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Med Oral Patol Oral Cir Bucal ; 14(4): E203-9, 2009 Apr 01.
Article in English | MEDLINE | ID: mdl-19333190

ABSTRACT

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.


Subject(s)
Alveolar Bone Loss/diagnostic imaging , Denture, Complete, Upper/adverse effects , Denture, Overlay/adverse effects , Mandibular Diseases/diagnostic imaging , Maxillary Diseases/diagnostic imaging , Age Factors , Aged , Alveolar Bone Loss/etiology , Female , Humans , Jaw, Edentulous/complications , Jaw, Edentulous/diagnostic imaging , Male , Mandibular Diseases/etiology , Maxillary Diseases/etiology , Radiography, Panoramic/methods , Retrospective Studies , Sex Factors , Statistics, Nonparametric , Syndrome
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