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Prosthetic aspects of
osseointegrated fixtures supporting overdentures. A 4-year
report
I. Naert, D.D.S., M. Quirynen, D.D.S., Ph.D. Catholic University
of Leuven, Belgium. (JPD;65 : 671-80. 1991)
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Eighty-six
consecutive patients, provided with 84 resilient and two
nonresilient overdentures ( six in the upper and 80 in
the lower jaw), were examined. The overdentures were supported
by a total of 173 osseointegrated titanium fixtures (the
standard Branemark abutment), with a mean loading time
of 19.1 months(range 4 to 48 months). In each jaw two
fixtures anchored the overdentures. No failures during
the observation period but two fixtures were lost before
loading. The radiographic annual bone loss around fixtures
in the lower jaw was - 0.8 mm for the first year and less
than - 0.1 mm for the following years. The change in marginal
bone heigth did not correlate with parameters such as
the occlusion and articulation pattern, the presence or
absence of a soft liner around the abutments, and the
magnitude of the interabutment distance. The patients'
reactions to overdenture treatment were, on the whole,
positive concerning chewing functions, phonetics, and
comfort. The need for maintenance care of the clip-bar
attachment was minimal.
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