scholarly journals Comparative study of splinted and unsplinted implant-retained maxillary overdentures without palatal coverage: A literature review

2017 ◽  
Vol 20 (4) ◽  
pp. 32
Author(s):  
Ingrid ísis Nogueira Simões ◽  
Silvana Marques Miranda Spyrides ◽  
Fabiana Ribeiro da Silva Schanuel ◽  
Elson Braga De Mello

<p>The palatal coverage is considered as an auxiliary element in the distribution of tensile strains on implant maxillary total prosthesis (implant overdentures) bases, either implant-supported or retained. However, complaints in some patients due to palate and phonetic impairment are constant. The palatal coverage removal would allow the improvement of these issues as well as pharyngeal control, salivary flow and hygiene. Thus, this literature review proposed to analyze the survival rates of dental implants retaining an implant maxillary overdenture without palatal coverage in edentulous maxilla. The review was conducted in Medline database, via PubMed between 2000 to 2016 period, and limited to English language publications. The search strategy took the following key-words, referencing title and / or abstract: dental implants; maxilla; maxillary; overdenture; and palatal coverage. According the data, the rehabilitation of the maxillary edentulous with four implant-supported overdentures with bar attachments and implant-retained with ball attachments has shown great survival rates of dental implants, but there are a few studies reporting the survival rate of implant overdentures.  It was concluded that the prosthetic rehabilitation of total maxillary edentulous patients is viable through palateless implant overdentures when a minimum of four to six implants were used with careful planning and execution.</p><p> </p><p><strong>Keywords</strong></p><p>Dental Implants; Maxilla; Overdenture and Palatal coverage.</p>

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Jan Kowar ◽  
Victoria Stenport ◽  
Mats Nilsson ◽  
Torsten Jemt

Objectives. The purpose of this study was to investigate if edentulism is associated with all-cause mortality. The aims were to analyze the association between age, socioeconomic factors, and mortality in edentulous patients treated with either removable dentures or implant-supported prostheses. Methods. All patients who became edentulous according to the Swedish Social Insurance Agency (SSIA) between 2009 and 2013 (N  = 8463) were analyzed regarding prosthetic treatment, age, gender, and socioeconomic status. The patients were divided into two groups, depending on whether they were treated with dental implants (implant group; IG) or with conventional removable dentures (denture group; DG). Data on mortality for all included individuals were obtained from the Swedish National Cause of Death Register and compared to a reference population. Cumulative survival rates were calculated, and a multivariable regression analysis for the included variables was performed. Results. Between 2009 and 2018, 2192 of the patients (25.9%) were treated with implant-supported dental prostheses (IG) and 6271 patients (74.1%) were treated with removable dentures without support of dental implants (DG). Altogether 2526 patients (30%) died until December 31, 2019, and the overall mortality was significantly higher for the DG compared to the IG during follow-up ( p < 0.001 ). Younger edentulous patients (≤59 years) presented a higher mortality than the reference population, while implant patients over 79 years of age demonstrated a lower mortality. The final results from the multivariable logistic analysis showed that lower equalized disposable income (EDI) and the choice of conventional removable dentures are the most important factors for increased patient mortality ( p < 0.001 ). Conclusions. Edentulous patients have an overall higher mortality compared to a reference population. Low socioeconomic status increases all-cause mortality. Individuals treated with dental implants show statistically significant lower 10-year mortality compared to patients treated with conventional removable dentures, regardless of socioeconomic status.


2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
P Lugaric ◽  
C Frezzini ◽  
A Patterson

Abstract Aim To determine the success rates of dental implants in complex patients treated in the Oral and Maxillofacial Surgery Department at Rotherham General Hospital (RGH). Method All patients who received dental implants in the period January 2010 – March 2017 at RGH were included in the audit. Standards 90% local standard Results 68 dental implants were placed in 22 patients: 15 patients head and neck reconstruction, 5 atrophic edentulous patients, 2 trauma. Conclusions Survival rates for dental implants in the literature is variable ranging from 91 -96% in native bone and mucosa and 46 - 98% in irradiated tissue.


2021 ◽  
Vol 11 (22) ◽  
pp. 10724
Author(s):  
Abdulaziz A. AlHelal

The aim was to systematically review the efficacy of immediate loaded mini dental implants (MDIs) to retain mandibular overdentures in regards to survival rates of MDIs, peri-implant clinical and radiographic tissue response and associated factors. A literature search of English literature was performed using Google Scholar, Scopus, Web of Science, MEDLINE (OVID), EMBASE, and PubMed using predetermined inclusion criteria. Specific terms were utilized in searching from the inception of the respective databases up to April 2021. The focused question was: Do immediate loaded MDIs supporting mandibular overdentures present favorable treatment options for prosthetic rehabilitation? The 11 articles included in the present review examined 349 patients (198 males + 171 females [66.65 ± 6.28 years]) in which 1190 MDIs were placed to retain mandibular overdentures. The mean follow-up duration was 24.5 months. The cumulative survival rate of MDIs was 97.3%. The mean scores of plaque index, gingival index, probing depth, and bleeding on probing ranged between 0–3, 0–3, and 1.203–1.76 respectively, whereas the mean marginal bone loss values ranged from 0.42 ± 0.56 mm to 1.26 ± 0.64 mm. The results identified that the application of immediate loaded MDIs to retain mandibular overdentures are a potential treatment modality for edentulous patients.


2019 ◽  
Vol 2019 ◽  
pp. 1-14 ◽  
Author(s):  
Fernanda Faot ◽  
Amália Machado Bielemann ◽  
Alessandra Julie Schuster ◽  
Raissa Micaella Marcello-Machado ◽  
Altair Antoninha Del Bel Cury ◽  
...  

Aim. To evaluate the influence of primary insertion torque (IT) values of narrow dental implants on the peri-implant health, implant stability, immunoinflammatory responses, bone loss, and success and survival rates. Methods. Thirty-one edentulous patients received two narrow implants (2.9x10mm, Facility NeoPoros) to retain mandibular overdentures. The implants were categorized in four groups according to their IT: (G1) IT > 10 Ncm; (G2) IT ≥ 10Ncm and ≤ 30 Ncm; (G3) IT >30Ncm and < 45Ncm; (G4) IT ≥ 45Ncm, and all implants were loaded after 3 months of healing. The following clinical outcomes were evaluated 1, 3, 6, and 12 months after implant insertion: (i) peri-implant tissue health (PH), gingival index (GI), plaque index (PI), calculus presence (CP), probing depth (PD), and bleeding on probing (BOP); (ii) implant stability quotient (ISQ) by resonance frequency analysis; and (iii) IL-1β and TNF-α concentration in the peri-implant crevicular fluid. The marginal bone level (MBL) and changes (MBC) were evaluated. The Chi2 test, Kruskal-Wallis test, mixed-effects regression analysis, and the Kendall rank correlation coefficient were used for statistical analysis (α = 5%). Results. G1 presented the highest PD at all evaluated periods. G2 presented higher PI at month 6 and 12. G4 showed increased GI at month 3 and 12 and more CP at month 1 (p=.003). G2 and G4 had higher ISQ values over the study period, while those from G1 and G3 presented lower ISQ values. The IL-1β concentration increased until month 12 and was independent of IT and bone type; G4 had a higher IL-1β concentration in month 3 than the other groups (p=.015). The TNF-α release was negatively correlated with IT, and TNF-α release was highest in G1 at month 12. The MBL immediately after surgery and the MBC at month 12 were similar between the groups, and G4 presented a positive MBC at month 12. The survival and success rates were 75% for G1, 81.3% for G2, 64.3% for G3, and 95% for G4. Conclusion. The IT did not influence the clinical outcomes and the peri-implant immunoinflammatory responses and was weakly correlated with the narrow dental implants primary stability. The observed success rates suggest that the ideal IT for atrophic fully edentulous patients may deviate from the standardized IT of 32 Ncm.


Author(s):  
Marko Milosavljevic ◽  
Milica Jovanovic ◽  
Dejan Zdravković ◽  
Jelena Todic ◽  
Jelena Eric

Abstract Prosthetic rehabilitation of edentulous patients and patients with one or two own teeth can be established by different treatment modalities. The most commonly used in the treatment of these patients is conventional complete denture or removable partial denture. However, due to increasing problems with this type of therapy, such as insufficient retention, stability, comfort and pain during mastication, it is suggested an overdenture supported by two natural teeth or implants. We will present series of clinical reports. In two clinical cases patients came to the dental office because of the impossibility of wearing lower partial denture, and in one case patient had problems with the upper partial denture. After clinical examination and radigraphic analysis, in all patients, dental implants were implanted. In first case there were implanted two dental implants in the region 41 and 43, in second case it was region 33, and in third case implanatiton is performed in the region of 14, 11, 21. Prosthetic rehabilitation was done after 3-months bone oseointegration period. The treatment consisted in the production of double crowns and overdentures that are retained with locator attachment. This design of the denture significantly improves the quality of patient’s life (the dentures are stable, chewing is improved, the feeling of thermal sensations of food and drink is present, the feeling of taste is complete, and the psychological patient becomes safer).


2014 ◽  
Vol 5 (1) ◽  
pp. 60-63
Author(s):  
Mateus Rodrigues Tonetto ◽  
Matheus Coelho Bandéca ◽  
Vinicius Ibiapina Mascarenhas ◽  
Lívia Jacovassi Tavares ◽  
Lara Maria Ferreira Mendes

ABSTRACT The virtual planning of dental implants is a technology that brings many benefits to practitioners and patients who undergo a prosthetic rehabilitation. The cone beam computed tomography (CBCT) produces high-resolution images allowing to implant a breakthrough in preoperative planning, making planning more accurate. The virtually guided surgery is a surgery planned based computers in a 3D anatomical model of the patient and transferred to the surgical procedure through guides built especially for this purpose. The objective of this study is to report the current concepts in the literature on virtually guided surgery, emphasizing its applicability, indications and benefits in prosthetic rehabilitation with dental implants. Thus, it was concluded that the technique of guided surgery represents an advance in the field of implantology significantly decreasing errors, bringing good results postoperative and increasing predictability of the results, one technique suitable for various cases. How to cite this article Mascarenhas VI, de Molon RS, Tavares LJ, Mendes LMF, Tonetto MR, Bandeca MC. The use of Computer Guided Implant Surgery in Oral Rehabilitation: A Literature Review. World J Dent 2014;5(1):60-63.


2016 ◽  
Vol 17 (6) ◽  
pp. 470-475
Author(s):  
Rishi Thukral ◽  
MC Prasant ◽  
Krunal M Punjabi ◽  
Aparna Paliwal ◽  
Kunal Patel

ABSTRACT Introduction One of the most common and effective ways of replacing missing teeth is by dental implants. Both quality and quantity of bone along with the area of implant placement govern the prognosis of the implant procedure. Certain risk factors predispose the implant treatment to high failure rate. Hence, we assessed the implant patients who were referred from private practitioners to the specialty hospitals from 2010 to 2014. Materials and methods All the patients being referred from private clinics to the specialty dental hospital for the purpose of prosthetic rehabilitation by dental implants from June 2010 to July 2014 were included in the present study. Skilled oral and maxillofacial surgeons were appointed for performing the implant surgical procedures. Prosthetic rehabilitation was done after 6 to 8 weeks and after 10 to 14 weeks in implant cases without and with bone augmentation procedures respectively. Distribution of dental implants based on the indications, location, dimension of augmentation procedure, and complication of implants was analyzed and assessed for the level of significance. Results Of the patients, 712 were females, while the remaining were males. Most of the patients were in the age group of 50 to 59 years. As compared with completely edentulous patients, most of the patients required rehabilitation by a single implant. Maximum dental implants were placed in maxillary premolar region and mandibular first molar region. Over 1,000 cases in this study required rehabilitation by augmentation procedure. Conclusion Partially edentulous patients are most commonly referred to specialized dental hospitals for prosthetic rehabilitation by dental implants, mostly with the purpose of implant placement. Failure rate can be minimized by following strict patient selection protocols along with following a standard surgical criterion. Clinical significance Following standard surgical protocols and strict treatment planning, prognosis of the dental implant procedures can be improved to a greater extent, thereby increasing its clinical success rate. How to cite this article Thukral R, Kumar A, Prasant MC, Punjabi KM, Paliwal A, Patel K. Assessment of Patients Referred to Specialty Dental Hospitals for Dental Implant Procedure: A Retrospective Cohort Analysis. J Contemp Dent Pract 2016;17(6):470-475.


2020 ◽  
Vol 30 (2) ◽  
pp. 334-340
Author(s):  
Hamidreza Daneshparvar ◽  
Nasrin Esfahanizadeh ◽  
Reza Vafadoost

Sjögren's syndrome (SS) is a complex autoimmune disease that predominantly affects the exocrine glands, notably the salivary and lacrimal glands, resulting in dryness of the mucosa recognized as xerostomia. Chief oral complications reported by patients consist of high caries rate, burning sensation of the mucosa, early tooth loss, intensified tooth wear and repetitive failure of dental restorations. In particular, due to the decreased salivary flow, conventional removable prostheses might irritate the mucosa and lead to painful ulcerations at the borders of the denture. Implant-supported prostheses offer a unique solution to the difficulties experienced by edentulous patients with Sjögren’s syndrome. This research showed no signs of peri-implantitis or peri-implant mucositis during 7-years following the placement of implants. The present study indicates that successful long-term maintenance of dental implants can be also achieved in SS patients.


Author(s):  
Hakimeh Siadat ◽  
Arash Khojasteh ◽  
Elaheh Beyabanaki

Dental implants are highly recommended to improve the retention, stability, and support of prostheses in edentulous patients with large surgical defects. Depending on the size of the defect, a bone graft procedure might be necessary. However, due to limitations of bone grafts, some complications might negatively affect the prosthetic rehabilitation of the patient. This case report presents some of these prosthetic problems following surgical resection and autogenous bone graft procedures.


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