Assessment of masticatory function in older individuals with bimaxillary implant-supported fixed prostheses or with a natural dentition: A case-control study

Statement of problem. A clinical assessment of the masticatory performance of edentulous people treated with bimaxillary implant-supported fixed prostheses is lacking.Purpose. The purpose of this case-control study was to compare the masticatory performance of edentulous people treated with bimaxillary implant-supported fixed prostheses to that of those with a natural dentition by using a simplified comminution test with hard viscoelastic test food and a mixing ability test.Material and methods. Thirty-six participants were recruited and divided into 2 equal groups (n=18) based on their dental status. The experimental group (7 women, mean & PLUSMN;standard deviation age=69.8 & PLUSMN;7.5 years) had bimaxillary implant-supported fixed prostheses, and the control group (9 women, mean & PLUSMN;standard deviation age=68.3 & PLUSMN;5.6 years) had a natural dentition. A hard viscoelastic food comminution test and a mixing ability test with 2-colored chewing gum were performed in both groups. The number and total area of the particles during the comminution test and the variance of hue during the mixing ability test were measured. The data were analyzed with the parametric (paired t test) and nonparametric (Mann-Whitney U) tests to assess differences between the groups (a=.05).Results. The experimental group exhibited significantly fewer pieces in the food comminution test than the control group (P=.001). The experimental group also showed significantly higher variance of hue values than the control group (P<.001).Conclusions. Patients treated with bimaxillary implant-supported prostheses had reduced masticatory performance in comparison to those with a natural dentition, despite having been provided with satisfactory and well-functioning prostheses. (J Prosthet Dent 2023;129:871-7)

Automated summary

The aim of this study was to compare the masticatory performance between edentulous individuals treated with bimaxillary implant-supported fixed prostheses and those with a natural dentition. The results showed that patients with bimaxillary implant-supported prostheses had reduced masticatory performance compared to those with natural dentition.