Bite Force and Masticatory Performance Using Implant-supported Overdentures After Treatment of Mandibular Cancer

摘要

Aim: To evaluate overdentures with regard to artificial restoration of oral function following mandibular cancer. Materials and Methods: We examined 32 patients who had undergone mandibular bone resection as treatment for malignancy and were using implant-supported overdentures. The patients were aged 55-87 years (mean=68.6) with a male to female ratio of 23: 9. Marginal resection was performed in 29 patients and segmentectomy in 3. Results: Before and after using the attachment for overdenture, oral function differed significantly. After the setting of implant-retained overdentures, maximum bite force increased on average by 362% (average, from 16.2 N to 58.8 N; p< 0.01). Xylitol gum examination showed a 363% increase in masticatory performance (average, 3.1 to 8.0 points; p< 0.01). Conclusion: Implant-retained overdenture resulted in improved oral function, that was lost after treatment for mandibular cancer.