Patient Satisfaction regarding Conventional One-Piece Versus Two-Piece Magnet-Retained Obturator for Patients with Complete Edentulism: A Preliminary Crossover Clinical Trial



Mohamed Yahia Sharaf1, *, Asharaf Email Eskander2
1 Department of Prosthodontics, Faculty of Dentistry, University of Menoufia, Shibin Al Kawm, Al Minufiyah, Egypt
2 Department of Prosthodontics, Faculty of Oral and Dental Medicine, University of Cairo, Cairo, Egypt


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Creative Commons License
© 2022 Sharaf and Eskander

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Department of Prosthodontics, Faculty of Dentistry, University of Menoufia, Shibin Al Kawm, Al Minufiyah, Egypt; Tel: 00201223095900 Fax: 0020552822937, E-mail: mohamedsharaf@dent.bsu.edu.eg


Abstract

Purpose:

This study aimed at evaluating patients' satisfaction with conventional one-piece obturators versus two-piece magnet-retained obturators in completely edentulous patient maxillectomy cases.

Materials and Methods:

Ten completely edentulous participants with hemimaxillectomy (8 males and 2 females) were selected in a crossover study. Participants received a conventional obturator one-piece and two-piece obturators connected by magnet attachment in alternate periods (sequences A‐B and B‐A), and outcomes were assessed after 1 week, 3 months, and 6 months Evaluation was made using Obturator Functioning Scale (OFS) and Oral Health Impact Profile for edentulous people (OHIP-EDENT). One way ANOVA test and multivariate analysis of variance with a general linear model with repeated measures was used to test the impact of the group, time, and order on each of the studied scores (α=.05).

Results:

Magnet design showed a statistically significant lower score (P <.050) than the conventional design regarding the overall satisfaction score of OFS along all follow-up periods. Concerning OHIP-EDENT, the magnet design showed a statistically significant lower score (P <.050) than the conventional design regarding total functional limitations, total physical pain, and total social disability along all follow-up periods while for total psychological discomfort, total physical disability, and total handicap, no statistically significant difference was observed between both groups (P >.050).

Conclusion:

Two-pieces magnet-retained obturator could provide better satisfaction and better restoration of orofacial function than the conventional one to manage completely edentulous patients.

Clinical Trial Registration Number:

NCT05066828

Keywords: Edentulous, Magnet attachment, Maxillary defect, Obturator, Patient satisfaction, Magnet design.