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EAO2022 Pozzi IBO Clinical Image with Prosthesis
EAO 2022 Pozzi IBO Clinical Image of Implants at 3 years

Fixed-removable overdenture supported by a customized Ti-bar on 4 implants: 3-year prospective study

Introduction

An implant bar overdenture (IBO) is a safe and cost-effective treatment option for fully edentulous patients offering better stability and retention compared to conventional dentures (1,2). Individualized IBO affords convenient cleaning typical of fixed-removable prostheses (3) together with the advantages of fixed prostheses (4), such as high masticatory comfort and natural-sounding phonetics.

The aim of this study was to assess the clinical and radiological performance of customized CAD/CAM implant-supported IBOs in fully edentulous patients after 3 years of function.

Key Results

 

  • At 3 years, the cumulative implant and prosthesis survival rates were 99.3% and 100%, respectively.
  • After initial remodeling, the marginal bone levels remained stable with the mean ΔMBL of -1.35±1.54mm (n=157) at the 3-year follow-up with no significant difference between maxillary vs. mandibular implants (p=0.2).
  • Biologic and technical complications were observed in 25 and 31 patients, respectively.
  • Oral health-related quality of life improved significantly from prosthetic delivery to all follow-up visits (all p<0.001), while clinician’s functional and esthetic satisfaction scores were both high, with the mean score above 9.2 at the 3-year follow up.
EAO2022 Pozzi IBO Clinical Image with Prosthesis
Clinical image of fixed removable overdentures at 3 years follow-up
EAO 2022 Pozzi IBO Clinical Image of Implants at 3 years
Customized titanium bar supported by 4 implants at 3 years follow-up

Citation

Presented at 29th Annual Scientific Meeting of the European Association for Osseointegration (EAO Uniting Nations through Innovations), 29 September to 1 October 2022. (Sep 2022) EAO-701/PO-65

Pozzi A, Stellini E, Heydecke G, Romeo E, Behneke A, Behneke N, Ottria L, Ferrari M, Meloni S. EAO-701 /PO-65 | Fixed-removable overdenture supported by a customized Ti-bar on 4 implants: 3-year prospective study. In Special Issue: Uniting Nations through Innovations by the European Association for Osseointegration 28 September-1 October 2022, Clin Oral Impl Res; Vol 33 (S24): 112-113  

References

 

  1. Pozzi A, Tallarico M, Moy PK. Four-implant overdenture fully supported by a CAD-CAM titanium bar: A single-cohort prospective 1-year preliminary study. J Prosthet Dent. 2016 Oct;116(4):516-523.
  2. Compagnoni MA, Paleari AG, Rodriguez LS, Giro G, Mendoza Marin DO, Pero AC. Impact of replacing conventional complete dentures with implant-supported fixed complete dentures. Int J Periodontics Restorative Dent. 2014 Nov-Dec;34(6):833-9.
  3. Krennmair G, Krainhöfner M, Piehslinger E. The influence of bar design (round versus milled bar) on prosthodontic maintenance of mandibular overdentures supported by 4 implants: a 5-year prospective study. Int J Prosthodont. 2008 Nov-Dec;21(6):514-20.
  4. Pozzi A, Mura P. Clinical and radiologic experience with moderately rough oxidized titanium implants: up to 10 years of retrospective follow-up. Int J Oral Maxillofac Implants. 2014 Jan-Feb;29(1):152-61.

Authors

Università degli Studi di Roma Tor Vergata, Rome, Italy
Edoardo Stellini
Dental Clinic University of Padova, Padova, Italy
Guido Heydecke
Poliklinik für Zahnärztliche Prothetik Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany
Eugenio Romeo
Clinica Odontoiatrica Dipartimento di Medicina, Chirurgia e Odontoiatria Università degli Studi di Milano, Milano, Italy
Alexandra Behneke
Poliklinik für Prothetik, Poliklinik für Zahnärztliche Chirurgie, Mainz, Germany
Nikolaus Behneke
Poliklinik für Prothetik, Poliklinik für Zahnärztliche Chirurgie, Mainz, Germany
Liliana Ottria
Università degli Studi di Roma Tor Vergata, Rome, Italy
Marco Ferrari
Dipartimento di Scienze Odontostomatologiche, Università di Siena, Policlinico “Le Scotte", Siena, Italy
Silvio Meloni
Università degli Studi di Sassari, Sassari, Italy

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