Fahim Ahmed Vohra, Haroon Rasheed.
Implant Retained Over Denture as First Choice of Care for Edentulous Mandibles: A Presentation of Two Cases..
J Pak Dent Assoc Jan ;21(3):182-7.

Common problems for Edentulous patients, specially mandibular, include poor retention and stability, compromised function and comfort and low self confidence and quality of life. The range of treatment options for edentulous mandible include a removable conventional denture, implant retained mucosa supported and implant retained implant supported overdentures, implant supported fixed hybrid prosthesis and implant retained porcelain fused to metal prosthesis. The factors vital in decision making include the amount of bone loss, availability of interocclusal space, anatomic constraints at potential implant sites, opposing dentition, available cost and time and patient preference for fixed or removable prosthesis. A two Impant retained mucosa supported overdenture is proposed to be the first line of treatment for edentulous mandible patients both in the McGill and York consensus reports. The statement indicates ( McGill consensus report) that as a minimal treatment objective, the mandibular two-implant overdenture (as opposed to a conventional denture) should be considered as a first-choice standard of care for the edentulous patient. This article presents two clinical cases of mandibular implant overdentures, highlighting the effectiveness of this treatment option for edentulous patients.

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