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Volume 29 , Issue 4
July/August 2016

Pages 327336


Maxillary Three-Implant Overdentures Opposing Mandibular Two-Implant Overdentures: 10-Year Prosthodontic Outcomes

Sunyoung Ma, BDS, DClinDent/J. Neil Waddell, HDE, PGDipCDTech, MDipTech, PhD/Momen A. Atieh, BDS, MSc, DClinDent, PhD/Nabeel H.M. Alsabeeha, DMD, MSc, MFDS RCPS, PhD/Alan G. T. Payne, BDS, MDent, DDSc, FCD


PMID: 27479337
DOI: 10.11607/ijp.4631

Purpose: This study aimed to evaluate the 10-year prosthodontic outcomes with splinted and unsplinted designs for maxillary overdentures on three implants opposing mandibular two-implant overdentures. Materials and Methods: Using two similar implant systems, 40 edentulous participants with existing mandibular two-implant overdentures were randomly allocated to two prosthodontic treatment groups (splinted design with bar units; unsplinted design with ball attachments). Participants had three narrow-diameter implants placed in their edentulous maxillae using a one-stage surgical procedure, and they were conventionally loaded with overdentures. Prosthodontic maintenance events were documented at 1-, 2-, 5-, 7-, and 10-year recalls. Results: Progressive attrition of the cohort resulted in 36 participants being seen for the 1-year recall, 31 participants for the 2-year recall, 30 participants for the 3-year recall, 28 participants for the 5-year recall, 26 participants for the 7-year recall, and 23 participants (nearly 60%) for the 10-year recall. Data showed no significant differences in prosthodontic maintenance or success associated with patrices, matrices, or other aspects of the overdentures using the different attachment systems and designs. Conclusion: Maxillary three-implant overdentures are a viable treatment option for edentulous patients wearing opposing mandibular two-implant overdentures. There were no differences in prosthodontic maintenance and success between the splinted (bar) and unsplinted (ball) designs.


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