Abstract
Bar-retained tooth and implant-supported restorations are the most popular type of prosthetic treatment, and their relevance has increased due to advances in implantology. A bar attachment—as compared to a stud attachment such as a Locator, O-Ring, Ball, or Magnet—provides greater prosthesis stability (ideal for a patient with a flat or atrophied residual ridge), splinting of questionable implants (ideal for the more porous bone in the maxillae), and will readily compensate for divergent implants. This type of attachment is commonly used for overdentures (tooth/implant overdenture) if adequate vertical space is available, and patients can have good oral hygiene. Bar attachment may be rigid or resilient, permitting free movement of the prosthesis to direct forces away from the retaining abutments to the supportive bone and tissue. An overdenture bar provides between 60% and 90% of functional capacity. Bars have the secondary benefit of splinting the abutments together, which helps to protect weak implants/roots and is often indicated in the softer bone of the maxilla. Bars can also accommodate extremely divergent implants/roots. Also, bar attachments reduce the lever force on the teeth, as they are placed close to the alveolar bone and close to the rotation point on the tooth.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Further Reading
Abdel-Khalek EA, Ibrahim AM. Effect of bar cross-section and female housing material on retention of mandibular implant bar overdentures: a comparative in vitro study. J Indian Prosthodont Soc. 2017;17:340–7.
Bambara EG. The attachment retained overdenture. NYSDJ. 2004;70:30–3.
Bassi F. Comparing overdenture therapies with teeth and implant abutments. Int J Prosthodont. 2009;22:527–48.
Becerra G, MacEntee M. A classification of precision attachments. J Prosthet Dent. 1987;58:322–7.
Brewer AA, Morrow RM. Overdentures. 2nd ed. St. Louis, MO: CV Mosby Co; 1980.
Crum RJ, Rooney GEJR. Alveolar bone loss in overdentures; a 5-year study. J Prosthet Dent. 1978;40:610–3.
Dodge CA. Prevention of complete denture problems by use of “Overdenture”. J Prosthet Dent. 1973;30:403–36.
Dolder EJ. The bar joint mandibular denture. J Prosthet Dent. 1961;11:689–707.
Dong J, İkebe K, Gonda T, Nokubi T. Influence of abutment height on the strain in a mandibular overdenture. J Oral Rehabil. 2006;33:594–9.
dos Santos MB, Caldas RA, Zen BM, Bacchi A, Correr-Sobrinho L. Adaptation of the overdenture-bars cast in different metals and their influence on the stress distribution: a laboratory and 3D FEA. J Biomech. 2015;48:8–13.
English CE. Bar patterns in implant prosthodontics. Implant Dent. 1994;3:217–29.
Evans DB, Koeppen RG. Bar attachments for overdentures with nonparallel abutments. J Prosthet Dent. 1992;68:6–11.
Alfred GH, Kundert M, Charles KC. Complete denture and overdenture prosthetics. New York: Thieme Medical Publishers Inc.; 1993.
Gotfredsen K, Holm B. Implant-supported mandibular overdentures retained with a ball or bar attachments: a randomized prospective 5-year. Int J Prosthodont. 2000;13:125–30.
Marquardt GL. Dolder bar joint mandibular overdenture: a technique for nonparallel abutment teeth. J Prosthet Dent. 1976;36:101–11.
Mensor MC. Removable partial overdentures with mechanical (precision) attachments. Dent Clin N Am. 1990;34:669–81.
Mericske-Stern R, Piotti M, Sirtes G. 3-D in vivo force measurements on mandibular implants supporting Overdentures. Clin Oral Implants Res. 1996;7:387–96.
Morrow RM, Feldmann EE, Rudd KD, Trovillion HM. Tooth-supported complete dentures. Approach to preventive prosthodontics. J Prosthet Dent. 1969;21:513–22.
Pacer FJ, Bowman C. Occlusal force discrimination by denture patients. J Prosthet Dent. 1975;33:602–9.
Pavlatos J. Root-supported overdentures. CDS Rev. 1998;91:20–5.
Preiskel HW. Overdentures made easy: a guide to implant and root supported prostheses. Chicago, IL: Quintessence; 1999. p. 189–232.
Reitz PV, Weiner MG, Levin B. An overdenture survey: preliminary report. J Prosthet Dent. 1977;37:246–58.
Rissin L, House JE, Manly RS, Kapur KK. Clinical comparison of the masticatory performance and electromyographic activity of patients with complete dentures, overdentures, and natural teeth. J Prosthet Dent. 1978;39:508–11.
Rudd K, Morrow R. Rhoads J Dental laboratory procedures Removable partial dentures, vol. 3. 2nd ed. St. Luis, MO: Mosby; 1985. p. 609–23.
Rutkunas V, Mizutani A, Takahashi H. Wear simulation effects on overdentures stud attachments. Dent Mater J. 2011;30:845–53.
Rutkunas V, Mizutani H, Takahashi H. Evaluation of stable retentive properties of overdentures attachments. Baltic Dent Maxillofac J. 2005;7:115–20.
Samra RK, Bhide SV, Goyal C, Kaur T. Tooth supported overdenture: a concept overshadowed but not yet forgotten! J Oral Res Rev. 2015;7:16–21.
Schuch C, Pinheiro de Moraes A, Onofre RS, Cenci TP, Boscato N. An alternative method for the fabrication of a root-supported overdenture: a clinical report. J Prosthet Dent. 2013;109:1–4.
Shah FK, Gebreel A, Elshokouki A, Habib AA, Porwal A. Comparison of the immediate complete denture, tooth and implant-supported overdenture on vertical dimension and muscle activity. J Adv Prosthodont. 2012;4:61–71.
Sposetti VJ, Gibbs CH, Alderson TH, Jaggers JH, Richmond A, Conlon M, Nickerson DM. Bite force and muscle activity in overdenture wearers before and after attachment placement. J Prosthet Dent. 1986;55:265–73.
Tanoue M, Kanazawa M, Takeshita S, Minakuchi S. Effects of clip materials on stress distribution to maxillary implant overdentures with bar attachments. J Prosthet Dent. 2016;115:283–9.
Thayer HH, Caputo AA. Photoelastic stress analysis of overdenture attachments. J Prosthet Dent. 1980;43:611–7.
Van Waas MA, Jonkman RE, Kalk W, Van’t Hof MA, Plooij J, Van Os JH. Differences two years after tooth extraction in a mandibular bone reduction in patients treated with immediate overdentures or with immediate complete dentures. J Dent Res. 1993;72:1001–4.
Wang X, Ohkubo C, Hosoi T, Shimpo H, Kurihara D, Murata T. Retentive forces of 3 types of attachments for root-retained overdentures. Prosthodont Res Pract. 2007;6:104–8.
Williamson RT. Retentive bar overdenture fabrication with preformed castable components: a case report. Quintessence Int. 1994;25:389–94.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
Aslan, Y.U. (2023). Bar Attachments Used in Tooth-Supported Overdentures. In: Özkan, Y. (eds) Treatment Options Before and After Edentulism. Springer, Cham. https://doi.org/10.1007/978-3-031-37582-8_4
Download citation
DOI: https://doi.org/10.1007/978-3-031-37582-8_4
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-37581-1
Online ISBN: 978-3-031-37582-8
eBook Packages: MedicineMedicine (R0)