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Maxillary overdenture on three implants retained by low-profile stud attachments - A prospective cohort study.

Arild Mo1, Carl Hjortsjö2, Asbjørn Jokstad1

  • 1Department of Clinical Dentistry, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway.

Journal of Oral Rehabilitation
|August 27, 2022
PubMed
Summary

Removable implant-supported prostheses using three implants and low-profile stud attachments offer a reliable solution for the edentulous maxilla. Long-term outcomes show good implant success, though prosthesis success requires further monitoring.

Keywords:
edentulousoral implantpatient satisfactionprospective studiesquality of lifeself report

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Area of Science:

  • Dentistry
  • Prosthodontics
  • Implantology

Background:

  • Limited long-term clinical data exist for removable implant-supported prostheses in the fully edentulous maxilla.
  • Understanding the impact of implant number and attachment systems is crucial for treatment planning.

Purpose of the Study:

  • To evaluate the long-term outcomes of a specific removable prosthesis design for the edentulous maxilla.
  • To assess patient-reported outcomes and clinical parameters of implant-retained prostheses.

Main Methods:

  • A prospective cohort study involving patients with an edentate maxilla treated with a metal-reinforced, non-palatal removable prosthesis.
  • Utilized three implants with low-profile stud attachments, collecting data on denture satisfaction, oral health-related quality of life (OHIP-20), and implant/prosthesis complications.

Main Results:

  • Thirty-two patients were followed for at least five years. Significant differences in pre-treatment OHIP-20 and Denture Satisfaction Scale scores were noted.
  • Implant success was estimated at 0.95 at 168 months, with 17% experiencing >2mm bone loss. Prosthesis success was estimated at 0.55 at 156 months.

Conclusions:

  • A removable prosthesis retained by three implants with low-profile stud attachments is a technically reliable solution for many patients with an edentulous maxilla.
  • Positive long-term findings support this treatment modality, though prosthesis longevity warrants attention.