Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/45459
Type: Artigo de Periódico
Title: Patient satisfaction with ball and Equator attachments for single implant mandibular overdentures: a short term randomized crossover clinical trial
Authors: Nahla Eid Kamel Selimtaha
Danilo Rocha Dias
Talitha Maria Cabral Oliveira
João Antônio Chaves Souza
Cláudio Rodrigues Leles
Abstract: Background Retention and stabilisation of a single-implant mandibular overdenture (SIMO) are influenced by the biomechanical properties and clinical performance of the attachment system. Purpose To compare clinical and patient-reported outcomes following the use of two retention systems, a ball and a stud-type Equator attachment used for SIMO. Material and Methods Eighteen fully edentulous participants were treated with a SIMO opposing to a maxillary complete denture. They received two retentive attachments (ball and Equator) in alternate periods (sequences A-B and B-A) and outcomes were assessed after the 1 week (initial) and 3 months (final) periods. In the final assessment, patients were also asked about their preferred retention system. Results Compared with baseline, there was an improvement in patient satisfaction using both attachments, whilst no difference was observed between initial and final periods. Similarly, no significant differences were observed when comparing the ball and Equator at the initial (P = .330) and final (P = .08) periods. The multilevel mixed-model analysis revealed that the patients’ satisfaction was predicted only by their satisfaction with dentures before implant placement. Although no significant difference was found between attachments regarding patient preference, this may be biased by the sequence of attachment use, which suggests that a learning effect might be present in this crossover study design. Conclusion The use of a single midline implant to retain a mandibular overdenture significantly improves patient satisfaction irrespective of the attachment used, but patients’ preference for the second treatment suggested a learning effect in this study.
Subject: Cross-over studies
Dentures
Dental implants
Denture retention
Patient preference
Patient satisfaction
language: eng
metadata.dc.publisher.country: Brasil
Publisher: Universidade Federal de Minas Gerais
Publisher Initials: UFMG
metadata.dc.publisher.department: FAO - DEPARTAMENTO DE ODONTOLOGIA RESTAURADORA
Rights: Acesso Restrito
metadata.dc.identifier.doi: 10.1111/joor.12895
URI: http://hdl.handle.net/1843/45459
Issue Date: 24-Sep-2019
metadata.dc.url.externa: https://onlinelibrary.wiley.com/doi/10.1111/joor.12895
metadata.dc.relation.ispartof: Journal of Oral Rehabilitation
Appears in Collections:Artigo de Periódico

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