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NOVEL TREATMENT MODALITY OF IMPLANT-RETAINED OVERDENTURE FOR IMMEDIATE FUNCTION IN COMPLETELY EDENTULOUS PATIENTS  

Kim, Jang-Wook (Deptartment of Prothodontics, School of Dentistry, Kyung Hee University)
Kim, Hyeong-Seob (Deptartment of Prothodontics, School of Dentistry, Kyung Hee University)
Baik, Jin (Deptartment of Prothodontics, School of Dentistry, Kyung Hee University)
Kwon, Kung-Rock (Deptartment of Prothodontics, School of Dentistry, Kyung Hee University)
Publication Information
The Journal of Korean Academy of Prosthodontics / v.45, no.1, 2007 , pp. 34-47 More about this Journal
Abstract
Statement of problem: Conventional mandibular complete denture lacks in support and stability for edentulous patients to use. Purpose: To enhance support and stability of mandibular complete denture, 2 implants were inserted on the inter-mental foramina space of edentulous patients. With 2 magnetic attachments on the inner side of the overdenture, we gave immediate loads and evaluated the stability of the implants, the responses of the supporting tissues, and the satisfaction of the patients. Material & methods: 6 edentulous patients (5 male, 1 female) each recieved 2 SLA implants in the inter-mental foramina region and implants were immediately loaded with overdenture with magnet attachments. To evaluate the implants stability and the peri-implant tissues, clinical exams, RFA tests and radiographic exams were preformed at the 1 week, 2wks, 6wks, 12wks, and 24wks. post- surgery. Results: The mean surgery time was $45.7{\pm}7.7mins$., while the denture delivery time was $45.5{\pm}12.6mins$. Only 2 of 14 implants were failed. Survived implants that remained were clincally and radiographically stable. Mean ISQ values were relatively stable, showing $69.71{\pm}5.55$, $69.00{\pm}9.48$, $67.92{\pm}7.86$, $67.92{\pm}9.58$, $70.08{\pm}7.61$, $71.92{\pm}6.43$ at the 1 wk, 2 wks, 6 wks, 12 wks, 24 wks. follow up check. Crestal bone changes were $-1.18mm{\pm}0.68mm$, $-1.35{\pm}0.69mm$, $-1.47{\pm}0.68mm$ at the 6wks, 12wks, 24wks. follow up check. Bleeding on probing(BOP index) was not significant. Conclusion: Mandibular ovedentures with 2 magnetic attachments over two interforaminal implants on edentulous patients for immediate function is a recommendable novel treatment for edentulous patients which shows stability on the implants and supporting tissue.
Keywords
Completely edentulous patients; Implant-retained Mandibular ovedentures; Magnetic attachments; Immediate function;
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1 Payne AGT, Solomons YF, Lownie JF, Tawse-Smith A. Inter-abutment and periabutment mucosal enlargement withmandibular implant overdentures. Review article. Clin Oral Implants Res 2001;12:179-187   DOI   ScienceOn
2 Cox JF, Zarb GA. The longitudinal clinical efficacy of osseointegrated implants: a 3-year report. Int J Oral Maxillofac Implants 1987;2:91-100   PUBMED
3 Rungcharassaeng K, Lozada JL, Kan JYK, Kim JS, Campagni WV, Munoz CA. Peri-implant tissue response of immediately loaded, threaded, HA-coated implants: 1-year results. J Prosthet Dent 2002; 87:173-181   DOI   ScienceOn
4 Warren P, Chaffee N, Felton DA, Cooper LF. A Retrospective Radiographic Analysis of Bone Loss Following Placement of $TiO_2$ Grit. Blasted Implants in the Posterior Maxilla and Mandible. Int J Oral Maxillofac Implants 2002;17:399-404
5 Tabert WJ, Boone M, Schmidt NF. Effect of a denture dislodgement during mastication. J Prosthet Dent 1980;44:374- 378   DOI   ScienceOn
6 Ledermann PD. Sechsjarige klin ische Erfahrungmitdem titanplasm abe schichteten ITI-Schraubenim -plantatin der Regio Interforaminalis desUnterkiefers. Schweiz Monatsschr Zahnmed 1983;93:1080-1089
7 Raghoebar GM, Meijer HJ, Stengenga B, van't Hof MA, Van Oort RP, Visink A. Effectiveness of three treatment modalities for the edentulous mandible. A five-year randomized clinical trial. Clin oral Implants Res 2000;11:195-201   DOI   ScienceOn
8 Burns DR, Unger JW, Sewerin I, Elswick RK, Beck DA. Prospective clinical evaluation of mandibular implant overdentures: Part I. Retention, stability and tissue response. J Prosthet Dent 1995; 73:354-363   DOI   ScienceOn
9 Adell R, Lekholm U, Rockler B, Branemark PI. A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. Int J Oral surg 1981;10:389-398
10 Lum LB, Brein R, Curtis DA. Histologic evaluation of hydroxyapatite coated versus uncoated titanium blade implants in delayed and immediately loaded applications. Int J Oral Maxillofac Implants 1991;6:456-462   PUBMED
11 Tarnow DP, Emtiaz S, Classi A. Immediate loading of threaded implants at stage 1 surgery in edentulous arches: Ten consecutive case reports with 1 to 5 year data. Int J Oral Maxillofac Implants 1997;12:319-324
12 Maniatopoulos C, Pilliar RM, Smith D. Threaded versus porous-surfaced designs for implant stabilization in bone-endodontic implant model. J Biomed Mater Res 1986;20:1309-1333   DOI   ScienceOn
13 Bragger U, Burgin W, Hammerle CHF, Lang NP. Associations between clinical parameters assessed around implants and teeth. Clin Oral Implants Res 1997;8:412- 421   DOI   ScienceOn
14 Smith DE, Zarb GA. Criteria for success of osseointegrated endosseous implants. J Prosthet Dent 1989;62:567-72   DOI   ScienceOn
15 Mericske-stern R. Force distribution on implant supporting overdentures: the effect of distal bar extensions: a 3-D in vivo study. Clin Oral Implants Res 1997: 8;142-151   DOI   PUBMED   ScienceOn
16 Pilliar RM, Lee JM, Maniatopoulos C. Observations on the effect of movement on bone ingrowth into porous surfaced implants. Clin Orthop Releat Res 1986; 208:108-113
17 Branemark PI, Hansson BO, Adell R, Breine U, Lindstro J, Hallen O, Ohman A. Osseointegrated implants in the treatment of the edentulous jaw. Experience froma 10-year period. Scand J Plast Reconstr Surg 1977;16:1-132
18 Heo SJ, Sennerby L, Odersjo M, Granstrom G, Tjellstrom A, Meredith N. Stability measurements of craniofacial implants by the means of resonance frequency analysis. A clinical pilot study. J Laryngol Otol 1998;112:537-542   PUBMED
19 Huang HM, Lee SY, Yeh CY, Lin CT. Resonance frequency assesment of dental implant stability with various bone qualities; a numerical approach. Clin Oral Implants Res 2002;13:65-74   DOI   ScienceOn
20 Schnitman PA. Ten-year results for Brnemark implants immediately loaded withfixed prostheses at implant placement. Int J Oral Maxillofac Implants. 1997;12:495-503
21 Babbusch CA, Kent J, Misiek D. Titanium plasmasprayed (TPS) screw implants for the reconstruction of the edentulous mandible. J Oral Maxillofac Surg 1986; 44:274-282   DOI   ScienceOn
22 Roynesdal AK, Amundrund B, Hannaes HR. A comparative clinical investigation of 2 early loaded ITI dental implants supporting an overdenture in the mandible. J Oral Maxillofac Implants 2001;16:246-250
23 Feine JS, Carlsson GE. Implant overdentures. The standard of care for edentulous patients. Quintessence Publishing Co. 2003:145-157
24 Lekholm U, Zarb GA. Patient selection and preparation. In: Branemark PI, Zarb GA, Albrektsson T. Tissue integrated prostheses - osseointegration in clinical dentistry. Quintessence Publishing Co. 1985
25 Cochran DL, Hermann JS, Schenk RK, Higginbottom FL, Buser D. Biologic width around titanuim implants. A histometric analysis of the implantogingival junction around unloaded and loaded nonsubmerged implants in the canine mandible. J Periodontol 1997;68:186-198   DOI   PUBMED   ScienceOn
26 Zarb GA. The edentulous mielieu. J Prosthet Dent 1983;49:825-831   DOI   ScienceOn
27 Salama H, Rose LF, Salama M, Betts NJ. Immediate loading of bilaterally splinted titanium root form implants in fixed prosthodontics- A technique reexamined: Two case reports. Int J Periodontics Restorative Dent 1995;15:345-361
28 Feine JS, Carlsson GE. Implant overdentures: The standard of care for edentulous patients. Quintessence Publishing Co. 2003:37-45
29 Barewal RM, Oates TW, Meredith N, Cochran DL. Resonance frequency measurement of implant stability in vivo on implants with a sandblated and acid-etched surface. J Oral Maxillofac Implants 2003; 18:641-650
30 Meredith N. Assessment of implant stability as a prognostic determinant. Int J Prosthodont 1998;11:491-501   PUBMED
31 Slade GD. Derivation and validation of a short-form oral health impact profile. Community Dent Oral Epidemiol 1997;25:284-90   DOI   ScienceOn
32 Branemark PI, Hansson BO, Adell R, et al. Osseointegrated implants in the treatment of the edentulous jaws, experience from a ten-year period. Scand J Plast Reconstr Surg 1977;16:1-132
33 Wilke HJ, Claes L, Steinemann SG. The influence of various titanium surfaces on the interface shear strength between implants and bone. In: Heimke G, Soltesz U, Lee AJC. Advance in biomaterials 1990; 9:309-314
34 Burns DR, Unger JW, Elswick RK, Beck DA. Prospective clinical evaluation of mandibular overdentures: Part II. Patient satisfaction and preference. J Prosthet Dent 1994;73:364-369
35 Meredith N, Alleyne D, Cawley P. Quantitative determination of the stability of the implant-tissue interface using resonance frequency analysis. Clin Oral Implants Res 1996;7:261-268   DOI   ScienceOn
36 Meredith N, Book K, Friberg B, Jemt T, Sennerby L. Resonance frequency measurements of implant stability in vivo. A crosssectional and longitudinal study of resonance frequency measurements on implants in the edentulous and partially dentate maxilla. Clin Oral Implants Res 1997;8:226-233   DOI   ScienceOn
37 Arvidson K, Bystedt H, Frykholm A, von Konow L, Lothigius E. A 3-year clinical study of Astra dental implants in the treatment of edentulous mandibles. Int J Oral Maxillofac Implants 1992;7:321- 329   PUBMED
38 Hermann JS, Buser D, Schenk RK, Cochran DL. Crestal bone changes around titanuim implants. A histometric evaluation of unloaded nonsubmerged and submerged implants in the canine mandible. J Periodontol 2000;71:1412-1424   DOI   ScienceOn
39 Feine JS, Carlsson GE, Awad MA, Chehade A, Duncan WJ, Gizani S, et al. The McGill concensus statement on overdenoverdentures. Mandibular two implant overdentures as the firt choice standard of care for edntulous patients. Gerontology 2002;19:3-4
40 Feine JS, Carlsson GE. Implant overdentures: The standard of care for edentulous patients. Quintessence Publishing Co, Inc. 2003:111-128
41 Bijlani M, Lozada JL. Immediately loaded dental implants-influence of early functional contacts on implant stability, bone level integrity, and soft tissue quality: a retrospective 3-6 years clinical analysis. J Oral Maxillofac Implants.1996;2:126- 127
42 Gapski R, Hom-Lay Wang, Mascarenha P, Lang NP. Critical review of immediate loading. Clin Oral Implants Res 2003;14:515- 527   DOI   ScienceOn