{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T19:10:34Z","timestamp":1778094634289,"version":"3.51.4"},"reference-count":42,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T00:00:00Z","timestamp":1764115200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T00:00:00Z","timestamp":1764115200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100003593","name":"Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico","doi-asserted-by":"publisher","award":["315815\/2023\u20100"],"award-info":[{"award-number":["315815\/2023\u20100"]}],"id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Oral Rehabilitation"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The long\u2010term influence of mandibular atrophy on masticatory function, patient\u2010reported outcomes, and prosthetic maintenance in users of implant\u2010retained overdentures remains unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess the impact of mandibular bone atrophy on masticatory function, quality of life, patient satisfaction, and prosthetic maintenance over a five\u2010year period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Twenty\u2010four fully edentulous patients were rehabilitated with mandibular overdentures retained by two narrow\u2010diameter implants and divided into two groups according to mandibular bone height: atrophic mandible (\n                      <jats:styled-content style=\"fixed-case\">AM<\/jats:styled-content>\n                      ) and non\u2010atrophic mandible (\n                      <jats:styled-content style=\"fixed-case\">NAM<\/jats:styled-content>\n                      ). Masticatory performance (\n                      <jats:styled-content style=\"fixed-case\">MP<\/jats:styled-content>\n                      ) and swallowing threshold (\n                      <jats:styled-content style=\"fixed-case\">ST<\/jats:styled-content>\n                      ) were assessed, while quality of life and satisfaction were evaluated using the Dental Impact on Daily Living (\n                      <jats:styled-content style=\"fixed-case\">DIDL<\/jats:styled-content>\n                      ) questionnaire. Prosthetic maintenance events were recorded over 5\u2009years. Multilevel mixed\u2010effects regression evaluated temporal trends and group differences, and chi\u2010square tests were used for prosthetic events.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Four participants were lost to follow\u2010up, resulting in 10 individuals per group at 5\u2009years. The\n                      <jats:styled-content style=\"fixed-case\">AM<\/jats:styled-content>\n                      group showed significant reductions in MP_X50 (\u20139.66%;\n                      <jats:italic>p<\/jats:italic>\n                      =\u20090.00) and ST_X50 (\u20131.9%;\n                      <jats:italic>p<\/jats:italic>\n                      =\u20090.01); and increase in ST_ME5.6 (+43.32%;\n                      <jats:italic>p<\/jats:italic>\n                      =\u20090.01). The eating\/chewing domain of the\n                      <jats:styled-content style=\"fixed-case\">DIDL<\/jats:styled-content>\n                      was significantly lower in the\n                      <jats:styled-content style=\"fixed-case\">AM<\/jats:styled-content>\n                      group (0.35 \u00b1\u20090.72) compared to the\n                      <jats:styled-content style=\"fixed-case\">NAM<\/jats:styled-content>\n                      group (0.73 \u00b1\u20090.47). Although overall prosthetic maintenance did not differ significantly, the\n                      <jats:styled-content style=\"fixed-case\">AM<\/jats:styled-content>\n                      group exhibited a higher frequency of Equator dislodgement (9.24%;\n                      <jats:italic>p<\/jats:italic>\n                      =\u20090.00) and attachment replacement (6.02%;\n                      <jats:italic>p<\/jats:italic>\n                      =\u20090.00).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Mandibular atrophy adversely affected masticatory function, patient\u2010reported chewing satisfaction, and the frequency of specific prosthetic complications over 5\u2009years.<\/jats:p>\n                  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