The mandibular complete overdenture.

Mandibular complete overdenture treatment has been available for decades, but its use was limited when the treatment relied on retained teeth as overdenture abutments. This treatment, however, is currently experiencing more popularity than ever before. In fact, dentistry may be experiencing a philosophical shift, in which mandibular implant overdenture treatment may become the new standard of care for the treatment of the edentulous mandible. Practitioners are looking for simplified treatments that can provide cost-effective alternatives to more complex implant prosthodontic procedures. Implant overdentures provide a strong return for the investment in treatment time and expense and are a treatment suited to the lower socioeconomic status of many edentulous patients. The clinical outcome of this treatment is significantly better than that achieved with conventional mandibular dentures, especially when patients are experiencing technical problems because of compromised prosthesis retention or stability.

[1]  S. Lechner,et al.  Combination syndrome in relation to osseointegrated implant-supported overdentures: a survey. , 1996, The International journal of prosthodontics.

[2]  D. Wismeijer,et al.  Patient satisfaction with implant-supported mandibular overdentures. A comparison of three treatment strategies with ITI-dental implants. , 1997, International Journal of Oral & Maxillofacial Surgery.

[3]  G E Rooney,et al.  Alveolar bone loss in overdentures: a 5-year study. , 1978, The Journal of prosthetic dentistry.

[4]  A. Muftu,et al.  Complications in implant-supported overdentures. , 1997, Compendium of continuing education in dentistry.

[5]  A. K. Røynesdal,et al.  A comparative clinical investigation of 2 early loaded ITI dental implants supporting an overdenture in the mandible. , 2001, The International journal of oral & maxillofacial implants.

[6]  S. Sadowsky.  Mandibular implant-retained overdentures: a literature review. , 2001, The Journal of prosthetic dentistry.

[7]  D. R. Burns,et al.  Prospective clinical evaluation of mandibular implant overdentures: Part I--Retention, stability, and tissue response. , 1995, The Journal of prosthetic dentistry.

[8]  A. Fenton.  The decade of overdentures: 1970-1980. , 1998, The Journal of prosthetic dentistry.

[9]  A. Vissink,et al.  Effectiveness of three treatment modalities for the edentulous mandible. A five-year randomized clinical trial. , 2000, Clinical oral implants research.

[10]  D. van Steenberghe,et al.  A 5-year randomized clinical trial on the influence of splinted and unsplinted oral implants in the mandibular overdenture therapy. Part I: Peri-implant outcome. , 1998, Clinical oral implants research.

[11]  R. P. van Oort,et al.  Clinical aspects of a multicenter clinical trial of implant-retained mandibular overdentures in patients with severely resorbed mandibles. , 1996, The Journal of prosthetic dentistry.

[12]  R. P. van Oort,et al.  The cost of dental implants as compared to that of conventional strategies. , 1998, The International journal of oral & maxillofacial implants.

[13]  A Schmitt,et al.  The longitudinal clinical effectiveness of osseointegrated dental implants: the Toronto Study. Part II: The prosthetic results. , 1990, The Journal of prosthetic dentistry.

[14]  Ignace Naert,et al.  The McGill consensus statement on overdentures. , 2003, Quintessence international.

[15]  G. Zarb,et al.  Complications and maintenance requirements for fixed prostheses and overdentures in the edentulous mandible: a 5-year report. , 1994, The International journal of oral & maxillofacial implants.

[16]  D A Atwood,et al.  Clinical, cephalometric, and densitometric study of reduction of residual ridges. , 1971, The Journal of prosthetic dentistry.

[17]  J. P. Lund,et al.  Does a prosthodontist spend more time providing mandibular two-implant overdentures than conventional dentures? , 2002, The International journal of prosthodontics.

[18]  D E Jennings,et al.  Treatment of the mandibular compromised ridge: a literature review. , 1989, The Journal of prosthetic dentistry.

[19]  R. Jacobs,et al.  Maxillary bone resorption in patients with mandibular implant-supported overdentures or fixed prostheses. , 1993, The Journal of prosthetic dentistry.

[20]  N. von Wowern,et al.  Implant-supported overdentures, a prevention of bone loss in edentulous mandibles? A 5-year follow-up study. , 2001, Clinical oral implants research.

[21]  S. Marcus,et al.  Prevalence and demographic correlates of tooth loss among the elderly in the United States. , 1994, Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry.

[22]  R. Mericske-Stern,et al.  Overdentures with roots or implants for elderly patients: a comparison. , 1994, The Journal of prosthetic dentistry.

[23]  D. R. Burns,et al.  Prospective clinical evaluation of mandibular implant overdentures: Part II--Patient satisfaction and preference. , 1995, The Journal of prosthetic dentistry.

[24]  I Herrmann,et al.  A multicenter study of overdentures supported by Brånemark implants. , 1993, The International journal of oral & maxillofacial implants.

[25]  R. H. Batenburg,et al.  Mandibular overdentures supported by two or four endosseous implants. A 5-year prospective study. , 2004, Clinical oral implants research.

[26]  A Kingman,et al.  Denture Use and the Technical Quality of Dental Prostheses Among Persons 18–74 Years of Age: United States, 1988–1991 , 1996, Journal of dental research.

[27]  M. Chiapasco,et al.  Implant-retained mandibular overdentures with immediate loading: a prospective study of ITI implants. , 2000, The International journal of oral & maxillofacial implants.

[28]  P. Wright,et al.  Posterior mandibular residual ridge resorption in patients with conventional dentures and implant overdentures. , 2003, The International journal of oral & maxillofacial implants.

[29]  A D Guckes,et al.  Treatment of edentulism using Astra Tech implants and ball abutments to retain mandibular overdentures. , 1999, The International journal of oral & maxillofacial implants.

[30]  A Tallgren,et al.  The continuing reduction of the residual alveolar ridges in complete denture wearers: a mixed-longitudinal study covering 25 years. , 2003, The Journal of prosthetic dentistry.

[31]  D. Evans,et al.  Combination syndrome associated with a mandibular implant-supported overdenture: a clinical report. , 1996, The Journal of prosthetic dentistry.

[32]  K. Gotfredsen,et al.  Implant-supported mandibular overdentures retained with ball or bar attachments: a randomized prospective 5-year study. , 2000, The International journal of prosthodontics.

[33]  D. R. Burns,et al.  Mandibular implant overdenture treatment: consensus and controversy. , 2000, Journal of prosthodontics : official journal of the American College of Prosthodontists.

[34]  J. Weintraub,et al.  The oral health burden in the United States: a summary of recent epidemiologic studies. , 1993, Journal of dental education.

[35]  M. Chiapasco,et al.  Implant-retained mandibular overdentures with immediate loading. A retrospective multicenter study on 226 consecutive cases. , 1997, Clinical oral implants research.

[36]  F Bosman,et al.  A three-dimensional finite element study on two versus four implants in an edentulous mandible. , 1994, The International journal of prosthodontics.

[37]  M I MacEntee,et al.  Problems with prostheses on implants: a retrospective study. , 1994, The Journal of prosthetic dentistry.

[38]  P. Pera,et al.  Mandibular implant-retained overdenture: a clinical trial of two anchorage systems. , 1998, The International journal of oral & maxillofacial implants.

[39]  A. Slagter,et al.  Bite Forces with Mandibular Implant-retained Overdentures , 1998, Journal of dental research.

[40]  T D Taylor,et al.  The McGill consensus statement on overdentures. Mandibular two-implant overdentures as first choice standard of care for edentulous patients. Montreal, Quebec, May 24-25, 2002. , 2002, The International journal of oral & maxillofacial implants.

[41]  Kiyoshi Koyano,et al.  In vitro study of a mandibular implant overdenture retained with ball, magnet, or bar attachments: comparison of load transfer and denture stability. , 2003, The International journal of prosthodontics.

[42]  N Brill,et al.  Factors in the mechanism of full denture retention--a discussion of selected papers. , 1967, The Dental practitioner and dental record.

[43]  R. H. Batenburg,et al.  Mandibular overdentures supported by two or four endosteal implants. A prospective, comparative study. , 1998, International journal of oral and maxillofacial surgery.