Patient satisfaction and oral health-related quality of life for four implant-assisted mandibular overdentures fabricated with CAD/CAM milled poly methyl methacrylate, CAD/CAM-milled poly ether ether ketone, or conventional poly methyl methacrylate: A crossover clinical trial

被引：5

作者：

Gomaa, Amira M. ^{[1
,2
]}

Mostafa, Aisha Z. H. ^{[1
]}

El-Shaheed, Noha H. ^{[1
,3
]}

机构：

[1] Mansoura Univ, Fac Dent, Prosthodont Dept, Mansoura, Egypt

[2] Umm Al Qura Univ, Fac Dent Med, Prosthodont Div, Mecca, Saudi Arabia

[3] Mansoura Univ, Fac Dent, Prosthodont Dept, Ellwaa St, Mansoura, Dakahlia, Egypt

来源：

JOURNAL OF ORAL REHABILITATION | 2023年 / 50卷 / 07期

关键词：

CAD; CAM; implant-assisted mandibular overdentures; oral health-related quality of life; patient satisfaction; PEEK; PMMA; COMPLETE DENTURES; RETAINED OVERDENTURES; REPORTED OUTCOMES; FOLLOW-UP; IN-VITRO; CAD-CAM; POLYETHERETHERKETONE; REHABILITATION; PERFORMANCE; PROSTHESIS;

D O I：

10.1111/joor.13455

中图分类号：

R78 [口腔科学];

学科分类号：

1003 ;

摘要：

Background: New materials for overdenture base construction were evolved. Thus, more clinical trials are needed to validate these materials.Objective: This study aimed to compare the difference between CAD/CAM-milled poly methyl methacrylate (PMMA), poly ether ether ketone (PEEK) and conventional mandibular implant-assisted overdentures regarding patient satisfaction and oral health-related quality of life (OHRQL).Methods: This randomised, crossover, clinical study included 18 completely edentulous subjects rehabilitated with three mandibular implant-assisted overdentures with three different denture base materials opposing a maxillary single denture. These materials were as follows: CAD/CAM-milled PMMA, CAD/CAM-milled PEEK and conventional PMMA. Every participant first received each mandibular overdenture in a random manner. After 6 months of each overdenture use, patient satisfaction and oral health-related quality of life were assessed using visual analogue scale (VAS) and Oral Health Impact Profile (OHIP-EDENT-19), respectively, and then crossover to other groups was done. The same was repeated to the last group. Comparison of VAS and OHIP-EDENT-19 between groups was done using Kruskal-Wallis test followed by Bonferroni test.Results: Regarding all the VAS items, there were statistically significant higher scores for CAD/CAM-milled PMMA and PEEK than conventional PMMA base except for speech, aesthetic and smell. Regarding OHIP-EDENT-19, many items revealed statistically lower problem scores for CAD/CAM-milled PMMA, and CAD/CAM-milled PEEK than conventional PMMA base except psychological discomfort, psychological disability and social disability.Conclusion: Within the limit of this study, CAD/CAM-milled PMMA and CAD/CAM-milled PEEK were recommended as implant-assisted overdenture bases as it revealed higher patient satisfaction and better oral health-related quality of life in comparison with conventional PMMA implant-assisted overdenture.

引用

页码：566 / 579

页数：14