SILVA, L. V.; SILVA, Luan Veiga da.
Abstract:
In the stomatognathic complex rehabilitation, aesthetics, function and comfort for the
patient must walk side by side, presenting a great challenge in the day-day of dental
practice, especially regarding the prosthesis on the implant, where besides seeking
union Of these factors, we should try to overcome limitations such as (and mainly)
reabsorption of the alveolar bone.
In an attempt to overcome these obstacles, two types of implant prostheses can be
used for total edentulous patients: total overdenture prostheses and fixed total
dentures of the Brånemark protocol type. The choice between these methods is
dependent on careful evaluation of the case, taking note of local factors such as quality
of remaining bone, distribution of masticatory charges, distribuition of implants,
hygienic capacity, occlusion and financial conditions. In this literature review it was
found that Brånemark protocol type prostheses are indicated for at least six implants
in the maxilla and five in the mandible (could be reduced in mandible, as the all-onfour
techinical), while overdenture prostheses should be fixed in at least two mandible
and four maxillary implants.
Through this literature review, we sought to compare these two alternatives in oral
rehabilitation, pointing out pros, cons and why each is indicated in the treatment of total
edentulism. Through this literature review, with the search of several databases on the
internet such as PubMed, Bireme, Lilacs, Medline and Google, in the search for articles
with indexed keywords, we sought to evaluate these two alternatives in oral
rehabilitation, pointing out advantages and disadvantages and indications and
contraindications of these rehabilitation modalities, as well as highlighting their clinical
particularities of interest to those who propose to perform this type of treatment. This
review concluded that implant prostheses Branemark’s protocol type and overdenture
are treatment options that demonstrate great functional aesthetic effectiveness, with
great variety within their own modalities.