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KMID : 0353320120360020123
Oral Biology Research
2012 Volume.36 No. 2 p.123 ~ p.129
Retrospective study on various complications of implant overdenture
Lee Kyoung-Lok

Lee Ji-Young
Kim Ji-Hye
Chung Chae-Heon
Son Mee-Kyung
Abstract
Purpose: Implant retained overdenture has many benefits. However, it is affected by various factors such as bone quality, the number of implants, types of attachments, masticatory pattern, and periodical management. Clinically, these factors are related to prosthetic complications and longevity of implants. In this study, we evaluated patients treated with implant overdenture and considered factors that may be related to implant complications.

Materials and Methods: To evaluate various complications, we analyzed the clinical charts of patients treated with implant overdenture from 2005 to 2010. Single or bimaxillary edentulous patients with implant overdenture loaded over 1 year were included. Those patients with systemic factors, unclear recordings, and that did not undergo periodic checks were excluded.

Results: In total, 173 implants (53 maxilla, 120 mandible) were installed in 48 patients, and 53 overdentures (14 maxilla, 39 mandible) were made. The average number of overdentures was 3.6 in maxilla and 3 in mandible. Stud type attachments were used in 12 cases (1 maxilla, 11 mandible), and bar type attachments were used in 41 cases (13 maxilla, 28 mandible). The rates of maxilla and mandible were 22.5% and 77.5%, respectively. Four cases of failure of the implant fixture were identified. Failure of osseointegration was found in two of the cases, and fracture of the implant fixture was found in one case. Both types of failure were found in another case. Fracture of the clip, O-ring replacement, and falling off the magnet or locator were identified as prosthetic complications.

Conclusion: Implant overdenture treatment is a very efficient and reasonable treatment option for edentulous patients. However, to achieve good treatment results and longevity, precise diagnosis, ideal implant placement, stable occlusion, and periodic followup afire required.
KEYWORD
Complications, Implant, Overdenture, Attachment, Failure
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