Implant-based overdenture: A review in patient perspective

Area of Science:

• Dentistry
• Prosthodontics
• Geriatric Dentistry

Background:

• Complete dentures (CDs) are a common solution for edentulous patients, but often suffer from poor retention, especially in the mandible.
• Implant-supported overdentures (ISODs) have emerged as a superior alternative, addressing retention issues and enhancing patient well-being.

Approach:

• This review synthesizes current understanding of ISODs, focusing on patient attitudes, treatment considerations, and outcomes.
• Key aspects discussed include implant placement strategies, attachment selection, and essential patient care protocols.

Key Points:

• ISODs significantly improve quality of life, aesthetics, and nutritional intake compared to CDs.
• Two-implant mandibular overdentures demonstrate excellent long-term success and survival rates with enhanced oral function.
• Single midline implant overdentures present a potentially cost-effective and viable alternative.
• In the maxilla, bar-splinted overdentures supported by 4-6 implants yield favorable results.

Conclusions:

• Implant-supported overdentures offer a highly effective solution for edentulous patients, particularly in the mandible.
• Treatment planning for ISODs should consider patient-specific factors, clinician expertise, and evidence-based recommendations for optimal outcomes.