The effect of ball versus locator attachment system on the performance of implant supported overdenture: A systematic review

Objective: This systematic review was aimed to compare ball and locator attachment system on the basis of clinical and biomechanical performance of implant supported overdenture as well as biological and patient related outcomes. Material and methods: Open and free electronic and manual searches wer...

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Main Authors: Nimmi Gupta, Rajesh Bansal, Neeteesh K. Shukla
Format: Article
Language:English
Published: Elsevier 2023-01-01
Series:Journal of Oral Biology and Craniofacial Research
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2212426822001609
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author Nimmi Gupta
Rajesh Bansal
Neeteesh K. Shukla
author_facet Nimmi Gupta
Rajesh Bansal
Neeteesh K. Shukla
author_sort Nimmi Gupta
collection DOAJ
description Objective: This systematic review was aimed to compare ball and locator attachment system on the basis of clinical and biomechanical performance of implant supported overdenture as well as biological and patient related outcomes. Material and methods: Open and free electronic and manual searches were performed in digital databases including MEDLINE via PubMed, the Cochrane Database of Clinical Trials, and Scopus along with some other reliable sources. From the 667 retrieved records, 11 full-text controlled trials were included in this study. Risk of bias was assessed according to RoB 2.0 except for one RCT (economic evaluation), only assessed by CASP checklist. Results: From the 11 retrieved studies, total 183 locator and 219 ball attachments were identified in 452 subjects of 30 yrs–95 yrs of age. Studies provided data about prosthodontic complications or maintenance (replacement or the activation of matrix and patrix part, loss of retention, fracture and relining of the prosthesis, fracture of the attachment and the survival probability), oral health impact profile, soft tissue parameters and periodontal complications, marginal bone loss, patient related outcome and cost of the attachment systems. Only 5 studies were assessed at low risk bias, while other 6 at moderate to high risk of bias. Conclusion: Locator attachment system show lesser complications including loss of retention and lower maintenance appointments, lesser soft tissue, and periodontal complications than the ball attachment. Ball is better in terms of cost effectiveness. In other related outcomes, no significant differences were noted between ball and locator attachment.
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spelling doaj-art-addef0d1b3c04f10905329804b61d0422024-11-23T06:29:48ZengElsevierJournal of Oral Biology and Craniofacial Research2212-42682023-01-011314455The effect of ball versus locator attachment system on the performance of implant supported overdenture: A systematic reviewNimmi Gupta0Rajesh Bansal1Neeteesh K. Shukla2Dpt. of Prosthodontics, Faculty of Dental Sciences, IMS, Banaras Hindu University, India; Corresponding author. Dpt. of Prosthodontics, Faculty of Dental Sciences, IMS, BHU, Varanasi, UP, 221005, India.Dpt. of Prosthodontics, Faculty of Dental Sciences, IMS, Banaras Hindu University, IndiaDpt. of Orthodontics, Faculty of Dental Sciences, IMS, Banaras Hindu University, IndiaObjective: This systematic review was aimed to compare ball and locator attachment system on the basis of clinical and biomechanical performance of implant supported overdenture as well as biological and patient related outcomes. Material and methods: Open and free electronic and manual searches were performed in digital databases including MEDLINE via PubMed, the Cochrane Database of Clinical Trials, and Scopus along with some other reliable sources. From the 667 retrieved records, 11 full-text controlled trials were included in this study. Risk of bias was assessed according to RoB 2.0 except for one RCT (economic evaluation), only assessed by CASP checklist. Results: From the 11 retrieved studies, total 183 locator and 219 ball attachments were identified in 452 subjects of 30 yrs–95 yrs of age. Studies provided data about prosthodontic complications or maintenance (replacement or the activation of matrix and patrix part, loss of retention, fracture and relining of the prosthesis, fracture of the attachment and the survival probability), oral health impact profile, soft tissue parameters and periodontal complications, marginal bone loss, patient related outcome and cost of the attachment systems. Only 5 studies were assessed at low risk bias, while other 6 at moderate to high risk of bias. Conclusion: Locator attachment system show lesser complications including loss of retention and lower maintenance appointments, lesser soft tissue, and periodontal complications than the ball attachment. Ball is better in terms of cost effectiveness. In other related outcomes, no significant differences were noted between ball and locator attachment.http://www.sciencedirect.com/science/article/pii/S2212426822001609Implant retained overdentureAttachment systemBall attachmentLocator attachmentProsthodontic complications
spellingShingle Nimmi Gupta
Rajesh Bansal
Neeteesh K. Shukla
The effect of ball versus locator attachment system on the performance of implant supported overdenture: A systematic review
Journal of Oral Biology and Craniofacial Research
Implant retained overdenture
Attachment system
Ball attachment
Locator attachment
Prosthodontic complications
title The effect of ball versus locator attachment system on the performance of implant supported overdenture: A systematic review
title_full The effect of ball versus locator attachment system on the performance of implant supported overdenture: A systematic review
title_fullStr The effect of ball versus locator attachment system on the performance of implant supported overdenture: A systematic review
title_full_unstemmed The effect of ball versus locator attachment system on the performance of implant supported overdenture: A systematic review
title_short The effect of ball versus locator attachment system on the performance of implant supported overdenture: A systematic review
title_sort effect of ball versus locator attachment system on the performance of implant supported overdenture a systematic review
topic Implant retained overdenture
Attachment system
Ball attachment
Locator attachment
Prosthodontic complications
url http://www.sciencedirect.com/science/article/pii/S2212426822001609
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