A 1-Year Parallel-Group Randomized Clinical Trial Comparing the Effectiveness of a Mandibular Complete Denture vs an Early Loaded Single-Implant Overdenture

Int J Prosthodont. 2024 Apr 22;37(2):153-156. doi: 10.11607/ijp.8157. Epub 2022 Dec 6.

Abstract

Purpose: To assess the effectiveness of converting a conventional mandibular denture (CMD) into a single-implant mandibular overdenture (SIMO).

Materials and methods: Edentulous patients received a new CMD and were randomly assigned to the CMD or SIMO group. For SIMO patients, a midline early-loaded implant was inserted and incorporated into the CMD after 3 weeks. Patient satisfaction and oral health-related quality of life were assessed at baseline and up to 1 year. Regression models were constructed using Generalized Estimating Equation (GEE).

Results: After 12 months, 32 patients were assessed (CMD: n = 17; SIMO: n = 15). Significant improvement was observed for the SIMO group compared to baseline measures.

Conclusions: SIMO may be considered an effective alternative for patients unsatisfied with their CMDs.

Publication types

  • Randomized Controlled Trial
  • Comparative Study

MeSH terms

  • Aged
  • Dental Prosthesis, Implant-Supported*
  • Denture, Complete, Lower*
  • Denture, Overlay*
  • Female
  • Humans
  • Immediate Dental Implant Loading
  • Jaw, Edentulous / rehabilitation
  • Male
  • Mandible
  • Middle Aged
  • Patient Satisfaction*
  • Quality of Life*
  • Treatment Outcome