Removable four implant‐supported mandibular overdentures rigidly retained with telescopic crowns or milled bars: a 3‐year prospective study

Krennmair, Gerald; Sütö, Daniel; Seemann, Rudolf; Piehslinger, Eva

doi:10.1111/j.1600-0501.2011.02169.x

Cited by 117 publications

(261 citation statements)

References 38 publications

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“…Overall satisfaction was not significantly influenced by the follow-up period, we obtained a score of 9 points at one month of placement, 8.9 at one year and 8.7 at the final examination, similar to that obtained by other authors (3,5,11,18 (5), on a VAS of 1 to 5, recorded a mean score of 4.3 for aesthetics, 4.7 for speech, 4.6 for mastication, and 5 for stability in patients with overdentures retained by 4 splinted implants after a mean of 59 months. In this study, the result for self-esteem was 9 at one month and 8.9 at one year, while Zitzmann and Marinello (18) obtained 8.8 points at 6 months after placement of maxillary overdentures.…”

Section: E208supporting

confidence: 89%

“…The McGill University (Canada) consensus statement on overdentures, issued in 2002, recommends mandibular 2-implant overdentures as first choice standard of care for edentulous patients (1). In recent years, high levels of satisfaction have been reported in patients wearing implant-retained overdentures (2)(3)(4)(5). MacEntee et al (3) studied patient satisfaction with 2-implant mandibular overdentures using a visual analogue scale (VAS) from 0 to 100; overall e205 satisfaction in the bar-clip attachment group was 93 one month after fitting and 96 after two years, and in the ball-spring group 94 and 93 respectively.…”

Section: Introductionmentioning

confidence: 99%

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Satisfaction of patients fitted with implant-retained overdentures

Balaguer

García²,

Peñarrocha³

2011

Med Oral

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Objective: to evaluate patient satisfaction with implant-retained overdentures, and its relationship with age, sex, period of follow-up, the rehabilitated jaw (maxilla, mandible or both), number of implants, splinting, type of attachment and the antagonist.Material and methods: the study comprised patients with overdentures fitted between January 1996 and June 2007, and with a minimum follow-up of one year. Data regarding patients and prostheses were collected. The patients indicated their overall satisfaction on a visual analogue scale (VAS) from 0 to 10, as well as satisfaction for individual items such as aesthetics, speech, mastication, prosthetic stability and selfesteem. These data were collected one month after fitting the prostheses, at 12 months and at a final examination. Statistical analyses were made using the SPSS version 15, statistical significance was considered for p<0.05.Results: the study included 95 patients, 43 men and 52 women, with a mean age of 55.9 years; 76 edentulous mandibles and 31 edentulous maxillae were rehabilitated with 107 overdentures. One hundred and thirty-seven implants were placed in the maxilla, and 224 in the mandible. The mean level of overall satisfaction was 9 at one month of fitting the prosthesis, 8.8 at 12 months and 8.7 at the final control (mean 71 months).Conclusions: the patients fitted with implant-retained overdentures expressed a high level of overall satisfaction, independently of age, sex, length of follow-up, rehabilitated jaw, number of implants per overdenture, whether splinted or non-splinted, and type of attachment. Men were more satisfied with mastication and stability.

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Section: E208supporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Satisfaction of patients fitted with implant-retained overdentures

Balaguer

García²,

Peñarrocha³

2011

Med Oral

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“…It presents an inner overcast made of titanium, a precious alloy or zirconium, on which the acrylic gingival or teeth, also acrylic, are placed. There is a variation to this design where porcelain or gingival composite is used with all the ceramic crowns cemented to the overcast (1)(2)(3)7,8).…”

Section: Introductionmentioning

confidence: 99%

“…Besides, this overdenture includes fastenings which minimize the overdenture movement along its path of insertion. (1)(2)(3)(4)(5)(7)(8)(9)(10). Fixed porcelain prostheses are recommended in clinical cases where soft tissues and alveolar bones are intact -only lost teeth are replaced-.…”

Section: Introductionmentioning

confidence: 99%

The implant-supported milled bar overdenture: A literature review

Bueno-Samper¹,

Hernández-Aliaga²,

Calvo-Guirado³

2010

Med Oral

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Purpose: This bibliographical review aims to determine the present situation of the implant-supported milled bar overdenture as a therapeutic option in implantology, as well as to set and compare the techniques and materials currently used for making them. Materials and methods: By searching the main electronic bibliographical data in indexed Medline articles, we obtained a total number of 20 articles that fulfilled the requirements of this bibliographical review. Results: The implant-supported milled bar overdenture offers excellent long-term successful results, although complication rates are higher in emergency cases of patients initially planned for a fixed prosthesis. Krenmair and collaborators found cumulative survival rates of implants on milled bars after 5 years, of 99% in mandible cases, and of 97.8% in maxilla cases. No detailed protocols specifying the necessary number of implants or their characteristics have been found, though they are never made with less than 4 implants in mandible or 4-6 in the maxilla. Milled bars are screwed, generally cast in a precious metal alloy, with a metal or acrylic suprastructure and include attachments that regulate the tightness. The suprastructure adjusts precisely and rigidly to the milled bar, and presents similar biomechanical movements to those of fixed prostheses. The overdenture is removable and its prophylaxis is simple. Conclusions: The implant supported milled bar overdenture is a very interesting option in the treatment of patients with moderate to severe reabsorbed maxilla problems. It offers both the advantages of removable prostheses as well as the stability and retention of a fixed prosthesis.

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“…32 Krennmair ve arkadaşlarının 42 teleskopik ve tornalanmış bar tipi tutucuların kullanıldığı mandibular overdenture'ların değerlendirildiği 3-yıllık prospektif bir çalışmada her iki tutucuya sahip overdenture'ların kullanımı için minimum çaba gerektiği rapor edilmiştir.…”

Section: Teknik Komplikasyonunclassified

İmplant üstü overdenture protezlerde tutucu alternatifleri

Aktaş¹,

Canay²

2015

Acta Odontol Turc

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ÖZET GİRİŞAltmışbeş yaş üstü bireylerin popülasyondaki oranı her geçen gün artmaktadır. Farklı ülkelerde farklı sıklıkta gö-rülmesine rağmen, bu popülasyondaki bireylerde görü-len diş eksiklikleri ve alveol kemiklerinde oluşan rezorbsiyon da yaşlanma ile birlikte artış göstermektedir. Mevcut dişlerin çeşitli nedenlerle kaybı sonucunda tam dişsizlik kaçınılmaz hale gelmektedir. Geleneksel tam protez kullanan dişsiz hastalar fonksiyon sırasında özel-likle alt protezlerinin stabilitesinin ve tutuculuğunun yetersiz olması nedeniyle olumsuz tecrübelere sahiptirler. 1-3Daha önceleri konvansiyonel tam protezler, tam diş-sizliklerde sıklıkla en çok tercih edilen tedavi yöntemi iken günümüzde implant üstü overdenture'lar dişsizliğin giderilmesinde birinci seçenek olarak sunulmaktadır. 2İmplant üstü overdenture'lar ile konvansiyonel tam protezlerin karşılaştırıldığı çok sayıda çalışmada implant üstü overdenture kullanan hastalarda, çiğneme etkinliği, protez stabilitesi, protez retansiyonu ve estetiğin daha tatminkar olduğu ve buna bağlı olarak hasta memnuniyetinin çok daha fazla olduğu rapor edilmiştir.4-11 Alt çene tam dişsizlik durumunda implant destekli overdenture için maliyet ve hasta memnuniyeti dikkate alındı-ğında en az iki implanttan destek almak gerekmektedir. 2Ancak üst çenede implant destekli overdenture'lar için belirli bir implant sayısı belirtmeye yeterli kanıt literatürde bulunmamaktadır. [12][13][14] İmplant üstü overdenture'larda implant ile protez arasındaki bağlantı, hassas bağlantı yapısındaki bir tutucu sistem aracılığı ile sağlanmaktadır. Bu tutucu sistemler iki ana başlık altında toplanabilir.

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Removable four implant‐supported mandibular overdentures rigidly retained with telescopic crowns or milled bars: a 3‐year prospective study

Cited by 117 publications

References 38 publications

Satisfaction of patients fitted with implant-retained overdentures

Satisfaction of patients fitted with implant-retained overdentures

The implant-supported milled bar overdenture: A literature review

İmplant üstü overdenture protezlerde tutucu alternatifleri

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