Investigation of Clinical and Laboratory Wear in Locator-Supported, Implant-Retained Overdentures

Purpose: To investigate the mechanical properties and wear of nylon inserts and abutments in Locator-retained, implant-supported overdentures (L-IODs). Materials and Methods: Clinical wear of inserts and abutments was qualitatively rated in a group of 16 patients with L-IODs. The inserts were also subjected to microscopic analysis, differential scanning calorimetry (DSC), and thermal gravimetric analysis (TGA). Results: Wear was identified in almost all inserts and abutments. These results were corroborated by DSC and TGA analyses, which showed significant mechanical deterioration of the inserts. Conclusion: Nylon inserts and Locator abutments show relevant signs of deterioration in clinical use, indicating that regular maintenance is an issue that should be addressed with the patients prior to treatment.