Publication date: Available online 16 April 2016
Source:Journal of Cranio-Maxillofacial Surgery
Author(s): Vinay V. Kumar, P.C. Jacob, Supriya Ebenezer, Moni A. Kuriakose, Vikram Kekatpure, Amresh S. Baliarsing, Bilal Al-Nawas, Wilfried Wagner
PurposeThe primary objective of this study was to assess the difference in quality of life (QoL) in patients with dental rehabilitation using two or four implant-supported overdentures following segmental mandibulectomy defect reconstruction with fibula free flap.Material and MethodsThis prospective, parallel designed, randomized clinical study was conducted with a 1:1 ratio. At baseline, all participants already had fibula flap reconstruction for segmental defects of the mandible and rehabilitation with conventional (non−implant supported) removable partial dentures. The participants were then randomized into two groups. Group I received implant supported overdentures on two implants, and Group II received four implants. QoL outcomes were evaluated using standardized questionnaires (EORTC_QLQ c30, H&N35, OHIP, DSI). Outcomes of treatment were evaluated at 6 months (T1) and 1 year (T2) following rehabilitation.ResultsA total of 52 patients were randomized into two treatment groups (26 each). After accounting for the loss to lack of follow-up, 22 patients in Group I and 24 patients in Group II were evaluated for QoL at the end of the study. There was a significant improvement in QoL with implant-assisted dental rehabilitation. However there were no significant differences in QoL between the two-implant and four-implant groups.ConclusionImplant-supported removable overdentures improve QoL outcomes in patients with reconstructed mandibles. This study showed no significant difference in QoL outcomes in patients with two- or four-implant supported removable prostheses.
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Τετάρτη 20 Απριλίου 2016
Implant Supported Dental Rehabilitation Following Segmental Mandibular Reconstruction- Quality of Life Outcomes of a Prospective Randomized Trial
Αναρτήθηκε από
Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182
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6:08 π.μ.
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