Implant-supported mandibular overdentures retained with ball or telescopic crown attachments: a 3-year prospective study.
OBJECTIVE
The aim of the present study was to evaluate implant survival, peri-implant conditions, and prosthodontic maintenance requirements for implant-supported mandibular overdentures in atrophic mandibles retained with ball or resilient telescopic crown attachments during a 3-year period.


METHODS
Twenty-five patients with edentulous mandibles each received 2 Camlog root-form dental implants in the mandibular interforaminal (canine) region. The denture attachment system was chosen randomly; 13 patients received ball attachments and 12 patients received resilient telescopic crowns. Implant survival, implant mobility (Periotest values), and peri-implant conditions such as bone resorption, pocket depth, Plaque Index, Gingiva Index, Bleeding Index, and Calculus Index values were assessed for each implant. In addition, detailed prosthodontic maintenance was evaluated during the follow-up period and the 2 retention modalities were compared.


RESULTS
There were no differences in implant survival, implant mobility (Periotest values), and peri-implant conditions between the 2 retention modalities. During the 3-year period significantly more complications/interventions for maintenance purposes were registered in the ball group (62 interventions) than in the telescopic crown group (26 interventions; P < .01).


CONCLUSIONS
The results indicate that both ball attachments and resilient telescopic crowns used on isolated implants in the edentulous mandible are viable treatment options. Implant success and peri-implant conditions did not differ between ball attachments and telescopic crowns used as retention modalities for implant overdentures, but the frequency of technical complications was significantly higher with ball attachments than with resilient telescopic crowns.
Krennmair
Gerald
G
Department of Prosthodontics, Dental School, University of Vienna, Austria. krennmair@aon.at
Weinländer
Michael
M
Krainhöfner
Martin
M
Piehslinger
Eva
E
D003442:Crowns; D003758:Dental Implantation, Endosseous; D015921:Dental Implants; D017267:Dental Prosthesis Design; D017269:Dental Prosthesis Repair; D019094:Dental Prosthesis, Implant-Supported; D019232:Dental Restoration Failure; D003834:Denture Precision Attachment; D003781:Denture Retention / Q000295:instrumentation*; D003826:Denture, Complete, Lower; D003828:Denture, Overlay; D005260:Female; D006801:Humans; D007575:Jaw, Edentulous / Q000534:rehabilitation; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies
D015921:Dental Implants