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]

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Summary

Introduction

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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