The single mandibular implant study: short-term effects of the loading protocol on Oral Health-related Quality of Life

Purpose - A single implant can be placed to retain an overdenture in the edentulous mandible. This study aimed at the development of Oral Health-related Quality of Life comparing immediate and delayed implant loading, i.e., loading after 3 months of submerged healing. - Methods - In a randomized con...

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Main Authors: Schwindling, Franz Sebastian (Author) , Rädel, Michael (Author) , Passia, Nicole (Author) , Freitag-Wolf, Sandra (Author) , Wolfart, Stefan (Author) , Att, Wael (Author) , Mundt, Torsten (Author) , Reißmann, Daniel R. (Author) , Ismail, Fadi (Author) , von Königsmark, Valerie (Author) , Kern, Matthias (Author)
Format: Article (Journal)
Language:English
Published: 7 May 2018
In: Journal of prosthodontic research
Year: 2018, Volume: 62, Issue: 3, Pages: 313-316
ISSN:1883-1958
DOI:10.1016/j.jpor.2017.12.003
Online Access:Verlag, Volltext: https://doi.org/10.1016/j.jpor.2017.12.003
Verlag, Volltext: http://www.sciencedirect.com/science/article/pii/S1883195817301391
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Author Notes:Franz Sebastian Schwindling, Michael Raedel, Nicole Passia, Sandra Freitag-Wolf, Stefan Wolfart, Wael Att, Torsten Mundt, Daniel Reissmann, Fadi Ismail, Valerie von Königsmark, Matthias Kern

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520 |a Purpose - A single implant can be placed to retain an overdenture in the edentulous mandible. This study aimed at the development of Oral Health-related Quality of Life comparing immediate and delayed implant loading, i.e., loading after 3 months of submerged healing. - Methods - In a randomized controlled trial, 158 participants received a single mandibular implant in the midline. Quality of life was measured using the summary score of the German 49-item Oral Health Impact Profile at baseline, one month after implant placement (direct loading group) as well as one and four months after loading. - Results - Mean scores at baseline were comparable. Four months after implantation, a decrease of mean scores was recognized for both groups, indicating a significantly enhanced quality of life after treatment. When comparing the groups after both 1 and 4 months of loading, quality of life was insignificantly higher in the delayed loading group (1 month: 42.1 vs. 32.3; 4 months: 33.6 vs. 27.7). For immediate loading, an insignificant tendency to an earlier improvement was recognized (Δ1month-baseline: 9.7, compared to Δ1month-baseline: 6.4). - Conclusions - The single mandibular implant concept was associated with a positive impact on quality of life. However, no statistically significant influence of implant loading on quality of life was found. 
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