Serveur d'exploration sur le patient édenté

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Retention of maxillary implant overdenture bars of different designs

Identifieur interne : 008887 ( Main/Exploration ); précédent : 008886; suivant : 008888

Retention of maxillary implant overdenture bars of different designs

Auteurs : Brian H. Williams [Japon] ; Kent T. Ochiai [Japon] ; Satoru Hojo [Japon] ; Russell Nishimura [Japon] ; Angelo A. Caputo [Japon]

Source :

RBID : ISTEX:0E88B0F2972EA269F8C68E5394FEBC358548A20B

Descripteurs français

English descriptors

Abstract

Abstract: Statement of Problem. The specific degree of retention for overdenture attachments is unknown in relation to design, location, and alignment to supporting dental implants. Purpose. The purpose of this study was to evaluate the initial retention characteristics of 5 implant maxillary overdenture designs under in vitro dislodging forces. Material and Methods. A simulated edentulous maxilla was fabricated with 4 screw-type 3.75 × 13-mm implants anteriorly. Five overdenture designs with the following attachments were evaluated: 4 plastic Hader clips with an EDS bar; 2 plastic anterior Hader clips with an identical EDS bar; 2 Hader clips with 2 posterior ERA attachments; 3 Zaag attachments on a bar; and 4 Zaag attachments with no bar. Overdentures were fabricated with full palatal coverage. Each design was subjected to 10 consecutive retention pulls on a universal testing machine. Data were subjected to analysis of variance and t tests to determine differences. Results. The highest average value after 10 pulls was 19.8 lb for the combination ERA and Hader clip design. The lowest retentive values were recorded for the 2 and 4 Hader clip designs (5.08 ± 0.89 lb and 5.06 ± 0.67 lb, respectively). Retention decreased over the course of consecutive pulls for all designs, especially for the most retentive designs. The smallest retention decrease occurred with the least retentive designs. Conclusion. The results of this in vitro study suggest that the precise selection and placement of attachments may affect the clinical success of maxillary implant-retained overdentures. (J Prosthet Dent 2001;86:603-7.)

Url:
DOI: 10.1067/mpr.2001.120838


Affiliations:


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Le document en format XML

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<term>Biomaterials</term>
<term>Clip</term>
<term>Dental implants</term>
<term>Dentistry</term>
<term>Denture</term>
<term>Different overdenture designs</term>
<term>Edentulous maxilla</term>
<term>Hader</term>
<term>Hader clip designs</term>
<term>Hader clips</term>
<term>Hospital dentistry</term>
<term>Implant</term>
<term>Individual attachments</term>
<term>Initial retention</term>
<term>Mandibular</term>
<term>Mandibular overdentures</term>
<term>Maxilla</term>
<term>Maxillary</term>
<term>Maxillary overdentures</term>
<term>Maxillofacial prosthetics</term>
<term>Minimal number</term>
<term>Movable head</term>
<term>Oral maxillofac implants</term>
<term>Overdenture</term>
<term>Overdenture designs</term>
<term>Overdentures</term>
<term>Patient satisfaction</term>
<term>Prosthesis</term>
<term>Prosthet</term>
<term>Prosthet dent</term>
<term>Prosthetic</term>
<term>Prosthetic dentistry</term>
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<term>Quintessence publishing</term>
<term>Removable prostheses</term>
<term>Retention</term>
<term>Retentive characteristics</term>
<term>Several studies</term>
<term>Significant differences</term>
<term>Soft tissue support</term>
<term>Standard deviation</term>
<term>Ucla</term>
<term>Ucla school</term>
<term>Universal testing machine</term>
<term>Various attachments</term>
<term>Vertical bars</term>
<term>West palm beach</term>
<term>Zaag</term>
<term>Zaag attachments</term>
<term>Zest anchors</term>
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<term>Attachment elements</term>
<term>Biomaterials</term>
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<term>Dental implants</term>
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<term>Different overdenture designs</term>
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<term>Hader clip designs</term>
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<term>Maxillary overdentures</term>
<term>Maxillofacial prosthetics</term>
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<term>Prosthetic dentistry</term>
<term>Prosthodontics</term>
<term>Quintessence publishing</term>
<term>Removable prostheses</term>
<term>Retention</term>
<term>Retentive characteristics</term>
<term>Several studies</term>
<term>Significant differences</term>
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<term>Standard deviation</term>
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<term>Ucla school</term>
<term>Universal testing machine</term>
<term>Various attachments</term>
<term>Vertical bars</term>
<term>West palm beach</term>
<term>Zaag</term>
<term>Zaag attachments</term>
<term>Zest anchors</term>
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<div type="abstract" xml:lang="en">Abstract: Statement of Problem. The specific degree of retention for overdenture attachments is unknown in relation to design, location, and alignment to supporting dental implants. Purpose. The purpose of this study was to evaluate the initial retention characteristics of 5 implant maxillary overdenture designs under in vitro dislodging forces. Material and Methods. A simulated edentulous maxilla was fabricated with 4 screw-type 3.75 × 13-mm implants anteriorly. Five overdenture designs with the following attachments were evaluated: 4 plastic Hader clips with an EDS bar; 2 plastic anterior Hader clips with an identical EDS bar; 2 Hader clips with 2 posterior ERA attachments; 3 Zaag attachments on a bar; and 4 Zaag attachments with no bar. Overdentures were fabricated with full palatal coverage. Each design was subjected to 10 consecutive retention pulls on a universal testing machine. Data were subjected to analysis of variance and t tests to determine differences. Results. The highest average value after 10 pulls was 19.8 lb for the combination ERA and Hader clip design. The lowest retentive values were recorded for the 2 and 4 Hader clip designs (5.08 ± 0.89 lb and 5.06 ± 0.67 lb, respectively). Retention decreased over the course of consecutive pulls for all designs, especially for the most retentive designs. The smallest retention decrease occurred with the least retentive designs. Conclusion. The results of this in vitro study suggest that the precise selection and placement of attachments may affect the clinical success of maxillary implant-retained overdentures. (J Prosthet Dent 2001;86:603-7.)</div>
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