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[[File:Implant overdenture model.jpg|thumb|316x316px|Overdenture resting on implants on a plastic model]]
[[File:Implant overdenture model.jpg|thumb|316x316px|Overdenture resting on implants on a plastic model]]
'''Overdenture''' is any removable [[dental prosthesis]] that covers and rests on one or more remaining natural teeth, the roots of natural teeth, and/or [[Dental implant|dental implants]].<ref>{{Cite book|url=https://linkinghub.elsevier.com/retrieve/pii/S0022391316306837|title=Glossary of Prosthodontics|last=|first=|date=May 2017|volume= Volume 117|website=|archive-url=|archive-date=|dead-url=|access-date=}}</ref> It is one of the most practical measures used in preventive dentistry. Overdentures can be either tooth supported (conventional / immediate) or implant supported. It is found to help in the preservation of [[Alveolar process|alveolar bone]] and delay the process of complete [[edentulism]].<ref>{{Cite journal|last=Samra|first=Rupandeep Kaur|last2=Bhide|first2=Shreenivas Vasant|last3=Goyal|first3=Chhavi|last4=Kaur|first4=Taranjit|date=2015-01-01|title=Tooth supported overdenture: A concept overshadowed but not yet forgotten!|url=http://www.jorr.org/article.asp?issn=2249-4987;year=2015;volume=7;issue=1;spage=16;epage=21;aulast=Samra|journal=Journal of Oral Research and Review|language=en|volume=7|issue=1}}</ref>
'''Overdenture''' is any removable [[dental prosthesis]] that covers and rests on one or more remaining natural teeth, the roots of natural teeth, and/or [[Dental implant|dental implants]].<ref>{{Cite book|url=https://linkinghub.elsevier.com/retrieve/pii/S0022391316306837|title=Glossary of Prosthodontics|last=|first=|date=May 2017|volume= Volume 117|website=|archive-url=|archive-date=|dead-url=|access-date=}}</ref> It is one of the most practical measures used in preventive dentistry. Overdentures can be either tooth supported (conventional / immediate) or implant supported. It is found to help in the preservation of [[Alveolar process|alveolar bone]] and delay the process of complete [[edentulism]].<ref>{{Cite journal|last=Samra|first=Rupandeep Kaur|last2=Bhide|first2=Shreenivas Vasant|last3=Goyal|first3=Chhavi|last4=Kaur|first4=Taranjit|date=2015-01-01|title=Tooth supported overdenture: A concept overshadowed but not yet forgotten!|url=http://www.jorr.org/article.asp?issn=2249-4987;year=2015;volume=7;issue=1;spage=16;epage=21;aulast=Samra|journal=Journal of Oral Research and Review|language=en|volume=7|issue=1}}</ref>

== Alternative Terminologies ==

* [https://open.umich.edu/sites/default/files/downloads/jshotwell-week5.pdf Overlay Denture]
* Hybrid Prosthesis
* Telescoping Denture
* Tooth Supported Denture
* [http://www.srmuniv.ac.in/sites/default/files/files/5(1).pdf Onlay dentures]
* Superimposed dentures


== Types ==
== Types ==

Revision as of 13:33, 22 November 2018

Overdenture resting on implants on a plastic model

Overdenture is any removable dental prosthesis that covers and rests on one or more remaining natural teeth, the roots of natural teeth, and/or dental implants.[1] It is one of the most practical measures used in preventive dentistry. Overdentures can be either tooth supported (conventional / immediate) or implant supported. It is found to help in the preservation of alveolar bone and delay the process of complete edentulism.[2]

Alternative Terminologies

Types

  • Tooth supported overdenture
  • Implant supported overdenture

Indications

Retention and Stability

- If prescribing a removable prosthesis and there is limited remaining firm teeth in the dentition an overdenture may aid in retention and stability compared to that of a conventional removable prosthesis[3].

Preventative Dentistry

- The use of an overdenture delays the process of leaving the patient completely edentulous and assists in the preservation of bone[3].

- As a main priority for many dentists and patients, preventative dentistry is a reason for prescribing an overdenture as it retains the natural teeth for longer[4].

Patient Anatomy

- Overdentures can be useful for patients with a severe ridge defect or bone resorption[5].

- Patients who have unfavourable tongue positions and muscle attachment for a conventional removable prosthesis could find that an overdenture has increased retention and stability[4].

- If the patient has a superficially placed mental nerve, then the preferential choice of treatment may be to leave certain teeth in place in order to prevent damage to the nerve and prescribe an overdenture for any aesthetic needs[5].

Protection of Root Canal Filling

- An overdenture can be prescribed for a patient who has just had a root canal treatment completed to protect the coronal seal of the tooth if they are waiting to have fixed prosthodontics carried out on the tooth.

Advantages

  • Preservation of alveolar bone[6]
  • Providing stability and retention
  • Improving masticatory efficiency[7]

Disadvantages

Research & evidence

A 10 year observational period found that implants which supported overdentures in the mandible had a survival rate ranging from 91.7% to 100%.[8] Furthermore, implant survival rates with respect to their attachment system were found to be best for the ball type attachment which was an average of 95.8 - 97.5%, followed by the bar and magnet ranging from 96.2 - 100% , and 91.7% respectively.[9]

References

  1. ^ Glossary of Prosthodontics. Vol. Volume 117. May 2017. {{cite book}}: |volume= has extra text (help); Cite has empty unknown parameter: |dead-url= (help)
  2. ^ Samra, Rupandeep Kaur; Bhide, Shreenivas Vasant; Goyal, Chhavi; Kaur, Taranjit (2015-01-01). "Tooth supported overdenture: A concept overshadowed but not yet forgotten!". Journal of Oral Research and Review. 7 (1).
  3. ^ a b Samra, Rupandeep Kaur; Bhide, Shreenivas Vasant; Goyal, Chhavi; Kaur, Taranjit (2015-01-01). "Tooth supported overdenture: A concept overshadowed but not yet forgotten!". Journal of Oral Research and Review. 7 (1).
  4. ^ a b http://www.thejpd.org/pb/assets/raw/Health%20Advance/journals/ympr/Castillo.pdf. {{cite web}}: Cite has empty unknown parameter: |dead-url= (help); Missing or empty |title= (help)
  5. ^ a b Bansal, Siddharth; Aras, Meena A; Chitre, Vidya (2014-01-01). "Guidelines for treatment planning of mandibular implant overdenture". Journal of Dental Implants. 4 (1).
  6. ^ Dodge, Charles A. (1973-10). "Prevention of complete denture problems by use of "overdentures"". The Journal of Prosthetic Dentistry. 30 (4): 403–411. doi:10.1016/0022-3913(73)90161-3. ISSN 0022-3913. {{cite journal}}: Check date values in: |date= (help)
  7. ^ Awad, Manal A.; Feine, Jocelyne S. (1998-12). "Measuring patient satisfaction with mandibular prostheses". Community Dentistry and Oral Epidemiology. 26 (6): 400–405. doi:10.1111/j.1600-0528.1998.tb01978.x. ISSN 0301-5661. {{cite journal}}: Check date values in: |date= (help)
  8. ^ Kim, Ha-Young; Lee, Jeong-Yol; Shin, Sang-Wan; Bryant, S. Ross (2012-11). "Attachment systems for mandibular implant overdentures: a systematic review". The Journal of Advanced Prosthodontics. 4 (4): 197–203. doi:10.4047/jap.2012.4.4.197. ISSN 2005-7806. PMC 3517957. PMID 23236571. {{cite journal}}: Check date values in: |date= (help)
  9. ^ Kim, Ha-Young; Lee, Jeong-Yol; Shin, Sang-Wan; Bryant, S. Ross (2012-11). "Attachment systems for mandibular implant overdentures: a systematic review". The Journal of Advanced Prosthodontics. 4 (4): 197–203. doi:10.4047/jap.2012.4.4.197. ISSN 2005-7806. PMC 3517957. PMID 23236571. {{cite journal}}: Check date values in: |date= (help)