{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T03:08:17Z","timestamp":1789960097941,"version":"4.0.1"},"reference-count":48,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2015,6,30]],"date-time":"2015-06-30T00:00:00Z","timestamp":1435622400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Oral Implants Res"],"published-print":{"date-parts":[[2016,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>This study aimed to evaluate patient satisfaction and prosthetic aspects during a 5\u2010year prospective clinical study of mini dental implants (<jats:styled-content style=\"fixed-case\">MDI<\/jats:styled-content>s) retaining mandibular overdentures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>This observational prospective clinical study was conducted on a group of completely edentulous patients (<jats:italic>n<\/jats:italic>\u00a0=\u00a028) with retention problems of conventional mandibular dentures. All patients received new maxillary and mandibular conventional dentures. A total of 112 <jats:styled-content style=\"fixed-case\">MDI<\/jats:styled-content>s (four per patient) were inserted using the flapless surgical approach and immediately loaded by the new mandibular dentures (overdentures). Patients indicated satisfaction with their prosthesis using a questionnaire and a visual analogue scale (<jats:styled-content style=\"fixed-case\">VAS<\/jats:styled-content>). Patient satisfaction and prosthetic complications were recorded 6\u00a0months (<jats:styled-content style=\"fixed-case\">T<\/jats:styled-content><jats:sub>6\u00a0m<\/jats:sub>), 1 (<jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>1), 3 (<jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>3), and 5 (<jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>5) years after overdenture insertion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The patient satisfaction with eating (hard\/soft) food (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001), talking (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001), appearance (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.001), comfort (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001), healing process (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.013), socialization (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001), stability\/retention of mandibular dentures (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.001), ease of oral hygiene (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.008), and ease of handling the dentures (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001) increased significantly with time. After 5\u00a0years, the most common complication was wear\/damage of <jats:styled-content style=\"fixed-case\">O<\/jats:styled-content>\/rings (<jats:italic>n<\/jats:italic>\u00a0=\u00a0235), <jats:styled-content style=\"fixed-case\">O<\/jats:styled-content>\/ring replacement (<jats:italic>n<\/jats:italic>\u00a0=\u00a0125), maxillary denture relining times (<jats:italic>n<\/jats:italic>\u00a0=\u00a013), worn teeth (<jats:italic>n<\/jats:italic>\u00a0=\u00a010), overdentures relines (<jats:italic>n<\/jats:italic>\u00a0=\u00a010), detachment of the metal housings (<jats:italic>n<\/jats:italic>\u00a0=\u00a09), and fracture of mandibular overdentures (<jats:italic>n<\/jats:italic>\u00a0=\u00a08). Mucositis, soreness, and decubitis ulcer under overdenture occurred most often at <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content><jats:sub>6\u00a0m<\/jats:sub> and decreased significantly with time (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.002, 0.005, and 0.024, respectively).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Within the limitations of this clinical study, patient satisfaction with mini\u2010implant retained mandibular overdentures increased significantly with time. However, this treatment required a considerable amount of prosthetic maintenance and repair after 5\u00a0years of service.<\/jats:p><\/jats:sec>","DOI":"10.1111\/clr.12660","type":"journal-article","created":{"date-parts":[[2015,7,1]],"date-time":"2015-07-01T06:29:16Z","timestamp":1435732156000},"page":"926-933","source":"Crossref","is-referenced-by-count":57,"title":["Patient satisfaction and prosthetic aspects with mini\u2010implants retained mandibular overdentures. 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