Baltic Dental and Maxillofacial Journal | ||||||||||
March, 2008, Vol. 10, No. 1 CONTENTS REVIEWS SCIENTIFIC ARTICLES REVIEWS Biologic Width Around Implants. An Evidence-Based Review SCIENTIFIC ARTICLES © 2008 Stomatologija |
Stomatologija 2008; 10 (1): 10-15 214 KB Maxillary complete denture outcome with two-implant supported mandibular overdentures. A systematic review Vygandas Rutkunas, Hiroshi Mizutani, Vytaute Peciuliene, Ruta Bendinskaite, Tomas Linkevicius Summary Objectives. Research data regarding maxillary complete denture outcome with two-implant supported mandibular overdentures are not consistent. Considering multiple publications on implant supported mandibular overdentures, it was decided to summarize currently present evidence on the maxillary complete dentures opposed by implant-supported mandibular overdentures, and analyze factors that could potentially influence the outcomes. Methods. The articles from 1985 to 2007 related to the topic were identified in the online MEDLINE/Pubmed and other databases and manually. Primary articles were scanned, and irrelevant studies were excluded from the further review process. Potentially relevant titles and abstracts were provisionally included for consideration on the basis of full text articles. Full text articles were obtained from on-line and printed sources. The data from the studies were extracted and reviewed. Results. The study has failed to identify any prospective satisfying inclusion/exclusion criteria RCT reporting on maxillary bone resorption. The number of maxillary complete denture relining incidences per patient was constantly increasing during the 10-year period. Maxillary complete denture remake incidences comprised 16-33 % of the number of patients followed during the 10-year period. Comparing patient satisfaction with upper dentures at the baseline and after two years, no decrease in satisfaction was noticed. Conclusions. There is no evidence that maxillary ridge resorption is accelerated with certain types of two-implant supported mandibular overdenture attachments. Most common complication for the maxilla prosthetic maintenance. There is a risk of decreased patient satisfaction with bar-supported mandibular overdenture. Further studies are needed to provide evidence for the maxillary complete denture outcome with two-implant supported mandibular overdentures. Key words: maxilla, complete denture, overdenture, systematic review. Received: 04 01 2008 Accepted for publishing: 26 03 2008 1Institute of Odontology, Faculty of Medicine, Vilnius University, Vilnius, Lithuania Tokyo Medical and Dental University, Tokyo, Japan Vygandas Rutkunas1 DDS, PhD, lecturer Address correspondence to Dr. Vygandas Rutkunas, Institute of Odontology, Faculty of Medicine, Vilnius University, Zalgirio str. 115, 08217 Vilnius, Lithuania. |
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