A eficácia da overdenture comparada ao protocolo: revisão de literatura

Abstract

INTRODUCTION: This study aimed to assess and compare the effectiveness of two common approaches in oral rehabilitation: overdentures and fixed protocol. Both options are used in patients requiring implant-supported dental prostheses. The research aimed to provide valuable information for patients and dental professionals in making decisions about dental treatments. OBJECTIVE: The main objective of this study was to compare overdentures and fixed protocol in terms of cost, aesthetics, functionality, stability, and patient satisfaction. We sought to understand the advantages and disadvantages of each option to assist in clinical decision-making and patient counseling. METHODOLOGY: This study is a review of existing scientific literature up to September 2021. Clinical studies, systematic reviews, and meta-analyses that investigated the effectiveness, stability, functionality, and patient satisfaction with both approaches were analyzed. RESULTS: Based on the literature review and analysis of the studies, we highlighted that Overdenture is a lower-cost option, easy to maintain due to its removability, ideal for patients with moderate bone loss, with a possibility of occasional discomfort and the need for periodic adjustments. On the other hand, the fixed protocol provides greater stability and functionality, is less prone to causing discomfort, is aesthetically superior due to the absence of visible components, but comes with higher costs and a need for more implants. CONCLUSION: Overdentures represent an effective and cost-effective option for implant-supported oral rehabilitation. The choice should be based on a careful assessment of the clinical situation and patient preferences. Maintaining proper oral hygiene and regular care is crucial for the long-term success of any oral rehabilitation option.