Posterior Mandibular Ridge Resorption Associated with Different Retentive Systems for Overdentures: A 7-Year Retrospective Preliminary Study.
This retrospective study compared posterior mandibular residual ridge resorption with two different retentive mechanisms for overdentures after 7 years.



A convenience sample of 18 edentulous men was assigned to one of two equal groups. Two implants were placed in the mandibular canine areas for each patient using the conventional two-stage surgical protocol, and the implants were splinted with a round bar 3 months later. New mandibular overdentures were then connected to the bars with clips (clip-retained overdentures, CR group) or resilient liners (resilient liner-retained overdentures, RR group). Posterior mandibular ridge resorption (PMRR) was recorded using proportional measurements and posterior area index (PAI) on panoramic radiographs taken immediately after overdenture insertion (T0) and 7 years later (T7). A linear regression model was used to verify the relationship between PAI and the following considerations: attachment type, age, initial mandibular ridge height, period of mandibular edentulism, number of previously worn dentures, and relining events.



After 7 years, the RR group demonstrated a significantly (P = .014) higher change in PAI (0.11 ± 0.02) than the CR group (0.06 ± 0.04). The average PMRR for each mm of posterior mandibular ridge was 0.79 mm (0.11 mm/year) in the CR group and 1.4 mm (0.2 mm/year) in the RR group. Attachment type, initial mandibular ridge height, and relining times were significantly correlated with change in the PAI (P = .004, P = .035, and P = .045, respectively).



Within the limitations of this preliminary study's design, it was observed that following a 7-year period of use, resilient liner attachments for bar/implant-retained overdentures appear to be associated with greater posterior mandibular ridge resorption when compared to clip attachments.
Moustafa Abdou
MA
Elsyad
Shahinaz Sayed
SS
Mohamed
Ahmad Fathalla
AF
Shawky
D016301:Alveolar Bone Loss / Q000000981:diagnostic imaging* / Q000209:etiology*; D019094:Dental Prosthesis, Implant-Supported; D003779:Denture Design; D003822:Denture Liners; D003781:Denture Retention / Q000379:methods*; D003828:Denture, Overlay; D006801:Humans; D008297:Male; D008875:Middle Aged; D011862:Radiography, Panoramic; D012189:Retrospective Studies; D012307:Risk Factors