Development of patient-centric eating advice for complete denture wearers.

Background: Edentulous people eat less healthily, and wearing dentures impairs eating function and enjoyment.

Objective: To apply a sequential approach to integrate scientific evidence, and patient and professional experience to co-develop intervention to support better eating with dentures.

Methods: Focus groups, two with purposive samples of patients and two with dental professionals, explored experiences and opinions about advice on eating with complete dentures.

Provision of information to patients on dental implant treatment: Clinicians' perspectives on the current approaches and future strategies.

Objectives: To explore 1) the approaches that are adopted by clinicians to give patients information in relation to dental implant treatment during clinical consultations; 2) clinicians' reflections on their current practices of implant information provision; and 3) clinicians' suggestions to improve future implant information provision.

Methods: A qualitative study employing face-to-face semi-structured interviews with eight clinicians working in UK secondary dental care. The data gathering and analysis followed the principles of qualitative thematic analysis.

Patients' perceptions of implant placement surgery, the post-surgical healing and the transitional implant prostheses: a qualitative study.

Objectives: This study aimed to explore patients' thoughts, feelings about, and experiences of, implant placement surgery (IPS), the post-surgical healing stage and the immediate post-surgical transitional implant prosthesis (TIP) (fixed and removable).

Methods: A qualitative study design was chosen and 38 semi-structured telephone and face-to-face interviews were conducted with 34 patients at different stages of implant treatment. The interviews were transcribed verbatim; the data collection and coding process followed the principles of thematic analysis, which was facilitated through the use of NVivo10.

Patient non-attendance: utilising clinical time.

Background: In undergraduate dental or medical programmes clinical time with exposure to patients is limited. A priority for all those involved in the delivery of a clinical programme is to ensure that this time is used effectively and to maximum potential. Patient non-attendance is a reality, and developing organised activities to provide alternative learning opportunities is important.

In individuals with complete tooth loss, the mandibular implant-retained overdenture increases patient satisfaction and oral health related quality of life compared to conventional dentures.

Article Title And Bibliographic Information: A comparison of implant-retained mandibular overdentures and conventional dentures on quality of life in edentulous patients: a randomized, prospective, within-subject controlled clinical trial. Harris D, Höfer S, O'Boyle CA, Sheridan S, Marley J, Benington IC, Clifford T, Houston F, O'Connell B. Clin Oral Implants Res 2013; 24(1): 96-103.

The use of mandibular implant-retained overdentures improve patient satisfaction and quality of life.

Selection Criteria: This study comprises meta-analyses of studies examining the effect of treatment of edentulism with implant-retained mandibular overdentures. Initially 2262 nonduplicated articles were identified from the database searches, of which 37 were eligible for full-text searching. Twenty-seven were excluded because they failed to meet the inclusion criteria, their populations and outcomes overlapped, or their outcomes were outside the remit of the review.

The prevalence of dysplasia and malignant lip lesions in transplant patients.

Background: Solid organ transplant patients are at an increased risk of developing lip malignancies. The role of HLA mismatch as a risk factor for such changes has only been described in skin.

Methods: Lip lesions were evaluated in 403 solid organ transplant patients (immunosuppressed for at least 3 months) and findings compared to age and sex matched, otherwise healthy patients who acted as controls.

A pilot study examining the effects of enhanced aesthetics on oral health related quality of life and patient's satisfaction with complete dentures.

A randomised cross-over study with a validated assessment tool was used to assess patient satisfaction and oral health related quality of life after the delivery of two sets of dentures: one set had an enhanced aesthetics. There was a significant increase in patient satisfaction and oral health related quality of life when baseline data was compared with both types of replacement dentures. Some patients preferred the prostheses with enhanced aesthetics, although all patients reported significantly increased satisfaction with their new dentures; these findings are explored.

Scaled vapor-to-liquid nucleation in a Lennard-Jones system.

Scaling of the homogenous vapor-to-liquid nucleation rate, J, is observed in a model Lennard-Jones (LJ) system. The model uses Monte Carlo simulation-generated small cluster growth to decay rate constant ratios and the kinetic steady-state nucleation rate formalism to determine J at four temperatures below the LJ critical temperature, T{c}. When plotted vs the scaled supersaturation, lnS/[T{c}/T-1]{3/2}, the values of logJ are found to collapse onto a single line.

Does mandibular edentulous bone height affect prosthetic treatment success?

Objectives: The aim of this study is to determine whether mandibular bone height affects patients' ratings of satisfaction and function with mandibular 2-implant overdentures (IODs) and conventional dentures (CDs).

Methods: 214 edentulous elders were randomly allocated into 2 groups and treated with maxillary CDs and either mandibular CDs or IODs. Classifications of mandibular bone height were carried out on panoramic radiographs using 4 published methods.

Refusal of implant supported mandibular overdentures by elderly patients.

Objective:   The aim of this study was to gain greater in-depth understanding of why elderly patients who are currently dissatisfied with conventional dentures decline implant treatment.

Background:   There is strong evidence from high-quality randomised controlled trials to support the use of implant-supported overdentures for the restoration of the edentulous mandible. However, whilst recruiting for randomised clinical trials, researchers have found that a high proportion of potential subjects decline participation, despite the removal of financial constraints.

The use of mandibular implant-retained overdentures improve patient satisfaction and quality of life.

Selection Criteria: This study comprises meta-analyses of studies examining the effect of treatment of edentulism with implant-retained mandibular overdentures. Initially 2262 non-duplicated articles were identified from the database searches, of which 37 were eligible for full-text searching. Twenty-seven were excluded because they failed to meet the inclusion criteria, their populations and outcomes overlapped, or their outcomes were outside the remit of the review.

The impact of dietary advice on edentulous adults' denture satisfaction and oral health-related quality of life 6 months after intervention.

Objective: The aim of this study was to compare the impact of customised dietary advice on patients' satisfaction with their dentures and oral health-related quality of life (OHRQoL) in patients wearing implant-supported mandibular overdentures (IOD) or conventional dentures (CD).

Materials And Methods: In this prospective cohort study, 28 IOD (two implant-retained mandibular overdenture) and 26 CD patients completed a denture satisfaction scale and the 20-item oral health impact profile (OHIP-20) before and 6 months following provision of customised dietary advice.

Results: At 6 months following provision of individualised dietary advice, the IOD group showed significantly greater satisfaction than the conventional group for denture comfort (80.

Mandibular two implant-supported overdentures as the first choice standard of care for edentulous patients--the York Consensus Statement.

The Annual Conference of the BSSPD (British Society for the Study of Prosthetic Dentistry) was held in York on 6 and 7 April 2009. At the symposium on mandibular overdentures, presenters offered a synopsis of the research available on the efficacy of implant-supported mandibular overdentures in the edentulous mandible. Emphasis was given to both qualitative and quantitative research based on patient-centred outcomes of treatment.

A qualitative study on patient perspectives of how conventional and implant-supported dentures affect eating.

Objectives: The objectives of this study were to obtain in-depth qualitative data from patients on the effect of edentulousness and prosthetic rehabilitation upon issues surrounding eating (emotional, social and functional).

Methods: 33 patients who had received replacement conventional dentures (CDs) and 33 patients who had received implant-supported mandibular overdentures (ISODs) were interviewed by a researcher outside the clinical team. Interviews focused upon their experience of edentulousness, its management and its impact on their lives.

Researching the impact of oral health on diet and nutritional status: methodological issues.

Objectives: Assessment of the impact of dental function on diet and nutritional status requires robust methodologies and a standardised approach to increase accuracy of results and to facilitate cross study comparisons. The objectives of this paper are: to report the outcomes of a consensus workshop that critically reviewed publications reporting on dietary methodologies in relation to the impact of oral health on nutrition; to highlight future directions for research and; to make recommendations for appropriate use of methodologies for future research.

Data: Data relevant to nutrition and dental status published from 1980 to 2005 in English were presented at the consensus workshop for discussion and appraisal.

Paying for treatments? Influences on negotiating clinical need and decision-making for dental implant treatment.

Background: The aim of this study is to examine how clinicians and patients negotiate clinical need and treatment decisions within a context of finite resources. Dental implant treatment is an effective treatment for missing teeth, but is only available via the NHS in some specific clinical circumstances. The majority of people who receive this treatment therefore pay privately, often at substantial cost to themselves.

Do mandibular implant overdentures and conventional complete dentures meet the expectations of edentulous patients?

Objectives: To measure expectations of satisfaction with implant and conventional denture treatment in 2 groups of edentulous people and compare them with their resultant ratings of satisfaction to determine if either treatment meets the pretreatment expectation.

Method And Materials: One hundred sixty-two edentulous middle-aged (MA, n = 102) and senior (S, n = 60) patients were enrolled in 2 trials and, after randomization, received either a mandibular 2-implant overdenture (IOD) or a new conventional denture (CD). Before randomization, each subject rated their satisfaction with their current denture and expectations of satisfaction with both IOD and CD treatment on 100-mm visual analog scales (VAS).

Implant overdentures for edentulous elders: study of patient preference.

Background: Studies show that elders wearing implant overdentures have improved nutrition and quality of life. However, upfront costs of this therapy are high, and the income of elderly edentulous populations is low.

Objectives: This study was designed (i) to measure the preferences of edentulous patients for mandibular two-implant overdentures using Willingness-To-Pay (WTP) and Willingness-To-Accept (WTA), (ii) to assess the effect of long-term financing on WTP and (iii) to assess the desired role of health care plans in financing dental prostheses.

Sex differences in denture satisfaction.

Objectives: Males and females differ in their responses to many health conditions and treatments. The aim of this randomized clinical trial was to determine whether there are differences in the way that male and female edentulous elders rate their satisfaction with new mandibular implant overdentures (IODs) and conventional dentures (CDs), at 6 and 12 months following delivery.

Methods: Edentulous elders (n=256) were randomly assigned to receive maxillary conventional dentures and either mandibular overdentures supported by two implants with ball attachments or conventional dentures.

How do patients perceive the benefit of reconstructive dentistry with regard to oral health-related quality of life and patient satisfaction? A systematic review.

Background: Reconstructive dentistry encompasses an enormous range of treatment modalities from the restoration of single teeth to the reconstruction of the whole dentoalveolar complex in edentulous patients. Some treatment modalities have been assessed in terms of quality-of-life (QoL) outcomes and satisfaction

Objectives: The aim of the present investigation was to search and review studies published between 1996 and 2006 in which the impact of the treatment was measured in terms of QoL outcome, ideally, oral health-related quality of life (OHRQoL). Patient satisfaction was also accepted as an outcome.

Conventional rehabilitation of edentulous patients: the impact on oral health-related quality of life and patient satisfaction.

Purpose: This study examined patient satisfaction and oral health-related impacts on the quality of life of patients restored with complete conventional or duplicate dentures.

Materials And Methods: Forty patients (aged 55 to 85 years) were assigned to receive new complete maxillary and mandibular dentures using either a conventional or duplication technique according to clinical need. Patients rated their satisfaction with their dentures on 100-mm visual analogue scales before treatment and 1 month after delivery of their new dentures.

Can general dentists produce successful implant overdentures with minimal training?

Objectives: This study was carried out to determine whether inexperienced dentists can provide two-implant overdentures that are as satisfactory and of the same cost as those provided by experienced prosthodontists.

Methods: Edentulous elders were enrolled in a randomized controlled clinical trial to compare the effects of mandibular conventional and two-implant overdentures on nutrition. They were randomly assigned to groups that were treated by either an experienced prosthodontist or by a newly-graduated dentist with minimal training in implant treatment.