Clinical Versatility of the Facility-Equator Implant System as Mandibular Overdenture Retainers
The use of mandibular overdentures (MO) for the rehabilitation of totally edentulous individuals with limited bone availability is widespread and has proven clinical success. Narrow diameter implants (NDI) are available on the market as MO retainers to solve problems related to limited bone availabi...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Dentistry |
| Online Access: | http://dx.doi.org/10.1155/2020/8823547 |
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| author | Anna Paula da Rosa Possebon Alessandra Julie Schuster Amália Machado Bielemann Ana Paula Pinto Martins Samille Biasi Miranda Otacílio Luiz Chagas-Júnior Luciana de Rezende Pinto Fernanda Faot |
| author_facet | Anna Paula da Rosa Possebon Alessandra Julie Schuster Amália Machado Bielemann Ana Paula Pinto Martins Samille Biasi Miranda Otacílio Luiz Chagas-Júnior Luciana de Rezende Pinto Fernanda Faot |
| author_sort | Anna Paula da Rosa Possebon |
| collection | DOAJ |
| description | The use of mandibular overdentures (MO) for the rehabilitation of totally edentulous individuals with limited bone availability is widespread and has proven clinical success. Narrow diameter implants (NDI) are available on the market as MO retainers to solve problems related to limited bone availability and bone thickness, providing a low-cost, minimally invasive treatment option. This technique evolved over the years, and changes frequently involved the number of implants used as MO retainers, as the adoption of a smaller number of implants can generate biomechanical disadvantages, contributing to the increased stress in peri-implant tissues, which may accelerate marginal bone loss (MBL), in addition to reducing masticatory capacity and satisfaction with rehabilitation. Some studies pointed out that the use of 3 or more implants as MO retainers improves the biomechanics. Thus, the objective of this study was to report 3 different clinical cases where 3 or more NDI were adopted to retain mandibular overdentures in association with diverse loading protocols: (i) 3 implants adopting conventional loading, (ii) 4 implants using progressive loading, and (iii) 4 implants with hybrid loading. The case with 4 implants and progressive loading showed a slight worsening of masticatory function at 1 year, in addition to a more pronounced MBL compared to other cases, but with improvements in satisfaction and oral health-related quality of life. Thus, NDI can be used as MO retainers with predictability and clinical success, using different numbers of implants and loading protocols. |
| format | Article |
| id | doaj-art-0b011f4853dc4381bde70b8a3764bfb7 |
| institution | OA Journals |
| issn | 2090-6447 2090-6455 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Dentistry |
| spelling | doaj-art-0b011f4853dc4381bde70b8a3764bfb72025-08-20T02:03:08ZengWileyCase Reports in Dentistry2090-64472090-64552020-01-01202010.1155/2020/88235478823547Clinical Versatility of the Facility-Equator Implant System as Mandibular Overdenture RetainersAnna Paula da Rosa Possebon0Alessandra Julie Schuster1Amália Machado Bielemann2Ana Paula Pinto Martins3Samille Biasi Miranda4Otacílio Luiz Chagas-Júnior5Luciana de Rezende Pinto6Fernanda Faot7Graduate Program in Dentistry, School of Dentistry, Federal University of Pelotas, RS, BrazilDepartment of Restorative Dentistry, School of Dentistry, Federal University of Pelotas, RS, BrazilDepartment of Restorative Dentistry, School of Dentistry, Federal University of Pelotas, RS, BrazilGraduate Program in Dentistry, School of Dentistry, Federal University of Pelotas, RS, BrazilSchool of Dentistry, Federal University of Pelotas, RS, BrazilDepartment of Oral and Maxillofacial Surgery and Maxillofacial Prosthodontics, School of Dentistry, Federal University of Pelotas, RS, BrazilDepartment of Restorative Dentistry, School of Dentistry, Federal University of Pelotas, RS, BrazilDepartment of Restorative Dentistry, School of Dentistry, Federal University of Pelotas, RS, BrazilThe use of mandibular overdentures (MO) for the rehabilitation of totally edentulous individuals with limited bone availability is widespread and has proven clinical success. Narrow diameter implants (NDI) are available on the market as MO retainers to solve problems related to limited bone availability and bone thickness, providing a low-cost, minimally invasive treatment option. This technique evolved over the years, and changes frequently involved the number of implants used as MO retainers, as the adoption of a smaller number of implants can generate biomechanical disadvantages, contributing to the increased stress in peri-implant tissues, which may accelerate marginal bone loss (MBL), in addition to reducing masticatory capacity and satisfaction with rehabilitation. Some studies pointed out that the use of 3 or more implants as MO retainers improves the biomechanics. Thus, the objective of this study was to report 3 different clinical cases where 3 or more NDI were adopted to retain mandibular overdentures in association with diverse loading protocols: (i) 3 implants adopting conventional loading, (ii) 4 implants using progressive loading, and (iii) 4 implants with hybrid loading. The case with 4 implants and progressive loading showed a slight worsening of masticatory function at 1 year, in addition to a more pronounced MBL compared to other cases, but with improvements in satisfaction and oral health-related quality of life. Thus, NDI can be used as MO retainers with predictability and clinical success, using different numbers of implants and loading protocols.http://dx.doi.org/10.1155/2020/8823547 |
| spellingShingle | Anna Paula da Rosa Possebon Alessandra Julie Schuster Amália Machado Bielemann Ana Paula Pinto Martins Samille Biasi Miranda Otacílio Luiz Chagas-Júnior Luciana de Rezende Pinto Fernanda Faot Clinical Versatility of the Facility-Equator Implant System as Mandibular Overdenture Retainers Case Reports in Dentistry |
| title | Clinical Versatility of the Facility-Equator Implant System as Mandibular Overdenture Retainers |
| title_full | Clinical Versatility of the Facility-Equator Implant System as Mandibular Overdenture Retainers |
| title_fullStr | Clinical Versatility of the Facility-Equator Implant System as Mandibular Overdenture Retainers |
| title_full_unstemmed | Clinical Versatility of the Facility-Equator Implant System as Mandibular Overdenture Retainers |
| title_short | Clinical Versatility of the Facility-Equator Implant System as Mandibular Overdenture Retainers |
| title_sort | clinical versatility of the facility equator implant system as mandibular overdenture retainers |
| url | http://dx.doi.org/10.1155/2020/8823547 |
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