title: The implant-supported overdenture as an alternative to the complete mandibular denture.
abstract: BACKGROUND
  Approximately one-third of Americans older than 65 years of age are fully edentulous, requiring replacement of missing teeth. While the conventional denture may meet the needs of many patients, others require more retention, stability, function and esthetics, especially in the mandible. The implant-supported prosthesis is an alternative to the conventional removable denture.
  
  
  METHODS
  This article describes the strengths of the implant-supported mandibular overdenture. The authors also outline the risks of this approach. They performed a review of recent literature to summarize the reported success rate of implants used to support a mandibular overdenture.
  
  
  RESULTS
  The literature review indicates that implants placed in the anterior mandible (anterior to the foramen) have a success rate better than 95 percent. Patients have reported a high degree of satisfaction with the implant-supported overdenture.
  
  
  CONCLUSIONS
  The literature indicates that implant-supported overdentures in the mandible provide predictable results with improved stability, retention, function and patient satisfaction compared with conventional dentures. Implants placed in the anterior mandible have a success rate equal to or greater than 95 percent.
  
  
  CONCLUSIONS
  When planning treatment for patients with edentulous mandibles, clinicians should consider the implant-supported prosthesis.
authors.affiliation: St. Luke's-Roosevelt Hospital Center, New York City, USA. cosmeticdental@att.net
authors.forename: James H
authors.initials: JH
authors.lastname: Doundoulakis
authors.forename: Steven E
authors.initials: SE
authors.lastname: Eckert
authors.forename: Clarence C
authors.initials: CC
authors.lastname: Lindquist
authors.forename: Marjorie K
authors.initials: MK
authors.lastname: Jeffcoat
mesh_terms: D000368:Aged; D019094:Dental Prosthesis, Implant-Supported; D003826:Denture, Complete, Lower; D003828:Denture, Overlay; D006801:Humans; D009066:Mouth, Edentulous / Q000534:rehabilitation; D017060:Patient Satisfaction; D018570:Risk Assessment; D016896:Treatment Outcome