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Prosthetic Options: Fixed and Removable Overdentures

  • Elham Emami
  • Pierre-Luc Michaud
Chapter

Abstract

Many individuals are exposed to worse oral and general health when they transition from dentate to edentate status. In fact, edentulism is associated with high levels of physical and psychological disability, which are only partially reduced with the use of conventional prostheses as replacement for the missing natural teeth. The implant-assisted overdenture has thus become a viable option to replace denture because of the accumulating evidence on its advantages from both clinical and patient perspectives.

Various types of implant-assisted prostheses are available to treat partially or completely edentate patients. The functional capacity, time needed to treat, maintenance, complications and cost vary amongst the different types of implant prostheses and may address patients’ physical, psychological and social needs in different ways. To ensure the delivery of high-quality implant care within the available options, clinicians need to consult the literature and become aware of scientific evidence, exchange this knowledge with their patients and consider the level of their clinical expertise, as well as patients’ needs and preferences, to make a shared treatment decision and arrive at an agreement on the treatment to implement.

In this chapter, the authors distinguish between fixed and removable options for mandibular implant-assisted prostheses and provide a summary on different factors that should be considered in the choice between these two prosthetic designs.

References

  1. 1.
    Simon H, Yanase RT. Terminology for implant prostheses. Int J Oral Maxillofac Implants. 2003;18(4):539–43.PubMedGoogle Scholar
  2. 2.
    Emami E, Michaud PL, Sallaleh I, Feine JS. Implant-assisted complete prostheses. Periodontol. 2014;66(1):119–31.  https://doi.org/10.1111/prd.12041.CrossRefGoogle Scholar
  3. 3.
    Zitzmann NU, Marinello CP. A review of clinical and technical considerations for fixed and removable implant prostheses in the edentulous mandible. Int J Prosthodont. 2002;15(1):65–72.PubMedGoogle Scholar
  4. 4.
    Wyatt CC. The effect of prosthodontic treatment on alveolar bone loss: a review of the literature. J Prosthet Dent. 1998;80(3):362–6.CrossRefPubMedGoogle Scholar
  5. 5.
    Carlsson GE. Responses of jawbone to pressure. Gerodontology. 2004;21(2):65–70.CrossRefPubMedGoogle Scholar
  6. 6.
    Emami E, de Grandmont P, Rompre PH, Barbeau J, Pan S, Feine JS. Favoring trauma as an etiological factor in denture stomatitis. J Dent Res. 2008;87(5):440–4.CrossRefPubMedGoogle Scholar
  7. 7.
    Raghoebar GM, Meijer HJ, Stegenga B, van't Hof MA, van Oort RP, Vissink A. Effectiveness of three treatment modalities for the edentulous mandible. A five-year randomized clinical trial. Clin Oral Implants Res. 2000;11(3):195–201.CrossRefPubMedGoogle Scholar
  8. 8.
    Pan S, Dagenais M, Thomason JM, Awad M, Emami E, Kimoto S, et al. Does mandibular edentulous bone height affect prosthetic treatment success? J Dent. 2010;38(11):899–907.CrossRefPubMedGoogle Scholar
  9. 9.
    Awad MA, Lund JP, Dufresne E, Feine JS. Comparing the efficacy of mandibular implant-retained overdentures and conventional dentures among middle-aged edentulous patients: satisfaction and functional assessment. Int J Prosthodont. 2003;16(2):117–22.PubMedGoogle Scholar
  10. 10.
    Heydecke G, Locker D, Awad MA, Lund JP, Feine JS. Oral and general health-related quality of life with conventional and implant dentures. Community Dent Oral Epidemiol. 2003;31(3):161–8.CrossRefPubMedGoogle Scholar
  11. 11.
    Allen PF, McMillan AS. A longitudinal study of quality of life outcomes in older adults requesting implant prostheses and complete removable dentures. Clin Oral Implants Res. 2003;14(2):173–9.CrossRefPubMedGoogle Scholar
  12. 12.
    Wismeijer D, Van Waas MA, Vermeeren JI, Mulder J, Kalk W. Patient satisfaction with implant-supported mandibular overdentures. A comparison of three treatment strategies with ITI-dental implants. Int J Oral Maxillofac Surg. 1997;26(4):263–7.CrossRefPubMedGoogle Scholar
  13. 13.
    Boerrigter EM, Geertman ME, Van Oort RP, Bouma J, Raghoebar GM, van Waas MA, et al. Patient satisfaction with implant-retained mandibular overdentures. A comparison with new complete dentures not retained by implants—a multicentre randomized clinical trial. Br J Oral Maxillofac Surg. 1995;33(5):282–8.CrossRefPubMedGoogle Scholar
  14. 14.
    Raghoebar GM, Meijer HJ, van't Hof M, Stegenga B, Vissink A. A randomized prospective clinical trial on the effectiveness of three treatment modalities for patients with lower denture problems. A 10 year follow-up study on patient satisfaction. Int J Oral Maxillofac Surg. 2003;32(5):498–503.PubMedGoogle Scholar
  15. 15.
    Watson RM, Jemt T, Chai J, Harnett J, Heath MR, Hutton JE, et al. Prosthodontic treatment, patient response, and the need for maintenance of complete implant-supported overdentures: an appraisal of 5 years of prospective study. Int J Prosthodont. 1997;10(4):345–54.PubMedGoogle Scholar
  16. 16.
    Emami E, Heydecke G, Rompre PH, de Grandmont P, Feine JS. Impact of implant support for mandibular dentures on satisfaction, oral and general health-related quality of life: a meta-analysis of randomized-controlled trials. Clin Oral Implants Res. 2009;20(6):533–44.PubMedGoogle Scholar
  17. 17.
    Ellis JS, Burawi G, Walls A, Thomason JM. Patient satisfaction with two designs of implant supported removable overdentures; ball attachment and magnets. Clin Oral Implants Res. 2009;20(11):1293–8.CrossRefPubMedGoogle Scholar
  18. 18.
    Bouma J, Boerrigter LM, Van Oort RP, van Sonderen E, Boering G. Psychosocial effects of implant-retained overdentures. Int J Oral Maxillofac Implants. 1997;12(4):515–22.PubMedGoogle Scholar
  19. 19.
    Meijer HJ, Raghoebar GM, Van 't Hof MA, Visser A, Geertman ME, Van Oort RP. A controlled clinical trial of implant-retained mandibular overdentures; five-years’ results of clinical aspects and aftercare of IMZ implants and Branemark implants. Clin Oral Implants Res. 2000;11(5):441–7.CrossRefPubMedGoogle Scholar
  20. 20.
    de Albuquerque Junior RF, Lund JP, Tang L, Larivee J, de Grandmont P, Gauthier G, et al. Within-subject comparison of maxillary long-bar implant-retained prostheses with and without palatal coverage: patient-based outcomes. Clin Oral Implants Res. 2000;11(6):555–65.CrossRefPubMedGoogle Scholar
  21. 21.
    Kodama N, Singh BP, Cerutti-Kopplin D, Feine J, Emami E. Efficacy of mandibular 2-implant overdenture: an updated meta-analysis on patient-based outcomes. Clin Trans Res. 2016;01(01):20–30.Google Scholar
  22. 22.
    Palmqvist S, Soderfeldt B, Arnbjerg D. Subjective need for implant dentistry in a Swedish population aged 45-69 years. Clin Oral Implants Res. 1991;2(3):99–102.CrossRefPubMedGoogle Scholar
  23. 23.
    Walton JN, MacEntee MI. Choosing or refusing oral implants: a prospective study of edentulous volunteers for a clinical trial. Int J Prosthodont. 2005;18(6):483–8.PubMedGoogle Scholar
  24. 24.
    Walton JN, Glick N, Macentee MI. A randomized clinical trial comparing patient satisfaction and prosthetic outcomes with mandibular overdentures retained by one or two implants. Int J Prosthodont. 2009;22(4):331–9.PubMedGoogle Scholar
  25. 25.
    Misch CE. Contemporary implant dentistry. 3rd ed. St. Louis, MI: Mosby-Elsevier; 2008. 1102 p.Google Scholar
  26. 26.
    DeBoer J. Edentulous implants: overdenture versus fixed. J Prosthet Dent. 1993;69(4):386–90.CrossRefPubMedGoogle Scholar
  27. 27.
    de Grandmont P, Feine JS, Tache R, Boudrias P, Donohue WB, Tanguay R, et al. Within-subject comparisons of implant-supported mandibular prostheses: psychometric evaluation. J Dent Res. 1994;73(5):1096–104.CrossRefPubMedGoogle Scholar
  28. 28.
    Feine JS, de Grandmont P, Boudrias P, Brien N, LaMarche C, Tache R, et al. Within-subject comparisons of implant-supported mandibular prostheses: choice of prosthesis. J Dent Res. 1994;73(5):1105–11.CrossRefPubMedGoogle Scholar
  29. 29.
    Zitzmann NU, Marinello CP. Treatment outcomes of fixed or removable implant-supported prostheses in the edentulous maxilla. Part I: patients’ assessments. J Prosthet Dent. 2000;83(4):424–33.CrossRefPubMedGoogle Scholar
  30. 30.
    Zitzmann NU, Marinello CP. Treatment plan for restoring the edentulous maxilla with implant-supported restorations: removable overdenture versus fixed partial denture design. J Prosthet Dent. 1999;82(2):188–96.CrossRefPubMedGoogle Scholar
  31. 31.
    Heydecke G, Boudrias P, Awad MA, De Albuquerque RF, Lund JP, Feine JS. Within-subject comparisons of maxillary fixed and removable implant prostheses: patient satisfaction and choice of prosthesis. Clin Oral Implants Res. 2003;14(1):125–30.CrossRefPubMedGoogle Scholar
  32. 32.
    Brennan M, Houston F, O'Sullivan M, O'Connell B. Patient satisfaction and oral health-related quality of life outcomes of implant overdentures and fixed complete dentures. Int J Oral Maxillofac Implants. 2010;25(4):791–800.PubMedGoogle Scholar
  33. 33.
    Misch CE. In: Rudolph P, editor. Dental implant prosthetics. St. Louis, MI: Mosby-Elsevier; 2005. 626 p.Google Scholar
  34. 34.
    Mericske-Stern RD, Taylor TD, Belser U. Management of the edentulous patient. Clin Oral Implants Res. 2000;11(Suppl 1):108–25.CrossRefPubMedGoogle Scholar
  35. 35.
    Mertens C, Steveling HG. Implant-supported fixed prostheses in the edentulous maxilla: 8-year prospective results. Clin Oral Implants Res. 2011;22(5):464–72.CrossRefPubMedGoogle Scholar
  36. 36.
    Drago C, Carpentieri J. Treatment of maxillary jaws with dental implants: guidelines for treatment. J Prosthodont. 2011;20(5):336–47.CrossRefPubMedGoogle Scholar
  37. 37.
    Michaud PL, Patel A. Hereditary gingival fibromatosis with extreme ridge thickness and insufficient interarch distance: a clinical report of surgical and prosthetic management. J Prosthet Dent. 2016;116(1):15–20.CrossRefPubMedGoogle Scholar
  38. 38.
    Trakas T, Michalakis K, Kang K, Hirayama H. Attachment systems for implant retained overdentures: a literature review. Implant Dent. 2006;15(1):24–34.CrossRefPubMedGoogle Scholar
  39. 39.
    Quirynen M, Alsaadi G, Pauwels M, Haffajee A, van Steenberghe D, Naert I. Microbiological and clinical outcomes and patient satisfaction for two treatment options in the edentulous lower jaw after 10 years of function. Clin Oral Implants Res. 2005;16(3):277–87.CrossRefPubMedGoogle Scholar
  40. 40.
    Cehreli MC, Karasoy D, Kokat AM, Akca K, Eckert S. A systematic review of marginal bone loss around implants retaining or supporting overdentures. Int J Oral Maxillofac Implants. 2010;25(2):266–77.PubMedGoogle Scholar
  41. 41.
    SH O, Kim Y, Park JY, Jung YJ, Kim SK, Park SY. Comparison of fixed implant-supported prostheses, removable implant-supported prostheses, and complete dentures: patient satisfaction and oral health-related quality of life. Clin Oral Implants Res. 2016;27(2):e31–7.CrossRefGoogle Scholar
  42. 42.
    Bryant SR, MacDonald-Jankowski D, Kim K. Does the type of implant prosthesis affect outcomes for the completely edentulous arch? Int J Oral Maxillofac Implants. 2007;22(Suppl):117–39.PubMedGoogle Scholar
  43. 43.
    Vercruyssen M, Marcelis K, Coucke W, Naert I, Quirynen M. Long-term, retrospective evaluation (implant and patient-centred outcome) of the two-implants-supported overdenture in the mandible. Part 1: survival rate. Clin Oral Implants Res. 2010;21(4):357–65.CrossRefPubMedGoogle Scholar
  44. 44.
    Meijer HJ, Raghoebar GM, Batenburg RH, Visser A, Vissink A. Mandibular overdentures supported by two or four endosseous implants: a 10-year clinical trial. Clin Oral Implants Res. 2009;20(7):722–8.CrossRefPubMedGoogle Scholar
  45. 45.
    Jemt T, Chai J, Harnett J, Heath MR, Hutton JE, Johns RB, et al. A 5-year prospective multicenter follow-up report on overdentures supported by osseointegrated implants. Int J Oral Maxillofac Implants. 1996;11(3):291–8.PubMedGoogle Scholar
  46. 46.
    van Steenberghe D, Quirynen M, Naert I, Maffei G, Jacobs R. Marginal bone loss around implants retaining hinging mandibular overdentures, at 4-, 8- and 12-years follow-up. J Clin Periodontol. 2001;28(7):628–33.CrossRefPubMedGoogle Scholar
  47. 47.
    Montes CC, Pereira FA, Thome G, Alves ED, Acedo RV, de Souza JR, et al. Failing factors associated with osseointegrated dental implant loss. Implant Dent. 2007;16(4):404–12.CrossRefPubMedGoogle Scholar
  48. 48.
    Wright PS, Glantz PO, Randow K, Watson RM. The effects of fixed and removable implant-stabilised prostheses on posterior mandibular residual ridge resorption. Clin Oral Implants Res. 2002;13(2):169–74.CrossRefPubMedGoogle Scholar
  49. 49.
    Bressan E, Tomasi C, Stellini E, Sivolella S, Favero G, Berglundh T. Implant-supported mandibular overdentures: a cross-sectional study. Clin Oral Implants Res. 2012;23(7):814–9.CrossRefPubMedGoogle Scholar
  50. 50.
    Davis DM, Packer ME, Watson RM. Maintenance requirements of implant-supported fixed prostheses opposed by implant-supported fixed prostheses, natural teeth, or complete dentures: a 5-year retrospective study. Int J Prosthodont. 2003;16(5):521–3.PubMedGoogle Scholar
  51. 51.
    Attard NJ, Zarb GA. Long-term treatment outcomes in edentulous patients with implant overdentures: the Toronto study. Int J Prosthodont. 2004;17(4):425–33.PubMedGoogle Scholar
  52. 52.
    Davis DM, Rogers JO, Packer ME. The extent of maintenance required by implant-retained mandibular overdentures: a 3-year report. Int J Oral Maxillofac Implants. 1996;11(6):767–74.PubMedGoogle Scholar
  53. 53.
    Tinsley D, Watson CJ, Russell JL. A comparison of hydroxylapatite coated implant retained fixed and removable mandibular prostheses over 4 to 6 years. Clin Oral Implants Res. 2001;12(2):159–66.CrossRefPubMedGoogle Scholar
  54. 54.
    Goodacre CJ, Bernal G, Rungcharassaeng K, Kan JY. Clinical complications with implants and implant prostheses. J Prosthet Dent. 2003;90(2):121–32.CrossRefPubMedGoogle Scholar
  55. 55.
    Naert IE, Hooghe M, Quirynen M, van Steenberghe D. The reliability of implant-retained hinging overdentures for the fully edentulous mandible. An up to 9-year longitudinal study. Clin Oral Investig. 1997;1(3):119–24.CrossRefPubMedGoogle Scholar
  56. 56.
    Akoglu B, Ucankale M, Ozkan Y, Kulak-Ozkan Y. Five-year treatment outcomes with three brands of implants supporting mandibular overdentures. Int J Oral Maxillofac Implants. 2011;26(1):188–94.PubMedGoogle Scholar
  57. 57.
    Heydecke G, Penrod JR, Takanashi Y, Lund JP, Feine JS, Thomason JM. Cost-effectiveness of mandibular two-implant overdentures and conventional dentures in the edentulous elderly. J Dent Res. 2005;84(9):794–9.CrossRefPubMedGoogle Scholar
  58. 58.
    Zitzmann NU, Marinello CP, Sendi P. A cost-effectiveness analysis of implant overdentures. J Dent Res. 2006;85(8):717–21.CrossRefPubMedGoogle Scholar
  59. 59.
    Zitzmann NU, Sendi P, Marinello CP. An economic evaluation of implant treatment in edentulous patients-preliminary results. Int J Prosthodont. 2005;18(1):20–7.PubMedGoogle Scholar
  60. 60.
    Attard NJ, Zarb GA, Laporte A. Long-term treatment costs associated with implant-supported mandibular prostheses in edentulous patients. Int J Prosthodont. 2005;18(2):117–23.PubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Restorative Dentistry, Faculty of DentistryUniversité de MontréalMontrealCanada
  2. 2.Department of Dental Clinical Sciences, Faculty of DentistryDalhousie UniversityHalifaxCanada

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