{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T10:59:45Z","timestamp":1778583585809,"version":"3.51.4"},"reference-count":32,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,12,27]],"date-time":"2019-12-27T00:00:00Z","timestamp":1577404800000},"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":["Journal of Prosthodontics"],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>This systematic review was undertaken to establish the most favourable protocol to treat an edentulous mandible with a single implant\u2010retained overdenture. The formulated PICO question was: \u201cWhich surgical and prosthetic protocols result in the highest survival and complication rates of implants and prostheses employed in a single implant retained overdenture for the rehabilitation of a completely edentulous mandibular ridge?\u201d<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>A structured literature search was conducted using the following databases; PubMed, ScienceDirect, COCHRANE, LILACS, IndeMED, OVID, EMBASE, NIH Clinical Trials for reports related to the single implant\u2010retained overdenture treatment. Only English articles were included. Publications with a minimum follow up time of 1 year and above were included for meta\u2010analysis. A Poisson regression model was applied to estimate the survival rates of the implant and prosthesis employed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The electronic database search yielded 2083 titles and abstracts; and a total of 17 were selected for the systematic review, of which 11 studies were subjected to meta\u2010analysis. The implants showed high estimated five and 10\u2010year survival rates of 91.93% and 84.62%, respectively. Implants that were delayed loaded showed the greatest survival rates, while immediately loaded implants presented with higher survival rates at five (<jats:italic>p<\/jats:italic> = 0.849) and 10 years (<jats:italic>p<\/jats:italic> = 0.464) when compared to early loaded implants. The greatest number of fractures were associated with ball abutments with an event rate of 10.8 (95% CI: 10.5\u201011.09) per 100 prosthesis years, while locator abutments showed a greater number of maintenance events with an event rate of 16.84(95% CI:16.01\u201017.66) per 100 prosthesis years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Single implant\u2010retained overdenture treatment is a cost\u2010effective, minimally invasive and simple treatment that can be used to restore function and aesthetics to edentulous patients, with relatively high implant and prosthesis success rates and minimal complications.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jopr.13133","type":"journal-article","created":{"date-parts":[[2019,12,18]],"date-time":"2019-12-18T09:40:37Z","timestamp":1576662037000},"page":"287-297","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":36,"title":["Single Implant Retained Overdenture Treatment Protocol: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6491-5029","authenticated-orcid":false,"given":"Harini","family":"Padmanabhan","sequence":"first","affiliation":[{"name":"Department of Prosthodontics, Crown &amp; Bridge Sri Ramachandra Institute of Higher Education and Research  Chennai India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S. Madhan","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics, Crown &amp; Bridge Sri Ramachandra Institute of Higher Education and Research  Chennai India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V. Anand","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics, Crown &amp; Bridge Sri Ramachandra Institute of Higher Education and Research  Chennai India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,12,27]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.coms.2015.01.005"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1741-2358.2002.00003.x"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0501.2008.01693.x"},{"key":"e_1_2_6_5_1","first-page":"181","article-title":"A cost comparison of mandibular two\u2010implant overdenture and conventional denture treatment","volume":"17","author":"Takanashi Y","year":"2004","journal-title":"Int J Prosthodont"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3913(91)90205-B"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3913(97)70120-3"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.12513"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2018.01.021"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12550"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jebdp.2017.02.002"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.i4919"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l4898"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0501.2007.01439.x"},{"key":"e_1_2_6_15_1","first-page":"98","article-title":"The Symphyseal single\u2010tooth implant for anchorage of a mandibular complete denture in geriatric patients","volume":"16","author":"Krennmair G","year":"2001","journal-title":"Int J Oral Max Implants"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3913(07)60016-X"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0501.2010.02004.x"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3913(10)60026-1"},{"key":"e_1_2_6_19_1","first-page":"13","article-title":"The immediately loaded single implant\u2013retained mandibular overdenture: a 36\u2010month prospective study","volume":"23","author":"Liddelow GJ","year":"2010","journal-title":"Int J Prosthodont"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1754-4505.2011.00196.x"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2011.07.007"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jds.2012.02.001"},{"key":"e_1_2_6_23_1","first-page":"181","article-title":"A prospective randomized study on the immediate loading of mandibular overdentures supported by one or two Implants; a 3 year follow\u2010up report","volume":"25","author":"Kronstrom M","year":"2012","journal-title":"Clin Oral Impl Res"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.12111"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034514554224"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.4047\/jap.2015.7.3.191"},{"key":"e_1_2_6_27_1","first-page":"4","article-title":"Two years retrospective evaluation of overdenture retained by symphyseal single implant using two types of attachments","volume":"7","author":"Ismail HA","year":"2015","journal-title":"J Int Oral Health"},{"key":"e_1_2_6_28_1","doi-asserted-by":"crossref","unstructured":"NischalK ChowdharyR:Early loaded single implant reinforced mandibular overdenture. 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