
Aim: The aim was to see the changing trends while restoring resorbed mandibular ridges with different implant designs. Methods: A systematic search was conducted in pubmed, Google Scholar and major journals for studies published between 1985 - 2015. The era was divided into three decades and the number of cases in rehabilitation of resorbed mandibular ridges irrespective of the pre prosthetic surgeries for the implant site where taken into consideration. Patient in the age range of 16 - 75 years of age where included in the study. The number of implants used for successful placement of prosthesis where included in the study. Discussion: With the wide variety of options present selecting a particular type has been difficult, especially when treating resorbed mandibular ridges. Basal implants represent a good alternative to the regular dental implants. With the difference in philosophies of the two implants there arises a need to see the clinical evaluation of a better option for restoring resorbed mandibular ridges. Conclusion: An increasing trend was found in the use of crestal implants. Considering the advantages, disadvantages and post - operative complications crestal implants suggested to be of better choice when compared to the basal implants.