The impact of mandibular 4 mini dental implant supported over-denture on patient's satisfaction and quality of life
Bibliographic record
Abstract
Objectives: Mini Dental Implants (MDIs) or ultra-small diameter implants have been developed and recognized as a viable method to retain mandibular overdentures. Although the clinical effectiveness of this intervention has been assessed in many studies, there is limited evidence regarding Patient Reported Outcomes (PROs) with this treatment. Therefore, the purpose of this study is to evaluate patients' ratings of their satisfaction and quality of life after receiving 4 MDI retained mandibular overdentures.Methods: Eleven eligible edentate individuals (F=5, M=6; ages 54-84 years; mean =68.8) who responded to an advertisement for implant retention for dental prostheses in a local Montreal magazine were selected to participate in this quasi-experimental study (pre-post-intervention design). After signing an informed consent, each received 4 MDIs (3M ESPE) using a standardized non-invasive flapless protocol. Implants were loaded immediately after placement using the patients' original dentures. Participants were asked to complete the OHIP-20 questionnaire and rate their satisfaction on a 100 mm Visual Analogue Scale (VAS) instrument, consisting of nine different domains (ease of cleaning, general satisfaction, ability to speak, comfort, aesthetics, retention and stability, ability to chew, function and oral condition), at baseline and 6 months following implant placement.Results: The OHRQoL scores demonstrated a moderate to large degree of improvement in of all the OHIP-20 domains (ES; 0.52-1.03). The largest change was found in the Handicap domain (ES=1.03) and the smallest change was in the Physical Pain domain (ES=0.52). Moreover, differences in the mean change scores were statistically significant in all domains, as well as in the total OHRQoL score (Wilcoxon signed-rank test, p<0.05).Compared to baseline, ratings were higher at 6 months (Wilcoxon signed-rank, p<0.05) for general satisfaction, ability to speak, stability, ability to chew, function and oral condition (P<0.05). However, there was no significant change in satisfaction recorded in the domains of ease of cleaning, comfort and aesthetics (p>0.05).Conclusion: The mandibular 4 MDI over-denture appears to significantly improve patient-centered outcomes in edentate individuals and can be a satisfactory option for patients who would like improvement in their denture-wearing experience.Keywords: Mini Dental Implant (MDI), Edentulism, Prosthodontics, Oral Rehabilitation, Patient-reported Outcomes (PROs), Oral Health Related Quality of Life (OHRQoL)
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.001 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.004 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".