Two-implant overdentures have been shown to increase the satisfaction and quality of life of edentulous patients who have difficulties with conventional dentures, and this book provides compelling evidence for the efficacy of this rehabilitative treatment based on a thorough review of the current literature. Following a presentation of demographic trends for edentulism, leading experts discuss the impact of mandibular two-implant overdentures on function, nutrition, and overall quality of life for edentulous patients. They also share practical insights about patient preferences and expectations, treatment planning, prosthodontic management, and predicted costs of this treatment for clinicians and patients. In addition, one chapter vividly illustrates a classic case of rehabilitation with an overdenture, showing each stage of treatment from the first examination to denture delivery. This book will be useful for anyone who treats edentulous patients.

172 pp; (softcover); 62 illus; (114 color);

ISBN: 0-86715-430-6; 0867154306;
978-0-86715-430-6; 9780867154306;

Table of Contents

Preface
Contributors
Introduction: It Is Time to Tackle Denture Disability/James P. Lund
1 The World Without Teeth: Demographic Trends/Philippe Mojon
2 Edentulism, Digestion, and Nutrition/José A. Morais and J. Mark Thomason
3 The Impact of Edentulism on Function and Quality of Life/Michael I. MacEntee
4 Patient Preferences and Expectations/Manal A. Awad
5 Implant Overdentures Versus Conventional Dentures/Jocelyne S. Feine and Guido Heydecke
6 Measuring the Cost of Implant Overdenture Therapy/John R. Penrod and Yoshiaki Takanashi
7 Choosing an Implant System for Clinical Practice: An Evidence-Based Method/Timothy W. Head
8 Comparison of Treatment Strategies for Implant Overdentures/Daniel Wismeijer and Geert T. Stoker
9 Indications and Treatment Planning for Mandibular Implant Overdentures/Thomas D. Taylor
10 Prosthodontic Management of Maxillary and Mandibular Overdentures/Regina Mericske-Stern
11 The Influence of Attachment Systems on Implant-Retained Mandibular Overdentures/Ignace Naert
12 Loading Strategies for Mandibular Implant Overdentures/Alan G. T. Payne, Andrew Tawse-Smith, W. Murray Thomson, and Warwick J. Duncan
13 Two-Implant Overdentures with Ball Attachments: A Step-by-Step Approach/Pierre Boudrias and Antoine Chehade
14 Future Directions/Gunnar E. Carlsson
The McGill Consensus Statement on Overdentures
Index

Preface

It is now widely accepted that implant prostheses are a great improvement over conventional dentures. However, most of the evidence in support of this therapy comes from studies of prostheses that require several implants, such as fixed implant-supported prostheses. Unfortunately, millions of edentulous individuals cannot afford fixed prostheses, and therefore most are still wearing conventional dentures.

In the past 8 years, studies have begun to focus on implant therapies that are more accessible to edentulous individuals with low incomes. Two-implant overdentures provide patients with increased satisfaction and quality of life. In addition, these simple implant overdentures have been shown to significantly improve the nutritional state of elderly patients. This information has been published so recently that many clinicians are not familiar with it.

For this reason, we organized a symposium on two-implant overdentures, bringing together a number of expert clinicians and researchers from several countries to discuss their experiences with this treatment modality. In this book, we are delighted to offer the material presented at the symposium, which was held at McGill University in May 2002. Chapters cover topics such as the preferences and treatment expectations of edentulous patients, the benefits of two-implant overdentures as compared with conventional dentures, the predicted costs faced by clinicians in providing this therapy, and treatment planning. The book includes a remarkable chapter in which a classic case is illustrated step-by-step from first examination to recall visits (chapter 13).

This book was written to provide dental students and clinicians with a thorough background to this important topic, so that they can offer evidence-based rehabilitative care to their patients. It will be useful to anyone who treats or who is considering treating edentulous patients.

Based on the evidence presented at the symposium, the speakers and their colleagues produced a consensus statement recommending that two-implant mandibular overdentures should replace mandibular conventional dentures as the standard of care for edentulous patients. After reading this book, perhaps you will also agree.

Edited by

Jocelyne S. Feine, DDS, MSc, HDR
Professor
Faculty of Dentistry
McGill University
Montreal, Canada

Gunnar E. Carlsson, LDS, Odont Dr
Professor Emeritus
Department of Prosthetic Dentistry
Faculty of Odontology
Göteborg University
Göteborg, Sweden