Effectiveness of maxillary overdentures supported by implants: maintenance and prosthetic complications
| Autor: | P, Kiener, M, Oetterli, E, Mericske, R, Mericske-Stern |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
Adult
Male Denture Bases Surface Properties Statistics as Topic Acrylic Resins Occlusal Adjustment Osseointegration Denture Rebasing Maxilla Humans Dental Restoration Failure Denture Design Aged Aged 80 and over Dental Implants Denture Repair Middle Aged Denture Overlay Oral Hygiene Denture Retention Survival Analysis Stomatitis Denture Treatment Outcome Female Dental Prosthesis Implant-Supported Stress Mechanical Dental Alloys Follow-Up Studies |
| Zdroj: | The International journal of prosthodontics. 14(2) |
| ISSN: | 0893-2174 |
| Popis: | The aim of this study was to evaluate the prosthetic complications with implant-supported overdentures in the maxilla.Forty-one patients (mean age 61 years) were consecutively admitted for treatment from 1991 to 1998. A total of 173 ITI implants were placed. Four to six implants either connected with a bar (34 overdentures) or with single anchors (seven overdentures) supported the denture, and only a few parties had fewer than four implants. The overdentures had a horseshoe design and were reinforced by a cast-metal framework. The mean observation time was 3.2 years. Oral hygiene and periimplant parameters were regularly assessed, and records were kept of prosthetic maintenance service. All prosthetic complications encountered were classified related to (1) implant components and anchorage devices, (2) mechanical and structural failures of dentures, or (3) denture-related adjustments.Three implants did not osseointegrate, and five implants were lost after loading. Thus, the overall survival rate of the implants was 95.5%. Altogether, 85 prosthetic complications were encountered. The most frequent finding was retightening of the bar screw and adjustments of the bar retainers. Repair of dentures was not frequent and was mostly related to broken teeth. No fracture of dentures was observed. Renewal of dentures occurred twice, once after loss of all implants in one patient. Thirty-nine overdentures had been continuously worn; thus, the overall denture stability was 95%. Mucosal irritation and need for occlusal adjustment were the most frequent findings in the first year. Over time, a decrease of complications was observed.Planned maxillary overdentures supported by implants are a successful treatment modality on a short-term basis. |
| Databáze: | OpenAIRE |
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