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Implant supported overdentures in Sjögren’s disease patients: a multicentre prospective cohort study
F. Maarse1, W.M. Fennis2, J.W. Twisk3, A. Korfage4, H.J. Santing5, L. Den Hartog6, M.S. Muradin7, G.M. Raghoebar8, A. Vissink9, H.S. Brand10, D.H.J. Jager11
- Department of Maxillofacial Surgery and Oral Pathology, Amsterdam UMC, Vrije Universiteit Amsterdam, The Netherlands.
- Department of Oral and Maxillofacial Surgery, Prosthodontics and Special Dental Care, University Medical Center Utrecht, The Netherlands.
- Department of Epidemiology and Data Science, Amsterdam UMC, Vrije Universiteit Amsterdam, The Netherlands.
- Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, The Netherlands.
- Private Dental Practice Bocht Oosterdiep, Veendam, The Netherlands.
- Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, The Netherlands.
- Department of Oral and Maxillofacial Surgery, Prosthodontics and Special Dental Care, University Medical Center Utrecht, The Netherlands.
- Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, The Netherlands.
- Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, The Netherlands.
- Department of Oral Biochemistry, Academic Center for Dentistry Amsterdam (ACTA), Amsterdam, The Netherlands.
- Department of Maxillofacial Surgery and Oral Pathology, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, and Amsterdam Institute for Infection and Immunity, Inflammatory Diseases, Amsterdam, The Netherlands. d.jager@amsterdamumc.nl
CER17024
2023 Vol.41, N°12
PI 2418, PF 2427
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PMID: 38019170 [PubMed]
Received: 26/07/2023
Accepted : 11/10/2023
In Press: 27/11/2023
Published: 23/12/2023
Abstract
OBJECTIVES:
To prospectively investigate patient-reported outcomes and clinical performance of implant supported overdentures in edentulous Sjögren’s disease (SjD) patients compared to subjects without SjD.
METHODS:
51 implants were placed in 12 patients with SjD and 50 implants in 12 non-SjD patients to support overdentures. Clinical performance, marginal bone-level changes, patient satisfaction and oral health related quality of life (OHRQoL) were assessed at 1 (T1), 6 (T6), 12 (T12) and 18 (T18) months after placement of the overdenture. Patient satisfaction, ability to chew and OHRQoL were assessed with validated questionnaires. Marginal bone-level changes were measured on standardised dental radiographs. Clinical parameters included implant and overdenture survival, plaque, bleeding and gingival indices, and probing depth.
RESULTS:
OHRQoL in patients with SjD improved significantly after placement of implant supported overdentures at all measuring moments compared to baseline (p<0.05). Nevertheless, ability to chew tough and hard food was significantly better for non-SjD patients at all timepoints after placement of an implant supported overdenture (p<0.05). Implant survival at T18 was 100% in the patients with SjD and 98% in the non-SS group. Mean marginal bone loss at T18 did not differ between patients with SjD and non-SS patients, 1.12±0.74 mm and 1.43±1.66 mm, respectively (p=0.58). Clinical performance was good with no differences between the groups for all outcome measures (p>0.05).
CONCLUSIONS:
Implant-supported overdentures have a positive effect on OHRQoL and dental implants can be successfully applied in edentulous patients with SjD with nearly similar outcomes as in non-SjD subjects.
