Articulation, oral function, and quality of life in patients treated with implant overdentures in the mandible : a prospective study

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dc.contributor.author Fonteyne, Ester
dc.contributor.author Matthys, Carine
dc.contributor.author Bruneel, Laura
dc.contributor.author Becue, Laurence
dc.contributor.author De Bruyn, Hugo
dc.contributor.author Van Lierde, K.M. (Kristiane)
dc.date.accessioned 2021-04-21T11:26:26Z
dc.date.issued 2021-06
dc.description.abstract BACKGROUND : Modifications of facial and oral structures affect aesthetic appearance, orofacial functions, and have impact on quality of life. PURPOSE : This study determined alterations of articulation, oromyofunctional behavior, and Oral Health Related Quality of Life (OHRQoL) in patients replacing complete removable dentures by implant retained overdentures in the mandible. MATERIALS AND METHODS : Twenty‐one fully edentulous patients received mandibular overdenture retained on a bar connecting two titanium dental implants. Patients were evaluated after receiving a new set of fully removable dentures (stage 1), after surgery during provisionalization on healing abutments (stage 2), and after final connection to the bar (stage 3). Assessments were taken by speech therapists and included evaluation of: articulation (picture naming and reading); oromyofunctional behavior; OHRQoL (OHIP‐14 questionnaire), and overall satisfaction and speech (VAS). To measure changes over time, Wilcoxon matched‐pairs signed‐rank‐test and McNemar test was used. RESULTS : There was no significant impact of the treatment on speech nor on the results of oromyofunction. In stage 1, patients had different kinds of articulation errors (mean:1.21) which evolved to 0.71 and 0.67. In stage 3, especially problems with the /s/ sound are seen in 37% (7/19) of the participants. Results of OHRQoL and satisfaction reveal that the average of satisfaction with oral health evolved from 67% to 63% and finally 78%. OHIP‐14 total score was 17.4/56 in stage 1, remained unchanged in stage 2 and evolved in stage 3 to 9.8/56 (P: .010). This indicates improvement. Satisfaction with speech evolved significantly from 68% pretreatment to 82% in stage 3 (P: .013). CONCLUSION : Despite existing articulation and oromyofunctional disorders after treatment, people are very satisfied with their OHRQoL and their speech. Impact of mandibular denture wearing on OHRQoL declines once connected. It's important to inform patients that speech and oromyofunctional disorders may occur during treatment where especially the /s/ sound is vulnerable. en_ZA
dc.description.department Speech-Language Pathology and Audiology en_ZA
dc.description.embargo 2022-02-22
dc.description.librarian hj2021 en_ZA
dc.description.sponsorship Southern Implants Inc. (Irene, South Africa) en_ZA
dc.description.uri http://wileyonlinelibrary.com/journal/cid en_ZA
dc.identifier.citation Fonteyne E, Matthys C, Bruneel L, Becue L, De Bruyn H, Van Lierde K. Articulation, oral function, and quality of life in patients treated with implant overdentures in the mandible: A prospective study. Clinical Implant Dentistry and Related Research 2021 23(3): 388-399. https://doi.org/10.1111/cid.12989. en_ZA
dc.identifier.issn 1523-0899 (print)
dc.identifier.issn 1708-8208 (online)
dc.identifier.other 10.1111/cid.12989
dc.identifier.uri http://hdl.handle.net/2263/79544
dc.language.iso en en_ZA
dc.publisher Wiley en_ZA
dc.rights © 2021 Wiley Periodicals LLC. This is the pre-peer reviewed version of the following article : Articulation, oral function, and quality of life in patients treated with implant overdentures in the mandible: A prospective study. Clinical Implant Dentistry and Related Research 2021 23(3): 388-399. https://doi.org/10.1111/cid.12989. The definite version is available at : http://wileyonlinelibrary.com/journal/cid. en_ZA
dc.subject Oral health related quality of life (OHRQoL) en_ZA
dc.subject Edentulous mandible en_ZA
dc.subject Implant en_ZA
dc.subject Long term study en_ZA
dc.subject Oromyofunction en_ZA
dc.subject Overdenture en_ZA
dc.subject Patient satisfaction en_ZA
dc.subject Speech en_ZA
dc.title Articulation, oral function, and quality of life in patients treated with implant overdentures in the mandible : a prospective study en_ZA
dc.type Postprint Article en_ZA


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