TY - JOUR A1 - Brandt, Silvia A1 - Lauer, Hans-Christoph A1 - Fehrenz, Michael A1 - Güth, Jan-Frederik A1 - Romanos, Georgios A1 - Winter, Anna T1 - Ball versus locator® attachments : a retrospective study on prosthetic maintenance and effect on oral-health-related quality of life T2 - Materials N2 - Locator® and ball attachments are well-established systems to attach overdentures to two inter-foraminal implants. This study aimed to evaluate differences between the two systems regarding prosthetic maintenance and patients' oral-health-related quality of life (OHRQoL). Dental records of patients with a mandibular implant-retained overdenture were retrospectively analyzed. Prosthetic maintenance measures involving the denture suprastructure and attachment matrix and patrix were analyzed. Furthermore, the Oral Health Impact Profile-G14 (OHIP-G14) was used to evaluate OHRQoL. Results were analyzed by means of Kaplan–Meier analysis and Student's t- and log-rank tests. The records of 122 patients were evaluated. Kaplan–Meier survival analysis revealed a significant difference between ball attachments (Group B; n patients = 47) and Locator® attachments (Group L; n patients = 75) regarding the occurrence of denture fractures (p < 0.001) and events affecting the matrix (p = 0.028) and patrix (p = 0.030). Group L had a significantly lower total OHIP-G14 score than Group B (p = 0.002). The most common maintenance events were matrix-related and denture relining for both attachment systems. Group B required more maintenance measures than Group L. Moreover, patients in Group L had better OHRQoL than patients in Group B. KW - attachment KW - ball KW - locator KW - overdenture KW - OHRQoL KW - OHIP-G14 Y1 - 2021 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/60941 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-609415 SN - 1996-1944 N1 - Copyright: © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). VL - 14 IS - 4, art. 1051 SP - 1 EP - 10 PB - MDPI CY - Basel ER -