A survey of the use of mandibular implant overdentures in 10 countries.
OBJECTIVE
This preliminary international survey compared provision of implant-retained overdentures to fixed implant-supported prostheses for edentulous mandibles.


METHODS
Questionnaires based on a 2001 Swedish study were sent to prosthodontists and specialist clinics in nine additional countries.


RESULTS
Response rate varied from 53% to 100% in 10 national surveys and should allow careful comparison of results. The relationship between implant overdentures and fixed implant-supported prostheses in treatment of edentulous mandibles varied much; in Sweden, the proportion of overdentures was 12%, whereas it was 93% in The Netherlands. In all countries, the most common reason for choice of the overdenture was reduced cost. In all but two countries, the majority of respondents thought that patients with implant overdentures were equally or more satisfied with overdentures as those with fixed implant-supported prostheses.


CONCLUSIONS
There were great differences among the 10 countries in choice of implant treatment of the edentulous mandible. The relative proportion of mandibular overdentures to fixed prostheses was low in Sweden and Greece and varied from one to two thirds in the other countries, except The Netherlands.
Carlsson
Gunnar E
GE
Department of Prosthetic Dentistry/Dental Materials Science, Göteborg University, Sweden. g_carlsson@odontologi.gu.se
Kronström
Mats
M
de Baat
Cees
C
Cune
Marco
M
Davis
David
D
Garefis
Pavlos
P
Heo
Seong Joo
SJ
Jokstad
Asbjørn
A
Matsuura
Masarou
M
Närhi
Timo
T
Ow
Richard
R
Pissiotis
Argiris
A
Sato
Hironobu
H
Zarb
George A
GA
D002170:Canada; D017268:Dental Prosthesis Retention / Q000295:instrumentation; D019094:Dental Prosthesis, Implant-Supported / Q000191:economics / Q000706:statistics & numerical data*; D003828:Denture, Overlay / Q000191:economics / Q000706:statistics & numerical data*; D005387:Finland; D006115:Greece; D006801:Humans; D007564:Japan; D007575:Jaw, Edentulous / Q000534:rehabilitation*; D007723:Korea; D008334:Mandible; D009426:Netherlands; D009664:Norway; D012846:Singapore; D011795:Surveys and Questionnaires; D013548:Sweden; D006113:United Kingdom