Patient Satisfaction of Implant-Supported Overdenture and Complete Denture
Dr. Tuğba Ak Açıkgöz, Asst. Prof. lknur Usta Kutlu
Tokat Gaziosmanpaşa University Faculty of Dentistry Department of Prosthodontics
Objectives
The aim of this study was to assess the satisfaction levels of patients 5-8 years after receiving implant-supported overdenture or conventional complete denture along with patient demographic information, systemic diseases and clinical outcomes.
Materials and Methods
This clinical study enrolled 46 patients who received either mandibular implant-supported overdentures (22 patients) or conventional complete dentures (24 patients) in Faculty of Dentistry between 2016 and 2019. The study utilized the OHIP-EDENT questionnaire customized for edentulous patients, which consisted of 19 questions and 7 subcategories. The questionnaire subgroups encompassed functional limitation, physical pain, psychological discomfort, physical disability, psychological disability, social disability, and handicap. Additionally, demographic information, systemic diseases and clinical outcomes regarding occlusion, retention, and stability (rated as excellent, good, and poor) were determined Statistical analysis was conducted using one-way analysis of variance (ANOVA) and independent sample T-tests.
Results
In the comparison between complete denture and implant-supported overdenture users, there was no significant difference in total satisfaction scores or satisfaction subcategory scores (P> 0.05). In both prosthetic treatments, whether patients had excellent, good, or poor occlusion did not affect the total satisfaction and subgroup scores (P > 0.05). However, functional limitation was higher in patients with poor retention or stability (P < 0.05).
Social disabilities, psychological disabilities and psychological discomfort were higher in females using implant supported overdenture than males.
The presence of hypertension or diabetes did not impact satisfaction scores and subcategories in patients with complete dentures (P > 0.05). However, it significantly increased physical pain in patients with implant-supported overdentures (P = 0.045, P = 0.033, respectively).
Conclusions
A proper occlusion may contribute to increased stability, though stability and retention are more critical for patient satisfaction. Interestingly, patients with hypertension and diabetes tend to report less pain when using conventional complete dentures than implant supported overdentures.