Serveur d'exploration sur le patient édenté

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Overdenture attachment selection and the loading of implant and denture‐bearing area. Part 2: A methodical study using five types of attachment

Identifieur interne : 008915 ( Main/Exploration ); précédent : 008914; suivant : 008916

Overdenture attachment selection and the loading of implant and denture‐bearing area. Part 2: A methodical study using five types of attachment

Auteurs : Siegfried Martin Heckmann [Allemagne] ; Manfred Gerhard Wichmann [Allemagne] ; Werner Winter [Allemagne] ; Martin Meyer [Allemagne] ; Hans-Peter Weber [États-Unis]

Source :

RBID : ISTEX:CF1E7943FE1D741761E5D89ABC46A0F172E6DBC5

Descripteurs français

English descriptors

Abstract

Abstract: In general, an implant is loaded via axial and horizontal forces. Besides this, moment loading can also occur. The aim of this study was to investigate how different prosthetic connectors with overdentures develop force transfer to implant and bone as well as to the denture‐bearing alveolar ridge. Five connectors were investigated on a stereolithographic model fabricated according to a real patient situation. The model was fitted with strain gauges on the “bone” distal and medial to the implants and with vertical force transducers in the alveolar “bone” under the denture‐bearing area. The parallel‐sided rigid telescopic connector developed the highest moment loading of the implant (P<0.001), which would suggest restraint in the use of this connector. The bar construction also showed somewhat high moments but these may have been at least partly exaggerated by the individual patient situation. Loading results through the non‐rigid telescopic copings, single spherical attachments and magnet overdentures demonstrated a low level of implant moment loading which would in part result from horizontal forces caused by denture forward shift during force application. The denture‐bearing area loading was different with all attachments (P<0.001) and was related to the rigidity of the connector and reached the highest values with the non‐rigid telescopic coping. The clinical implications of the various findings are discussed.

Url:
DOI: 10.1034/j.1600-0501.2001.120613.x


Affiliations:


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Le document en format XML

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<name sortKey="Winter, Werner" sort="Winter, Werner" uniqKey="Winter W" first="Werner" last="Winter">Werner Winter</name>
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<term>Alveolar crest</term>
<term>Alveolar ridge</term>
<term>Area loading</term>
<term>Attachment</term>
<term>Axial</term>
<term>Axial force</term>
<term>Axial loading</term>
<term>Ball attachments</term>
<term>Bone loss</term>
<term>Bone surface</term>
<term>Bone tissue</term>
<term>Bottom curve</term>
<term>Calibration loading</term>
<term>Clin</term>
<term>Color atlas</term>
<term>Connector</term>
<term>Connector types</term>
<term>Considerable amount</term>
<term>Crestal bone</term>
<term>Dental medicine</term>
<term>Denture</term>
<term>Denture saddle</term>
<term>Denturebearing area</term>
<term>Distal gauge</term>
<term>Distal strain</term>
<term>Distal strain gauge</term>
<term>Electronic force donor</term>
<term>Force application</term>
<term>Force transfer</term>
<term>Heckmann</term>
<term>Highest values</term>
<term>Horizontal forces</term>
<term>Horizontal stability</term>
<term>Impl</term>
<term>Implant</term>
<term>Implant loading</term>
<term>Implant strain</term>
<term>Implants research</term>
<term>Independent groups</term>
<term>International journal</term>
<term>Loading</term>
<term>Magnet</term>
<term>Magnet connectors</term>
<term>Magnet overdentures</term>
<term>Mandibular</term>
<term>Mandibular overdenture</term>
<term>Mandibular overdentures</term>
<term>Mesial</term>
<term>Mesial gauge</term>
<term>Mesial strain gauge</term>
<term>Methodical study</term>
<term>Molar area</term>
<term>Moment loading</term>
<term>Much loading</term>
<term>Naert</term>
<term>Note scale</term>
<term>Opposite moment</term>
<term>Oral impl</term>
<term>Oral rehabilitation</term>
<term>Other elements</term>
<term>Other types</term>
<term>Overdenture</term>
<term>Overdenture attachment selection</term>
<term>Overdenture attachment type</term>
<term>Overdentures</term>
<term>Patient satisfaction</term>
<term>Periimplant outcome</term>
<term>Positive strain</term>
<term>Positive strain values</term>
<term>Positive values</term>
<term>Precise implant</term>
<term>Prosthesis</term>
<term>Real patient situation</term>
<term>Ridge atrophy</term>
<term>Rigid telescope</term>
<term>Scheffe test</term>
<term>Simple lever</term>
<term>Single attachments</term>
<term>Special copings</term>
<term>Spherical connector</term>
<term>Stereolithographic model</term>
<term>Strain values</term>
<term>Telescope</term>
<term>Telescope attachment</term>
<term>Telescopic</term>
<term>Telescopic copings</term>
<term>Tensile strain</term>
<term>Type connector</term>
<term>Various connectors</term>
<term>Various types</term>
<term>Vertical force transducer</term>
<term>Vertical force transducers</term>
<term>Vivo measurements</term>
<term>Zahnarztliche implantologie</term>
</keywords>
<keywords scheme="Teeft" xml:lang="en">
<term>Alveolar crest</term>
<term>Alveolar ridge</term>
<term>Area loading</term>
<term>Attachment</term>
<term>Axial</term>
<term>Axial force</term>
<term>Axial loading</term>
<term>Ball attachments</term>
<term>Bone loss</term>
<term>Bone surface</term>
<term>Bone tissue</term>
<term>Bottom curve</term>
<term>Calibration loading</term>
<term>Clin</term>
<term>Color atlas</term>
<term>Connector</term>
<term>Connector types</term>
<term>Considerable amount</term>
<term>Crestal bone</term>
<term>Dental medicine</term>
<term>Denture</term>
<term>Denture saddle</term>
<term>Denturebearing area</term>
<term>Distal gauge</term>
<term>Distal strain</term>
<term>Distal strain gauge</term>
<term>Electronic force donor</term>
<term>Force application</term>
<term>Force transfer</term>
<term>Heckmann</term>
<term>Highest values</term>
<term>Horizontal forces</term>
<term>Horizontal stability</term>
<term>Impl</term>
<term>Implant</term>
<term>Implant loading</term>
<term>Implant strain</term>
<term>Implants research</term>
<term>Independent groups</term>
<term>International journal</term>
<term>Loading</term>
<term>Magnet</term>
<term>Magnet connectors</term>
<term>Magnet overdentures</term>
<term>Mandibular</term>
<term>Mandibular overdenture</term>
<term>Mandibular overdentures</term>
<term>Mesial</term>
<term>Mesial gauge</term>
<term>Mesial strain gauge</term>
<term>Methodical study</term>
<term>Molar area</term>
<term>Moment loading</term>
<term>Much loading</term>
<term>Naert</term>
<term>Note scale</term>
<term>Opposite moment</term>
<term>Oral impl</term>
<term>Oral rehabilitation</term>
<term>Other elements</term>
<term>Other types</term>
<term>Overdenture</term>
<term>Overdenture attachment selection</term>
<term>Overdenture attachment type</term>
<term>Overdentures</term>
<term>Patient satisfaction</term>
<term>Periimplant outcome</term>
<term>Positive strain</term>
<term>Positive strain values</term>
<term>Positive values</term>
<term>Precise implant</term>
<term>Prosthesis</term>
<term>Real patient situation</term>
<term>Ridge atrophy</term>
<term>Rigid telescope</term>
<term>Scheffe test</term>
<term>Simple lever</term>
<term>Single attachments</term>
<term>Special copings</term>
<term>Spherical connector</term>
<term>Stereolithographic model</term>
<term>Strain values</term>
<term>Telescope</term>
<term>Telescope attachment</term>
<term>Telescopic</term>
<term>Telescopic copings</term>
<term>Tensile strain</term>
<term>Type connector</term>
<term>Various connectors</term>
<term>Various types</term>
<term>Vertical force transducer</term>
<term>Vertical force transducers</term>
<term>Vivo measurements</term>
<term>Zahnarztliche implantologie</term>
</keywords>
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<front>
<div type="abstract">Abstract: In general, an implant is loaded via axial and horizontal forces. Besides this, moment loading can also occur. The aim of this study was to investigate how different prosthetic connectors with overdentures develop force transfer to implant and bone as well as to the denture‐bearing alveolar ridge. Five connectors were investigated on a stereolithographic model fabricated according to a real patient situation. The model was fitted with strain gauges on the “bone” distal and medial to the implants and with vertical force transducers in the alveolar “bone” under the denture‐bearing area. The parallel‐sided rigid telescopic connector developed the highest moment loading of the implant (P<0.001), which would suggest restraint in the use of this connector. The bar construction also showed somewhat high moments but these may have been at least partly exaggerated by the individual patient situation. Loading results through the non‐rigid telescopic copings, single spherical attachments and magnet overdentures demonstrated a low level of implant moment loading which would in part result from horizontal forces caused by denture forward shift during force application. The denture‐bearing area loading was different with all attachments (P<0.001) and was related to the rigidity of the connector and reached the highest values with the non‐rigid telescopic coping. The clinical implications of the various findings are discussed.</div>
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