Root-retained overdentures: Survival of abutment teeth with precision attachments on root caps depends on overdenture design.

Berger, Camille Henriette; Arnold, Caroline; Stalder, Anja Katrin; Weber, Adrian; Abou-Ayash, Samir; Schimmel, Martin (2020). Root-retained overdentures: Survival of abutment teeth with precision attachments on root caps depends on overdenture design. Journal of oral rehabilitation, 47(10), pp. 1254-1263. Blackwell Scientific Publications 10.1111/joor.13060

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BACKGROUND

Root-retained overdentures (OD) are one treatment option for partially edentulous patients. However, the available evidence regarding factors influencing abutment survival in root-retained ODs is limited.

PURPOSE

This retrospective study included clinical examinations and evaluated the survival rate of roots restored with precision attachments soldered to post-and-core (gold cap) retained ODs, analysed with respect to various patient- and prosthesis-related factors.

METHODS

Patients receiving at least one OD with gold caps in the past were invited for comprehensive clinical examinations. The primary outcome parameter was the abutment survival rate over the observation period (2002-2016). Possible contributing factors (eg closed vs open OD design) were analysed. Analyses included Kaplan-Meier estimators, Cox regressions and hazard ratios (HR).

RESULTS

114 patients with 128 ODs originally retained by 280 abutments, with a cumulative total exposure time of 2035.4 years, were examined. Twenty-seven abutment teeth (9.6%) were lost after a mean observation period of 7.9 ± 3.4 years. Significant factors associated with abutment loss were a closed, compared to an open OD design (HR 8.38 (95% CI 1.11-63.59), P = .040), which was independent of the number of abutments per OD. Furthermore, the loss rate was higher when the denture was not worn day-and-night (HR 3.52 (95% CI 1.32-9.40), P = .012). Oral hygiene behaviour was associated with higher HRs.

CONCLUSIONS

ODs remain a viable treatment option for patients with few teeth remaining in the dental arch. It is advisable to choose an open design for the OD, irrespective of the number of abutment teeth. Furthermore, gold cap-retained ODs should not be removed overnight.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > School of Dental Medicine > Department of Reconstructive Dentistry and Gerodontology

UniBE Contributor:

Stalder, Anja Katrin; Weber, Adrian Roman; Abou-Ayash, Samir and Schimmel, Martin

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0305-182X

Publisher:

Blackwell Scientific Publications

Language:

English

Submitter:

Tina Lauper

Date Deposited:

04 Sep 2020 11:39

Last Modified:

08 Dec 2020 01:32

Publisher DOI:

10.1111/joor.13060

PubMed ID:

32697868

Uncontrolled Keywords:

Kaplan-Meier survival attachment denture dental abutment overdentures root caps

BORIS DOI:

10.7892/boris.146320

URI:

https://boris.unibe.ch/id/eprint/146320

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