Evidence map›Paper›PMID 39279004›Full record

Trial reportClinical oral investigations2024

Mandibular overdentures retained by 1 or 2 implants: a 5-year randomized clinical trial on implant stability and peri-implant outcomes.

Cláudio Rodrigues Leles, Gabriela Pereira de Resende, Nilva de Oliveira Martins, Lays Noleto Nascimento, Nadia Lago Costa, Murali Srinivasan, Martin Schimmel

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical oral investigations, 2024. 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. Article
  3. Review
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

7 authors.

Cláudio Rodrigues LelesSchool of Dentistry, Federal University of Goias, Goiania, Brazil. claudio_leles@ufg.br.ORCID 0000-0002-6812-4849
Gabriela Pereira de ResendeSchool of Dentistry, Federal University of Goias, Goiania, Brazil.
Nilva de Oliveira MartinsSchool of Dentistry, Federal University of Goias, Goiania, Brazil.
Lays Noleto NascimentoSchool of Dentistry, Federal University of Goias, Goiania, Brazil.
Nadia Lago CostaSchool of Dentistry, Federal University of Goias, Goiania, Brazil.ORCID 0000-0003-0198-5828
Murali SrinivasanClinic of General-, Special Care- and Geriatric Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland.ORCID 0000-0003-3365-576X
Martin SchimmelDepartment of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Bern, Switzerland.ORCID 0000-0001-9700-5534

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThis is a report of the 5-year results of a two-group parallel randomized clinical trial comparing longitudinal implant stability, and clinical and radiographic peri-implant outcomes of mandibular overdentures retained by one (1-IOD group) or two (2-IOD group) implants.

methodsAll participants received 4.1 mm diameter tissue-level implants (Straumann

resultsOnly minor changes in marginal bone level were observed after 5 years (mean = 0.37; SD = 0.44 mm), and satisfactory and stable peri-implant parameters were observed throughout the 5-year follow-up. No significant differences between groups were found. Overall, the mean primary implant stability was considered high (> 70) for the two groups (1-IOD = 78.1 ± 4.5; 2-IOD = 78.0 ± 5.8). No noticeable changes were observed between implant insertion and loading. A marked increase was observed from insertion to the 6-month follow-up - the mean difference for the 1-IOD group was + 5.5 ± 5.5 (Effect size = 1.00), while for the 2-IOD group, the mean difference was + 6.0 ± 5.6 (Effect size = 1.08). No relevant changes were observed throughout the follow-up periods up to 5 years. Linear mixed-effect model regression showed no influence of the bone-related variables (p > 0.05) and the number of implants (p = 0.087), and a significant effect of the time variable (p < 0.001).

conclusionSatisfactory peri-implant outcomes and stable secondary stability suggest good clinical performance and successful long-term osseointegration of the implants for single and two-implant mandibular overdentures. Using a single implant to retain a mandibular overdenture does not seem to result in detrimental implant loading over the five years of overdenture use. CLINICAL RELEVANCE: This study corroborates the use of a single implant to retain a mandibular denture.

Indexed as

Dental Prosthesis, Implant-SupportedDenture, OverlayDenture RetentionMandibleAgedAlveolar Bone LossDental Implantation, EndosseousDenture, Complete, LowerFemaleHumansMaleMiddle AgedResonance Frequency AnalysisTreatment OutcomeDental implantEarly dental implant loadingEdentulous mouthImplant stability quotientOverdentureRandomized clinicalTrials

Identifiers

PMID39279004
PMCPMC11402838

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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.