J Korean Acad Prosthodont.  2007 Dec;45(6):760-768.

A two-year study of implant retained overdentures in the treatment of totally edentulous jaws

• Kwon HB
• Kim EH
• Lee SH

Abstract

STATEMENT OF PROBLEM: Conventional denture treatment for totally edentulous patients is associated with a variety of functional and psychosocial problems. The placement of implants in the anterior region of the maxilla and mandible and the fabrication of an implant-retained overdenture might solve these problems. PURPOSE: This study compared the marginal bone loss around the implant and evaluated the implant survival rate and complications in patients treated with overdentures retained by implants for 2 years. MATERIAL AND METHODS: Patients who had received implant-retained overdentures using a Dolder bar at Samsung Medical Center from January 1999 to June 2005 and had participated in the annual recall programs for two years were selected for this study. A total of 18 patients and 56 Branemark system(R) implants were used, and their data were reviewed. Evaluations of the survival rate, bone quality, marginal bone loss, and complications were performed. The data on the Dolder bar length and clip length were measured. The change in marginal bone loss and the correlation between the marginal bone loss and bar length, clip length, or bone quality were investigated.
RESULTS
Implants placed in this study showed a 100 percent survival rate. The average annual bone loss was 1.12mm in the first year and 0.27mm in the second year in the maxilla, and 0.58mm in the first year and 0.22mm in the second year in the mandible. The marginal bone loss in the maxilla showed no significant association with those in the mandible. (P>.05) There was no significant difference in marginal bone loss around implants between the first and second year. (P>.05) There was no statistically significant relationship (P>.05) between the marginal bone loss and bone quality, clip length, or Dolder bar length. The Dolder bar length showed a high correlation with the clip length. (P<.05) Various complications were noted.
CONCLUSION
These results confirmed the favorable outcome for patients treated with implant-retained overdentures.

Keyword

Overdenture; Dental implant; Bar denture; Marginal bone loss

MeSH Terms

Dental Implants
Denture, Overlay*
Dentures
Humans
Jaw, Edentulous*
Mandible
Maxilla
Survival Rate
Dental Implants