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Comparison of Rehabilitating Missing Mandibular First Molars with Implant‐ or Tooth‐Supported Prostheses Using Masticatory Efficiency and Patient Satisfaction Outcomes
Author(s) -
Kumar Yogesh,
Chand Pooran,
Arora Varuni,
Singh Saumyendra V.,
Mishra Niraj,
Alvi Habib A.,
Verma Umesh P.
Publication year - 2017
Publication title -
journal of prosthodontics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.902
H-Index - 60
eISSN - 1532-849X
pISSN - 1059-941X
DOI - 10.1111/jopr.12399
Subject(s) - masticatory force , dentistry , medicine , molar , patient satisfaction , dental prosthesis , implant , orthodontics , inclusion and exclusion criteria , rehabilitation , physical therapy , nursing , surgery , alternative medicine , pathology
Purpose To determine whether a fixed partial denture (FPD) or an implant replacement of a single missing tooth leads to better masticatory efficiency and patient satisfaction. Materials and Methods One‐hundred and twenty participants with missing mandibular right first molars were selected on the basis of predefined inclusion and exclusion criteria. After obtaining informed consent, 60 participants were randomized to the teeth‐supported (FPD) group and 60 to the implant placement group (IMP). The study was divided into the following parts: (i) Completion of a Likert scale satisfaction questionnaire (postrehabilitation) by the participants. (ii) Evaluation of masticatory efficiency and performance 3 months after rehabilitation. Data were evaluated by applying t ‐test and z ‐test using statistical analysis ( α ˂ 0.05). Results Masticatory efficiency of participants in the IMP and FPD groups was 74.95 ± 0.90% and 74.41 ± 3.35%, respectively ( p = 0.607). Total satisfaction questionnaire scores for the two groups were also not significantly different; however, the mean scores of overall satisfaction and function categories in this questionnaire were significantly higher for the IMP group, while the mean score for the duration of treatment question was higher for the FPD group ( p < 0.05). Conclusion The results of this study suggested that although masticatory performance and efficiency were not statistically different for single teeth replaced with implants or FPDs, patients perceived higher satisfaction with implant restorations; they also preferred the shorter treatment times for rehabilitation in the FPD group.