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Niharika Yadav(Niharika Yadav ),Deeksha Arya(Deeksha Arya ),Saumyendra Vikram Singh(Saumyendra Vikram Singh ),Kamleshwar Singh(Kamleshwar Singh ),Mayank Singh(Mayank Singh ),Divya Mehrotra(Divya Mehro 대한치과이식임플란트학회 2022 The Korean Academy of Implant Dentistry Vol.41 No.3
Purpose: This study compared a) crestal bone loss, b) implant stability quotient (ISQ), c) probing depth, d) denture fracture incidence, and e) posterior residual ridge resorption (RRR) of two implant and single implant-supported overdentures and assessed the quality of life (QOL) was evaluated before and after giving the prosthesis. Materials and Methods: The study was a randomized longitudinal cohort study. Eighty subjects were selected for the study and divided randomly into two groups (n=40): Group 2IOD— two implant-supported overdentures; Group 1IOD— Single implant-supported overdentures. Except for the number of implants, the common surgical, implant, and the prosthetic protocol was followed for the two groups. An oral health impact profile EDENT questionnaire was completed by the patients before giving the implant-supported overdenture and after one year of prosthesis delivery to evaluate the effects of oral health on the quality of life. Probing pocket depth (mm), ISQ (resonance frequency analysis), denture fracture incidence, posterior RRR (mm), and crestal bone loss (mm) were assessed and compared at the baseline and one year after implant placement (early loading protocol) for the two groups. Standard statistical tests, including an unpaired t-test with SPSS software, were used for the analysis. Results: The average crestal bone loss in group 2IOD was insignificantly lower than group 1IOD. The ISQ values were higher for group 2IOD than group 1IOD at one year. The ISQ values for both groups at 12 months were similar (P>0.05). The probing depth at both time intervals yielded insignificant intergroup differences. No denture fracture was reported in either group. At 12 months, posterior ridge resorption in group 2IOD was 0.33±0.08, which was significantly lower than in group 1IOD. Conclusions: A one implant-supported overdenture is a comparable treatment option with two implant-supported overdentures for edentulous patients, having the advantages of lower cost and less surgical trauma. However, there may be more posterior RRR with this treatment modality.
Anusar Gupta(Anusar Gupta ),Niraj Mishra(Niraj Mishra ),Pooran Chand(Pooran Chand ),Saumyendra Vikram Singh(Saumyendra Vikram Singh ),Raghuwar Dayal Singh(Raghuwar Dayal Singh ),Bhaskar Agarwal(Bhaska 대한치과이식임플란트학회 2022 The Korean Academy of Implant Dentistry Vol.41 No.3
Purpose: This in vivo study compared the clinical and radiographic outcomes of the mini-implant-supported overdenture and conventional implant-supported overdenture. The objectives of the study were to evaluate the pocket depth, crestal bone loss, and implant stability using a periotest and to measure patient satisfaction based on the oral health impact profile EDENT questionnaire in conventional and mini-implants supported overdentures. Materials and Methods: One hundred and seventy-four subjects above 40 years of age were recruited and randomized into two groups on a 1:1 basis: Group 1- mini-implant supported overdentures (2.5 mm diameter×11 mm length) and Group 2-conventional implant- supported overdentures (3.3 mm diameter×11 mm length). Crestal bone loss was measured from the baseline to 12 months and from 12 to 36 months. The pocket depth and implant stability using a Perio test device were measured at 12 months and 36 months. Finally, the patient satisfaction based on the oral health impact profile EDENT questionnaire in conventional and mini-implants supported overdentures was recorded. Results: There was no significant difference (P>0.05) in the pocket depth and crestal bone loss between the groups at 12 months and 36 months. Similarly, there was no significant difference in the perio-test values between the groups at 12 and 36 months. No significant (P>0.05) differences in physical pain, psychological discomfort, and disability were noted. Conclusions: Both conventional and mini-implant-supported overdentures have similar outcomes with respect to the pocket depth, crestal bone loss, implant stability, and overall quality of life of the patient.