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Bar Attachments Used in Tooth-Supported Overdentures

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Treatment Options Before and After Edentulism
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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.

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Further Reading

  1. 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.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Bambara EG. The attachment retained overdenture. NYSDJ. 2004;70:30–3.

    PubMed  Google Scholar 

  3. Bassi F. Comparing overdenture therapies with teeth and implant abutments. Int J Prosthodont. 2009;22:527–48.

    PubMed  Google Scholar 

  4. Becerra G, MacEntee M. A classification of precision attachments. J Prosthet Dent. 1987;58:322–7.

    Article  PubMed  Google Scholar 

  5. Brewer AA, Morrow RM. Overdentures. 2nd ed. St. Louis, MO: CV Mosby Co; 1980.

    Google Scholar 

  6. Crum RJ, Rooney GEJR. Alveolar bone loss in overdentures; a 5-year study. J Prosthet Dent. 1978;40:610–3.

    Article  PubMed  Google Scholar 

  7. Dodge CA. Prevention of complete denture problems by use of “Overdenture”. J Prosthet Dent. 1973;30:403–36.

    Article  PubMed  Google Scholar 

  8. Dolder EJ. The bar joint mandibular denture. J Prosthet Dent. 1961;11:689–707.

    Article  Google Scholar 

  9. 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.

    Article  PubMed  Google Scholar 

  10. 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.

    Article  PubMed  Google Scholar 

  11. English CE. Bar patterns in implant prosthodontics. Implant Dent. 1994;3:217–29.

    Article  PubMed  Google Scholar 

  12. Evans DB, Koeppen RG. Bar attachments for overdentures with nonparallel abutments. J Prosthet Dent. 1992;68:6–11.

    Article  PubMed  Google Scholar 

  13. Alfred GH, Kundert M, Charles KC. Complete denture and overdenture prosthetics. New York: Thieme Medical Publishers Inc.; 1993.

    Google Scholar 

  14. 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.

    PubMed  Google Scholar 

  15. Marquardt GL. Dolder bar joint mandibular overdenture: a technique for nonparallel abutment teeth. J Prosthet Dent. 1976;36:101–11.

    Article  PubMed  Google Scholar 

  16. Mensor MC. Removable partial overdentures with mechanical (precision) attachments. Dent Clin N Am. 1990;34:669–81.

    Article  PubMed  Google Scholar 

  17. 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.

    Article  PubMed  Google Scholar 

  18. Morrow RM, Feldmann EE, Rudd KD, Trovillion HM. Tooth-supported complete dentures. Approach to preventive prosthodontics. J Prosthet Dent. 1969;21:513–22.

    Article  PubMed  Google Scholar 

  19. Pacer FJ, Bowman C. Occlusal force discrimination by denture patients. J Prosthet Dent. 1975;33:602–9.

    Article  PubMed  Google Scholar 

  20. Pavlatos J. Root-supported overdentures. CDS Rev. 1998;91:20–5.

    PubMed  Google Scholar 

  21. Preiskel HW. Overdentures made easy: a guide to implant and root supported prostheses. Chicago, IL: Quintessence; 1999. p. 189–232.

    Google Scholar 

  22. Reitz PV, Weiner MG, Levin B. An overdenture survey: preliminary report. J Prosthet Dent. 1977;37:246–58.

    Article  PubMed  Google Scholar 

  23. 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.

    Article  PubMed  Google Scholar 

  24. Rudd K, Morrow R. Rhoads J Dental laboratory procedures Removable partial dentures, vol. 3. 2nd ed. St. Luis, MO: Mosby; 1985. p. 609–23.

    Google Scholar 

  25. Rutkunas V, Mizutani A, Takahashi H. Wear simulation effects on overdentures stud attachments. Dent Mater J. 2011;30:845–53.

    Article  PubMed  Google Scholar 

  26. Rutkunas V, Mizutani H, Takahashi H. Evaluation of stable retentive properties of overdentures attachments. Baltic Dent Maxillofac J. 2005;7:115–20.

    Google Scholar 

  27. 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.

    Article  Google Scholar 

  28. 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.

    Article  PubMed  Google Scholar 

  29. 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.

    Article  PubMed  PubMed Central  Google Scholar 

  30. 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.

    Article  PubMed  Google Scholar 

  31. 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.

    Article  PubMed  Google Scholar 

  32. Thayer HH, Caputo AA. Photoelastic stress analysis of overdenture attachments. J Prosthet Dent. 1980;43:611–7.

    Article  PubMed  Google Scholar 

  33. 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.

    Article  PubMed  Google Scholar 

  34. 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.

    Article  Google Scholar 

  35. Williamson RT. Retentive bar overdenture fabrication with preformed castable components: a case report. Quintessence Int. 1994;25:389–94.

    PubMed  Google Scholar 

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Correspondence to Yılmaz Umut Aslan .

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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

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  • DOI: https://doi.org/10.1007/978-3-031-37582-8_4

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