Purpose: The present study was done to assess patient satisfaction and crestal bone changes with one-
piece
and two-
piece
single implant-retained mandibular overdentures (SIMOs).
Methods: The participants included in Group 1 (n=12) received one-
piece
SIMOs; the participants in Group 2 (n=12) received two-
piece
SIMOs.Scheduled follow-ups were done at 1 month and 1 year after implant placement. Patient satisfaction and crestal bone changes were evaluated. The data obtained were analyzed statistically with independent Student t-test.
Results: Visual analogue scale (VAS) score for patient satisfaction with one-
piece
and two-
piece
SIMOs were statistically significant at 1-year of follow-up. The patient satisfaction level on the VAS score increased (38.1 to 51.1) with group one-
piece
SIMOs and two-
piece
SIMOs (36.6 to 46.8) at baseline to 1 month (
P=0.13). The patient satisfaction level increased (38.1 to 56.6) with group one-
piece
SIMOs and two-
piece
SIMOs (36.6 to 52.2) at baseline to 1 year (
P=0.03). At the 1 year follow-ups, group 1 had mean crestal bone loss of 0.80 ± 0.49 mm and group 2 had 1.24 ± 0.90 mm (
P=0.16). Crestal bone loss was greater in the two-
piece
SIMOs group at 1 month and 1 year follow-ups, but statistically it was insignificant.
Conclusions: One-
piece
SIMOs seemed to be a viable treatment option with increased patient satisfaction on a VAS. Crestal bone loss was greater in the patients with two-
piece
SIMOs during follow-up. One-
piece
SIMOs was comparatively simple with less invasive procedures and needed fewer components,so considerable number of patients requiring implant retained dentures could be benefited.
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