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Transitioning From Conventional Dentures to Implant‐Retained Overdentures in the Edentulous Maxilla: A Systematic Review on Patient‐Reported and Clinician‐Reported Outcomes

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Lin, Guo‐Hao, Chen, Zhaozhao, Goodacre, Brian J., Curtis, Donald A.·2026·Clinical Oral Implants Research
DOI 10.1111/clr.14446PMC PMC12930123
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Abstract

Background: This study aims to examine commonly used patient‐reported outcomes (PROs) and outcome measures (PROMs) alongside clinician‐reported outcomes (ClinROs) in individuals with an edentulous maxilla initially rehabilitated with conventional complete dentures (CDs) and later transitioned to implant‐retained overdentures (IODs). Material and Methods: An electronic search of three databases and a manual search were conducted for relevant articles between January 2014 and June 2024. Eligible studies included patients with an edentulous maxilla or those scheduled for extraction of all maxillary teeth, treated with CDs and subsequently transitioned to IODs, and reported PROs and ClinROs. Results: Nine articles, including five randomized controlled trials and four prospective cohort studies, were selected for descriptive analyses. Five studies reported ClinROs, focusing on implant survival rates, peri‐implant marginal bone loss, and the presence of peri‐implant diseases such as peri‐implant mucositis and peri‐implantitis. PROs varied across studies, with assessments including oral health‐related quality of life, patient satisfaction, and specific PROs such as comfort, stability, ability to chew, speech, and esthetics. Overall, IODs significantly improved patient satisfaction and oral health‐related quality of life compared to CDs. Conclusion: For patients initially rehabilitated with conventional CDs and later transitioned to IODs, oral health‐related quality of life is the most frequently reported PRO, followed by patient satisfaction. Regarding ClinROs, the implant survival rate is the most commonly investigated outcome, with peri‐implant marginal bone loss, denture survival rate, and prosthetic complications being the next most frequently reported ClinROs. Additionally, implant complications and the presence of peri‐implant diseases are commonly documented.

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  • Phase 1 (evidence mapping and surveys) identified 119 candidate outcomes (40 PROs, 69 objective ClinROs, 10 subjective ClinROs) for Round 1, based on eight systematic reviews and six targeted surveys.

    “Phase 1 (evidence mapping and surveys) identified 119 candidate outcomes (40 PROs, 69 objective ClinROs, 10 subjective ClinROs) for Round 1, based on eight systematic reviews (Francisco et al. 2026; Lin, Chen, et al. 2026; Pannuti et al. 2026; Park et al. 2026; Romito et al. 2026; Sabri et al. 2026; Saleh et al. 2026; Thoma et al. 2026) and six targeted surveys (Brunello et al. 2026; Lin, Chen, et”

    From 1st Global Consensus for Clinical Guidelines: Identifying a Core Outcome Set for Implant Dentistry in Edentulous Maxilla Rehabilitation (2026) · cites this paper as Lin, Chen, et al. 2026

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Cited by

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Authors
Lin, G., Chen, Z., Goodacre, B. J., & Curtis, D. A.
Affiliations
  • University of California, San Francisco (US)
  • University of Michigan (US)
  • Loma Linda University (US)
Corresponding author
Lin, Guo‐Hao
ORCID
Venue
Clinical Oral Implants Research
Publisher
Wiley
Published
2026-02
Volume
37
Issue
S30
Pages
S204-S219
ISSN
  • 0905-7161 (ISSN-L)
  • 1600-0501
DOI
10.1111/clr.14446
PMC
PMC12930123
OpenAlex
W7131287356
Cited by
2
References
0
Citations by year
2026: 2
FWCI
3.24
Type
journal article
Language
en
Open access
Licence
Locations
  • Clinical Oral Implants Research (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
Topics
  • Health Sciences › Dentistry › Oral Surgery › Dental Implant Techniques and Outcomes
  • Health Sciences › Dentistry › Orthodontics › Dental materials and restorations
  • Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
Keywords
implant-retained overdentures, complete dentures, edentulous maxilla, patient-reported outcomes, clinician-reported outcomes, oral health-related quality of life, patient satisfaction, implant survival, peri-implant marginal bone loss, peri-implantitis, peri-implant mucositis, denture complications
MeSH terms
Patient Reported Outcome Measures, Denture, Complete, Denture, Overlay, Humans, Jaw, Edentulous, Maxilla, Oral Health, Quality of Life, Patient Satisfaction, Dental Prosthesis, Implant-Supported

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