve months used complete prosthetic
restorations. These patients experienced adaptive problems mainly due to poor retention and
stabilization of the lower denture. The surgical
procedure consisted in introducing an implant in
the midline of the mandible. The evaluation scale
based on the answers to the questions contained
in the survey was applied to determine the level of
patient’s satisfaction with the dentures.
Results:
The analysis of the results of patient’s
satisfaction with conventional complete prosthetic
restorations and overdentures supported by a
single implant shows a smaller level of discomfort
associated with the use of dentures thanks to the
application of the implant to improve the retention
and stability of prosthetic restorations.
Conclusions:
1. The use of a single implant
significantly improves retention and stability
of complete lower denture, facilitates eating
and improves psychosocial well being of the
patient, and thus reduces discomfort associated
with the use of restoration and improves the
quality of life. 2. The application of a single
implant to support complete lower overdenture
is an effective treatment method and may be an
alternative for patients with poor foundation
area in the mandible presenting a challenge with
a conventional denture and for those with the low
socio-economic status.