Evaluation of Bite Force, Quality of Life, and Patients' Satisfaction in Elderly Edentulous Patients Using Implant Overdentures

Overview

Journal J Adv Prosthodont

Specialty Dentistry

Date 2023 Sep 4

PMID 37662854

Authors

Esra Nur Avukat

Canan Akay

Emre Mumcu

Affiliations

Soon will be listed here.

Abstract

Purpose: This study aimed to compare the bite force (BF) between complete dentures and implant overdentures (IODs) retained by two mandibular implants. Additionally, we evaluated the quality of life (QoL) and patient satisfaction among individuals using IODs. In addition, the effects of demographic parameters such as age and sex, and clinical parameters such as implant length, implant diameter, attachment height, attachment color, and interimplant distance on BF, QoL, and patient satisfaction were evaluated.

Materials And Methods: A total of 51 edentulous patients rehabilitated with the maxillary complete dentures and mandibular IODs retained by two implants were included in this study. BF was measured using a force meter pre- and post-implant in the same patients. Oral health-related quality of life (OHRQoL) was assessed with the Oral Health Impact Profile (OHIP-14) and patient satisfaction was assessed with the Visual Analog Scale (VAS) questionnaires.

Results: It was found that BF values were statistically higher for IODs than complete dentures ( < .001). In terms of attachment height of the OHIP scores, there was a significant difference in the psychological disability and social disability domains ( < .05). When examining the change in patient satisfaction as a function of sex, it was found that mandibular retention satisfaction differed significantly by sex ( < .05), but there was no significant difference in the other domains.

Conclusion: Within the limitations of this study, it was observed that the BF increased after the use of IODs. Several factors, including age, interimplant distance, attachment height, and attachment color, were found to impact OHRQoL. Sex and implant diameter were identified as factors affecting patient satisfaction.

References

Pan S, Dagenais M, Thomason J, Awad M, Emami E, Kimoto S . Does mandibular edentulous bone height affect prosthetic treatment success?. J Dent. 2010; 38(11):899-907. DOI: 10.1016/j.jdent.2010.08.002. View

Michelinakis G, Barclay C, Smith P . The influence of interimplant distance and attachment type on the retention characteristics of mandibular overdentures on 2 implants: initial retention values. Int J Prosthodont. 2007; 19(5):507-12. View

Reissmann D . Alignment of oral health-related with health-related quality of life assessment. J Prosthodont Res. 2016; 60(2):69-71. DOI: 10.1016/j.jpor.2016.01.006. View

Geckili O, Cilingir A, Erdogan O, Kesoglu A, Bilmenoglu C, Ozdiler A . The influence of momentary retention forces on patient satisfaction and quality of life of two-implant-retained mandibular overdenture wearers. Int J Oral Maxillofac Implants. 2014; 30(2):397-402. DOI: 10.11607/jomi.3774. View

Doornewaard R, Glibert M, Matthys C, Vervaeke S, Bronkhorst E, De Bruyn H . Improvement of Quality of Life with Implant-Supported Mandibular Overdentures and the Effect of Implant Type and Surgical Procedure on Bone and Soft Tissue Stability: A Three-Year Prospective Split-Mouth Trial. J Clin Med. 2019; 8(6). PMC: 6617188. DOI: 10.3390/jcm8060773. View

Geckili O, Cilingir A, Erdogan O, Kesoglu A, Bilmenoglu C, Ozdiler A . The influence of interimplant distance in mandibular overdentures supported by two implants on patient satisfaction and quality of life. Int J Prosthodont. 2015; 28(1):19-21. DOI: 10.11607/ijp.3994. View

Geckili O, Bilhan H, Mumcu E, Dayan C, Yabul A, Tuncer N . Comparison of patient satisfaction, quality of life, and bite force between elderly edentulous patients wearing mandibular two implant-supported overdentures and conventional complete dentures after 4 years. Spec Care Dentist. 2012; 32(4):136-41. DOI: 10.1111/j.1754-4505.2012.00258.x. View

Ettinger R, Beck J . Geriatric dental curriculum and the needs of the elderly. Spec Care Dentist. 1984; 4(5):207-13. DOI: 10.1111/j.1754-4505.1984.tb00189.x. View

van der Bilt A . Assessment of mastication with implications for oral rehabilitation: a review. J Oral Rehabil. 2011; 38(10):754-80. DOI: 10.1111/j.1365-2842.2010.02197.x. View

10.

Passia N, Chaar M, Krummel A, Nagy A, Freitag-Wolf S, Ali S . Influence of the number of implants in the edentulous mandible on chewing efficacy and oral health-related quality of life-A within-subject design study. Clin Oral Implants Res. 2022; 33(10):1030-1037. DOI: 10.1111/clr.13984. View

11.

Gundogar H, Uzunkaya M, Ogut S, Sari F . Effect of peri-implant disease on oral health-related quality of life in geriatric patients. Gerodontology. 2021; 38(4):414-421. DOI: 10.1111/ger.12556. View

12.

Thomason J, Feine J, Exley C, Moynihan P, Muller F, Naert I . Mandibular two implant-supported overdentures as the first choice standard of care for edentulous patients--the York Consensus Statement. Br Dent J. 2009; 207(4):185-6. DOI: 10.1038/sj.bdj.2009.728. View

13.

Brandt S, Lauer H, Fehrenz M, Guth J, Romanos G, Winter A . Ball versus Locator Attachments: A Retrospective Study on Prosthetic Maintenance and Effect on Oral-Health-Related Quality of Life. Materials (Basel). 2021; 14(4). PMC: 7926925. DOI: 10.3390/ma14041051. View

14.

Mumcu G, Inanc N, Ergun T, Ikiz K, Gunes M, Islek U . Oral health related quality of life is affected by disease activity in Behçet's disease. Oral Dis. 2006; 12(2):145-51. DOI: 10.1111/j.1601-0825.2005.01173.x. View

15.

Bilhan H, Geckili O, Mumcu E, Cilingir A, Bozdag E . The influence of implant number and attachment type on maximum bite force of mandibular overdentures: a retrospective study. Gerodontology. 2010; 29(2):e116-20. DOI: 10.1111/j.1741-2358.2010.00421.x. View

16.

van Kampen F, van der Bilt A, Cune M, Bosman F . The influence of various attachment types in mandibular implant-retained overdentures on maximum bite force and EMG. J Dent Res. 2002; 81(3):170-3. DOI: 10.1177/154405910208100305. View

17.

Muller F, Duvernay E, Loup A, Vazquez L, Herrmann F, Schimmel M . Implant-supported mandibular overdentures in very old adults: a randomized controlled trial. J Dent Res. 2013; 92(12 Suppl):154S-60S. PMC: 3860063. DOI: 10.1177/0022034513509630. View

18.

Enkling N, Saftig M, Worni A, Mericske-Stern R, Schimmel M . Chewing efficiency, bite force and oral health-related quality of life with narrow diameter implants - a prospective clinical study: results after one year. Clin Oral Implants Res. 2016; 28(4):476-482. DOI: 10.1111/clr.12822. View

19.

Wang Y, Baumer D, Ozga A, Korner G, Baumer A . Patient satisfaction and oral health-related quality of life 10 years after implant placement. BMC Oral Health. 2021; 21(1):30. PMC: 7807859. DOI: 10.1186/s12903-020-01381-3. View

20.

Schimmel M, Memedi K, Parga T, Katsoulis J, Muller F . Masticatory Performance and Maximum Bite and Lip Force Depend on the Type of Prosthesis. Int J Prosthodont. 2017; 30(6):565–572. DOI: 10.11607/ijp.5289. View