Comparative study of splinted and unsplinted implant-retained maxillary overdentures without palatal coverage: A literature review

Authors

  • Ingrid ísis Nogueira Simões Department of Prosthesis and Dental Materials – School of Dentistry – Federal University of Rio de Janeiro – Rio de Janeiro – RJ – Brazil. http://orcid.org/0000-0003-4529-2214
  • Silvana Marques Miranda Spyrides Department of Prosthesis and Dental Materials – School of Dentistry – Federal University of Rio de Janeiro – Rio de Janeiro – RJ – Brazil. http://orcid.org/0000-0002-3262-8973
  • Fabiana Ribeiro da Silva Schanuel Department of Prosthesis and Dental Materials – School of Dentistry – Federal University of Rio de Janeiro – Rio de Janeiro – RJ – Brazil. http://orcid.org/0000-0001-5655-8116
  • Elson Braga de Mello Department of Prosthesis and Dental Materials – School of Dentistry – Federal University of Rio de Janeiro – Rio de Janeiro – RJ – Brazil. http://orcid.org/0000-0003-2669-9158

DOI:

https://doi.org/10.14295/bds.2017.v20i4.1482

Abstract

The palatal coverage is considered as an auxiliary element in the distribution of tensile strains on implant maxillary total prosthesis (implant overdentures) bases, either implant-supported or retained. However, complaints in some patients due to palate and phonetic impairment are constant. The palatal coverage removal would allow the improvement of these issues as well as pharyngeal control, salivary flow and hygiene. Thus, this literature review proposed to analyze the survival rates of dental implants retaining an implant maxillary overdenture without palatal coverage in edentulous maxilla. The review was conducted in Medline database, via PubMed between 2000 to 2016 period, and limited to English language publications. The search strategy took the following key-words, referencing title and / or abstract: dental implants; maxilla; maxillary; overdenture; and palatal coverage. According the data, the rehabilitation of the maxillary edentulous with four implant-supported overdentures with bar attachments and implant-retained with ball attachments has shown great survival rates of dental implants, but there are a few studies reporting the survival rate of implant overdentures.  It was concluded that the prosthetic rehabilitation of total maxillary edentulous patients is viable through palateless implant overdentures when a minimum of four to six implants were used with careful planning and execution.

 

Keywords

Dental Implants; Maxilla; Overdenture and Palatal coverage.

Author Biographies

Ingrid ísis Nogueira Simões, Department of Prosthesis and Dental Materials – School of Dentistry – Federal University of Rio de Janeiro – Rio de Janeiro – RJ – Brazil.

Department of Prosthesis and Dental Materials DSc, Faculty of Dentistry

Silvana Marques Miranda Spyrides, Department of Prosthesis and Dental Materials – School of Dentistry – Federal University of Rio de Janeiro – Rio de Janeiro – RJ – Brazil.

Department of Prosthesis and Dental Materials DSc, Faculty of Dentistry

Fabiana Ribeiro da Silva Schanuel, Department of Prosthesis and Dental Materials – School of Dentistry – Federal University of Rio de Janeiro – Rio de Janeiro – RJ – Brazil.

Department of Prosthesis and Dental Materials DSc, Faculty of Dentistry

Elson Braga de Mello, Department of Prosthesis and Dental Materials – School of Dentistry – Federal University of Rio de Janeiro – Rio de Janeiro – RJ – Brazil.

Department of Prosthesis and Dental Materials DSc, Faculty of Dentistry

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Published

2017-12-15

Issue

Vol. 20 No. 4 (2017): Oct. - Dec. / 2017 - Published December 2017

Section

Literature Review