Clinical Evaluation of the Effect of Implant-Supported and Implant Retained Distal Extension Removable Partial Dentures on the Supporting Structures

Ragia Saad Mohamed Kotb; Ahmed  Gamal Ahmed Hassan; Emad Mohamed Tolba M. Agamy; Gehan  Fekry Mohamed

doi:10.3889/oamjms.2021.6757

Authors

Ragia Saad Mohamed Kotb Department of Prosthodontics, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
Ahmed Gamal Ahmed Hassan Department of Prosthodontics, Faculty of Dentistry, Minia University, Minya, Egypt
Emad Mohamed Tolba M. Agamy Department of Prosthodontics, Vice Dean for Education and Student Affairs, Faculty of Dentistry, Minia University, Minya, Egypt
Gehan Fekry Mohamed Department of Prosthodontics, Kantara University, Qantara, Egypt

DOI:

https://doi.org/10.3889/oamjms.2021.6757

Keywords:

Implant-supported, Implant retained, Removable partial overdenture

Abstract

Objective: To evaluate and compare the effect of implant supported versus implant retained removable partial denture restoring Kennedy's class I cases on the supporting structures by measuring modified gingival index and probing depth for abutment teeth and implants.

Subjects and Methods: Twelve patients; who had Kennedy class I mandibular partially edentulous ridge extending distal to the first or second premolar, were selected from the outpatient clinic, Prosthodontics Department, Faculty of Dentistry, Minia University. The patients were classified into two equal groups; according to the implant superstructures either dome shaped abutment or ball and socket attachment. Each Patient of both groups had two implants in second molar position (one in each side) and received removable partial denture of the same design. Patients were followed up for one year clinically. Group I: Six patients received RPD supported by dome shaped short abutments. Group II six patients received RPD retained by ball and socket attachments.

Results: Results revealed that, there was no statistically significant difference between the two groups regarding modified gingival index and probing depth around the abutment teeth and implant abutment.

Conclusion: The use of dome shaped abutment or ball and O-ring attachment have the same effect on gingival index and probing depth around natural abutments and implants in Kennedy class I mandibular situations.

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References

Giffin KM. Solving the distal extension removable partial denture base movement dilemma: A clinical report. J Prosthet Dent. 1996;76(4):347-49. https://doi.org/10.1016/s0022-3913(96)90536-3 PMid:8897288 DOI: https://doi.org/10.1016/S0022-3913(96)90536-3

Starr NL. The distal extension case: An alternative restorative design for implant prosthetics. Int J Periodontics Restorative Dent. 2001;21(1):61-7. PMid:11829037

Fahmy A, Abuelroos EM, Nada MM. Effect of using attachment on implant supported distal extension lower partial overdentures. Cairo Dent J. 2008;24(1):1-10.

Ishii OA, Nagare I. Longitudinal study on torque transmitted from a denture base to abutment tooth of a distal extension removable partial denture with circumferential clasp. J Oral Rehabil. 1992;19(3):245-52. https://doi.org/10.1111/j.1365-2842.1992.tb01099.x PMid:1500968 DOI: https://doi.org/10.1111/j.1365-2842.1992.tb01099.x

Phoenix RD, Cagna DR, Defreest CF. Stewart’s Clinical Removable Partial Prosthodontics. 4th ed. United Kingdom: Quintessence Publishing Co, Inc.; 2008. p. 101-18.

Kuzmanovic DV, Payne AG, Purton DG. Distal implants to modify the Kennedy classification of a removable partial denture: A clinical report. J Prosthet Dent. 2004;92(1):8-11. https://doi.org/10.1016/j.prosdent.2004.04.010 PMid:15232557 DOI: https://doi.org/10.1016/j.prosdent.2004.04.010

Turkyilmaz I. Use of distal implants to support and increase retention of a removable partial denture: A case report. J Calif Dent Assoc. 2009;75(9):655-8. Mid:19900356

Shahmiri RA, Atieh MA. Mandibular Kennedy class I implant-tooth-borne removable partial denture: A systematic review. J Oral Rehabil. 2010;37(3):225-34. https://doi.org/10.1111/j.1365-2842.2009.02044.x PMid:20050984

Carr AB, Brown DT. McCracken’s Removable Partial Prosthodontics. 12th ed. St Louis: CV Mosby; 2011. p. 24.

Ball D. Attachment and O-ring to retain mandibular removable partial denture. J Prosthet Dent. 2004;92:8-11.

Cho GC, Chee WW. Apparent intrusion of natural teeth under an implant-supported prosthesis: A clinical report. J Prosthet Dent. 1992;68(1):3-5. https://doi.org/10.1016/0022-3913(92)90274-e PMid:1403915 DOI: https://doi.org/10.1016/0022-3913(92)90274-E

Mijiritsky E. Implants in conjunction with removable partial dentures: A literature review. Implant Dent. 2007;16(2):146-54. https://doi.org/10.1097/id.0b013e3180500b2c PMid:17563505 DOI: https://doi.org/10.1097/ID.0b013e3180500b2c

Kordatzis K, Wright PS, Meijer HJ. Posterior mandibular residual ridge resorption in patients with conventional denture and implant overdentures. Int J Oral Maxillofac Implants. 2003;18(3):447-52. PMid:12814322

Ganz S. Combination natural tooth and implant- borne removable partial denture. A clinical report. J Prosthet Dent. 1991;66(1):1-5. https://doi.org/10.1016/0022-3913(91)90341-s PMid:1941661 DOI: https://doi.org/10.1016/0022-3913(91)90341-S

Van Steenberghe D. Retrospective multi-centre evaluation of the survival rate osseointegrated fixtures supporting fixed partial prostheses in the treatment of partial edentulism. J Prosthet Dent. 1989;61(2):217-23. https://doi. org/10.1016/0022-3913(89)90378-8 PMid:2654366 DOI: https://doi.org/10.1016/0022-3913(89)90378-8

Balshi TJ. Advantages and disadvantages of linking implants to the natural dentition. Oral Maxillofac Surg Clin North Am. 1991;3(4):945-63. https://doi.org/10.1016/s1042-3699(20)30559-8 DOI: https://doi.org/10.1016/S1042-3699(20)30559-8

Cavicchia F, Bravi F. Free standing vs. Tooth-connected implant supported fixed partial restorations: A comparative retrospective clinical study of the prosthetic results. Int J Oral Maxillofac Implants. 1994;9(6):711-8.

Gunne J, Astrand P, Lindh T, Borg K, Olsson M. Tooth-implant and implant supported fixed partial dentures: A 10-year report. Int J Prosthodont. 1999;12(3):216-21. Mid:10635188

McGlumphy EA, Campagni WV, Peterson LJ. A comparison of the stress transfer characteristics of a dental implant with a rigid or a resilient internal element. J Prosthet Dent. 1989;62(5):586-93. https://doi.org/10.1016/0022-3913(89)90085-1 PMid:2691664 DOI: https://doi.org/10.1016/0022-3913(89)90085-1

Maeda MY, Walmsley AD. Implant Dentistry with New Generation Magnetic Attachments. Chicago, IL, USA: Quintessence; 2005.

Lobene R, Weatherford T, Ross W, Lamm R, Menaker L. A modified gingival index for use in clinical trials. Clin Prev Dent. 1986;8(1):5-7. PMid:3485495

Tsang A, Sweet D, Wood RE. Potential for fraudulent use on digital radiography. J Am Dent Assoc. 1999;130(9):1325-9. PMid:10492539 DOI: https://doi.org/10.14219/jada.archive.1999.0402

Goga R, Chandler NP, Love RM. Clarity and diagnostic quality of digitized conventional intraoral radiographs. Dentomaxillofac Radiol. 2004;33(2):103-7. https://doi.org/10.1259/dmfr/13010370 PMid:15314002 DOI: https://doi.org/10.1259/dmfr/13010370

Glavind L, Loe H. Errors in the clinical assessment of periodontal destruction. J Periodont Res. 1967;2(3):180-8. PMid:4237475 DOI: https://doi.org/10.1111/j.1600-0765.1967.tb01887.x

Atassi F, Almas K. A comparative study of two pressure sensitive manual periodontal probes. Saudi Dental J. 1997;9:139-43.

Abdel Hakim AA. Clinical and Radiographic Evaluation of Tooth Implant Combination Supporting Telescopic Prosthesis in Cases of Remaining Mandibular Cuspids, Ph. D. Thesis. Egypt: Removable Prosthodontics Department, Faculty of Dentistry, Alexandria University; 2001.

Sadowsky SJ. Mandibular implant-retained overdentures: A literature review. J Prosthet Dent. 2001;86(5):468-73. PMid:11725274 DOI: https://doi.org/10.1067/mpr.2001.119921

Chee WW, Cho GC. A rationale for not connecting implants to natural teeth. J Prosthodont. 1997;6(1):7-10. PMid:9497763 DOI: https://doi.org/10.1111/j.1532-849X.1997.tb00059.x

Olsson M, Gunne J, Astrand P, Borg K. Bridges supported by free-standing implants versus bridges supported by tooth and implant. A five-year prospective study. Clin Oral Implants Res. 1995;6(2):114-21. https://doi.org/10.1034/j.1600-0501.1995.060207.x PMid:7578781 DOI: https://doi.org/10.1034/j.1600-0501.1995.060207.x

Gotfredsen K, Holm B. Implant-supported mandibular overdentures retained with a ball or bar attachment: A randomized prospective 5-year study. Int J Prosthodont. 2000;13(2):125-30. PMid:11203620

Zinner I, Stanley A, Curtis E, Francis V. Multiple implants for first molar prosthodontics. J Prosthod. 2005;5(3):158-65. PMid:9028219 DOI: https://doi.org/10.1111/j.1532-849X.1996.tb00291.x

Lundborg G, Branemark PI, Rosen B. Osseointegrated thumb prostheses: A concept for fixation of digit prosthetic devices. J Hand Surg Am. 1996;21(2):216-21. PMid:8683049 DOI: https://doi.org/10.1016/S0363-5023(96)80103-1

Aydin C, Nemli SK, Yilmaz H. Esthetic, functional, and prosthetic outcomes with implant-retained finger prostheses. Prosthet Orthot Int. 2013;37(2):168-74. https://doi.org/10.1177/0309364612449850 PMid:22833519 DOI: https://doi.org/10.1177/0309364612449850

Jorgensen EB, Bochet G, Grundman M, Borgis S. Aesthetic considerations for the treatment of partially edentulous patients with removable dentures. J Pract Periodont Aesthet Dent. 2000;12(8):765-72. PMid:11404872

Kenney R, Richards MW. Photoelastic stress patterns produced by implant-retained overdentures. J Prosthet Dent. 1998;80(5):559-64. https://doi.org/10.1016/s0022-3913(98)70032-0 Mid:9813806 DOI: https://doi.org/10.1016/S0022-3913(98)70032-0

Machado AC, Cardoso L, Brandt WC, Henriques GE, de Arruda Nóbilo MA. Photoelastic analysis of the distribution of stress in different systems of overdentures on osseous-integrated implants. J Craniofac Surg. 2011;22(6):2332-6. https://doi.org/10.1097/scs.0b013e318232a791 PMid:22134270 DOI: https://doi.org/10.1097/SCS.0b013e318232a791

Hunter FM, Martin ND, Godfry K, Hume WR. Comparison of clinical data derived with conventional probes versus a pressure sensitive, disposable periodontal probe. J Dent Res. 1992;71:587.

Augustin MM, Joke D, Bourleyi SI, Shenda LP, Fidele NB, Gabriel BB, et al. Risks factors of caries and periodontal diseases in the patients, after 5 years usea partial removable denture. Open J Stomatol. 2016;6(8):185-92. https://doi.org/10.4236/ojst.2016.68024 DOI: https://doi.org/10.4236/ojst.2016.68024

Alam-Eldeen H. The Effect of Attachments Versus Telescopic Crowns in Tooth-implant Supported Kennedy Class I Partial Denture on the Abutments. Cairo, Egypt: Cairo University; 2011.

Saleh A. Abutment Tissue Health as Related to Clasp Design in Implant Assisted Mandibular Distal Extension Removable Partial Overdentures. Mansoura, Egypt: Mansoura University; 2014.Open Access Maced J Med Sci. 2021 Sep 07; 9(D):170-178.

Ten Cate AR. Oral Histology Development, Structure and Function. 4th ed. St. Louis, Toronto, London: CV Mosby Co; 1994. p. 111.

Brill N, Tryde G, Stoltze K, El Ghamarawy E. Ecologic changes in the oral cavity caused by removable partial dentures. J Prosthet Dent. 1977;38(2):138. https://doi.org/10.1016/0022-3913(77)90278-5 PMid:268426 DOI: https://doi.org/10.1016/0022-3913(77)90278-5

Nishimura K, Itoh T, Takaki K, Hosokawa R, Naito T, Yokota M. Periodontal parameters of osseointegrated dental implants. A 4-year controlled follow-up study. Clin Oral Implants Res. 1997;8(4):272-8. https://doi.org/10.1034/j.1600-0501.1997.080404.x PMid:9586473 DOI: https://doi.org/10.1034/j.1600-0501.1997.080404.x

Quirynen M, van Steenberghe D, Jacobs R, Schotte A, Darius P. The reliability of pocket probing around screw-type implants. Clin Oral Implants Res. 1991;2(4):186-92. https://doi.org/10.1034/j.1600-0501.1991.020405.x PMid:8597621 DOI: https://doi.org/10.1034/j.1600-0501.1991.020405.x

Spiekermann H, Jansen VK, Richter EJ. A 10-year follow-up study of IMZ and TPS implants in the edentulous mandible using bar-retained overdentures. Int J Oral Maxillofac Implants. 1995;10(2):231-43. https://doi.org/10.11607/jomi.3222 PMid:7744443 DOI: https://doi.org/10.11607/jomi.3222

Brudivik JS. Advanced Removable Partial Denture. 1st ed. Illinois: Quintessence; 1999. p. 153-9.

Lacerda TS, Laganá DC, González-Lima R, Zanetti AL. Contribution to the planning of implant-supported RPD in the distal region. RPG Rev Pós Grad. 2005;12(3):293-300.

ELsyad MA, Habib AA. Implant-supported versus implant-retained distal extension mandibular partial overdentures and residual ridge resorption: A 5-year retrospective radiographic study in men. Int J Prosthodont. 2011;24(4):306-13. https://doi.org/10.1111/jopr.12780 PMid:21716967 DOI: https://doi.org/10.1111/jopr.12780

Mitrani R, Brudvik SJ, Phillips KM. Posteriorn implants for distal extension removable prostheses: A retrospective study. Int J Periodontics Restorative Dent. 2003;23(4):353-9. https://doi.org/10.1111/j.1365-2842.2009.02044.x PMid:12956479 DOI: https://doi.org/10.1111/j.1365-2842.2009.02044.x