Skip to main content
SpringerLink
Log in

Clinical Outcomes

  • Chapter
  • First Online:
Mandibular Implant Prostheses

  • 1182 Accesses

Abstract

The clinical outcomes of implant-retained overdentures can be depicted in several ways. Perhaps the most intuitive manner is to classify each implant and prosthesis as successful or not. Treating edentulous patients with implants will also place them at risk of certain problems, including prosthetic complications and unfavorable soft and hard tissue responses. These adverse events add to those already expected following conventional denture treatment. In this chapter, the main success criteria for implants are described. Success rates are provided for the main treatment methods based on mandibular overdentures retained by different attachments and implant numbers. Some eventual complications and maintenance events are also described, including changes in the peri-implant complex and supporting tissues. The chapter also reviews the maintenance of overdentures per se, including attachments and other prosthetic parts.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Feine JS, Carlsson GE, Awad MA, Chehade A, Duncan WJ, Gizani S, Head T, Heydecke G, Lund JP, MacEntee M, Mericske-Stern R, Mojon P, Morais JA, Naert I, Payne AG, Penrod J, Stoker GT, Tawse-Smith A, Taylor TD, Thomason JM, Thomson WM, Wismeijer D. The McGill consensus statement on overdentures. Mandibular two-implant overdentures as first choice standard of care for edentulous patients. Gerodontology. 2002;19(1):3–4.

    Article  PubMed  Google Scholar 

  2. Thomason JM, Feine J, Exley C, Moynihan P, Müller F, Naert I, Ellis JS, Barclay C, Butterworth C, Scott B, Lynch C, Stewardson D, Smith P, Welfare R, Hyde P, McAndrew R, Fenlon M, Barclay S, Barker D. Mandibular two implant-supported overdentures as the first choice standard of care for edentulous patients--the York consensus statement. Br Dent J. 2009;207(4):185–6.

    Article  PubMed  Google Scholar 

  3. van der Wijk P, Bouma J, van Waas MA, van Oort RP, Rutten FF. The cost of dental implants as compared to that of conventional strategies. Int J Oral Maxillofac Implants. 1998;13(4):546–53.

    PubMed  Google Scholar 

  4. Albrektsson T, Zarb G, Worthington P, Eriksson AR. The long-term efficacy of currently used dental implants: a review and proposed criteria of success. Int J Oral Maxillofac Implants. 1986;1(1):11–25.

    PubMed  Google Scholar 

  5. Buser D, Weber HP, Lang NP. Tissue integration of non-submerged implants. 1-year results of a prospective study with 100 ITI hollow-cylinder and hollow-screw implants. Clin Oral Implants Res. 1990;1(1):33–40.

    Article  PubMed  Google Scholar 

  6. Misch CE, Perel ML, Wang HL, Sammartino G, Galindo-Moreno P, Trisi P, Steigmann M, Rebaudi A, Palti A, Pikos MA, Schwartz-Arad D, Choukroun J, Gutierrez-Perez JL, Marenzi G, Valavanis DK. Implant success, survival, and failure: the international congress of oral Implantologists (ICOI) Pisa Consensus conference. Implant Dent. 2008;17(1):5–15.

    Article  PubMed  Google Scholar 

  7. Papaspyridakos P, Chen CJ, Singh M, Weber HP, Gallucci GO. Success criteria in implant dentistry: a systematic review. J Dent Res. 2012;91(3):242–8.

    Article  PubMed  Google Scholar 

  8. Quirynen M, Naert I, van Steenberghe D, Teerlinck J, Dekeyser C, Theuniers G. Periodontal aspects of osseointegrated fixtures supporting an overdenture. A 4-year retrospective study. J Clin Periodontol. 1991;18(10):719–28.

    Article  PubMed  Google Scholar 

  9. Naert I, Quirynen M, Hooghe M, van Steenberghe DA. Comparative prospective study of splinted and unsplinted Brånemark implants in mandibular overdenture therapy: a preliminary report. J Prosthet Dent. 1994;71(5):486–92.

    Article  PubMed  Google Scholar 

  10. Stoumpis C, Kohal RJ. To splint or not to splint oral implants in the implant-supported overdenture therapy? A systematic literature review. J Oral Rehabil. 2011;38(11):857–69.

    Article  PubMed  Google Scholar 

  11. Ferrigno N, Laureti M, Fanali S, Grippaudo G. A long-term follow-up study of non-submerged ITI implants in the treatment of totally edentulous jaws. Part I: ten-year life table analysis of a prospective multicenter study with 1286 implants. Clin Oral Implants Res. 2002;13(3):260–73.

    Article  PubMed  Google Scholar 

  12. Dantas IS, Souza MB, Morais MH, Carreiro AF, Barbosa GA. Success and survival rates of mandibular overdentures supported by two or four implants: a systematic review. Braz Oral Res. 2014;28:74–80.

    Google Scholar 

  13. de Souza RF, Ribeiro AB, Della Vecchia MP, Costa L, Cunha TR, Reis AC, Albuquerque RF Jr. Mini vs. standard implants for mandibular overdentures: a randomized trial. J Dent Res. 2015;94(10):1376–84.

    Article  PubMed  Google Scholar 

  14. Srinivasan M, Makarov NA, Herrmann FR, Müller F. Implant survival in 1- versus 2-implant mandibular overdentures: a systematic review and meta-analysis. Clin Oral Implants Res. 2016;27(1):63–72.

    Article  PubMed  Google Scholar 

  15. Öwall B, Käyser AF, Carlsson GE. Prosthodontics: principles and management strategies. London: Mosby-Wolfe; 1996.

    Google Scholar 

  16. Andreiotelli M, Att W, Strub JR. Prosthodontic complications with implant overdentures: a systematic literature review. Int J Prosthodont. 2010;23(3):195–203.

    PubMed  Google Scholar 

  17. Kim HY, Lee JY, Shin SW, Bryant SR. Attachment systems for mandibular implant overdentures: a systematic review. J Adv Prosthodont. 2012;4(4):197–203.

    Article  PubMed Central  PubMed  Google Scholar 

  18. 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.

    Article  PubMed  Google Scholar 

  19. Raedel M, Lazarek-Scholz K, Marré B, Boening KW, Walter MH. Posterior alveolar ridge resorption in bar-retained mandibular overdentures: 10-year results of a prospective clinical trial. Clin Oral Implants Res. 2015;26(12):1397–401.

    Article  PubMed  Google Scholar 

  20. Carlsson GE. Implant and root supported overdentures - a literature review and some data on bone loss in edentulous jaws. J Adv Prosthodont. 2014;6(4):245–52.

    Article  PubMed Central  PubMed  Google Scholar 

  21. Gotfredsen K, Holm B. Implant-supported mandibular overdentures retained with ball or bar attachments: a randomized prospective 5-year study. Int J Prosthodont. 2000;13(2):125–30.

    PubMed  Google Scholar 

  22. Cloutier M, Charles M, Carmichael RP, Sándor GK. An analysis of peripheral giant cell granuloma associated with dental implant treatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;103(5):618–22.

    Article  PubMed  Google Scholar 

  23. Dojcinovic I, Richter M, Lombardi T. Occurrence of a pyogenic granuloma in relation to a dental implant. J Oral Maxillofac Surg. 2010;68(8):1874–6.

    Article  PubMed  Google Scholar 

  24. dos Reis AC, León JE, Ribeiro AB, Della Vecchia MP, Cunha TR, de Souza RF. Traumatic ulcerative granuloma with stromal eosinophilia around mini dental implants without the protection of a denture base. J Prosthodont. 2015;24(1):83–6.

    Article  PubMed  Google Scholar 

  25. Agostini T, Sacco R, Bertolai R, Acocella A, Colafranceschi M, Lazzeri D. Peri-implant squamous odontogenic tumor. J Craniofac Surg. 2011;22(3):1151–7.

    Article  PubMed  Google Scholar 

  26. Payne AG, Tawse-Smith A, Duncan WD, Kumara R. Conventional and early loading of unsplinted ITI implants supporting mandibular overdentures. Clin Oral Implants Res. 2002;13(6):603–9.

    Article  PubMed  Google Scholar 

  27. Romeo E, Chiapasco M, Lazza A, Casentini P, Ghisolfi M, Iorio M, Vogel G. Implant-retained mandibular overdentures with ITI implants. Clin Oral Implants Res. 2002;13(5):495–501.

    Article  PubMed  Google Scholar 

  28. Albrektsson T, Dahlin C, Jemt T, Sennerby L, Turri A, Wennerberg A. Is marginal bone loss around oral implants the result of a provoked foreign body reaction? Clin Implant Dent Relat Res. 2014;16(2):155–65.

    Article  PubMed  Google Scholar 

  29. Smeets R, Henningsen A, Jung O, Heiland M, Hammächer C, Stein JM. Definition, etiology, prevention and treatment of peri-implantitis – a review. Head Face Med. 2014;10(34)

    Google Scholar 

  30. Koka S, Zarb G. On osseointegration: the healing adaptation principle in the context of osseosufficiency, osseoseparation, and dental implant failure. Int J Prosthodont. 2012;25(1):48–52.

    PubMed  Google Scholar 

  31. Chaves CAL, de Souza RF, Cunha TR, Della Vecchia MP, Ribeiro AB, Bruniera JF, Silva-Sousa YT. Preliminary in vitro study on O-ring wear in mini-implant retained overdentures. Int J Prosthodont. 2016;29(4):357–9.

    Article  PubMed  Google Scholar 

  32. Bryant SR, Walton JN, MacEntee MI. A 5-year randomized trial to compare 1 or 2 implants for implant overdentures. J Dent Res. 2015;94(1):36–43.

    Article  PubMed  Google Scholar 

  33. Cristache CM, Muntianu LA, Burlibasa M, Didilescu AC. Five-year clinical trial using three attachment systems for implant overdentures. Clin Oral Implants Res. 2014;25(2):e171–8.

    Article  PubMed  Google Scholar 

  34. Gonda T, Maeda Y, Walton JN, MacEntee MI. Fracture incidence in mandibular overdentures retained by one or two implants. J Prosthet Dent. 2010;103(3):178–81.

    Article  PubMed  Google Scholar 

  35. MacEntee MI, Walton JN, Glick N. A clinical trial of patient satisfaction and prosthodontic needs with ball and bar attachments for implant-retained complete overdentures: three-year results. J Prosthet Dent. 2005;93(1):28–37.

    Article  PubMed  Google Scholar 

  36. Fontijn-Tekamp FA, Slagter AP, van't Hof MA, Geertman ME, Kalk W. Bite forces with mandibular implant-retained overdentures. J Dent Res. 1998;77(10):1832–9.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Division of Oral Health and Society, Faculty of Dentistry, McGill University, Montreal, QC, Canada

    Raphael F. de Souza D.D.S., M.Sc., Ph.D.

  2. Department of Dental Materials and Prosthetics, School of Dentistry of Ribeirao Preto, University of Sao Paulo, Ribeirao Preto, SP, Brazil

    Raphael F. de Souza D.D.S., M.Sc., Ph.D.

Authors
  1. Raphael F. de Souza D.D.S., M.Sc., Ph.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Faculty of Dentistry, McGill University, Montréal, Québec, Canada

    Elham Emami

  2. Faculty of Dentistry, McGill University, Montréal, Québec, Canada

    Jocelyne Feine

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

de Souza, R.F. (2018). Clinical Outcomes. In: Emami, E., Feine, J. (eds) Mandibular Implant Prostheses. Springer, Cham. https://doi.org/10.1007/978-3-319-71181-2_16

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-71181-2_16

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-71179-9

  • Online ISBN: 978-3-319-71181-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation