Symphyseal Region Research Articles

Tratamento tardio de fratura de sínfise mandibular por abordagem extraoral – relato de caso

Fractures in the mandibular symphysis region can occur in isolation or in association with condylar fractures, since the force on this region can result in an indirect fracture of the condyles. These, when not adequately addressed, can lead to pseudoarthrosis, increasing the complexity of the treatment. Thus, this article aims to report a clinical case of late treatment of symphysis and mandibular condyle fractures. Male patient, 22 years old, with a history of motorcycle accident. On physical examination, atypical jaw mobility and occlusal dystopia were observed. The image examination confirmed a misaligned fracture in the mandibular symphysis, as well as a low unilateral condyle fracture. That said, the surgical approach to the symphyseal fracture, reduction and fixation, were performed. Anatomical reduction and adequate internal fixation are essential to achieve good fracture healing. For treatment of mandibular fractures, two forms of treatment can be used: closed reduction or open reduction with internal fixation. Different techniques can be used in the symphysis region, such as reconstruction plates, miniplates, and lag screw. The association of the techniques is also indicated, being able to use a compression plate of the system 2.4 in the basilar zone and a mini-plate of the system 2.0 to avoid distraction of the stumps. Mandibular fractures, when not addressed early, can result in inadequate consolidation, making the approach challenging and requiring extraoral approaches with association of fixation techniques that present greater stability.

Bilateral reconstruction of the mandibular body with symphyseal preservation using a single fibula free flap: operative technique

BackgroundMandibular osteonecrosis may occur in 5% of the patients who undergo radiotherapy for the treatment of head and neck malignancies. Resection and microvascular reconstruction is the treatment of choice in complicated osteoradionecrosis, however multifocal presentation may complicate the management of the disease given the poor quality and limited availability of adequate recipient vessels.Operative techniqueA 74-year-old man affected by multifocal severe osteoradionecrosis of the mandible underwent bilateral resection of the mandibular bodies while preserving the symphysis. The defects were reconstructed with a single fibula flap composed by two bony segments connected by a central segment, corresponding to the symphyseal region, in which the bone was dissected and removed. The anastomosis was performed on a single side of the neck. Healing was uneventful and the adopted technique allowed for a quick functional and esthetic recovery.ConclusionThe presented technique provided a safe and efficacious, although technically challenging, solution in a case presenting multifocal osteonecrosis of the jaw. The morbidity of the procedure was limited because the tissue resection and reconstruction processes were minimized.Graphical

One-year prospective study on single short (7-mm) implant overdentures in patients with severely resorbed mandibles.

This prospective study aimed to assess the effectiveness of using a single short implant to retain a single-implant mandibular overdenture (SIMO) in participants with severely atrophic edentulous mandibles. The study sample included 18 edentulous participants with severely resorbed mandibular ridges and limited bone height in the symphyseal region sufficient for the insertion of a 7.0-mm-height implant. First, patients received new conventional dentures or had their dentures relined, followed by the insertion of a 3.75x7mm morse-taper implant, and the incorporation of a stud-type attachment and a nylon retentive insert after a 3-month healing period. Implant stability quotient (ISQ) was measured at baseline and after 3 and 12months. Patient-reported outcomes (satisfaction with the dentures and oral health-related quality of life) were assessed before implant placement and at the 3-, 6-, and 12-month follow-ups. Clinical-radiographic outcomes and the incidence of prosthodontic events were assessed throughout the follow-up period. The implant survival rate was 100%. ISQ increased from baseline (72.7±6.6) to the 3-month (82.0±3.3) and 1-year (85.4±2.9) follow-ups (p<.001). After 1year, satisfaction with the mandibular prosthesis increased significantly, and the overall OHIP-Edent score decreased by 79.2%. No effects were found for the maxillary denture (p=.420). Due to dissatisfaction with treatment, two participants (11.1%) required additional implants after the 1-year follow-up and were considered as prosthodontic failures. Single-implant mandibular overdenture retained by a short implant showed favorable outcomes after 1year. Further studies with larger samples and longer follow-up periods are needed to confirm the findings of this single-group prospective study. The present study was registered at the Brazilian Clinical Trials Registry (REBEC), identifier RBR-7p2xmg. The trial registry occurred during the study execution, and its final approval was delayed because of several formatting adequacies required by the platform REBEC.

Estimation of Sexual Dimorphism of the Mandible in Coastal Karnataka and Kerala Populations using Cone Beam Computed Tomography

Abstract Objective The mandible has been used for sex determination and forensic identification due to its unique anatomy and morphology. Every part of the mandible is unique, including the shape and size of the temperomandibular joint, the ramus, the body and the symphysis region, and the inferior alveolar canal. In addition, the position and placement of the teeth within their sockets are unique for every individual. Sample Population A study was conducted on 20 males and females to estimate sexual dimorphism using anthropometric measurements obtained by cone beam computed tomography images of the mandible of Karnataka and Kerala populations. Materials and Methods The mean, standard deviation, and standard error along with the confidence interval of different measurements were documented. Various measurements between the sexes were compared using Student's t-test. Association between categorical variables was analyzed using the Chi-square test. A p-value &lt; 0.05 was considered to be statistically significant. Data were analyzed using statistical SPSS software. Results The p-value of mRBr L, GA L, and GA R among females was significantly higher in the Karnataka population when compared with that in the Kerala population. The Karnataka State population showed significantly higher values of RL R, BiGBr, and BiCBr among males, and the p-value of the Kerala population for GGL L and GGL R was significant and higher among the males. Conclusion The data derived from the above study suggest that the mandibular anthropometric measurements used may be applied for forensic sex estimation.

Autogenous Symphyseal versus Retromolar grafts for 3D augmentation of Anterior Maxillary Deficiencies

Objective: To Compare and contrast different intraoral autogenous grafts for 3D reconstruction of atrophic anterior maxillae, to receive dental implants. Patients & Methods: Twelve patients suffering from anterior maxillary bone resorption and in need for bone augmentation to be able to place dental implants were included in this study. Autogenous bone grafts were harvested from either the symphyseal region (Group A) or the retromolar region (Group B). Assessments were performed using CBCT both pre- and post-operatively; as well as, clinically on delayed implant placement. Results: Both groups showed significant bone formation at 4 months postoperatively, and implants were placed with adequate initial stability. Group A, showed significantly higher insertion torque mainly occlusal and midway upon placement than Group B. All cases had uneventful fixed prosthetic loading of implants. Conclusion: Both symphyseal and retromolar intraoral donor graft sites provide successful graft material for anterior maxillary 3D reconstruction, however, the symphyseal grafts despite providing better initial stability for implants, yet, were less perceivable by the patients regarding postoperative pain and oedema; and provided no significant difference regarding successful loading of dental implants with fixed prosthetics.

Masticatory efficiency in complete denture and single implant-retained mandibular overdenture wearers with different occlusion schemes: A randomized clinical trial

Statement of problemHow the masticatory function of complete denture wearers is influenced by the positioning and occlusion of posterior teeth or by the presence of a single mandibular implant is unclear. PurposeThe purpose of this randomized crossover clinical trial was to evaluate the masticatory efficiency of wearers of bimaxillary complete dentures and of wearers of maxillary complete denture and single implant-retained mandibular overdentures, both with bilateral balanced occlusion and lingualized occlusion. Material and methodsParticipants received 2 sets of complete dentures with interchangeable teeth in the mandibular prosthesis to allow a change in the occlusion scheme. Subsequently, 1 implant was placed in the mandibular symphysis region, and the mandibular complete dentures were converted to overdentures. The masticatory efficiency was measured by the sieve method for both occlusal schemes. ResultsRepeated measures ANOVA showed no statistically significant difference in the masticatory efficiency with the 2 occlusal schemes for conventional complete dentures (P=.707) or overdentures (P=.407). When comparing the type of prosthesis, statistical differences were found for masticatory efficiency (P=.012), with improved mastication for the overdentures. ConclusionsA mandibular single implant improved the masticatory efficiency of patients with complete dentures, but the occlusal scheme did not influence this factor.

Comparative biomechanics of the Pan and Macaca mandibles during mastication: finite element modelling of loading, deformation and strain regimes.

The mechanical behaviour of the mandibles of Pan and Macaca during mastication was compared using finite element modelling. Muscle forces were calculated using species-specific measures of physiological cross-sectional area and scaled using electromyographic estimates of muscle recruitment in Macaca. Loading regimes were compared using moments acting on the mandible and strain regimes were qualitatively compared using maps of principal, shear and axial strains. The enlarged and more vertically oriented temporalis and superficial masseter muscles of Pan result in larger sagittal and transverse bending moments on both working and balancing sides, and larger anteroposterior twisting moments on the working side. The mandible of Pan experiences higher principal strain magnitudes in the ramus and mandibular prominence, higher transverse shear strains in the top of the symphyseal region and working-side corpus, and a predominance of sagittal bending-related strains in the balancing-side mandible. This study lays the foundation for a broader comparative study of Hominidae mandibular mechanics in extant and fossil hominids using finite element modelling. Pan's larger and more vertical masseter and temporalis may make it a more suitable model for hominid mandibular biomechanics than Macaca.

Bone quality and quantity of the mandibular symphyseal region in autogenous bone grafting using cone-beam computed tomography: a cross-sectional study

BackgroundBone volume plays a pivotal role in the success of dental implant treatment. Autogenous bone grafts should be harvested from reliable sites in the maxillofacial region. This study sought to assess the quantity and quality of bone in the mandibular symphysis for autogenous bone graft harvesting using cone-beam computed tomography (CBCT).MethodsThis cross-sectional study evaluated the CBCT scans of 78 adults presenting to three oral and maxillofacial radiology centers. The vertical (VD) and horizontal (HD) alveolar bone dimensions, cortical thickness (CT), and cancellous to cortical bone ratio (C/C) were measured in the interforaminal region of the mandible at the sites of central incisor to first premolar teeth. The interforaminal distance (ID) and the anterior loop length were also measured. Nonparametric statistical tests were used to analyze the data with respect to sex, age, and tooth position.ResultsThe median VD, HD, and CT of the symphysis were 20.21 (3.26), 4.13 (0.37), and 2.25 (0.23) mm, respectively. The median C/C was 1.51 (0.11). The median ID was 52.24 (8.24) mm, and the median anterior loop length was 1.82 (1.06) mm. Significant differences were observed in all parameters among different teeth. Most of the measured parameters were greater in males compared with females. There were significant differences in ID, VD, and CT between different age groups.ConclusionsThe quantity and quality of the available bone in the mandibular symphysis for bone graft harvesting vary by gender, age, and harvesting site, necessitating careful preoperative evaluation.

Multiple Odontogenic Keratocysts in a Non-syndromic Young Patient: An Unusual Case Report

Odontogenic keratocyst (OKC) is a benign intraosseous lesion with invasive and aggressive behavior. It comprises approximately 2-21.8% of all jaw cysts. Odontogenic keratocysts (OKCs) are believed to arise from remnants of the dental lamina most common site in the molar ramus area. OKCs have a specific histopathologic appearance and are found to be locally aggressive and have a high recurrence rate, thus requires close long-term follow-up. OKCs are one component of the Gorlin-Goltz syndrome and all patients with multiple OKCs should be evaluated for this syndrome. In this paper, we present a case of a 13-year old non-syndromic female patient with multiple OKCs located at symphysis and bilateral mandibular angle region who was treated surgically with no obvious post-operative complications during follow-up period.

Craniofacial Bone Mineral Density During Growth in Mice with Osteogenesis Imperfecta (OI)

Osteogenesis imperfecta (OI or “brittle bone” disease) is a genetic connective tissue defect which results in fragile bones and increased fracture rates. OI type III is the severe form of this disorder, resulting from mutations affecting the formation of type I collagen, the structural protein of bone. Defects in the collagen framework of developing bones lead to improper biomineralization and are thought to underlie the gross structural abnormalities seen in patients with OI, such as midfacial hypoplasia, dental malocclusions, and macrocephaly. Low bone mineral density (BMD) in the post-cranial skeleton and brittle teeth have been reported in human patients with OI as well as murine models of the disorder, yet little is known about craniofacial biomineralization in OI. Typically, skeletal mineralization is responsive to the strain environment throughout growth. The aim of this study is to investigate longitudinal changes in craniofacial BMD in a mouse model of OI type III, and to quantify BMD in regions both proximal and distal to the biomechanical forces generated by feeding behaviors. We hypothesize that mice with OI will have lower BMD at weaning than their unaffected littermates, and will maintain this lower BMD throughout growth. We also hypothesize that both genotypes will demonstrate the absolute highest levels of BMD in regions proximal to the bite point, due to the biomechanical forces generated by feeding. To test these hypotheses, we used the homozygous recessive OI murine (OIM-/-), a mouse strain with a COL1A2 mutation that is a model for OI type III, and their unaffected wild-type (WT) littermates. BMD was measured using in-vivo micro-CT scans at weeks 4 (weaning), 10 (adolescence) and 16 (skeletal maturity) using Bruker CTAnalyzer software. BMD was measured in 8 regions of interest encompassing the neurocranium, facial skeleton, and mandible. BMD values were compared between genotypes via Mann-Whitney U test. In general, this study found there is a trend for OIM mice to have lower BMD values in the craniofacial skeleton as compared to WT mice from weaning through skeletal maturity. OIM mice had significantly (p <0.05) lower BMD than WT mice in all 8 regions during week 4. No significant differences were found in BMD between the genotypes during week 10, possible due to low sample sizes at this time point. At week 16, significant differences (p <0.05) were found in BMD at the parietal bone, mandibular symphysis, and maxillary incisor regions between the genotypes, and weak significant differences (p = 0.07) were found in BMD at the temporomandibular joint region. Additionally, absolute BMD for both genotypes (OIM and WT) tended to be higher within facial and mandibular regions proximal to the bite point compared to the neurocranium at skeletal maturity. Currently, there is no cure for OI, but pharmaceutical interventions (e.g. bisphosphonates) focus on increasing BMD to reduce fracture rates. A better understanding of craniofacial mineralization patterns in OI patients could assist in the timing and implementation of these treatments.

Application of Anatomically Designed 2-Dimensional V Plate in Management of Mandible Fracture: A Pilot Study.

Mandible is the only mobile facial jaw bone and it aides in various functions such as phonation and mastication. Therefore, management of mandible fracture becomes inevitable due to its functional and anatomical importance. Fracture fixation methods and techniques have steadily evolved with various osteosynthesis systems. In this article, we discuss the management of mandible fracture using a newly designed two-dimensional (2D) hybrid V-shaped plate. In this paper, we have evaluated the efficacy of the newly developed 2D V-shaped locking plate in the management of mandibular fractures. We have assessed 12 cases of different mandibular fractures ranging from symphysis, parasymphysis, angle and subcondylar region. Treatment outcome was assessed both clinically and radiologically at regular intervals with various intraoperative and postoperative parameters. Results of this study suggest that fixation of mandible fracture with the 2D hybrid V-shaped plate facilitates anatomic reduction and functional stability and carries a low morbidity and infection rate. The 2D anatomic hybrid V-shaped plate can be a suitable alternative to conventional miniplate and 3D plates as it offers satisfactory anatomic reduction and functional stability. Positioning the plate in relation to the mental nerve and plate adaptation along the angle region are much easier.

Day Care Surgery for Unilateral Alveolar Bone Grafting of Residual Clefts With Mandibular Symphyseal Bone-A Prospective Questionnaire Study.

To evaluate patients' experiences of shortened hospitalization in relation to bone grafting of unilateral alveolar clefts with mandibular symphyseal bone grafts. Prospective cohort questionnaire study. Department of Oral and Maxillofacial Surgery, Aarhus University Hospital, Denmark. Thirty-nine (male n = 26, female n = 13) patients with unilateral residual clefts after primary reconstruction, mean age 10.4 years. All patients underwent a standardized procedure with closure of the alveolar defect using mandibular symphyseal bone grafts. Patients were discharged within a day after surgery. Within 24 hours after discharge from surgery, patients and their parents filled in a 14-item psychometric questionnaire assessing the quality of their recovery. For all questions, a visual analogue scale (VAS) (0-10) was used. Patients' experience of shortened hospitalization in relation to secondary bone grafting of alveolar defects. Factors influencing the overall experience were measured using a VAS scale. A significant correlation between "Information from the hospital" and feeling worried and anxious was found (P = .04). Additionally, the ability to sleep correlated with pain (P = .003) and with nausea (P = .001). Although this study included a limited number of patients, the findings suggest that treatment of alveolar residual cleft with bone grafting from the mandibular symphyseal region in a day care surgery setting is characterized by very high patient satisfaction.

Guided implant surgery workflow in edentulous patients: A precise and rapid technique

A new technique of guided implant surgery is presented. A conventional complete denture is converted into both tomographic and surgical guides and later into an interim implant-supported fixed prosthesis. A plate derived from a computed tomography scan becomes the physical link between the virtual planning and tube positioning device. Furthermore, the interim placement of mini-implants adjacent to the symphysis region stabilizes the guide throughout the guided surgery. This technique reduces treatment time and costs.

A new species of Caipirasuchus (Notosuchia, Sphagesauridae) from the Late Cretaceous of Brazil and the evolutionary history of Sphagesauria

Sphagesauridae is a group of notosuchian crocodyliforms from the Late Cretaceous of South America characterized by highly specialized jaws and dentition. Here, we describe a new sphagesaurid from the Santo Anastácio Formation (Caiuá Group, Bauru Basin), south-east Brazil. The specimen is composed of a partial palate, neurocranium, mandible and fragmentary teeth. It represents a new species that can be assigned to Caipirasuchus due to the presence of a lateromedially narrow and anteroposteriorly long mandibular symphyseal region, apicobasal ridges on the posterior teeth, a diastema between D5 and D6, and a linear row of large neurovascular foramina on the lateral surface of the dentary. It differs from previously described Caipirasuchus species based on a ventrolaterally inclined surface of the dentaries posterior to the tooth row, a connection between the anteroventral margin of the external mandibular fenestra and the floor of the Meckelian canal, and the anterior process of the angular forming a ‘V’-shaped suture in its contact with the splenial. The results of a phylogenetic analysis of notosuchians recovered the so-called ‘advanced notosuchians’ in a clade, for which we propose a phylogenetic definition and erect the name Sphagesauria. We also recovered two more inclusive clades encompassing an array of Mesozoic notosuchians, here named Xenodontosuchia, which includes Sphagesauria + Baurusuchia, and Eunotosuchia, including Xenodontosuchia, Uruguaysuchidae and other Cretaceous forms. http://zoobank.org/urn:lsid:zoobank.org:pub:FD8D706F-9E01-4C09-BE4E-DC3BEDE151DC

Mandibular force profiles and tooth morphology in growth series of Albertosaurus sarcophagus and Gorgosaurus libratus (Tyrannosauridae: Albertosaurinae) provide evidence for an ontogenetic dietary shift in tyrannosaurids1

The albertosaurines Albertosaurus sarcophagus and Gorgosaurus libratus are among the best represented tyrannosaurids, known from nearly complete growth series. These specimens provide an opportunity to study mandibular biomechanical properties and tooth morphology to infer changes in feeding behaviour and bite force through ontogeny in tyrannosaurids. Mandibular force profiles reveal that the symphyseal region of albertosaurines is consistently stronger in bending than the mid-dentary region, indicating that the anterior extremity of the jaws played an important role in prey capture and handling through ontogeny. The symphyseal region was better adapted to withstand torsional stresses than in most non-avian theropods, but not to the extent seen in Tyrannosaurus rex, suggesting that albertosaurine feeding behaviour may have involved less bone crushing or perhaps relatively smaller prey than in Tyrannosaurus rex. The constancy of these biomechanical properties at all known growth stages indicates that although albertosaurines maintained a similar feeding strategy through ontogeny, prey size/type had to change between juvenile and mature individuals. This ontogenetic dietary shift likely happened when individuals reached a mandibular length of ∼58 cm, a size at which teeth shift from ziphodont to incrassate in shape and bite force begins to increase exponentially. The fact that large albertosaurines were capable of generating bite forces equivalent to similar-sized tyrannosaurines suggests that no significant differences in jaw-closing musculature existed between the two clades and that the powerful bite of Tyrannosaurus rex is the result of its large body size rather than of unique adaptations related to a specialized ecology.

How the initial retentive force of implant-supported overdentures can be affected with splinted and unsplinted attachments systems

The aim of this study was to evaluate the retention of implant-supported overdentures with different attachment systems. In this in vitro study edentulous model with 2 Straumann implant in symphyseal region was used to make an overdenture with different attachment systems. (Dolder bar with 1 and 3 metal clips, Hader bar with 1 and 3 plastic clips, ball on bar with 2 and 4 plastic caps, Locator, Rhein plastic caps and Eleptical matrix). Retention values were recorded by universal testing machine with a cross speed of 50.8 mm/min in vertical, posteroanterior, and lateral direction. Repeated measure ANOVA and Duncan tests were used for the data analysis (α =0.05). There was a statistically significant difference between the retention values of studied attachments in different dislodgment directions (P < 0.05). The highest and lowest retention were recorded for 4 balls on bar (56.71 N) and Rhein pink caps (27.89 N) in the vertical direction. Three metal clips (61.43 N) and Rhein pink cap (24.77 had the highest and lowest retention force in the posteroanterior direction. In the lateral direction, 4 balls on bar (62.68 N) and 1 plastic clip (32.27 N) showed the highest and lowest retention, respectively. If the higher retention force has been considered for implant-supported overdenture attachment selection, the clinician can use splinted bar or ball on bar superstructure.

Shape differences among symmetrically shaped skeletal growth patterns in a panoramic view: a Fourier analysis.

The objective of this study was to apply elliptic Fourier analysis (EFA) to find shape differences among skeletal growth patterns in both radiographic and tomographic panoramic views, controlling for asymmetry. Lateral and panoramic images were obtained from 350 patients. After screening patients with asymmetric linear and angular values and natural asymmetric hemimandibular shape, 240 patients were included in the study: 48 with tomographic information and 192 with radiographic information. The images were classified according to the mandibular plane angle and the ANB angle. Mandibular contours were digitized on the panoramic images and EFA was performed with 20 harmonics, filtering rotation, translation and size properties. As there were no differences between radiographic and tomographic panoramic mandibular contours and normal distribution was found in all groups, MANOVA was conducted to determine differences using a Hotelling's p-values with Bonferroni correction and an XY graph tool was applied to visualize these differences graphically. A 95% confidence level was used. Significative differences were found among hypodivergent, normodivergent, and hyperdivergent patterns in Class I, II, and III (p < 0.05), located mainly in the symphyseal region. The results of this study suggest that EFA is a useful tool to mathematically analyze mandibular contours and their morphological differences given by facial biotypes. This method could improve the precision of the mandibular prediction models.

Exérese de cementoblastoma benigno em região de sínfise mentoniana – relato de caso

Cementoma or cementoblastoma is a rare occurrence lesion, which can occur both in the mandible and in the maxilla. It affects children and young adults, with the area most affected by the premolars and molars. The diagnosis is differentiated with osteoblastoma, odontoma, condensing osteitis, cement-ossolifying fibroma, periapical cement dysplasia and hypercementosis. The histopathological aspect is of a mineralized mass similar to the cementum associated with a fibrovascularized stroma, interposed by cementoblasts. This article aimed to report a clinical case of symptomatic and infected benign cementoblastoma, located in the region of the mandibular symphysis in a 65-year-old female patient, whose treatment underwent excision under local anesthesia, with healing promoted by second intention due to the infectious process installed The treatment undertaken culminated in the cure of the pathological process.

Early Management of Non-Syndromic Hypodontia in a Child: Three-Year Follow-Up

Hypodontia is the congenital absence of few teeth. The early multidisciplinary management of hypodontia assures the reestablishment of the disturbed psychological, aesthetic and oral functions. In this study, the clinical case of a child presenting a non-syndromic hypodontia with three agenesis teeth was described. No evidence of maxillary and mandibular third molars bud formation was noted on the orthopantomograph. To replace the two missing permanent mandibular central incisors, two mini-implants in the mandibular symphyseal region were placed and then restored by individually fixed prostheses. In the maxilla, the permanent canine in a complete transposition, was reshaped with composite resin restoration to replace the missing right permanent lateral incisor. Clinical and radiological reassessments were done 3 years later. The aesthetic and functional evaluations were satisfactory. The marginal bone level was stable with no bone loss. The periodontal health around the mini-implants were confirmed in conjunction with mechanical function.

Evaluation of patient satisfaction and masticatory performance in mandible single implant-assisted overdenture.

Objectives:Many authors’ have advocated a minimum of two implants to support a mandibular overdenture, but financial restraints specifically among the geriatric population in developing countries made this treatment plan economically difficult. Hence, this study was planned to assess the symphyseal (midline) single implant-assisted complete overdenture for patient satisfaction and masticatory performance.Materials and Methods:In this clinical study, 12 edentulous first-time denture wearers underwent placement of a single implant in the mandibular symphyseal region. After 1 week, new complete dentures were fabricated and delivered to the patients. Post 3 months, the denture was fixed with a nylon cap-ball attachment to the anchor implant. Patients were questioned about comparison in the level of satisfaction and complaint before loading the implant (control group) and after 1 week, 1 month, and 3 months. The implant-assisted overdenture was fabricated with the help of a questionnaire. Masticatory performance was calculated with the help of a bite force measuring device at the same time intervals. SPSS 17.0 statistical software was used to analyze the data.Results:It was found that single implant anchorage of the mandibular complete denture resulted in a significant increase (P < 0.05) in patient's subjective satisfaction and a decrease (P < 0.05) in complaints at the end of 3 months. There was a significant (P < 0.01) increase in bite force in implant overdenture after 3 months (5.459 kgf) as compared to that of the complete denture (3.406 kgf).Conclusion:Single implant-assisted overdenture can be an appropriate treatment modality to treat edentulousness in the geriatric population. It insinuates the remarkable improvement of prosthesis function and oral comfort with minor surgical procedures.