Survival and Success Rate of Implants in Overdentures: Analyzing Patient and Implant Factors

Hyo Sik Kim; Sang Min Lee; Kang-Min Ahn

doi:10.32542/implantology.2023001

All Issue

2023 Vol.27, Issue 1 Next Page

Original Article

Survival and Success Rate of Implants in Overdentures: Analyzing Patient and Implant Factors

31 March 2023. pp. 1-11

PDF XML

Abstract

Purpose: Edentulism can be treated using removable prostheses, fixed prostheses, and implant overdentures. Implant overdentures are more cost-effective than fixed prostheses and offer advantages of retention, support, stability, masticatory power, psychological stability, maintenance of alveolar bone, and improvement of proprioception compared to removable dentures. This study aimed to investigate the survival and success rate of implants in overdentures according to patient and implant factors.

Materials and Methods: This study investigated patients who underwent implant surgery for overdenture treatment by a single surgeon at the Oral and Maxillofacial Surgery Department at Seoul Asan Medical Center between 2005 and 2020. A total of 46 patients with 146 implants were included, and the survival and success rates of the implants were analyzed statistically. Additionally, the correlation between these rates and age, sex, implant placement location, and the number of implants was investigated.

Results: A total of 146 implants were placed in 46 patients for implant overdentures. The average follow-up period for this study was 5.03 ± 3.89 years. The mean age of the patients was 68.5 ± 9.9 years, and there were 19 men and 27 women. The most commonly placed implants were in the mandibular anterior region, and the majority of dentures had two implants. The overall survival and success rates of implants in overdentures were 98.6% and 95.9%, respectively. Age, sex, implant placement location, and the number of implants showed no significant correlation with implant survival and success rates.

Conclusion: The survival and success rates of implants for overdentures are extremely high, with no significant difference from those for fixed prosthetics.

Keywords

Implant placement location

Number of implants

Overdenture

Success rate

Survival rate

References

DeBoer J. Edentulous implants: overdenture versus fixed. J Prosthet Dent 1993;69:386-90. 10.1016/0022-3913(93)90186-R8463968

Zitzmann NU, Marinello CP. Treatment outcomes of fixed or removable implant-supported prostheses in the edentulous maxilla. Part I: patients' assessments. J Prosthet Dent 2000;83:424-33. 10.1016/S0022-3913(00)70037-010756292

Jivraj S, Chee W, Corrado P. Treatment planning of the edentulous maxilla. Br Dent J 2006;201:261-79; quiz 304. 10.1038/sj.bdj.481395216960607

Berglundh T, Persson L, Klinge B. A systematic review of the incidence of biological and technical complications in implant dentistry reported in prospective longitudinal studies of at least 5 years. J Clin Periodontol 2002;29 Suppl 3:197-212; discussion 32-3. 10.1034/j.1600-051X.29.s3.12.x12787220

Kappel S, Klotz AL, Eberhard L, Lorenzo Bermejo J, Rammelsberg P, Giannakopoulos NN. Maxillary implant overdentures on two or four implants. A prospective randomized cross-over clinical trial of implant and denture success and survival. Clin Oral Implants Res 2021;32:1061-71. 10.1111/clr.1380034165835

Raghoebar GM, Meijer HJ, Slot W, Slater JJ, Vissink A. A systematic review of implant-supported overdentures in the edentulous maxilla, compared to the mandible: how many implants? Eur J Oral Implantol 2014;7 Suppl 2:S191-201. 24977255

Guenin C, Martin-Cabezas R. How many implants are necessary to stabilise an implant-supported maxillary overdenture? Evid Based Dent 2020;21:28-9. 10.1038/s41432-020-0077-732221493

Klemetti E. Is there a certain number of implants needed to retain an overdenture? J Oral Rehabil 2008;35 Suppl 1:80-4. 10.1111/j.1365-2842.2007.01825.x18181937

Lee JY, Kim HY, Shin SW, Bryant SR. Number of implants for mandibular implant overdentures: a systematic review. J Adv Prosthodont 2012;4:204-9. 10.4047/jap.2012.4.4.20423236572PMC3517958

Misch CE, Perel ML, Wang HL, Sammartino G, Galindo-Moreno P, Trisi P, et al. Implant success, survival, and failure: the International Congress of Oral Implantologists (ICOI) Pisa Consensus Conference. Implant Dent 2008;17:5-15. 10.1097/ID.0b013e318167605918332753

Beschnidt SM, Cacaci C, Dedeoglu K, Hildebrand D, Hulla H, Iglhaut G, et al. Implant success and survival rates in daily dental practice: 5-year results of a non-interventional study using CAMLOG SCREW-LINE implants with or without platform-switching abutments. Int J Implant Dent 2018;4:33. 10.1186/s40729-018-0145-330386925PMC6212375

Chrcanovic BR, Kisch J, Albrektsson T, Wennerberg A. Analysis of risk factors for cluster behavior of dental implant failures. Clin Implant Dent Relat Res 2017;19:632-42. 10.1111/cid.1248528332286

Busenlechner D, Furhauser R, Haas R, Watzek G, Mailath G, Pommer B. Long-term implant success at the Academy for Oral Implantology: 8-year follow-up and risk factor analysis. J Periodontal Implant Sci 2014;44:102-8. 10.5051/jpis.2014.44.3.10224921053PMC4050226

Jung RE, Pjetursson BE, Glauser R, Zembic A, Zwahlen M, Lang NP. A systematic review of the 5-year survival and complication rates of implant-supported single crowns. Clin Oral Implants Res 2008;19:119-30. 10.1111/j.1600-0501.2007.01453.x18067597

Chatzopoulos GS, Wolff LF. Survival Rates and Factors Affecting the Outcome Following Immediate and Delayed Implant Placement: A Retrospective Study. J Clin Med 2022;11. 10.3390/jcm1115459835956213PMC9369675

Oliva J, Oliva X, Oliva JD. Five-year success rate of 831 consecutively placed Zirconia dental implants in humans: a comparison of three different rough surfaces. Int J Oral Maxillofac Implants 2010;25:336-44. 20369093

Schwartz-Arad D, Kidron N, Dolev E. A long-term study of implants supporting overdentures as a model for implant success. J Periodontol 2005;76:1431-5. 10.1902/jop.2005.76.9.143116171428

Balaguer J, Ata-Ali J, Penarrocha-Oltra D, Garcia B, Penarrocha-Diago M. Long-term survival rates of implants supporting overdentures. J Oral Implantol 2015;41:173-7. 10.1563/AAID-JOI-D-12-0017823750606

Jemt T, Chai J, Harnett J, Heath MR, Hutton JE, Johns RB, et al. A 5-year prospective multicenter follow-up report on overdentures supported by osseointegrated implants. Int J Oral Maxillofac Implants 1996;11:291-8. 8752550

Mericske-Stern R, Oetterli M, Kiener P, Mericske E. A follow-up study of maxillary implants supporting an overdenture: clinical and radiographic results. Int J Oral Maxillofac Implants 2002;17:678-86. 12381068

Attia S, Wiltfang J, Pons-Kuhnemann J, Wilbrand JF, Streckbein P, Kahling C, et al. Survival of dental implants placed in vascularised fibula free flaps after jaw reconstruction. J Craniomaxillofac Surg 2018;46:1205-10. 10.1016/j.jcms.2018.05.00829884312

Sozzi D, Novelli G, Silva R, Connelly ST, Tartaglia GM. Implant rehabilitation in fibula-free flap reconstruction: A retrospective study of cases at 1-18 years following surgery. J Craniomaxillofac Surg 2017;45:1655-61. 10.1016/j.jcms.2017.06.02128823690

Sadowsky SJ. Treatment considerations for maxillary implant overdentures: a systematic review. J Prosthet Dent 2007;97:340-8. 10.1016/S0022-3913(07)60022-517618916

Al-Harbi FA. Mandibular Implant-supported Overdentures: Prosthetic Overview. Saudi J Med Med Sci 2018;6:2-7. 10.4103/sjmms.sjmms_101_1730787808PMC6196685

Liu J, Pan S, Dong J, Mo Z, Fan Y, Feng H. Influence of implant number on the biomechanical behaviour of mandibular implant-retained/supported overdentures: a three-dimensional finite element analysis. J Dent 2013;41:241-9. 10.1016/j.jdent.2012.11.00823160036

Di Francesco F, De Marco G, Capcha EB, Lanza A, Cristache CM, Vernal R, et al. Patient satisfaction and survival of maxillary overdentures supported by four or six splinted implants: a systematic review with meta-analysis. BMC Oral Health 2021;21:247. 10.1186/s12903-021-01572-633962612PMC8106178

Romeo E, Lops D, Margutti E, Ghisolfi M, Chiapasco M, Vogel G. Long-term survival and success of oral implants in the treatment of full and partial arches: a 7-year prospective study with the ITI dental implant system. Int J Oral Maxillofac Implants 2004;19:247-59. 15101597

Payne AG, Solomons YF. Mandibular implant-supported overdentures: a prospective evaluation of the burden of prosthodontic maintenance with 3 different attachment systems. Int J Prosthodont 2000;13:246-53. 11203640

Al-Magaleh WR, Swelem AA, Radi IAW. The effect of 2 versus 4 implants on implant stability in mandibular overdentures: A randomized controlled trial. J Prosthet Dent 2017;118:725-31. 10.1016/j.prosdent.2016.12.00828389025

El-Anwar MI, El-Taftazany EA, Hamed HA, ElHay MAA. Influence of Number of Implants and Attachment Type on Stress Distribution in Mandibular Implant-Retained Overdentures: Finite Element Analysis. Open Access Maced J Med Sci 2017;5:244-9. 10.3889/oamjms.2017.04728507636PMC5420782

Information

Publisher :The Korean Academy of Oral & Maxillofacial Implantology
Publisher(Ko) :대한구강악안면임플란트학회
Journal Title :Journal of implantology and applied sciences
Journal Title(Ko) :대한구강악안면임플란트학회지
Volume : 27
No :1
Pages :1-11
Received Date : 2023-03-23
Revised Date : 2023-03-29
Accepted Date : 2023-03-29
DOI :https://doi.org/10.32542/implantology.2023001

Journal of implantology and applied sciences ISSN:2765-7833(Print) 2765-7841(Online) 대한구강악안면임플란트학회지

All Issue