{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T22:16:38Z","timestamp":1791324998402,"version":"4.3.1"},"reference-count":66,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,4,24]],"date-time":"2022-04-24T00:00:00Z","timestamp":1650758400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Implant Dent Rel Res"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This randomized clinical trial aimed to evaluate prosthetic complications and maintenance of different attachments used to stabilize mandibular 2\u2010implant overdentures in patients with atrophied ridges.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Ninety edentulous patients with a maladaptive capacity of wearing conventional dentures due to mandibular ridge atrophy received 2\u2010implants in the canine regions using computer\u2010guided surgery. The patients were randomly assigned into three groups; (1) Bar group: overdentures were connected to the implants with bar\/clip attachments, (2) Telescopic group: overdentures were connected to the implants using a resilient telescopic attachment, and (3) Stud group: overdentures were connected to the implants with resilient stud (Locator) attachments. Prosthetic complications of attachments, mandibular overdentures, and maxillary dentures, and soft tissue complications of mandibular overdentures and maxillary dentures were evaluated 1 year (T1), 3\u2009years (T3), and 5\u2009years (T5) after denture insertion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The majority of prosthetic and soft tissue complications for all groups occurred in the first year. The most frequent prosthetic complication was wear\/distortion of retentive components of locator and telescopic attachments and activation of clips of bar attachment. The bar group showed the highest incidence of overdenture relines, fractures, hyperplasia, maxillary denture mucositis, and soreness. The telescopic group showed the highest incidence of screw loosening, teeth wear\/fracture, maxillary denture relines, fractures, teeth wear, teeth separation, and flappy ridges. The stud group recorded the highest incidence of wear and replacement of retentive components.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>For 2\u2010implant overdentures in patients with atrophied mandibles, bar attachments showed the highest incidence of complications related to mandibular overdentures, telescopic attachments showed the highest incidence of complications related to maxillary dentures, and stud attachments showed the highest incidence of complications related to the attachment components.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/cid.13093","type":"journal-article","created":{"date-parts":[[2022,4,24]],"date-time":"2022-04-24T21:43:58Z","timestamp":1650836638000},"page":"497-509","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Prosthetic complications and maintenance of different attachments used to stabilize mandibular 2\u2010implant overdentures in patients with atrophied ridges. A 5\u2010year randomized controlled clinical trial"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9514-6931","authenticated-orcid":false,"given":"Moustafa Abdou","family":"ELsyad","sequence":"first","affiliation":[{"name":"Department of Prosthodontics, Faculty of Dentistry Mansoura University  Eldakahlia Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdelrahman Elsaid","family":"Abdraboh","sequence":"additional","affiliation":[{"name":"Department of Removable Prosthodontics, Faculty of Dentistry Beni Suef University  Beni Suef Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed Mahmoud","family":"Denewar","sequence":"additional","affiliation":[{"name":"Department of Removable Prosthodontics, Faculty of Dentistry Delta University for Science and Technology  Eldakahlia Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shahinaz Sayed","family":"Mohamed","sequence":"additional","affiliation":[{"name":"Department of Removable Prosthodontics, Faculty of Dentistry Beni Suef University  Beni Suef Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,4,24]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0501.2009.01722.x"},{"key":"e_1_2_10_3_1","first-page":"162","article-title":"Osseointegrated dental implants with ball attachments supporting overdentures in patients with mandibular alveolar ridge atrophy","volume":"8","author":"Donatsky O","year":"1993","journal-title":"Int J Oral Maxillofac 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