ABSTRACT

Background:
Conventional denture wearers often experience low satisfaction levels due to poor retention and excessive tissue coverage.

Purpose:
This clinical report describes a conservative approach to address the functional, esthetic, and biological needs of a patient with a maxillary implant overdenture retained by two implants with equator resilient attachments, and a mandibular tooth-tissue retained overdenture.

Patient and methods:
A 65-year-old male patient with poor retention and discomfort from conventional dentures received a maxillary implant overdenture retained by two implants with equator resilient attachments, and a mandibular tooth-tissue supported overdenture. Thorough treatment planning, including prosthetically driven guided implants, was conducted, and the patient was followed up for one year.

Results:
The two-implant retained maxillary overdenture and tooth-tissue supported mandibular overdenture allowed the patient to achieve improved function, aesthetics, and overall satisfaction. The equator resilient attachments provided adequate retention and stability for the maxillary overdenture, while the mandibular overdenture provided additional support and stability through tooth-tissue contact. The patient reported improved comfort, speech, and chewing ability, along with increased confidence and satisfaction with the appearance of their dentures.

Conclusion:
The two-implant retained maxillary overdenture and tooth-tissue supported mandibular overdenture provided a successful treatment option for addressing the functional, esthetic, and biological needs of the patient. However, more precise and strict research is needed to provide definite quality assurance to patients and guidelines for daily practice.