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Comparing mandibular, 2implant supported overdenture and conventional mandibular complete denture on the basis of patient compliance and cost factor: A systematic review

Author: 
Onkar Jabade, Dr. Dilip Kakade, Dr. Nayana Anasane and Dr. Riddhi Kulkarni
Subject Area: 
Health Sciences
Abstract: 

Background: Change is inevitable. Considering the technological advancements taking place in dentistry, sticking to age old concept of conventional complete denture is regressive, which deprives patients of better prosthetic options. The transition from natural teeth to prosthesis is most comfortable to patient if replaced by full fixed implant prosthesis. However, such a prosthesis is not feasible in all cases due to anatomical, financial or other restrictions. In such cases, giving a 2 implant supported mandibular overdenture gives multifold advantages over the conventional complete dentures and strikes a golden balance with respect to patient compliance and cost factor. Aim: To compare compliance and cost factor in patients using two implant supported mandibular overdentures and conventional mandibular complete dentures Study design and Method: The following criteria were used to select the studies on the patient compliance in patients using mandibular 2 implant supported overdentures and conventional mandibular complete dentures. The inclusion criteria were articles in English or those having detailed summary in English, studies that provide randomized controlled trials and articles on cost comparison between the two modalities. Studies that were published between 1st January 1995 to 31st December 2015 were included. Results: Various electronic databases were searched using different search strategies from the above mentioned key words and the combinations. The number of articles identified through the database searching were 330 in all. After thorough reading of titles the number of titles found relevant were 200. Further these records were assessed for any duplicates and100 duplicate articles were removed while including 30 articles. Full text thorough reading of these articles was done and were assessed for eligibility. Only ten articles were qualified and other articles were excluded. Conclusions: The evidence currently available suggests that the restoration of the edentulous mandible, with a conventional denture is no longer the most appropriate first choice Prosthodontic treatment. There is now overwhelming evidence that a mandibular 2 implant supported overdenture should become the first choice of treatment for the edentulous mandible. Clinical implication: In the world of evidence based dentistry we are armed with lot of scientific backing for the above statement. Suggesting and convincing a patient for this modality should be top priority for Prosthodontist. Due to overwhelming evidence on mandibular 2 implant supported overdenture in the literature over conventional mandibular complete denture in respect to patient compliance and cost factors it should be made the first choice of treatment for completely edentulous patients.

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