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Effect of Implant Angulation on Attachment Retention in Mandibular Two‐Implant Overdentures: A Clinical Study

Identifieur interne : 001520 ( Istex/Corpus ); précédent : 001519; suivant : 001521

Effect of Implant Angulation on Attachment Retention in Mandibular Two‐Implant Overdentures: A Clinical Study

Auteurs : Zaher Jabbour ; Olivier Fromentin ; Claire Lassauzay ; Samer Abi Nader ; José A. Correa ; Jocelyne Feine ; Rubens F. De Albuquerque Junior

Source :

RBID : ISTEX:2B8AF9FFCA6DE0EAFF2D80402F0569A055120CD5

Abstract

Attachment wear can affect the performance of mandibular two‐implant overdentures (IODs). This prospective clinical study aimed to investigate the effect of interimplant angulation on the retention achieved by two attachment systems at different time points within 1 year of wearing IODs.

Url:
DOI: 10.1111/cid.12030

Links to Exploration step

ISTEX:2B8AF9FFCA6DE0EAFF2D80402F0569A055120CD5

Le document en format XML

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<title level="a" type="main">Effect of Implant Angulation on Attachment Retention in Mandibular Two‐Implant Overdentures: A Clinical Study</title>
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<country key="FR">France</country>
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<country key="FR">France</country>
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<orgName>Division of Restorative Dentistry</orgName>
<orgName>Faculty of Dentistry</orgName>
<orgName>McGill University</orgName>
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<region>QC</region>
<country key="CA">Canada</country>
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<orgName>McGill University</orgName>
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<settlement type="city">Montreal</settlement>
<region>QC</region>
<country key="CA">Canada</country>
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<orgName>Oral Health and Society Research Unit</orgName>
<orgName>Faculty of Dentistry</orgName>
<orgName>McGill University</orgName>
<address>
<settlement type="city">Montreal</settlement>
<region>QC</region>
<country key="CA">Canada</country>
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<forename type="first">Rubens F.</forename>
<surname>Albuquerque Junior</surname>
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<orgName>Division of Restorative Dentistry</orgName>
<orgName>Faculty of Dentistry</orgName>
<orgName>McGill University</orgName>
<address>
<settlement type="city">Montreal</settlement>
<region>QC</region>
<country key="CA">Canada</country>
</address>
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<affiliation>
<orgName>Faculty of Dentistry of Ribeirão Preto</orgName>
<orgName>University of São Paulo</orgName>
<address>
<settlement type="city">São Paulo</settlement>
<country key="BR">Brazil</country>
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<affiliation>Reprint requests: Dr. Rubens F. de Albuquerque Junior, Division of Restorative Dentistry, Faculty of Dentistry, McGill University, 3640 University Street, Montreal, QC, Canada H3A 2B2; e‐mail: rubens.albuquerque@mcgill.ca</affiliation>
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<abstract style="main">
<head>Abstract</head>
Purpose
<p>Attachment wear can affect the performance of mandibular two‐implant overdentures (
<hi rend="fc">IODs</hi>
). This prospective clinical study aimed to investigate the effect of interimplant angulation on the retention achieved by two attachment systems at different time points within 1 year of wearing
<hi rend="fc">IODs</hi>
.</p>
Materials and Methods
<p>Twenty‐four patients (mean age = 73.2 years; standard deviation (
<hi rend="fc">SD</hi>
) = 3.1) wearing
<hi rend="fc">IODs</hi>
opposed by conventional maxillary complete dentures were randomly assigned to two groups in two‐by‐two crossover design.
<hi rend="fc">R</hi>
etentive
<hi rend="fc">A</hi>
nchor (
<hi rend="fc">RA</hi>
) and
<hi rend="fc">L</hi>
ocator (
<hi rend="fc">LA</hi>
) were installed in the
<hi rend="fc">IODs</hi>
of both groups for 1 year, sequentially. Coronal and sagittal interimplant angulation were measured on posterior–anterior and lateral cephalometric radiographs. Retention was measured at baseline, 1 week, 3, 6, and 12 months postattachment installation. Data were analyzed using mixed models with α = 0.05.</p>
Results
<p>Mean coronal and sagittal interimplant angulations were 4.6 (
<hi rend="fc">SD</hi>
 = 2.9) and 3.5 (
<hi rend="fc">SD</hi>
 = 2.6) degrees, respectively. Only with
<hi rend="fc">LAs</hi>
a statistically significant decrease was found in retention (average 1.1
<hi rend="fc">N</hi>
ewton; standard error = 0.38;
<hi rend="italic">p</hi>
 = .007) per 1 degree increased sagittal interimplant angulation.</p>
Conclusions
<p>Increased interimplant angulation appears to have higher impact on the retention of
<hi rend="fc">LA</hi>
than of
<hi rend="fc">RA</hi>
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<correspondenceTo>Reprint requests: Dr. Rubens F. de Albuquerque Junior, Division of Restorative Dentistry, Faculty of Dentistry, McGill University, 3640 University Street, Montreal, QC, Canada H3A 2B2; e‐mail:
<email>rubens.albuquerque@mcgill.ca</email>
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<title type="main">Effect of Implant Angulation on Attachment Retention in Mandibular Two‐Implant Overdentures: A Clinical Study</title>
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<fc>SD</fc>
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<fc>RA</fc>
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<abstract>Twenty‐four patients (mean age = 73.2 years; standard deviation (SD) = 3.1) wearing IODs opposed by conventional maxillary complete dentures were randomly assigned to two groups in two‐by‐two crossover design. Retentive Anchor (RA) and Locator (LA) were installed in the IODs of both groups for 1 year, sequentially. Coronal and sagittal interimplant angulation were measured on posterior–anterior and lateral cephalometric radiographs. Retention was measured at baseline, 1 week, 3, 6, and 12 months postattachment installation. Data were analyzed using mixed models with α = 0.05.</abstract>
<abstract>Mean coronal and sagittal interimplant angulations were 4.6 (SD = 2.9) and 3.5 (SD = 2.6) degrees, respectively. Only with LAs a statistically significant decrease was found in retention (average 1.1 Newton; standard error = 0.38; p = .007) per 1 degree increased sagittal interimplant angulation.</abstract>
<abstract>Increased interimplant angulation appears to have higher impact on the retention of LA than of RA attachments. The effect of larger interimplant angulation on the loss of attachment retention and its clinical implications should be further assessed.</abstract>
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