A preliminary comparison of masticatory performances between immediately loaded and conventionally loaded mandibular two-implant overdentures with magnetic attachments

Clin Implant Dent Relat Res. 2019 Feb;21(1):130-137. doi: 10.1111/cid.12698. Epub 2018 Dec 17.

Abstract

Background: Two-implant overdentures (2-IODs) is an expected treatment option to improve the masticatory performance (MP) of edentulous individuals.

Purpose: The purpose of the current study was to compare MPs between immediately loaded and conventionally loaded mandibular 2-IODs retained by magnet attachments.

Materials and methods: Nineteen participants with edentulous mandibles were randomly assigned to an immediately loaded group or a conventionally loaded group. Each participant received two implants. The immediate group was loaded on the same day as implant insertion, whereas the conventional group was loaded 3 months after implant insertion. Both MP, measured by a color-changeable chewing gum and a gummy jelly, and maximum occlusal force were assessed at baseline and at 1, 3, 6, 12, 24, and 36 months after implant insertion.

Results: A significantly higher MP, measured by gummy jelly, was observed at the 6-month time-point in the immediate group (P = .034). No significant differences in MP, measured by chewing gum, or maximum occlusal force were observed between the two groups at any time-point.

Conclusions: Within the limitations of the present study, immediate loading of 2-IODs could improve MP at an earlier time-point than conventional loading of 2-IODs.

Keywords: clinical research; edentulous mandible; overdenture.

Publication types

  • Comparative Study

MeSH terms

  • Aged
  • Bite Force
  • Dental Implantation, Endosseous
  • Dental Prosthesis, Implant-Supported
  • Denture Retention
  • Denture, Overlay*
  • Female
  • Humans
  • Immediate Dental Implant Loading*
  • Magnetics
  • Male
  • Mandible
  • Mastication*