Search

Background: New materials for overdenture base construction were evolved. Thus, more clinical trials are needed to validate these materials. Objective: This study aimed to compare the difference between CAD/CAM‐milled poly methyl methacrylate (PMMA), poly ether ether ketone (PEEK) and conventional mandibular implant‐assisted overdentures regarding patient satisfaction and oral health‐related quality of life (OHRQL). Methods: This randomised, crossover, clinical study included 18 completely edentulous subjects rehabilitated with three mandibular implant‐assisted overdentures with three different denture base materials opposing a maxillary single denture. These materials were as follows: CAD/CAM‐milled PMMA, CAD/CAM‐milled PEEK and conventional PMMA. Every participant first received each mandibular overdenture in a random manner. After 6 months of each overdenture use, patient satisfaction and oral health‐related quality of life were assessed using visual analogue scale (VAS) and Oral Health Impact Profile (OHIP‐EDENT‐19), respectively, and then crossover to other groups was done. The same was repeated to the last group. Comparison of VAS and OHIP‐EDENT‐19 between groups was done using Kruskal–Wallis test followed by Bonferroni test. Results: Regarding all the VAS items, there were statistically significant higher scores for CAD/CAM‐milled PMMA and PEEK than conventional PMMA base except for speech, aesthetic and smell. Regarding OHIP‐EDENT‐19, many items revealed statistically lower problem scores for CAD/CAM‐milled PMMA, and CAD/CAM‐milled PEEK than conventional PMMA base except psychological discomfort, psychological disability and social disability. Conclusion: Within the limit of this study, CAD/CAM‐milled PMMA and CAD/CAM‐milled PEEK were recommended as implant‐assisted overdenture bases as it revealed higher patient satisfaction and better oral health‐related quality of life in comparison with conventional PMMA implant‐assisted overdenture. [ABSTRACT FROM AUTHOR]

Statement of Problem: Three-dimensionally (3D) printed acrylic resin base materials have been adopted in prosthetic dentistry. However, their mechanical and biological properties require improvement., Purpose: The purpose of this clinical study was to evaluate the effect of adding zirconium oxide nanoparticles to a 3D printable acrylic resin base material for a 2-implant-retained complete mandibular overdenture in terms of peri-implant tissue health, surface roughness, and biofilm formation., Material and Methods: Twenty edentulous patients were enrolled in this clinical parallel study. All patients received maxillary complete dentures opposing a 2-implant-retained mandibular overdenture. The participants were randomly divided into 2 equal groups according to the mandibular overdenture base material, nonmodified 3D printable acrylic resin (control group) or 3D printable acrylic resin base material modified with 3.0 wt% zirconium oxide nanoparticles (study group). Peri-implant tissue health and surface roughness were measured immediately at the insertion of the mandibular overdenture (T0), after 3 months (T1), and after 6 months (T2). Microbiological assessment of the denture base was done after 1 week, 1 month, 3 months, and 6 months of overdenture use. The data were analyzed using a statistical software program. The Wilcoxon signed-rank test, paired t test, and Fisher exact test were used to compare distributed data. The Mann Whitney U test and repeated measures ANOVA test were used to compare distributed data at different times (α=.05)., Results: The gingival index (GI), plaque index (PI), probing depth (PD), and surface roughness values at the baseline, 3 months, and 6 months were statistically higher with the nonmodified compared with the modified group (P=.001). Regarding the microbiological analysis, the nonmodified group also had a statistically higher mean bacterial and Candida albicans count than the modified group (P<.05). No significant increase in the bacteria was found in the nonmodified group with time (P=.252), but, for the modified group, a statistically significant decrease in bacteria count was found with time (P<.001)., Conclusions: Adding zirconium oxide nanoparticles to a 3D printable acrylic resin base material was found to be promising. This addition improved the peri-implant tissue health and decreased surface roughness and biofilm formation., (Copyright © 2024 Editorial Council for The Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.)