Bar versus ball attachments for maxillary four-implant retained overdentures: A randomized controlled trial
- Authors
- Park, Jin-Hong; Shin, Sang-Wan; Lee, Jeong-Yol
- Issue Date
- 11월-2019
- Publisher
- WILEY
- Keywords
- dental implant; edentulous; maxilla; overdenture; randomized controlled trial
- Citation
- CLINICAL ORAL IMPLANTS RESEARCH, v.30, no.11, pp.1076 - 1084
- Indexed
- SCIE
SCOPUS
- Journal Title
- CLINICAL ORAL IMPLANTS RESEARCH
- Volume
- 30
- Number
- 11
- Start Page
- 1076
- End Page
- 1084
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/61992
- DOI
- 10.1111/clr.13521
- ISSN
- 0905-7161
- Abstract
- Objectives To compare the clinical treatment outcomes of maxillary four-implant retained overdentures with either splinted (bar) attachments or non-splinted (ball) attachments. Material and Methods Forty participants who were dissatisfied with their existing conventional maxillary complete dentures were included in this randomized controlled trial. Six months after implant placement, a definitive prosthesis was inserted. Implant success, condition of peri-implant tissue, prosthodontic maintenance and complications, and patient satisfaction were assessed. Outcomes were recorded at baseline, prosthesis delivery, and at 3 and 12 months following prosthesis delivery, and a statistical analysis was performed. Results Thirty-two of the forty patients completed the 1-year follow-up and had their treatment outcomes evaluated. The mean marginal bone loss after 1 year of loading was 0.34 +/- 0.88 mm, and there were no significant differences between the two groups. Plaque index, gingival index and bleeding on probing were significantly higher in the bar group (p<.001), and the implant success rate of the bar group was significantly lower than that of the ball group (p=.028). The most frequent prosthodontic maintenance and complication issue was the need to change the bar clip or O-ring as a result of retention loss. Patient satisfaction did not differ between the two groups except for aesthetics at 3 months. Conclusions Within the limitations of this study, the maxillary 4-implant retained overdenture exhibited predictable results regardless of the attachment systems (ball or bar) in the 1-year follow-up period. The bar group was more vulnerable than the ball group with respect to maintaining peri-implant tissue health.
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