Techniques for incorporation of attachments in implant-retained overdentures with unsplinted abutments.

A variety of techniques have been reported in the literature for the incorporation of attachments in implant-retained partial and complete overdentures with unsplinted or individual abutments. Three important elements that are necessary in describing any technique for incorporation of attachments are the type of final impression method (tissue-level impression, abutment-level impression, or implant-level impression), stage of overdenture fabrication (record base stage, denture-processing stage, or denture insertion stage) and nature of technique (direct or indirect). This article reviews 7 different techniques for the incorporation of attachments in implant-retained complete and partial overdentures. Discussion of indications, contraindications, advantages, and disadvantages of each technique is provided to aid the clinician in making an appropriate choice. (J Prosthet Dent 2012;107:288-299)