PMID- 37002714 OWN - NLM STAT- MEDLINE DCOM- 20230616 LR - 20230616 IS - 1365-2842 (Electronic) IS - 0305-182X (Linking) VI - 50 IP - 7 DP - 2023 Jul TI - Patient satisfaction and oral health-related quality of life for four implant-assisted mandibular overdentures fabricated with CAD/CAM milled poly methyl methacrylate, CAD/CAM-milled poly ether ether ketone, or conventional poly methyl methacrylate: A crossover clinical trial. PG - 566-579 LID - 10.1111/joor.13455 [doi] AB - 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. CI - (c) 2023 John Wiley & Sons Ltd. FAU - Gomaa, Amira M AU - Gomaa AM AUID- ORCID: 0000-0001-7586-0089 AD - Prosthodontic Department, Faculty of Dentistry, Mansoura University, Mansoura, Egypt. AD - Prosthodontic Division, Faculty of Dental Medicine, Umm Al-Qura University, Makkah, Saudi Arabia. FAU - Mostafa, Aisha Z H AU - Mostafa AZH AUID- ORCID: 0000-0001-7268-2993 AD - Prosthodontic Department, Faculty of Dentistry, Mansoura University, Mansoura, Egypt. FAU - El-Shaheed, Noha H AU - El-Shaheed NH AUID- ORCID: 0000-0002-2839-5134 AD - Prosthodontic Department, Faculty of Dentistry, Mansoura University, Mansoura, Egypt. LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20230414 PL - England TA - J Oral Rehabil JT - Journal of oral rehabilitation JID - 0433604 RN - 31694-16-3 (polyetheretherketone) RN - 9011-14-7 (Polymethyl Methacrylate) RN - 0F5N573A2Y (Ether) RN - 0 (Ketones) RN - 0 (Ethers) RN - 0 (Methacrylates) RN - 0 (Dental Implants) SB - IM MH - Humans MH - *Patient Satisfaction MH - Denture, Overlay MH - Quality of Life MH - Polymethyl Methacrylate MH - Ether MH - Ketones MH - Ethers MH - Mandible MH - Methacrylates MH - Dental Prosthesis, Implant-Supported MH - Denture Retention MH - *Dental Implants OTO - NOTNLM OT - CAD/CAM OT - PEEK OT - PMMA OT - implant-assisted mandibular overdentures OT - oral health-related quality of life OT - patient satisfaction EDAT- 2023/04/02 06:00 MHDA- 2023/06/16 06:42 CRDT- 2023/04/01 03:43 PHST- 2023/03/12 00:00 [revised] PHST- 2023/01/22 00:00 [received] PHST- 2023/03/20 00:00 [accepted] PHST- 2023/06/16 06:42 [medline] PHST- 2023/04/02 06:00 [pubmed] PHST- 2023/04/01 03:43 [entrez] AID - 10.1111/joor.13455 [doi] PST - ppublish SO - J Oral Rehabil. 2023 Jul;50(7):566-579. doi: 10.1111/joor.13455. Epub 2023 Apr 14.