Mandibular single-implant overdentures: a review with surgical and prosthodontic perspectives of a novel approach.

Abstract:

OBJECTIVES:To review the literature on mandibular single-implant overdentures (opposing complete maxillary dentures), and present surgical and prosthodontic perspectives of a novel approach for this treatment option. MATERIAL AND METHODS:An electronic search through the databases of Pubmed, Embase and Medline using the linked key words 'mandibular single implant overdentures' was performed. The search was limited to English language articles published up to August 2008. Hand searches through articles retrieved from the electronic search, peer-reviewed journals and recent conference proceedings were also conducted. RESULTS:A limited number of reports were identified on mandibular single-implant overdentures (opposing maxillary complete dentures). They comprised of case-series reports, short-term prospective trials and current randomized-controlled clinical trials. Different loading protocols with different implant systems have been used, but always with regular diameter implants. Specific anatomical and vascular dangers of the mandibular midline symphysis are identified including a novel surgical approach using a currently available short, wide diameter tapered implant. In addition, the prosthodontic rationale for using a larger attachment system (incorporating a platform switch) for mandibular single-implant overdentures is described. CONCLUSION:The review reveals that there is a lack of published randomized clinical trials using mandibular single-implant overdentures, opposing maxillary complete dentures. Without the evidence from randomized clinical trials, routine use of this novel approach cannot be recommended, compared with using regular diameter implants and matching attachment systems.

journal_name

Clin Oral Implants Res

authors

Alsabeeha N,Payne AG,De Silva RK,Swain MV

doi

10.1111/j.1600-0501.2008.01666.x

subject

Has Abstract

pub_date

2009-04-01 00:00:00

pages

356-65

issue

4

eissn

0905-7161

issn

1600-0501

pii

CLR1666

journal_volume

20

pub_type

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