• Improved oral health quality of life and satisfaction with implant-supported overdentures for patients with type 2 diabetes

      Herrero, Frances; Oates, Thomas W. (2018)
      Diabetes mellitus is considered a relative contraindication to implant therapy. Recent studies suggest risks may be less than previously thought. The potential benefits for diabetic patients remains to be determined. The goal of this study was to examine the benefits of implant-supported mandibular overdentures (IOD) for patients with type 2 diabetes. One hundred fifty-seven patients received two mandibular implants. Patients completed an Oral Health-Related Quality of Life (OHRQoL), a Patient Satisfaction questionnaire, and HbA1c was measured at baseline and six and twelve months after restoration. Sixty-three patients reported no diabetes, 65 patients were well controlled (6.1%< HbA1c <8.1%) and 29 were poorly controlled (8.1%< HbA1c <12.0%). IOD treatment resulted in significantly higher OHRQoL summary scores and general satisfaction (100mm VAS) compared to baseline across all patient groups. No statistically significant changes in HbA1c were observed after treatment. Patients with diabetes benefit from IOD independent of glycemic status.
    • The Effect of Malocclusion Severity and Treatment Duration on Patient Satisfaction with Clear Aligner Therapy

      Wiese, Lauren Elizabeth; Bosio, Jose A.; Williams, Robert E., D.M.D., M.A.; 0000-0003-0335-7606 (2019)
      Objective: Determine if a patient’s initial malocclusion and treatment duration influenced satisfaction with clear aligner (Invisalign®) therapy. Methods: Thirty-three orthodontic patients treated with clear aligners responded to a satisfaction questionnaire containing twenty-one questions relating to their satisfaction with treatment, approximately two years after completing treatment. Overjet, overbite, and maxillary and mandibular anterior crowding/spacing were measured to determine the initial severity of their malocclusion. Logistic regression analyses with satisfaction factors as the dependent variable were used to quantify associations between patient satisfaction regarding both the initial severity of malocclusion and treatment duration. Results: Overall, patients were satisfied with aligner treatment. However, no significant associations were observed between patient satisfaction and either the initial severity of the malocclusion or treatment duration. Conclusion: The current study does not find that initial malocclusion or treatment duration significantly affects patient satisfaction. Patient satisfaction with clear aligner therapy is generally very high, and multi-factorial.