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Quintessence Publishing: Journals: QI
Quintessence International

Edited by Eli Eliav

ISSN 0033-6572 (print) • ISSN 1936-7163 (online)

November 2008
Volume 39 , Issue 10

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Do mandibular implant overdentures and conventional complete dentures meet the expectations of edentulous patients?

Guido Heydecke, DDS, Dr Med Dent Habil1,/J. Mark Thomason, BDS, PhD,/ Manal A. Awad, DDS, MSc, PhD,/James P. Lund, BDS, PhD,/Jocelyne S. Feine, DDS, MS

PMID: 19093056

Objectives: To measure expectations of satisfaction with implant and conventional denture treatment in 2 groups of edentulous people and compare them with their resultant ratings of satisfaction to determine if either treatment meets the pretreatment expectation. Method and Materials: One hundred sixty-two edentulous middle-aged (MA, n = 102) and senior (S, n = 60) patients were enrolled in 2 trials and, after randomization, received either a mandibular 2-implant overdenture (IOD) or a new conventional denture (CD). Before randomization, each subject rated their satisfaction with their current denture and expectations of satisfaction with both IOD and CD treatment on 100-mm visual analog scales (VAS). Six months posttreatment, all rated their satisfaction with their new prostheses on similar VAS. Expectations and satisfaction with treatment were compared. Results: Posttreatment satisfaction with CD treatment was significantly lower than pretreatment expected satisfaction in both study populations (MA, P < .0001; S, P = .036). There was no (or only borderline) significant difference between pretreatment expectation and posttreatment satisfaction for patients receiving IODs in both study populations (MA, P = .078; S, P = .057). Conclusion: Posttreatment CD satisfaction failed to meet patients’ pretreatment expectations of satisfaction; this was not the case for IODs, for which expectations were largely met. (Quintessence Int 2008;9:803–809)

Key words: dental implants, expectations, mandibular prostheses, overdentures, satisfaction

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