{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T13:06:11Z","timestamp":1787663171269,"version":"build-2736575974"},"reference-count":13,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,7,29]],"date-time":"2024-07-29T00:00:00Z","timestamp":1722211200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,7,29]],"date-time":"2024-07-29T00:00:00Z","timestamp":1722211200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int J Implant Dent"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>In older patients with progressive neurodegeneration, replacing fixed implant-supported prostheses (FIP) with implant overdentures (IOD) has been proposed to prevent future mucosal injury and create an oral environment that is easier for caregivers to clean. However, there have been no reports on the progress after replacing FIP with IOD. In this report, we present the progress of an older patient with Parkinson\u2019s disease in whom FIP was replaced with IOD.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>An 81-year-old male patient with Parkinson\u2019s disease presented to our outpatient clinic with bruxism and crossbites. FIPs, with five Br\u00e5nemark system implants, were placed in the bilateral lower molars. The FIP was replaced with an IOD with two locator attachments to create an oral environment that was easier for caregivers to clean and allow easy recovery of masticatory function if residual teeth were fractured in the care environment. As his systemic condition deteriorated, treatment was changed from outpatient to in-home visits. During dental care visits, professional oral cleaning and denture repair were continued, and good nutritional status was maintained. However, the patient developed cholecystitis and was hospitalized. During hospitalization, gastrostomy was performed because he developed aspiration pneumonia. After discharge from the hospital, the patient remained in bed all day and could not wear an IOD, resulting in buccal mucosa ulceration due to abrasion of the locator abutment. We decided to replace the abutment with cover screws; however, not all the implants could sleep submucosally. Although regular oral cleaning was resumed, new ulcers developed even when cover screws were installed. Additionally, swelling and drainage were observed at the peri-implant mucosal site where peri-implantitis had once occurred during an outpatient visit. The patient was readmitted to the hospital for a urinary tract infection, and subsequent visits were abandoned.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>By replacing FIP with IOD in an older patient with Parkinson\u2019s disease, we addressed a barrier to caregiver-provided oral management. The removable prosthesis facilitated smooth oral care by caregivers and functional recovery in the event of trouble with residual teeth. However, it could not completely avoid the recurrence of buccal mucosal ulcers or peri-implantitis.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40729-024-00557-8","type":"journal-article","created":{"date-parts":[[2024,7,29]],"date-time":"2024-07-29T14:29:59Z","timestamp":1722263399000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Long-term follow-up of a patient with Parkinson\u2019s disease under nursing care after replacement of fixed implant-supported prostheses with an implant overdenture: a case report"],"prefix":"10.1186","volume":"10","author":[{"given":"Kana","family":"Tokumoto","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takuya","family":"Mino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ikue","family":"Tosa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ko","family":"Omori","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michiyo","family":"Yamamoto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuki","family":"Takaoka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenji","family":"Maekawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takuo","family":"Kuboki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiromitsu","family":"Kishimoto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,7,29]]},"reference":[{"key":"557_CR1","first-page":"28","volume":"22","author":"T Suga","year":"2007","unstructured":"Suga T, Kondou D, Hayashi H, Ishikawa S, Morito M. Cause and provision for mucosal bite trauma at the scene of nursing or caring. Ronen-Shigaku. 2007;22:28\u201337.","journal-title":"Ronen-Shigaku"},{"key":"557_CR2","doi-asserted-by":"publisher","first-page":"39","DOI":"10.1111\/j.1754-4505.2012.00245.x","volume":"32","author":"RL Ettinger","year":"2012","unstructured":"Ettinger RL. Dental implants in frail elderly adults: a benefit or a liability? Spec Care Dentist. 2012;32:39\u201341. https:\/\/doi.org\/10.1111\/j.1754-4505.2012.00245.x.","journal-title":"Spec Care Dentist"},{"key":"557_CR3","doi-asserted-by":"publisher","first-page":"391","DOI":"10.11607\/jomi.3770","volume":"30","author":"TM Gon\u00e7alves","year":"2015","unstructured":"Gon\u00e7alves TM, Campos CH, Garcia RC. Effects of implant-based prostheses on mastication, nutritional intake, and oral health-related quality of life in partially edentulous patients: a paired clinical trial. 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Six-year follow-up assessment of prosthesis survival and oral health-related quality of life in individuals with partial edentulism treated with three types of prosthodontic rehabilitation. J Prosthodont Res. 2021;65:332\u20139. https:\/\/doi.org\/10.2186\/jpr.JPR_D_20_00095.","journal-title":"J Prosthodont Res"},{"key":"557_CR6","first-page":"1109","volume":"23","author":"MM Bornstein","year":"2008","unstructured":"Bornstein MM, Halbritter S, Harnisch H, Weber HP, Buser D. A retrospective analysis of patients referred for implant placement to a specialty clinic: indications, surgical procedures, and early failures. Int J Oral Maxillofac Implants. 2008;23:1109\u201316.","journal-title":"Int J Oral Maxillofac Implants"},{"key":"557_CR7","doi-asserted-by":"publisher","first-page":"151","DOI":"10.11607\/jomi.3769","volume":"30","author":"OE Br\u00fcgger","year":"2015","unstructured":"Br\u00fcgger OE, Bornstein MM, Kuchler U, Janner SF, Chappuis V, Buser D. Implant therapy in a surgical specialty clinic: an analysis of patients, indications, surgical procedures, risk factors, and early failures. Int J Oral Maxillofac Implants. 2015;30:151\u201360. https:\/\/doi.org\/10.11607\/jomi.3769.","journal-title":"Int J Oral Maxillofac Implants"},{"key":"557_CR8","doi-asserted-by":"publisher","first-page":"228","DOI":"10.1111\/prd.12166","volume":"73","author":"M Schimmel","year":"2017","unstructured":"Schimmel M, M\u00fcller F, Suter V, Buser D. Implants for elderly patients. Periodontol 2000. 2017;73:228\u201340. https:\/\/doi.org\/10.1111\/prd.12166.","journal-title":"Periodontol 2000"},{"key":"557_CR9","first-page":"15","volume":"31","author":"F M\u00fcller","year":"2016","unstructured":"M\u00fcller F, Schimmel M. Revised Success Criteria: a vision to meet frailty and dependency in implant patients. 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Oral implants in dependent elderly persons: blessing or burden? Gerodontology. 2011;28:76\u201380. https:\/\/doi.org\/10.1111\/j.1741-2358.2009.00314.x.","journal-title":"Gerodontology"},{"issue":"Suppl 1","key":"557_CR13","doi-asserted-by":"publisher","first-page":"e163","DOI":"10.1111\/cid.12148","volume":"17","author":"T Kimura","year":"2015","unstructured":"Kimura T, Wada M, Suganami T, Miwa S, Hagiwara Y, Maeda Y. Dental implant status of patients receiving long-term nursing care in Japan. Clin Implant Dent Relat Res. 2015;17(Suppl 1):e163\u20137. https:\/\/doi.org\/10.1111\/cid.12148.","journal-title":"Clin Implant Dent Relat Res"}],"container-title":["International Journal of Implant Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40729-024-00557-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40729-024-00557-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40729-024-00557-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,29]],"date-time":"2024-07-29T14:36:53Z","timestamp":1722263813000},"score":1,"resource":{"primary":{"URL":"https:\/\/journalimplantdent.springeropen.com\/articles\/10.1186\/s40729-024-00557-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,29]]},"references-count":13,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["557"],"URL":"https:\/\/doi.org\/10.1186\/s40729-024-00557-8","relation":{},"ISSN":["2198-4034"],"issn-type":[{"value":"2198-4034","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,29]]},"assertion":[{"value":"22 April 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 July 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 July 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The need for ethics approval was waived for this case report.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient and his representative for publication of this case report and accompanying images.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"37"}}