What Are Overdentures?: Types of Implant Overdenture Prothesis
What Are Overdentures?: Types of Implant Overdenture Prothesis
It is used when a person does not have any teeth in their jaw, but has enough bone to apply
implants.
It is usually made for lower jaw because of the problems in physical retention of lower
ridge.
How it is work:
1) Bar-retained:
It is a thin metal bar that follows the curve of jaw is attached to 2 or 5 dental implants , the
denture fits over the bar and is securely clipped into place by attachments.
Each implant has metal attachment that fits into the attachment on the denture in some
cases the ball shape is in the implant and the socket is in the denture and the opposite is
true in some cases.
1) Stude attachment :
It is consist of a female part which is frictionally retained over the male part, it is classified
according to function into resilient and non-resilient , resilient permits some tissue ward
vertical and rotational movement which protect the implant against overload, but in some
cases it may lead to resorption in the posterior mandibular area .the non-resilient one
tends to prevent any movement of overdenture during function , it is usually used when
there is interocclusal space is limited.
2) Magnet attachment:
It’s usually usd in implant overdenture , the magnet usually cylinderical or dome shaped
attaching to the fitting surface the base of denture, it consist of neodymium-iron-boron
alloy or cobalt alloy , the second part is the ferromagnetic keeper which is screwed into the
implant., it is a type of ttt in complete denture over implants.
3) Telescopic attachmentent:
4) ERA attachments:
It is extraradicular atttachment with two design systems, the. First is a partial denture
attachment for placement on the proximal aspect of artefcial crow while the second is an
axial attachment for placement inside the ERA implant abutment for the prosthetic
overdenture.
5) Ball attachment:
It is ball and socket as we explained in the previous points .
6) Bar attachment :
As we explained in the previous points.
Effects of attachment types on implant overdenture:
Attachments vary in shape and include ball, bar, locator, magnet, and locator types.
Stud attachments are either rigid (ball) or resilient (magnet, locator, and double crown
attachment).
- The bar attachment offers retention and distribution of forces resulting in reduced
implant stresses, it is applied in 4 or 6 implants for the minimally invasive
rehabilitation of atrophied ridge.
The disadvantages of bar include technique sensitivity , high cost and difficult
hygiene management .
References
1. Vi, S.; Pham, D.; Du, Y.Y.M.; Arora, H.; Tadakamadla, S.K. Mini-implant-retained
overdentures for the rehabilitation of completely edentulous maxillae: A
systematic review and meta-analysis. Int. J. Environ. Res. Public Health 2021,
18, 4377.
3. Ceraulo, S.; Leonida, A.; Lauritano, D.; Baldoni, A.; Longoni, S.; Baldoni, M.;
Caccianiga, G. Proposal for a clinical approach to geriatric patients with anchor
need on implant for removable denture: New technique. Prosthesis 2020, 2, 185–
195.
4. Hameed, N. “Inserting retention plastic caps to ball implant supported overdenture: easy
chair side technique.” Journal of Dental Health, Oral Disorders, and Therapy, MedCrave
Group, 2015.
6. Freeman, C., et al. “Long term follow-up of implant stabilized overdentures.” European
Journal of Prosthodontics and Restorative Dentistry, National Library of Medicine, 2001.
8. 2. Steffen RP, White V, Markowitz NR. The use of ballclip attachments with an implant -
supported primary-secondary bar overdenture. J Oral Implantol 2004;30:234-9.
TYPES OF IMPLANT
OVERDENTURE PROSTHESIS
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