Evidence map›Paper›PMID 31250193›Full record

Trial reportClinical oral investigations2020

Stabilizing mandibular complete dentures by a single midline implant-influence on quality of life: 2-year results from a randomized clinical trial comparing different loading protocols.

Samir Abou-Ayash, Nadine von Maltzahn, Nicole Passia, Sandra Freitag-Wolf, Daniel R Reissmann, Ralph G Luthardt, Torsten Mundt, Michael Raedel, Peter Rammelsberg, Stefan Wolfart and 1 more

Abstract readComparative StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Clinical oral investigations, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Samir Abou-AyashDepartment of Prosthodontics, University Hospital Freiburg, Freiburg, Germany. samir.abou-ayash@zmk.unibe.ch.ORCID http://orcid.org/0000-0003-1047-5571
Nadine von MaltzahnDepartment of Prosthodontics, University Hospital Hannover, Hannover, Germany.
Nicole PassiaDepartment of Prosthodontics, Propaedeutics and Dental Materials, Christian-Albrechts University of Kiel, Kiel, Germany.
Sandra Freitag-WolfCenter for Clinical Studies, Christian-Albrechts University of Kiel and Institute for Medical Informatics and Statistics, Christian-Albrechts-University, Kiel, Germany.
Daniel R ReissmannDepartment of Prosthetic Dentistry, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Ralph G LuthardtCenter of Dentistry, Department of Prosthetic Dentistry, Ulm University Hospital, Ulm, Germany.
Torsten MundtDepartment of Prosthodontics, Gerodontology and Biomaterials, Greifswald University Hospital, Greifswald, Germany.
Michael RaedelProsthodontics, Faculty of Medicine Carl Gustav Carus, TU Dresden, Dresden, Germany.
Peter RammelsbergDepartment of Prosthodontics, Heidelberg University Hospital, Heidelberg, Germany.
Stefan WolfartDepartment of Prosthodontics and Biomaterials, University Hospital Aachen, Aachen, Germany.
Matthias KernDepartment of Prosthodontics, Propaedeutics and Dental Materials, Christian-Albrechts University of Kiel, Kiel, Germany.

Funding

Deutsche Forschungsgemeinschaft KE 477/8-1
6 · The paper itself

Abstract

objectivesThe knowledge about the influence of dental treatment on health-related quality of life (HRQoL) is still limited. The aim of this multicenter randomized controlled clinical trial was to assess the effect of stabilizing an existing complete denture, by means of a single mandibular implant, on HRQoL. Furthermore, the impact of the loading protocol, i.e., immediate or delayed loading, in edentulous patients was evaluated.

methodsOne hundred fifty-eight participants aged 60-89 years were randomly assigned to study group A (immediate loading; n = 81) and to group B (delayed loading; n = 78). All participants received a single midline implant in the mandible. The implants were either immediately loaded (group A) or after a closed healing period of 3 months (group B) by connecting the existing mandibular complete dentures to ball attachments. HRQoL was assessed with the Short Form-36 questionnaire of health (SF-36) at baseline, 4 months, and 24 months after implant loading.

resultsImprovement of HRQoL by means of a single implant-retained mandibular overdenture could not be demonstrated after 4 and 24 months of implant loading. Furthermore, the application of two different loading protocols did not influence HRQoL ratings of study participants.

conclusionThe loading protocol is not a factor, influencing HRQoL in patients treated by a single midline implant in the edentulous mandible. CLINICAL RELEVANCE: A single midline implant in the edentulous mandible, stabilizing a mandibular complete denture, cannot be recommended for improving HRQoL.

Indexed as

Dental ImplantsMandibleAgedAged, 80 and overDental Prosthesis, Implant-SupportedDenture, CompleteDenture, OverlayHumansImmediate Dental Implant LoadingJaw, EdentulousMiddle AgedQuality of LifeTreatment OutcomeDental ImplantsOverdenturePatient-reported outcomesQuality of lifeSF-36Single mandibular implant

Identifiers

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.