ORIGINAL ARTICLE
Vertical versus angled immediately loaded implants for assisting maxillary overdentures with locator attachments: A preliminary results of one-year randomized clinical trial
Marwa Ahmed Aboelez BDS, MSc, PHD,
Christine Raouf Micheal Ibrahim BDS, MSc, PhD,
Mohamad Hossam El-Din Helmy BDS, MSc, PhD,
Moustafa Abdou Elsyad BDS, MSc, PhD,
Corresponding Author
Marwa Ahmed Aboelez BDS, MSc, PHD
Faculty of Dentistry, Mansoura University, Mansoura, Egypt
Correspondence
Marwa Ahmed Aboelez, Faculty of Dentistry, Mansoura University, Mansoura, Egypt.
Email: [email protected]
Search for more papers by this authorChristine Raouf Micheal Ibrahim BDS, MSc, PhD
Faculty of Dentistry, Mansoura University, Mansoura, Egypt
Search for more papers by this authorMohamad Hossam El-Din Helmy BDS, MSc, PhD
Faculty of Dentistry, Assiut University, Assiut, Egypt
Search for more papers by this authorMoustafa Abdou Elsyad BDS, MSc, PhD
Faculty of Dentistry, Mansoura University, Mansoura, Egypt
Search for more papers by this authorMarwa Ahmed Aboelez BDS, MSc, PHD,
Christine Raouf Micheal Ibrahim BDS, MSc, PhD,
Mohamad Hossam El-Din Helmy BDS, MSc, PhD,
Moustafa Abdou Elsyad BDS, MSc, PhD,
Corresponding Author
Marwa Ahmed Aboelez BDS, MSc, PHD
Faculty of Dentistry, Mansoura University, Mansoura, Egypt
Correspondence
Marwa Ahmed Aboelez, Faculty of Dentistry, Mansoura University, Mansoura, Egypt.
Email: [email protected]
Search for more papers by this authorChristine Raouf Micheal Ibrahim BDS, MSc, PhD
Faculty of Dentistry, Mansoura University, Mansoura, Egypt
Search for more papers by this authorMohamad Hossam El-Din Helmy BDS, MSc, PhD
Faculty of Dentistry, Assiut University, Assiut, Egypt
Search for more papers by this authorMoustafa Abdou Elsyad BDS, MSc, PhD
Faculty of Dentistry, Mansoura University, Mansoura, Egypt
Search for more papers by this authorFirst published: 05 November 2023
Abstract
Objectives
This study aimed to evaluate the clinical outcomes and patient satisfaction of 4-implant-assisted maxillary overdentures using two different designs.
Materials and Methods
Thirty edentulous participants received four implants in the maxillary ridge. The patients were randomly divided into two equal groups: (1) the control (CG, Vertical) group (n = 15); participants received four vertical implants with straight locator attachments to retain maxillary overdentures, and (2) the study (SG, Angled) group (n = 15); participants received four angled implants with angled locator attachments to retain maxillary overdentures. Peri-implant tissue health [Plaque (PL) and gingival (GI) indices, pocket depth (PD), implant stability (ISQ) and crestal bone loss (CBL)] were evaluated after denture insertion (T0), 6 (T6), and 12 (T12) months after insertion. Patient satisfaction was evaluated using a visual analog scale (VAS) after 12 months.
Results
The survival rates were 96.7% and 95% for the control and study groups respectively. PL, GI, and PD increased significantly in both groups with the passage of time. No significant difference in PL, GI, PD, and ISQ was noted between groups at all observation times. CG showed higher CBL than SG at T12. For the VAS results, there was no significant difference between groups. SG recorded significantly higher satisfaction regarding comfort with maxillary and mandibular dentures, retention of mandibular dentures, oral hygiene, the ability to chew hard food, and occlusion than CG.
Conclusion
Within the limitations of this study, angled implants with angled locator attachments may be recommended to retain maxillary overdentures opposing intact dentition or fixed restoration as it was associated with improvements of several parameters of peri-implant tissue health and patient satisfaction compared to vertical implants with straight locator attachments.
CONFLICT OF INTEREST STATEMENT
The authors declare no conflicts of interest. The study was self-funded by the authors.
Open Research
DATA AVAILABILITY STATEMENT
The data that support the findings of this study are available from the corresponding author upon reasonable request.
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