Evaluation of complications in implant-supported locator retained removable dentures: 24 Months Retrospective Study

Year 2020, , 150 - 155, 31.08.2020

Sadeq Mohammed Taqi Fadhil , Emre Mumcu

https://doi.org/10.34084/bshr.751908

Abstract

Aim: The purpose is to evaluate the complications that occur in implanted locator supported removable dentures for 2 years clinically and radiologically.
Materials and methods: Study between the years of 2014-2019, was performed on 121 patients who underwent 284 dental implants and came to their controls at the 12th and 24th months. Patients included in the retrospective study were 52 men and 69 women. Complications detected in the first 24 months after the implant supported prosthesis applied; relining and rebasing, loss of retention (housing removal, wear of the retaining clip) and fracture in the base of prosthesis were recorded and evaluated. Data were analyzed using One‐way ANOVA and Tukey's HSD tests. A P value of < 0.05 was considered statistically significant.
Results: In implant-supported removable prostheses, there are significant differences were found between the increasing complication rates at 12th and 24th months (p <0.05). The most common complication at the end of 24th month in overdenture prosthesis with implant supported locator holder applied to the maxilla and mandible, respectively; relining of prosthesis (11.57%), rebasing of prosthesis (6.6%), loss of retention (5.79%) and prosthetic base fracture (4.13%).
Conclusion: Based on the data analyzed in our study, removable prostheses showed different types and frequency of complications. Treatment of implant-supported overdenture prostheses, routine control of the prostheses is important.

Keywords

Dental Implant, Overdenture, Locator, Prosthetic Complication

İmplant Destekli Locator Tutuculu Hareketli Protezlerde Meydana Gelen Komplikasyonların Değerlendirilmesi: 24 Aylık Retrospektif Çalışma

Abstract

Amaç: Bu çalışmanın amacı, implant üstü locator destekli hareketli protezlerde meydana gelen komplikasyonları 2 yıl boyunca klinik ve radyolojik olarak değerlendirmektir.
Gereç ve yöntem: Bu retrospektif çalışmaya 2014-2019 yıllar arasında 284 implant uygulanan, 12. ve 24. ayda kontrollerine gelen toplam 121 hasta üzerinde yapılmıştır. Hastaların yaşları 40 ile 81 arasında değişmekte olup, ortalama yaş 63.27’dir. Çalışmaya dahil edilen hastaların 52’i erkek ve 69’ı kadın katılımcıdan oluşuyor. İmplant destekli hareketli protezlerde, protezi yükledikten sonra, 24. ayda karşılaşılan komplikasyonlar değerlendirilerek kaydedilmiştir. İstatistiksel değerlendirilmesinde Oneway Anova testi, Tukey HDS, Mann-Whitney U, Ki Kare ve Kruskal-Wallis H testleri kullanılmıştır (p<0.05).
Bulgular: İmplant destekli overdenture protezlerde 12. ve 24. ayda protetik komplikasyon yüzdeleri arasında anlamlı derecede farklılıklar belirlenmiştir (p<0.05). Alt ve üst çeneye uygulanmış implant destekli locator tutuculu overdenture protezlerde 24. ayın sonunda en çok rastlanan komplikasyon sırasıyla; astarlama işlemi gereksinimi (%11,57), tutucu parçanın yıpranması ve atması (%6,6), kaide yenileme gereksinimi (%5,79) ve protez kaide kırığıdır (%4,13).
Sonuç: Bu çalışmada analiz edilen verilere dayanarak, hareketli protezler farklı tip ve sıklıkta komplikasyonlar göstermiştir. İmplant destekli overdenture protezlerde tedavi bittikten sonra hastaların protezlerinin rutin bir şekilde control ettirmesi önem taşımaktadır.

Keywords

Dental İmplant, Overdenture, Locator, Protetik Komplikasyonlar

References

• Arvidson K, Bystedt H, Frykholm A, et al. Five‐year prospective follow‐up report of the Astra Tech Dental Implant System in the treatment of edentulous mandibles. Clinical Oral Implants Research. 1998;9(4):225-234.
• Block MS, Akin R, Chang A, et al. Skeletal and dental movements after anterior maxillary advancement using implant-supported distraction osteogenesis in dogs. Journal of oral and maxillofacial surgery. 1997;55(12):1433-1439.
• Brägger U, Häfeli U, Huber B, et al. Evaluation of postsurgical crestal bone levels adjacent to non‐submerged dental implants. Clinical Oral Implants Research. 1998;9(4):218-224.
• Buser D, Mericske‐stern R, Pierre Bernard JP, et al. Long‐term evaluation of non‐submerged ITI implants. Part 1: 8‐year life table analysis of a prospective multi‐center study with 2359 implants. Clinical oral implants research. 1997;8(3):161-172.
• Dennis Flanagan D, DABOI A. The Legends of Implant Dentistry with the History of Transplantology and Implantology. The Journal of Oral Implantology. 2010;36(3):247.
• Naert I, Quirynen M, Theuniers G, et al. Prosthetic aspects of osseointegrated fixtures supporting overdentures. A 4-year report. The Journal of prosthetic dentistry. 1991;65(5):671-680.
• Gotfredsen K, Holm B. Implant-supported mandibular overdentures retained with ball or bar attachments: a randomized prospective 5-year study. International Journal of Prosthodontics. 2000;13(2).
• Dhillon N, Chowdhury SR, Kumar P, et al. Managing prosthetic complication in implant-retained overdenture. Medical journal, Armed Forces India. 2015;71(Suppl 2):S444.
• Cakarer S, Can T, Yaltirik M, et al. Complications associated with the ball, bar and Locator attachments for implant-supported overdentures. Med Oral Patol Oral Cir Bucal. 2011;16(7):e953-959.
• Dudic A, Mericske‐Stern R. Retention mechanisms and prosthetic complications of implant‐supported mandibular overdentures: long‐term results. Clinical implant dentistry and related research. 2002;4(4):212-219.
• Bilhan H, Bural C, Çilingir A, et al. Implant Retained Prosthesis, Complications and Implant Failures: 24 Month Clinical Results. European Oral Research. 2012;46(2):40.
• Çehreli MC, Karasoy D, Kökat AM, et al. A systematic review of marginal bone loss around implants retaining or supporting overdentures. International Journal of Oral & Maxillofacial Implants. 2010;25(2).
• Van Kampen F, Van Der Bilt A, Cune M, et al. Masticatory function with implant-supported overdentures. Journal of dental research. 2004;83(9):708-711.
• Goodacre CJ, Bernal G, Rungcharassaeng K, et al. Clinical complications with implants and implant prostheses. The Journal of prosthetic dentistry. 2003;90(2):121-132.