Rehabilitation of Edentulous Ridge Patients with Implant-Supported Removable Dentures (ISRD): A Systematic Review

Implant-Supported Removable Dentures (ISRD) represent an innovative prosthodontic solution for rehabilitating patients with partial or complete edentulism, combining the superior stability of dental implants with the flexibility and accessibility of removable prostheses. This systematic review evaluates the clinical efficacy, biomechanical performance, and patient-centered outcomes associated with ISRD compared to conventional removable partial dentures (RPD). The key findings demonstrate that ISRD provides significantly enhanced masticatory comfort, function, and overall performance through more balanced distribution of occlusal forces, which effectively reduces pressure on soft tissues and alveolar bone while minimizing progressive bone resorption. Strategic implant placement, particularly in posterior regions, combined with modern attachment systems such as Locator® and ball attachments, substantially improves biomechanical efficiency, prosthetic stability, and aesthetic outcomes. However, clinical challenges persist, including biological complications such as peri-implant inflammation and marginal bone loss, as well as prosthetic complications including attachment wear and framework damage. The significance of these findings lies in establishing that optimal long-term success requires comprehensive integration of evidence-based prosthetic design principles, selection of high-quality biocompatible materials, rigorous oral hygiene protocols, and systematic maintenance programs. Beyond functional restoration, ISRD provides substantial aesthetic benefits by supporting facial soft tissues and restoring natural facial contours, thereby significantly enhancing patient self-confidence and psychosocial well-being. To ensure sustained positive clinical outcomes, continued development of standardized installation protocols, evidence-based maintenance guidelines, and structured patient education programs is essential to minimize complication risks and maximize quality-of-life improvements for edentulous patients.