Premium
An analysis of the implant‐supported overdenture in the edentulous mandible
Author(s) -
Chen K.W.,
Lin T.M.,
Liu P.R.,
Ramp L. C.,
Lin H.J.,
Wu C.T.,
Pan Y.H.
Publication year - 2013
Publication title -
journal of oral rehabilitation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.991
H-Index - 93
eISSN - 1365-2842
pISSN - 0305-182X
DOI - 10.1111/joor.12010
Subject(s) - mandible (arthropod mouthpart) , dentistry , orthodontics , implant , medicine , biology , botany , surgery , genus
Summary This investigation examined the cumu‐lative survival rate of the implant‐supported overdenture using two types of attachments in patients treated at S how C hwan M emorial H ospital I mplant C enter from 1992 to 2006. Fifty‐one patients (30 men and 21 women) were treated with mandibular implant‐supported overdentures. Attachment systems used were the H ader bar with bilateral, cast ERA attachments ( G roup A , 31 patients with 15 men and 16 women, 134 implants) and the H ader bar with bilateral, distal extension cantilevers ( G roup B , 20 patients with 15 men and 5 women, 85 implants). Two hundred and four implants remained at the end of the follow‐up period. Among failed implants, 10 implants were in G roup A (failure rate: 10/134 = 7·5%), whereas five implants were in G roup B (failure rate: 5/85 = 5·9%). Sixty‐six point seven per cent (10/15) of failed implants were placed in the distal anterior mandible, and 33·3% (5/15) were placed in the middle anterior mandible. Survival was also examined with respect to condition of the opposing arch. Patients wearing a maxillary removable partial denture had the highest implant failure rate (5/51 = 9·8%), whereas the failure rate of the maxillary complete denture group was only 5·7%. The most frequent need for maintenance was wear over patrix component of ERA or H ader clip ( n = 56). Eight patients experienced connector fracture between ERA and H ader bar, and one experienced distal extension cantilever fracture. The implant‐supported overdenture can be an effective and reliable alternative to the conventional complete mandibular denture. Fewer prosthetic complications were seen in overdentures retained with distal extension cantilever attachments.