The original McGill Proclamation, that the "first choice" for edentulous patients is placing two lower dental implants to help support and secure a lower denture, is now supported by research. "Mandibular overdentures on two anterior implants provide significantly greater satisfaction, quality of life and better mastication than do conventional dentures." They have been shown to be superior in randomized and nonrandomized clinical trials that ranged in duration from 6 months to 9 years. Patients usually are able to wear an upper denture without problems but often struggle to eat with a lower denture because of its mobility. As to cost, the McGill group acknowledged that implant-retained dentures are more costly than conventional dentures. They noted, however, that implants in the anterior mandible are expected to last more than 20 years.
Robert G. Tupac, DDS, FACP, Inc.,
Diplomate, American Board of Prosthodontics
(661) 325-1275 | www.drtupac.com
5060 California Ave., #170, Bakersfield, CA 93309