Abstract
Objective: The aim of this study was to criticaly review the published literature regarding the clinical aspects involved in the rehabilitation of edentulous patients using Branemark protocol and overdenture prostheses. Methods: An active search was conducted in the LILACS, MEDLINE, PubMed, and SciELO databases using the descriptors: "Coating for dentures" (Overlay Prosthesis and Overdenture) and "Implant-supported fixed dental prosthesis" (Protesis dental de suporte implantado, Dental prosthesis, and Implant Supported Prosthesis) in Portuguese, English, and Spanish between January 2000 and October 2014. Results: The following parameters should be considered when selecting between Branemark protocol and overdenture prostheses: bone support, lip support, lip-line, upper lip length, oral mucosa conditions and size, alveolar ridge contour, crown-bone ratio, interarch space, and speaking space. Overdenture rehabilitation can provide many benefits to patients, such as prosthetic retention, stability, comfort, and improved aesthetics. Conclusions: This study highlights the need for a thorough individualized treatment planning to ensure that fixed prostheses and overdentures have an excellent prognosis when used appropriately in suitable patients at the appropriate time.
Highlights
Before dental implants became available, the only option for replacement of teeth in completely edentulous patients, both in the upper and lower arches, was the use of mucosa-supported dentures
After the introduction of this concept, this author started replacing the root of missing teeth in the lower arch in edentulous patients by securing a fixed full denture using screws
This type of prosthesis is known as Branemark protocol-type prosthesis[3]
Summary
Before dental implants became available, the only option for replacement of teeth in completely edentulous patients, both in the upper and lower arches, was the use of mucosa-supported dentures. After the introduction of this concept, this author started replacing the root of missing teeth in the lower arch in edentulous patients by securing a fixed full denture using screws. This type of prosthesis is known as Branemark protocol-type prosthesis[3]. The original technique has undergone some changes over time, and today there are a variety of prosthetic treatment options associated with dental implants for the total replacement of missing teeth in the mandible and maxilla[2,3,4]. Among them are the overdentures, which are total screw-retained implant-supported prostheses[5,6,7]
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