Oral Hygiene Status in Patients with Complete Removable and Implant-Supported Overdentures: A Clinical and Preventive Analysis

Abstract

In modern prosthetic dentistry, rehabilitation of patients with complete edentulism is increasingly carried out using implant-supported prosthetic constructions. The use of implant-retained overdentures significantly improves the functional efficiency of prosthetic treatment, enhances prosthesis stability, and increases patients’ quality of life. However, the long-term success of treatment directly depends on the level of individual oral hygiene and proper maintenance of prosthetic components. Removable dentures of various types create additional retentive areas for dental plaque and microbial accumulation, which may contribute to inflammatory changes in the mucosa and peri-implant tissues. Regular monitoring of oral hygiene is particularly important in patients using implant-supported prostheses, since biofilm formation is one of the key risk factors for the development of peri-implantitis. Clinical observations indicate that patients with implant-supported overdentures, when adequately motivated in oral hygiene practices, demonstrate more stable tissue conditions in the prosthetic bed compared to users of conventional complete removable dentures. This underscores the need for individualized preventive programs, including patient education on denture care and regular professional follow-up. Thus, maintaining an optimal level of oral hygiene is a critical prerequisite for preserving the functionality of prosthetic constructions and preventing complications associated with both conventional removable dentures and implant-supported systems.