Abstract:
Purpose:
This study aimed to investigate the implant-supported removable partial denture in the aesthetic zone with different attachments regarding the patient's opinion, and health of soft and hard tissue related to the implants.
Materials and Methods:

Eight subjects missing four/five maxillary anterior teeth were enrolled for this work in two groups according to the attachment used. Each patient had a removable prosthesis with attachment (positioner and ball) on two implants. Visual analog scale (VAS), marginal bone level, gingival index (GI), implant stability, and peri-implant propping depth (PD) were evaluated for all subjects in a scheduled 6 and 12 months follow-up.
Results:
VAS showed a significant difference indicating better patient acceptance to the implant-supported prosthesis and improved quality of life. No implant failure was recorded, and a mean marginal bone loss was 0.66±0.10 in group A and 0.70 ± 0.09 in group B. No statistically significant difference between groups in all study periods for gingival probing depth (PD) and implant stability. The gingival index (GI) showed a significant difference in ball attachment group B in the 12 months period.
Conclusion:
Within the limitation of this work, the removable partial overdenture can be used (when indicated) in the anterior region with anticipated success independent of the type of attachments