Angled ball and locator attachments for immediate loaded inclined implants used to retain maxillary overdentures: A cross over study of patient satisfaction and oral health related quality of life

Objectives The aim of this was to compare the influence of two different angulated abutment designs on patient satisfaction, oral health‐related quality of life, and prosthetic aspects of implant‐supported maxillary overdentures. Materials and Methods For this cross‐over study, 18 patients with comp...

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Bibliographic Details
Published in:Clinical implant dentistry and related research 2022-06, Vol.24 (3), p.391-400
Main Authors: Aboelez, Marwa Ahmed, Elezz, Mona Galal Abo, Abdraboh, Abdelrahman Elsaid, Elsyad, Moustafa Abdou
Format: Article
Language:English
Subjects:
Accessories
Acoustics
angled
Attachment
Complications
Dentures
implant
Implants
inclined
Maintenance
Mandible
Maxilla
maxillary
OHIP
OHRQoL
Oral hygiene
overdenture
Patient satisfaction
Patients
Prostheses
Quality of life
Sinuses
Soft tissues
Teeth
Transplants & implants
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Summary:Objectives The aim of this was to compare the influence of two different angulated abutment designs on patient satisfaction, oral health‐related quality of life, and prosthetic aspects of implant‐supported maxillary overdentures. Materials and Methods For this cross‐over study, 18 patients with completely edentulous maxillary ridges opposing implant‐retained mandibular overdentures received 4 implants between the maxillary sinuses using computer‐guided surgery. The anterior implants were installed at canine/lateral incisor areas and inclined 15° labially. The posterior implants were inserted just anterior to the maxillary sinuses and inclined 15o distally. Eight patients received maxillary overdentures retained by angled ball attachment (ball overdenture [BOD]) and angled locator attachment in random order. After 6 months, patients indicated satisfaction with their prosthesis using a visual analog scale (VAS), and oral health impact profile (OHIP‐14). Moreover, postinsertion prosthodontic maintenance and complications were recorded for both attachments. Comparisons of patient satisfaction and prosthetic complications between groups were performed using the Wilcoxon matched‐pairs test and the McNemar test, respectively. Results Locator overdenture (LOD) recorded significantly higher scores than the BOD group regarding all the VAS questions except for ease of cleaning (p
ISSN:1523-0899
1708-8208
DOI:10.1111/cid.13089