implants data sheet (1).xlsx

Background: An implant-retained/supported prosthesis provides greater stability and retention, improved chewing forces with higher patient satisfaction than a conventional denture. Objective of the study was to compare the effectiveness of prosthetic rehabilitation of edentulous patients with conventional dentures, single median dental implant retained over dentures (SIMOD) with over dentures retained by two dental implants (TIMOD) in the canine or first premolar region. Methods: Thirty completely edentulous patients (fifteen each arm) presented to the Department of Prosthetic Dentistry, Faculty of Dental Sciences, University of Peradeniya were randomly selected for the SIMOD or TIMOD groups after CBCT assessment. Patients were initially provided with conventional complete dentures (CD). Surgical implant placement and prosthetic procedures were conducted at the Faculty of Dental Sciences. Once the ossueintergration was confirmed, healing caps and them ball attachments were fixed on the implants. Patients were reviewed at 3months, 6months and 1year after fitting of implant retained dentures on ball attachments and clinical outcome assessed by the clinician (retention, stability, support of the overdenture and success of the implant), by the patient (self-administered questionnaires), oral health related quality of life using OHIP-14 scale, and patient satisfaction with the prosthesis using a pretested questionnaire. Data were analyzed using Minitab. Level of statistical significance was considered as p<0.05. Results: Patient comfort, esthetics, chewing, speech, general satisfaction, denture retention, stability, and support with TIMOD & SIMOD had been significantly increased than CD (p<0.05) at 3, 6 months, and 1year review. Further, OHIP-14 scale showed statistically significant improved oral health related quality of life with SIMOD and TIMOD when compared with conventional dentures. However, when the SIMOD and TIMOD were compared, a significant difference was observed only with patient comfort with TIMOD at 3 months review. Conclusion: SIMOD & TIMOD improve outcome assessed by the patient and clinician and oral health related quality of life of the individual than CD. SIMOD can also be considered for improved outcomes in the management of completely editing patients.