ABSTRACT
Edentulism is a major oral healthcare issue for an ever-increasing older population in the United States. Most previous studies examined the success of overdentures supported by splinted implants utilizing clip bars and other types of attachments. This longitudinal study of 10 consecutive patients involves mandibular overdentures supported by nonsplinted implants with ERA attachments. Two-year results indicate that nonsplinted implants can be successfully used with ERA attachments to support overdentures. Each patient reported increased satisfaction with comfort, chewing, retention, and phonetics with the implant-assisted ERA-retained overdenture.
Subject(s)
Dental Implants , Dental Prosthesis, Implant-Supported , Denture Design , Denture Retention , Denture, Overlay , Aged , Aged, 80 and over , Dental Prosthesis Design , Dental Restoration Failure , Denture, Complete, Lower , Female , Follow-Up Studies , Humans , Jaw, Edentulous/rehabilitation , Jaw, Edentulous/surgery , Longitudinal Studies , Male , Mandible/surgery , Mastication/physiology , Middle Aged , Patient Satisfaction , Phonetics , Prospective Studies , Speech/physiology , Treatment OutcomeABSTRACT
Various combination fixed-removable prostheses have been presented. The construction of the combined provisional prostheses permits the clinician to establish the desired occlusal harmony, esthetics, and jaw relationships, as well as optimal management of the patient. The provisional template allows the clinician to determine patient reaction and response prior to construction of the definitive prostheses. This leads to better clinician-patient rapport and patient satisfaction. Also, it minimizes postinsertion adjustments.
Subject(s)
Denture Design , Denture, Partial, Fixed , Denture, Partial, Removable , Denture, Partial, Temporary , Consumer Behavior , Humans , Jaw, Edentulous/rehabilitationABSTRACT
A systematic approach to establishing the diagnosis and determining the treatment plan for partially edentulous cases having a minimal number of remaining abutment teeth has been presented. In most of these types of cases, consideration should be given to how the transition to a complete denture will be accomplished at a later date when and if it becomes necessary. Whenever possible, the minimal number and simplest attachments should be used, always keeping in mind how often and what kind of maintenance procedures are employed (for example, changing the male of a Zest anchor, or Ceka attachment). The patient should be made aware of these procedures when the case is presented and should be informed about the periodontal and prosthodontic requirements for after care. Fees should also be discussed in detail.
