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A nationwide evaluative study on implant-retained overdentures

M S Cune1, C de Putter, J Hoogstraten

  • 1Department of Oral and Maxillofacial Surgery, University of Utrecht, The Netherlands.

Journal of Dentistry
|January 1, 1997
PubMed
Summary

Dental implants with overdentures are a safe and effective treatment in the Netherlands, improving patient satisfaction. This nationwide study shows high implant survival rates, especially for the lower jaw, making it a viable option.

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Area of Science:

  • Dental Implantology
  • Prosthodontics
  • Public Health Dentistry

Background:

  • Dental implants are covered by the Dutch National Dental Insurance Scheme (NDIS), reducing patient costs.
  • Treatment is accessible nationwide, performed by oral surgeons and general dentists.
  • Previous studies often focus on specialized centers, necessitating a nationwide evaluation.

Purpose of the Study:

  • To evaluate the quantitative and qualitative outcomes of nationwide dental implant-overdenture rehabilitation.
  • To assess the feasibility and effectiveness of implant treatment under national insurance guidelines.
  • To compare nationwide results with those from academic and specialized centers.

Main Methods:

  • Analysis of 5410 patients treated between 1989 and 1992.

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  • Clinical investigation of 429 implant patients by independent observers.
  • Assessment of denture complaint resolution via questionnaires for 460 patients.

    • Main Results:

    • Nationwide treatment reaches approximately 2000 patients annually, primarily those with significant denture issues.
    • Implant survival rates after 3 years: 96.3% in the lower jaw, 70.4% in the upper jaw.
    • Excellent patient satisfaction reported regarding comfort and aesthetics, despite suboptimal oral hygiene in some cases.

    Conclusions:

    • Implant-overdenture treatment under Dutch NDIS guidelines is safe and effective.
    • This treatment is particularly successful for lower jaw rehabilitation.
    • The study supports the widespread adoption of implant-overdenture treatment for edentulous patients.