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Attachment systems for mandibular implant overdentures: a systematic review
Ha-Young Kim1, Jeong-Yol Lee, Sang-Wan Shin
1Department of Prosthodontics, Institute for Clinical Dental Research, KUMC, Korea University, Seoul, Korea.
The Journal of Advanced Prosthodontics
|December 14, 2012
Summary
Mandibular implant overdenture attachment systems show high implant survival rates. While attachment type may affect prosthetic maintenance and complications, patient satisfaction remains largely independent of the system used.
Area of Science:
- Dental Implantology
- Prosthodontics
- Biomaterials
Background:
- Mandibular implant overdentures are a common treatment for edentulism.
- Various attachment systems are available, influencing prosthetic outcomes.
- Understanding treatment success based on attachment type is crucial for clinical decision-making.
Purpose of the Study:
- To systematically review treatment outcomes for mandibular implant overdentures based on attachment systems.
- To evaluate implant survival rates, prosthetic maintenance, complications, and patient satisfaction.
Main Methods:
- Systematic literature search of PubMed and journal hand searching.
- Inclusion of clinical trials reporting on multiple overdenture attachment types.
- Analysis of 24 selected studies (from 1098) published up to August 2010.
Main Results:
- High implant survival rates were observed across bar (95.8-97.5%), ball (96.2-100%), and magnet (91.7%) attachments.
- Magnet attachments showed higher rates of prosthetic maintenance and complications.
- Patient satisfaction was generally not significantly influenced by the attachment system used.
Conclusions:
- Implant survival rates for mandibular overdentures are favorable irrespective of the attachment system.
- Attachment systems can influence prosthetic maintenance and complication rates.
- Patient satisfaction appears to be independent of the chosen attachment system.
