• Title/Summary/Keyword: Overdenture attachment

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Comparative study of prosthetic complications associated with the bar-clip, milled bar, and Locator attachments for implant overdentures: a retrospective study

  • Yoon, Kye-Won;Heo, Ji-Ye;Hwang, Hee-Sung;Kim, Chul-Hoon;Kim, Bok-Joo;Kim, Jung-Han
    • The Journal of the Korean dental association
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    • v.54 no.12
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    • pp.1024-1034
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    • 2016
  • Purpose. The purpose of this study was to compare the type and frequency of prosthetic complications associated with attachment types for implant overdenture. Material and methods. In this retrospective study, 38 patients (mean age, 63.5 years) have been treated with implant overdentures from 2007 to 2014. Ten patients received a bar-clip attachment. Eleven patients had received a milled bar with Locator attachment. Seventeen patients had received a Locator attachment. The mean follow-up period was 36.9 months (range, 15-83 months). The type and frequency of prosthetic complications was recorded. The frequency was analyzed to determine the statistical difference among the 3 different attachments by using one-way ANOVA (${\alpha}=.05$) and Bonferroni post hoc method at a 5% level of significance. Results. The total number of prosthetic complications was higher in the bar-clip attachment (55 events) than in the milled bar with Locator attachment (39 events) and the Locator attachment (34 events). There were no statistically significant differences, and the most common prosthetic complication was the loss of retention. In the bar-clip attachment group, the average frequency of prosthetic complications was 3.0 events per prosthesis during the first year. In the milled bar with Locator attachment and Locator attachment groups, the average frequencies were 1.45 events and 2.35 events, respectively. Statistically significant differences were observed in the frequency of the complication. (p = .043) Conclusions. Compared to the bar-clip attachment, implant overdentures that use milled bars with the Locator attachment have a significantly lower incidence of prosthetic complications in the first year of follow-up after placement.

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Mandibular implant-supported overdenture using CAD-CAM Konus type attachment: A case report (CAD-CAM Konus type 부착장치를 이용한 하악 임플란트 피개의치 보철수복 증례)

  • Park, Jong-Hee;Kim, In-Ju;Kim, Kyoung-A;Song, Kwang-Yeob;Seo, Jae-Min
    • The Journal of Korean Academy of Prosthodontics
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    • v.54 no.3
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    • pp.259-266
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    • 2016
  • In edentulous mandible, implant supported overdenture was considered as a first treatment option. Konus type attachment supplies rigid support and cross arch stabilization so that more favorable force transmission and distribution can be attained. In the dentistry, computer aided design-computer aided manufacturing (CAD-CAM) system makes it possible to fabricate restorations with high precision and effectiveness. Recently, Palladium-silver (Pd-Ag) alloy which is millable has been developed. This article presents that application of CAD-CAM Konus type attachment can be provide satisfactory stability and function on four-implant supported mandibular overdenture.

The implant retained overdenture by Locator attachments on the edentulous mandible using Parallel guide KIT® : a case report (하악 무치악 환자에서 Parallel guide KIT®를 이용한 임플란트 식립 및 Locator 어태치먼트를 이용한 임플란트 피개의치 수복증례)

  • Kim, Hyeran;Kim, Jun-Yup;Yang, Hong-Seo;Park, Sang-Won;Lim, Hyun-Pil;Yun, Kwi-Dug;Park, Chan;Shin, Jin-Ho
    • Journal of Dental Rehabilitation and Applied Science
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    • v.33 no.1
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    • pp.55-62
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    • 2017
  • Overdenture using dental implants could improve the problems of conventional complete denture function which are pain during mastication, insufficient retention and stability. Locator attachment used widely for implant-retained overdenture has advantages that it needs the smallest vertical space and also its nylon male cap allows personalized retention for each case. However its retention force decreases rapidly with function rather than the bar and ball attachment. So, implant fixture should be positioned as parallel as possible.

Utilization of digital technology in fabricating mandibular implant overdenture for skeletal class II edentulous patient: A case report (2급 악간관계를 보이는 하악 무치악 환자에서 디지털 진단기술을 이용한 임플란트 피개의치 수복증례)

  • Lee, Yeun-Yi;Hong, Seoungjin;Paek, Janghyun;Noh, Kwantae;Kwon, Kung-Rock
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.4
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    • pp.364-373
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    • 2019
  • Unlike class I patients, skeletal class II patients have unstable occlusion thus leading to instability of mandibular complete denture. Therefore, mandibular implant overdenture has been the standard of care due to its advantages in stability and retention. The types of attachments can be divided into two categories: solitary and bar type. The indications vary between two categories. In this clinical report, digital technology was utilized from the implant planning to the choice of appropriate attachment. Implants were placed at the desired location as previously planned in terms of angle and depth. Maxillary removable partial denture and mandibular implant overdenture are expected to have fair prognosis.