Conventional maxillary denture versus maxillary implant-supported overdenture opposing mandibular implant-supported...

Area of Science:

• Dentistry
• Prosthodontics
• Oral Health

Background:

• Patient satisfaction is a critical outcome in prosthodontic treatment.
• Understanding factors influencing satisfaction with implant-supported overdentures is essential for clinical decision-making.

Purpose of the Study:

• To evaluate the impact of age, gender, maxillary prosthesis type (implant-supported overdenture vs. conventional denture), and duration of use on patient satisfaction with mandibular implant-supported overdentures (LISOD).
• To guide clinicians in selecting treatment pathways that maximize patient satisfaction.

Main Methods:

• A cross-sectional study involving 84 participants treated with LISOD opposing either a conventional denture (CMD) or a maxillary implant-supported overdenture (UISOD) between 2015 and 2020.
• Patient satisfaction was assessed using the Oral Health Impact Profile (OHIP-14) questionnaire.
• Statistical analysis was performed using PASS-11 software to identify significant factors affecting satisfaction.

Main Results:

• Age and gender did not significantly influence patient satisfaction.
• Patients using a maxillary implant-supported overdenture (UISOD) reported significantly higher satisfaction compared to those with a conventional denture (CMD) (p < .05).
• Patient satisfaction decreased significantly with an increased number of years using the prosthesis (p < .05).

Conclusions:

• Patient satisfaction with LISODs is significantly influenced by the type of opposing maxillary prosthesis.
• The duration of prosthesis usage negatively correlates with patient satisfaction.
• Implant-supported maxillary prostheses appear to offer superior long-term satisfaction when opposing LISODs.