Volume 21 Issue 1
Jan.  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(1): 28-32
ZHOU Zi-qian, LI Shu-yuan, NI Can. Comparison of clinical efficacy of implant-supported fixed denture and implant-supported overdenture in middle-aged and elderly edentulous patients 1-3 years after final restoration[J]. Chinese Journal of General Practice, 2023, 21(1): 28-32. doi: 10.16766/j.cnki.issn.1674-4152.002804
Citation: ZHOU Zi-qian, LI Shu-yuan, NI Can. Comparison of clinical efficacy of implant-supported fixed denture and implant-supported overdenture in middle-aged and elderly edentulous patients 1-3 years after final restoration[J]. Chinese Journal of General Practice, 2023, 21(1): 28-32. doi: 10.16766/j.cnki.issn.1674-4152.002804
shu

Comparison of clinical efficacy of implant-supported fixed denture and implant-supported overdenture in middle-aged and elderly edentulous patients 1-3 years after final restoration

doi: 10.16766/j.cnki.issn.1674-4152.002804

  • Dental Implantology Department, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing, Jiangsu 210000, China

Funds:

 82001051

  • Received Date: 2022-07-08
    Available Online: 2023-04-07
    Abstract
  •   Objective  To compare the soft and hard tissues around implants, patient satisfaction and denture complications of middle-aged and elderly edentulous patients after completing the implant supported fixed denture (ISFP) or implant supported overdenture (IOD) for 1-3 years respectively.  Methods  This study selected 43 middle-aged to elderly complete or partial edentulous jaws patients (between 50 and 80 years old) who were admitted in Nanjing Stomatological Hospital from March 2019 to March 2021. They were divided into two groups according to the clinical method of prosthesis. One group received implant supported fixed prosthesis (ISFP group, 28 cases), another group was treated with implant supported overdenture (IOD group, 15 cases), and the patients were followed up for 1-3 years after final restoration. The soft and hard tissue changes after repair were evaluated and compared between the two groups.  Results  There was no significant difference in the soft and hard tissue changes around the implants between the ISFP and IOD groups after treatment for 1-3 years. The ISFP group patients had achieved better denture retention, masticatory function, voice function and patients ' satisfaction compared to the IOD group 1-3 years after the treatments, the ISFP group was (9.179±0.700) points, (8.464±0.793) points, (8.179±0.772) points, while IOD group was only (6.733±0.961) points, (6.467±0.915) points, (6.800±1.265) points, and the difference was statistically significant (all P < 0.05), but there was no significant difference in the evaluation of the aesthetics and comfort level of dentures between the two groups. There was no significant difference in the incidence of mechanical complications between the two groups. However, in terms of mechanical complications, the incidence of parts shedding or wear in IOD group was higher than that in ISFP group, and the difference between the two groups was statistically significant, while the incidence of biological complications between the two groups was not statistically significant.  Conclusion  The application of implant-supported fixed prosthesis and implant-supported overdenture fit for edentulous patients in some certain circumstances. Clinically, we should choose the appropriate method according to the patients ' previous treatment conditions and willingness. The result that implant-supported overdentures may have more long-term complications should also be considered.

     

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