Implant Overdenture post-placement
- Evaluation of overdenture base fit, extension, occlusion and function, esthetics and comfort
- Healing of soft and hard tissue should be evaluated
- Resilient relining material should be replaced if necessary
- Check of prosthetic component function and proper handling of the overdenture by the patient
Post-placement visits - considerations
At post-placement visits, the same factors evaluated carefully at the placement appointment should be reviewed and adjusted where necessary. Overdenture base fit, extensions, occlusion, esthetics, function, comfort and overall patient satisfaction need to be checked. Also, the clinician should assess soft tissue healing and any residual swelling. If a resilient liner was placed, healing and shrinkage of soft tissues may result in poor denture base fit necessitating replacement of the liner. For most resilient liners, the mechanical properties are such that replacement every 2-4 weeks is indicated. Over the long-term, when denture base fit worsens with ongoing resorptive and morphological changes, a definitive reline of the denture base is indicated. In addition, loss of retention may require modification of attachments or replacement of either the matrix or patrix elements depending upon the specific retention mechanism chosen.
Post-placement visits are of great importance for assessing the patient's response to the esthetic outcome along with reviewing the patient's adaptability to the new prostheses and general satisfacation with the restoration. Some patients choose a removable option initially only to find that they wish to switch to a fixed prosthesis once they experience daily living with a removable prosthesis. In these instances, additional implants and prosthetic re-design are likely indicated. Regardless of whether the patient likes or dislikes the overdenture, the prosthesis has served a valuable purpose in directing additional implant care to increase the probability of a satisfied patient.