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Evaluating the clinical and radiographic outcomes of mini-implant versus conventional implant-supported overdentures: A three-year randomized control prospective study

Journal of Dental Implant Research 2022³â 41±Ç 3È£ p.64 ~ 73
Gupta Anusar, Mishra Niraj, Chand Pooran, Singh Saumyendra Vikram, Singh Raghuwar Dayal, Agarwal Bhaskar, Arya Deeksha, Pathak Anupama,
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 ( Gupta Anusar ) - King George Medical University Department of Prosthodontics
 ( Mishra Niraj ) - King George Medical University Department of Prosthodontics
 ( Chand Pooran ) - King George Medical University Department of Prosthodontics
 ( Singh Saumyendra Vikram ) - King George Medical University Department of Prosthodontics
 ( Singh Raghuwar Dayal ) - King George Medical University Department of Prosthodontics
 ( Agarwal Bhaskar ) - King George Medical University Department of Prosthodontics
 ( Arya Deeksha ) - King George Medical University Department of Prosthodontics
 ( Pathak Anupama ) - King George Medical University Department of Prosthodontics

Abstract


Purpose: This in vivo study compared the clinical and radiographic outcomes of the mini-implant-supported overdenture and conventional implant-supported overdenture. The objectives of the study were to evaluate the pocket depth, crestal bone loss, and implant stability using a periotest and to measure patient satisfaction based on the oral health impact profile EDENT questionnaire in conventional and mini-implants supported overdentures.

Materials and Methods: One hundred and seventy-four subjects above 40 years of age were recruited and randomized into two groups on a 1:1 basis: Group 1-mini-implant supported overdentures (2.5 mm diameter¡¿11 mm length) and Group 2-conventional implant-supported overdentures (3.3 mm diameter¡¿11 mm length). Crestal bone loss was measured from the baseline to 12 months and from 12 to 36 months. The pocket depth and implant stability using a Perio test device were measured at 12 months and 36 months. Finally, the patient satisfaction based on the oral health impact profile EDENT questionnaire in conventional and mini-implants supported overdentures was recorded.

Results: There was no significant difference (P<0.05) in the pocket depth and crestal bone loss between the groups at 12 months and 36 months. Similarly, there was no significant difference in the perio-test values between the groups at 12 and 36 months. No significant (P<0.05) differences in physical pain, psychological discomfort, and disability were noted.

Conclusions: Both conventional and mini-implant-supported overdentures have similar outcomes with respect to the pocket depth, crestal bone loss, implant stability, and overall quality of life of the patient.

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Mini-implants; Overdentures; Perio-test

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