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Article: Volume 48 Number 7 Page 571 - July/August 2021

  Dent Update 2021; 48: 571-578  Read article

Fixed Prothodontics:  Can implant-retained overdenture components cause damage to the opposing natural dentition?

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Abstract: This clinical case series highlights an under-reported and often unidentified complication of implant-retained overdentures that may leave patients with a risk of long-term discomfort and preventable damage to the opposing dentition. A variety of cases is discussed to demonstrate potential problems and symptoms that can flag up signs of parafunctional habits in implant patients, and how these can be managed successfully.

Clinical relevance: Implant-retained overdentures provide a significant improvement in quality of life; however, careful patient assessment and management is essential to ensure the components do not cause damage to the opposing dentition.

Author notes: Nahal Razaghi, BDS (Hons), MJDF RCS (Eng), PG Dip (Dis), StR in Restorative Dentistry, Royal London Dental Hospital, Barts Health Trust, London. Mike Hughes, BDS, MFDS RCS (Eng), PG Cert Endodontics, Dip Rest Dent RCS (Eng), MSc, FFGDP (UK), ITI Fellow (UK), Lead Clinician and Clinical Director, Deintyddfa Na-Nóg Dental and Implant Team, Parc Menai, Bangor, Wales. Mital Patel, BDS, BSc(Hons), MFDS RCS(Eng), MSc, FDS (Rest Dent), RCS(Eng), FDS RCS (Ed), Consultant and Honorary Senior Clinical Lecturer in Restorative Dentistry, Royal London Dental Hospital, Barts Health Trust, London. email: nahal.razaghi@nhs.net

Objective: The reader should understand the clinical implications of implant components on the opposing dentition in patients with parafunctional habits/bruxism.