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The single midline implant in the edentulous mandible: a systematic review

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Abstract

Objectives

The concept of a single midline implant retaining a complete mandibular denture is controversially discussed among experts. Studies are rare in the literature, and commonly accepted recommendations for this treatment options are not available. This systematic literature review was performed to give an overview over the current literature on the single midline implant therapy for the edentulous mandible and to reveal whether this treatment option might be an alternative to commonly accepted treatment modalities with more implants.

Methods

A review of the literature published until 24th of May 2013 was conducted to identify in vivo studies on the single midline implant concept with a mean follow-up time of at least 3 months.

Results

From the electronic search, 11 studies were finally included. After an observation period of 3–60 months, the implant survival rate ranged from 62.5 to 100 %. The most frequent prosthetic maintenance intervention was “activation of the matrix” followed by “repair of fractured denture base.”

Conclusions

The concept of one single midline implant to retain a mandibular complete denture can be an alternative, especially for elderly patients. Immediate loading of the implants should be avoided, and the way of integrating the matrix into the denture base should be carefully considered.

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References

  1. Walton JN, Glick N, Macentee MI (2009) A randomized clinical trial comparing patient satisfaction and prosthetic outcomes with mandibular overdentures retained by one or two implants. Int J Prosthodont 22:331–339

    PubMed  Google Scholar 

  2. Zitzmann NU, Hagmann E, Weiger R (2007) What is the prevalence of various types of prosthetic dental restorations in Europe? Clin Oral Implants Res 18(Suppl 3):20–33

    Article  PubMed  Google Scholar 

  3. Moynihan P, Thomason M, Walls A, Gray-Donald K, Morais JA, Ghanem H, Wollin S, Ellis J, Steele J, Lund J, Feine J (2009) Researching the impact of oral health on diet and nutritional status: methodological issues. J Dent 37:237–249

    Article  PubMed  Google Scholar 

  4. Fiske J, Davis DM, Frances C, Gelbier S (1998) The emotional effects of tooth loss in edentulous people. Br Dent J 184:90–93, discussion 79

    Article  PubMed  Google Scholar 

  5. Feine JS, Carlsson GE, Awad MA, Chehade A, Duncan WJ, Gizani S, Head T, Lund JP, MacEntee M, Mericske-Stern R, Mojon P, Morais J, Naert I, Payne AG, Penrod J, Stoker GT, Tawse-Smith A, Taylor TD, Thomason JM, Thomson WM, Wismeijer D (2002) The McGill consensus statement on overdentures. Mandibular two-implant overdentures as first choice standard of care for edentulous patients. Montreal, Quebec, May 24-25, 2002. Int J Oral Maxillofac Implants 17:601–602

    PubMed  Google Scholar 

  6. Bergendal T, Engquist B (1998) Implant-supported overdentures: a longitudinal prospective study. Int J Oral Maxillofac Implants 13:253–262

    PubMed  Google Scholar 

  7. Feine JS, de Grandmont P, Boudrias P, Brien N, LaMarche C, Tache R, Lund JP (1994) Within-subject comparisons of implant-supported mandibular prostheses: choice of prosthesis. J Dent Res 73:1105–1111

    PubMed  Google Scholar 

  8. Gotfredsen K, Holm B (2000) Implant-supported mandibular overdentures retained with ball or bar attachments: a randomized prospective 5-year study. Int J Prosthodont 13:125–130

    PubMed  Google Scholar 

  9. Feine JS, Maskawi K, de Grandmont P, Donohue WB, Tanguay R, Lund JP (1994) Within-subject comparisons of implant-supported mandibular prostheses: evaluation of masticatory function. J Dent Res 73:1646–1656

    PubMed  Google Scholar 

  10. Kronstrom M, Davis B, Loney R, Gerrow J, Hollender L (2010) A prospective randomized study on the immediate loading of mandibular overdentures supported by one or two implants: a 12-month follow-up report. Int J Oral Maxillofac Implants 25:181–188

    PubMed  Google Scholar 

  11. Marcus SE, Kaste LM, Brown LJ (1994) Prevalence and demographic correlates of tooth loss among the elderly in the United States. Spec Care Dentist 14:123–127

    Article  PubMed  Google Scholar 

  12. Cordioli GP (1993) Mandibular overdentures supported by a single implant. Minerva Stomatol 42:469–473

    PubMed  Google Scholar 

  13. Cordioli G, Majzoub Z, Castagna S (1997) Mandibular overdentures anchored to single implants: a five-year prospective study. J Prosthet Dent 78:159–165

    Article  PubMed  Google Scholar 

  14. Needleman IG (2002) A guide to systematic reviews. J Clin Periodontol 29(Suppl 3):6–9, discussion 37-8

    Article  PubMed  Google Scholar 

  15. Harder S, Wolfart S, Egert C, Kern M (2011) Three-year clinical outcome of single implant-retained mandibular overdentures—results of preliminary prospective study. J Dent 39:656–661

    Article  PubMed  Google Scholar 

  16. El-Sheikh AM, Shihabuddin OF, Ghoraba SM (2012) A prospective study of early loaded single implant-retained mandibular overdentures: preliminary one-year results. Int J Dent 2012:236409

    PubMed Central  PubMed  Google Scholar 

  17. Krennmair G, Ulm C (2001) The symphyseal single-tooth implant for anchorage of a mandibular complete denture in geriatric patients: a clinical report. Int J Oral Maxillofac Implants 16:98–104

    PubMed  Google Scholar 

  18. Liddelow G, Henry P (2010) The immediately loaded single implant-retained mandibular overdenture: a 36-month prospective study. Int J Prosthodont 23:13–21

    PubMed  Google Scholar 

  19. Alsabeeha NH, Payne AG, De Silva RK, Thomson WM (2011) Mandibular single-implant overdentures: preliminary results of a randomised-control trial on early loading with different implant diameters and attachment systems. Clin Oral Implants Res 22:330–337

    Article  PubMed  Google Scholar 

  20. Gonda T, Maeda Y, Walton JN, MacEntee MI (2010) Fracture incidence in mandibular overdentures retained by one or two implants. J Prosthet Dent 103:178–181

    Article  PubMed  Google Scholar 

  21. Cheng T, Sun G, Huo J, He X, Wang Y, Ren YF (2012) Patient satisfaction and masticatory efficiency of single implant-retained mandibular overdentures using the stud and magnetic attachments. J Dent 40:1018–1023

    Article  PubMed  Google Scholar 

  22. Grover M, Vaidyanathan AK, Veeravalli PT (2013) OHRQoL, masticatory performance and crestal bone loss with single-implant, magnet-retained mandibular overdentures with conventional and shortened dental arch. Clin Oral Implants Res. doi:10.1111/clr.12111

    PubMed  Google Scholar 

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

    PubMed  Google Scholar 

  24. Alsabeeha N, Payne AG, De Silva RK, Swain MV (2009) Mandibular single-implant overdentures: a review with surgical and prosthodontic perspectives of a novel approach. Clin Oral Implants Res 20:356–365

    Article  PubMed  Google Scholar 

  25. Wolfart S, Braasch K, Brunzel S, Kern M (2008) The central single implant in the edentulous mandible: improvement of function and quality of life. A report of 2 cases. Quintessence Int 39:541–548

    PubMed  Google Scholar 

  26. Schneider GB, Synan WJ (2011) Use of a single implant to retain a mandibular overdenture on the compromised atrophic alveolar ridge: a case report. Spec Care Dentist 31:138–142

    Article  PubMed  Google Scholar 

  27. Maeda Y, Horisaka M, Yagi K (2008) Biomechanical rationale for a single implant-retained mandibular overdenture: an in vitro study. Clin Oral Implants Res 19:271–275

    Article  PubMed  Google Scholar 

  28. Yokoyama S, Wakabayashi N, Shiota M, Ohyama T (2005) Stress analysis in edentulous mandibular bone supporting implant-retained 1-piece or multiple superstructures. Int J Oral Maxillofac Implants 20:578–583

    PubMed  Google Scholar 

  29. Alsabeeha NH, Swain MV, Payne AG (2011) Clinical performance and material properties of single-implant overdenture attachment systems. Int J Prosthodont 24:247–254

    PubMed  Google Scholar 

  30. Liddelow GJ, Henry PJ (2007) A prospective study of immediately loaded single implant-retained mandibular overdentures: preliminary one-year results. J Prosthet Dent 97:S126–S137

    Article  PubMed  Google Scholar 

  31. Alsabeeha NH, De Silva RK, Thomson WM, Payne AG (2010) Primary stability measurements of single implants in the midline of the edentulous mandible for overdentures. Clin Oral Implants Res 21:563–566

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Prosthodontics, Propaedeutics and Dental Materials, School of Dentistry, Christian-Albrechts University, Arnold-Heller-Str. 16, 24105, Kiel, Germany

    Nicole Passia & Matthias Kern

Authors
  1. Nicole Passia
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  2. Matthias Kern
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Correspondence to Nicole Passia.

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Passia, N., Kern, M. The single midline implant in the edentulous mandible: a systematic review. Clin Oral Invest 18, 1719–1724 (2014). https://doi.org/10.1007/s00784-014-1248-8

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  • DOI: https://doi.org/10.1007/s00784-014-1248-8

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