Overdenture - implants versus teeth - quality of life and objective therapy evaluation (original) (raw)
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Treatment outcomes with implant-supported overdentures: Clinical considerations
The Journal of Prosthetic Dentistry, 1998
Adapt ation to wearing complete dentures is a complex process and must be considered from both somatic and psychologic standpoints. Incorporating a foreign body in the oral cavity may be a difficult task. Documentation on success and failure with complete dentures is sparse and not reliable, because the correlation between a favorable shape of the residual ridge, the technical accuracy of the dentures, and the ease of adaptation to wearing dentures is low. 1,2 Motor skills tend to decrease with increasing age. The difficulties of wearing dentures has been attributed to deficiencies of the denture-bearing tissues, reduced salivary flow, vulnerable tissue, and severe ridge resorption. Patients may also have an aversion against a foreign body in the oral cavity. For many patients, the wearing of complete dentures also means to be old and socially handicapped. Problems with adaptation to complete dentures are observed with a higher incidence for mandibular dentures than for maxillary dentures. Historically, surgeons focused on improving the structure of the residual mandibular ridge by various preprosthetic surgical techniques and less frequently the maxillary ridge. These techniques appear to be more invasive than the surgery for osseointegrated implants, and there is no scientific evidence of its success and usefulness. The use of implants to substitute for missing teeth was systematically developed by Brånemark et al. 3,4 Since the 1980s, several studies have demonstrated the reliability of this treatment modality. 5-7 The clinical concept of this treatment consisted of inserting five to six implants into the edentulous mandible to provide support and retention for a fixed prostheses, which was retrievable by the dentist only. While the Brånemark groups focused on fixed prostheses, Schroeder et al 8-10 developed the ITI implant system to deal with the problems of unilateral distal extension situations. He suggested that overdentures supported by four implants should be used in situations of
Implant overdenture A review to highlight the concept
HSOA Journal of Dentistry: Oral Health & Cosmesis, 2020
Implant overdenture treatments cover one of the possible treatment solutions to the patients have some teeth/ roots retained, in patients completely edentulous or wearing conventional overdentures. Presenting this treatment plan using osseointegrated dental implants which will provide stability and retention for the prosthesis, prevent further bone resorption, and improvement of the aesthetic and functional requirement of the patients which is consequently affecting patients psychology and improve quality of life. Clinical and research studies of this topic always explore that, overdenture treatment is an alternative to conventional complete denture in terms of retention and stability and an alternative to full arch fix prosthesis in terms of finance. Although there is remains a lack of consistency in techniques, prosthetics design, and attachment systems, this aspect has been proven less important to successful outcomes than we thought. In this review, we investigate implant overdenture in terms of advantage, disadvantage, indication and contraindication, attachment selection, and overdenture maintenance.
OBJECTIVES: The aim of this prospective, randomized clinical trial was to evaluate the effect of a minimally invasive implant procedure for denture stabilization on patients' quality of life (QoL). MATERIALS AND METHODS: Thirty totally edentulous patients were selected for this study. All prostheses were adjusted and relined before randomization and allocation to treatment either with two small diameter implants (SDI) - retained overdenture (study group) or non-intervention group (control group). Quality of life was assessed using the Oral Health Impact Profile-EDENT (OHIP-EDENT) questionnaire before intervention and at one-year follow-up. Between-group comparisons were carried out using the non-parametric Mann-Whitney test. RESULTS: Magnitude of change in the OHIP-EDENT total score at one-year follow-up was 25.4 ± 10.7 for the study group, revealing a statistically significant difference with the control group, that showed a change of 9.5 ± 8.3 (P = <0.001). CONCLUSIONS: After one-year follow-up, patients wearing mandibular overdentures with two minimally invasive splinted SDI, experienced more improvements in perceived oral health-related quality of life, than patients having conventional treatment.
Tooth-Supported Overdentures Revisited
Curēus, 2024
The goal of prosthodontics is to provide a functional prosthesis to restore aesthetics, functions, and masticatory efficiencies. Tooth-supported overdentures are one of the treatment options for removable dentures. This article aims to discuss the advantages and disadvantages of tooth-supported overdentures and the principles of using various overdenture attachments, including non-attachment overdentures. The common treatment options in preparing the overdenture abutment are either with or without abutment coping with or without attachment systems, which were discussed and illustrated. A range of toothsupported overdenture systems were addressed, from low to high financial implications and treatment complexities. The clinician can choose a system that best fits the patient's condition and expectations. This allows clinicians to decide and consider tooth-supported overdentures as a treatment option before full edentulism. A well-executed tooth-supported overdenture ensures the preservation of alveolar bone, optimizes patient satisfaction in denture treatment, and eventually improves the patient's adaptation when transitioning to complete dentures.
Implant Supported & Tooth Supported Overdenture - An Approach Towards Preventive Prosthodontics
IOSR Journal of Dental and Medical Sciences, 2017
Preventive Prosthodontics emphasizes the importance of any procedure that can delay or eliminate the future Prosthodontic problems. The overdenture is a logical method for the Dentist to use in preventive Prosthodontics. This article presents a case report of fabrication of overdenture using access post system and implant. The advantage of the overdenture post system lies in its patented, thick walled hollow tube design, stabilizing flanges, and undercuts of the shank which offers strength, retention due to nylon caps, and stability for the prosthesis. The mandible is well suitable for implants particularly in the inter canine region because of the superior bone quality. It gives better retention and stability to mandibular denture
Tooth supported overdenture- A preventive approach in prosthodontics
International journal of scientific research, 2018
The purpose of maintaining the roots of one or more natural teeth in the oral cavity is to reduce the rate of ridge resorption, maintaining proprioception and providing alveolar bone support and achieve better stability of the denture with emphasis on psychological aspect of not being completely edentulous. This case report describes the utilization of the endodontically treated remaining natural roots to fabricate an overdenture that provided better retention than a conventional complete denture.
Clinical and Experimental Health Sciences, 2019
Objective: Oral health-related quality of life (QoL) is significantly influenced by the type of the prostheses that is used for prosthetic rehabilitation of patients with complete edentulism. This study aims to retrospectively evaluate the outcomes of mandibular implant-supported overdentures (MODs) through patients’ perceptions by analyzing the results from OHIP-14 index.Methods: Relationships between OHIP-14 scores, and clinical and patient-based findings are investigated.Results: Forty-seven patients were included in the study. OHIP-14 scores ranged from 0 to 35, with a mean score of 5.81 (±6.89), indicating an overall “very high” quality of life. Patients with “very high” QoL had significantly lower pain scores than those with both “high” and “low” QoL (p=0.000, p=0.036 respectively). Further analysis revealed a positive correlation between total OHIP points and pain level (r= 0.738, p=0.000).Conclusion: Within the limitations of this study, it can be concluded that patients wit...