Milled bar versus rigid telescopic attachment for mandibular implant supported overdentures. A study of patient satisfaction and oral health quality of life.

Document Type : Original Article

Authors

1 Department of removable prosthodontics mansoura faculty of dentistry

2 Department of removable Prosthodontics Faculty of Dentistry Beni- Suef University

Abstract

Aim: This investigation aimed to evaluate participant satisfaction and quality of life of Milled bar versus rigid telescopic attachment for mandibular implant supported overdentures.
Materials and methods: Eight edentulous participants who unsatisfied with the retention and stability of existing mandibular prosthesis received 4 implants in the interforminal area of the mandible using computer guided flapless surgical approach. After 3 months, implants were connected to overdentures with rigid telescopic (n=4) or milled bar (n=4) attachments. After 3 months of addaptation, patient satisfaction was measured using Visual analouge scale and Oral health related quality of life (OHEQoL) was measured using Oral health impact profile (OHIP-14). Comparison of data between groups were made using MannWhiteny test.
Results: Milled bar showed significant higher satisfaction with overdenture retention than telescopic overdentures, while the later showed significant higher satisfaction with overdenture cleaning compared to milled bar. No significant differnce between the attachments was noted regarding other questionaire of VAS. Regarding OHIP, telescopic overdentures showed higher satisfaction regarding pronounciation of sounds, and comfort on eating than milled bars. No significant differnce between overdentures were noted for other OHIP questions
Conclusion: Within the limits of this study, both telescopic and milled bar mandibular overdentures achieve high patient satisfaction and oral health related quality of life. However, milled bar overdentures are advantageous in terms of overdenture retention and telescopic overdentures are advantageous in terms of cleaning, comfort on eating and pronunciation of sounds.

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