Ahmed Mahmoud El haron1,Mostafa A. Elsayad2,Ashraf Gebreel3
1BDS, MSD, Senior Teaching Assistant of Removable Prosthodontics, Faculty of Dentistry, Mansoura University, Egypt.
2BDS, MSD, PhD, Professor of Removable Prosthodontics, Faculty of Dentistry, Mansoura University, Egypt.
3BDS, MSD, PhD, Assistant Professor of Removable Prosthodontics, Faculty of Dentistry, Mansoura Universiry, Egypt.
Abstract:
Aim: The aim of the present study will be the investigation and the comparison the patient satisfaction with fixed dentures versus milled bar overdenture supported by implant placed according to all on four concept.
Materials and methods:ten completely edentulous patients complaining from reduced stability and insufficient retention of their mandibular dentures. Received a conventional maxillary and mandibular dentures (CD). After 3 months of adaptation, four implants were inserted at interforminal regions of the mandible. After 3 months of osseointegration period, each patient received 2 prosthesis milled bar overdentures (MOD), fixed denture. Patient satisfaction was measured using a questionnaire 3 months after using each of the following prosthesis: CD, MOD,FD
Result:implant supported milled bar overdenture and fixed denture recorded significant higher patient satisfaction than complete denture. no significant difference in patient satisfaction was noted between milled bar overdenture and fixed denture a in esthetic , complication, information prior to treatment overall implant experience ,surgical procedure ,repeat the treatment). However, speech, restorative procedure, chewing oral hygiene, showed significant difference in patient satisfaction
Conclusion: implant supported fixed denture recorded significant higher patient satisfaction than overdenture in speech, chewing, restorative procedure and overdenture recorded significant higher patient satisfaction than fixed denture in oral hygiene.