Bone resorption processes in patients wearing overdentures: a 6-years retrospective study
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López Roldán, Andrés; Santolaya Abad, Diego; Gregori Bertomeu, Isabel; Gómez Castillo, Emma; Selva Otaolaurruchi, Eduardo J.
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Aquest document és un/a article, creat/da en: 2009
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Objectives:
1. – To measure the alveolar resorption processes that occur in patients wearing mandibular overdentures on 2
implants and fully-removable maxillary dentures, and to evaluate the same process on patients wearing fully-
removable dentures on both arches.
2.- To verify whether Kelly’s Combination Syndrome occurs in the group of patients wearing overdentures.
Method and Material:
Forty patients were evaluated, of which a “cases” group was formed by 25 patients wearing mandibular overdentures on 2 lower jaw implants and fully-removable dentures on the opposite arch. The other 15 patients formed a
control group that wore fully-removable dentures on both arches.
Each one of the patients underwent orthopantograms from the moment the dentures were inserted until an average
of 6 years later, which were assessed based on the Xie et al. method to estimate vertical bone loss. Once the data
was collected, it was subjected to statistical analysis.
Results:
In terms of the maxillary midline, we observed a greater loss in patients wearing overdentures, which was statistically significant, as it registered 0.32 mm/year. Mandibular bone loss was 2.5 times less in patients in the cases
group. The rest of the clinical criteria for Kelly’s Combination Syndrome were not observed.
Conclusions:
Kelly’s Combination Syndrome did not occur in the patients in the cases group. In spite of the greater bone loss on
a premaxillary level in this group, the placing of the overdenture on the implants significantly reduced mandibular
bone resorption.
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