Implant Supported Overdenture: A Case Report (original) (raw)
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Implant Supported Overdenture: A Viable Treatment Option for Edentulous Patient
IOSR Journals , 2019
The prosthetic management of the edentulous patient has long been a major challenge. Complete maxillary and mandibular dentures have been the traditional standard of care. However, most of the patients report problems adapting to their mandibular denture due to a lack of comfort, retention, stability and inability to masticate. Implant-supported overdentures have been a common treatment for edentulous patients for the past 20 years and predictably achieve good clinical results. Implant supported overdentures offer many practical advantages over conventional complete dentures and removable partial dentures. These include decreased bone resorption, reduced prosthesis movement, better esthetics, improved tooth position, better occlusion, increased occlusal function and maintenance of the occlusal vertical dimension. This article presents a design and fabrication technique of the implant-retained overdenture that uses four freestanding mandibular and maxillary implants.
Rehabilitation of an Edentulous Patient with Implant Supported Overdenture
Journal of Contemporary Dentistry, 2013
ABSTRACTThe conventional mandibular complete dentures are often associated with advanced ridge resorption and loss of retention. Dental implants in the anterior mandible were documented as being highly successful treatment option for overdenture. It has been use to improve the retention of mandibular dentures and also to improve patient's satisfaction. Because of high success rates, as well as lower costs, it is common to treat edentulous patients with just two implants and ball attachments for retention of the overdenture, instead of four implants and a bar. In this article a simple process of converting existing conventional denture into an implant supported overdenture by housing the retentive elements directly into the impression surface of the denture through a simple chairside technique is described.How to cite this articleMhatre S, Ram SM, Mahadevan J, Karthik M. Rehabilitation of an Edentulous Patient with Implant Supported Overdenture. J Contemp Dent 2013;3(1):52-56.
Rehabilitation with implant-supported overdentures in total edentulous patients: a review
Journal of Clinical and Experimental Dentistry, 2013
Objectives: The main aim of this review article is to discuss implant-supported overdentures (ISOs) as treatment in edentulous patients. Besides, we will try to discuss among the different treatment options in such patients and to analyze their validity when ISOs are compared with other clinical modalities. At the same time, we will try to suggest clinical guidelines supported by current clinical studies. Material and methods: We performed a Medline search and review of pertinent articles on the mentioned subject from 1986 to 2011. As a searching strategy, we used the following words: implant-supported overdentures, attachment systems, Locator attachment, cantilever, fixed prosthesis. Results and conclusions: Implant-supported overdentures constitute an accurate and predictable treatment option and achieve a higher patients' satisfaction. This type of treatment constitutes a cheaper treatment than fixed prostheses and in some patients, with loss of lip support or with an interoclusal space larger than 15 mm, the choice of implant-supported overdentures seems to prevent future aesthetic or phonetic problems.
Dentistry, 2022
The main goal of modern removable prosthodontics is to restore the normal appearance, function, esthetics and speech in each completely edentulous patient. However, if all teeth are missing in a patient, it becomes very complicated to achieve it using traditional protocols. Therefore, implants were introduced into removable prosthodontics to ensure better retention and stability of the conventional dentures. In case of a large amount of bone missing in the jaw it is necessary to ensure the functioning of the dentures constructing various additional stabilizing and retentive prosthodontic solutions on the osseointegrated implants. Numerous types of attachment systems have been used recently for relating implant-retained overdentures to underlying implants: basically splinting (various bar shape designs) and non-splinting attachments (various ball type attachment, magnet attachment, telescopic coping systems). Indications for their use depend on the surgical and prosthodontic factors ...
Comprehensive Treatment of a Partially Edentulous Patient with Overdentures
Journal of Contemporary Dentistry, 2014
ABSTRACTTreatment of partially edentulous patients with few remaining teeth is very challenging. These cases can be successfully treated with natural teeth supported overdentures. Comprehensive treatment plan with natural teeth supported overdentures saves the proprioceptive response of the teeth, along with other benefits such as improved masticatory efficiency, better retention, stability, support as compared to conventional tissue supported complete dentures. The other most important benefit of overdentures is the psychological security of well retaining dentures which increases patient's confidence level. This article presents a case report in which a partially edentulous patient was successfully rehabilitated with comprehensive treatment of maxillary natural teeth supported overdenture with locator attachment (Zest Anchors) and mandibular partial denture.How to cite this articleMengal GP, Ram SM, Nadgere J, Shah N. Comprehensive Treatment of a Partially Edentulous Patient w...
Most of the cases of tooth loss are associated with trauma, caries, periodontal diseases, congenital defects, and iatrogenic treatment which later progress to complete edentulism. The effects of edentulism include loss of support, poor ridge foundation, low proprioception and patient dissatisfaction due to poor retention of denture. Decreased ridge foundation is severely seen in mandible which causes poor retention of mandibular complete denture. To overcome these drawbacks of poor retentivity, proprioception and decreased ridge foundation two or more teeth can be preserved in the mandibular arch to provide support for an overdenture. An Over denture is a removable partial denture or complete denture that covers and rests on one or more remaining natural teeth, the roots of natural teeth, and or dental implants.
International Journal of Oral Implantology & Clinical Research
For completely edentulous mandible, the rehabilitation modality of an implant retained overdenture on two implants placed in anterior mandible is a simple, acceptable and predictable treatment option. It contributes significantly to patients psycho logical and social wellbeing. Increased retention results in greater patient satisfaction than conventional removable complete denture. This case report describes the use of two single piece implants with ball attachments to retain an implant retained mandibular overdenture in order to rehabilitate a completely edentulous male patient. It also illustrates the approach of prosthetically driven implant placement.
Given the increasing life expectancy in the coming years, dental practitioners, as other specialists from different medical fields, will encounter an increasing number of complete edentulous patients. These patients, with a longer active life and higher standards of life quality, will have different expectations for their complete dentures, higher than the standard treatment that uses conventional complete dentures.
Journal of Oral Science, 2009
The complexity of rehabilitation for totally edentulous patients makes it necessary to devise treatment strategies that meet the patients' expectations in terms of function, esthetic, psychological, and social aspects. The aim of this study was to i) compare the satisfaction of edentulous patients who had been rehabilitated with implant-supported overdentures and fixed prostheses in the mandible, and ii) assess the technical aspects of the prostheses in relation to patient satisfaction. This was a cross-sectional study involving 30 patients, 15 of whom had been rehabilitated with implant-supported overdentures and 15 who had been treated with fixed prostheses. The patients answered the OHIP-EDENT questionnaire, validated for the Brazilian Portuguese language, to assess satisfaction. Also, patients underwent clinical examination to assess the condition of their prostheses. Statistical analysis using the Mann-Whitney U-test revealed no significant differences in satisfaction between patients with overdentures and those with fixed prostheses. Likewise, Fisher's exact test demonstrated no significant differences in patient satisfaction concerning the condition of the prostheses as evaluated by the prosthodontist. It was concluded that both types of prostheses were perceived as being equally satisfactory by edentulous patients, and that the condition of the prostheses did not influence individual satisfaction in terms of rehabilitation. (J Oral Sci 51, 535-543, 2009)