Re: dental implants

From: Steven Bornfeld (dentaltwinnospam_at_earthlink.net)
Date: 06/30/04


Date: Tue, 29 Jun 2004 22:02:49 -0400


Carolyn Dailey wrote:
> Hi Group, I would like to hear from anyone about problems with endosteal
> Implants supporting a overdenture. Thank you
>

        No technique is totally trouble-free. Still, implant-retained
overdentures are one of the most efficient ways to improve the function
of lower dentures.
        I haven't restored that many implant patients, but have done a few
overdentures. By and large they are a wonderful procedure--far less
expensive than implant-retained full-arch fixed appliances, and
well-tolerated by patients.
        Any implant fixture may fail, but proper case selection and surgical
placement minimizes this possibility. The very first implant-retained
overdenture I did, nearly 20 years ago failed. First, the surgeon
placed 4 fixtures, and 2 of them failed. One was replaced, but poor
tissue management caused the tissue to overgrow one of the three, and
the remaining 2 were utilized for ERA attachments. One of the abutments
snapped off, leaving the fractured screw in the fixture.
        Needless to say, I haven't used that system again (which may well have
been changed since in any case), and I haven't used that surgeon for any
more implant cases (though I'm sure he has since become highly competent
for implants). But I didn't restore another implant case for 10 years
or so.
        I haven't had any problems of this magnitude with any other implant
patients. Like anything else, new technologies take a while to get the
kinks out--though I'm sure that is cold comfort for my first implant
patient!

Steve



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