Comparative Evaluation of Oral Health Quality of Life among Geriatric Patients Undergoing Oral Rehabilitation with Conventional Dentures Versus Strategic Implant Supported Prosthesis – A Randomized Control Trial with 1-year Follow-Up
Abstract
Background: Conventional dentures often provide limited stability in edentulous patients with resorbed ridges. Strategic implants, designed for bicortical anchorage and immediate loading, may offer improved functional outcomes. This study compares the impact of strategic implant–supported prostheses and conventional dentures on oral health–related quality of life (OHRQoL) in geriatric patients.
Materials and Methods: Sixty edentulous patients (≥60 years) were randomly assigned to receive either conventional complete dentures (Group A) or strategic implant–supported prostheses (Group B). OHRQoL was assessed using GOHAI and OHIP-14 at baseline, immediately after treatment, and at 3-, 6-, and 12-month follow-ups.
Results: Both groups showed improved OHRQoL over time, but Group B exhibited significantly greater improvement. The implant group demonstrated a larger decrease in GOHAI scores and increase in OHIP-14 scores across all follow-ups, with the most significant differences observed at 3 and 6 months (p < 0.001).
Conclusion: Strategic implant–supported prostheses provide superior improvement in quality of life compared to conventional dentures, particularly for patients with resorbed ridges, making them a strong alternative for geriatric oral rehabilitation.
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