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The influence of the number and the type of magnetic attachment on the retention of mandibular mini implant overdenture

Identifieur interne : 006E28 ( Ncbi/Merge ); précédent : 006E27; suivant : 006E29

The influence of the number and the type of magnetic attachment on the retention of mandibular mini implant overdenture

Auteurs : Eunjee Lee [Corée du Sud] ; Soo-Yeon Shin [Corée du Sud]

Source :

RBID : PMC:5321584

Abstract

PURPOSE

The aim of this study was to compare the retention of mini implant overdenture by the number, the type of magnetic attachment, and the directions of applied dislodging force.

MATERIALS AND METHODS

The experimental groups were designed by the number and type of magnetic attachment. Twenty samples were tested with Magden implants. Each attachment was composed of the magnet assembly in overdenture sample and the abutment keeper in a mandibular model. Dislodging forces were applied to the overdenture samples (50.0 mm/min) in 3 directions. The loading was repeated 10 times in each direction. The values of dislodging force were analyzed statistically using SPSS at 95% level of confidence.

RESULTS

The retentive force of group 2 was greater than that of group 1 in both types of attachment in every direction (P < .05). Oblique retentive force of flat type magnetic attachment was higher than that of cushion type attachment in both groups (P < .05). In group 1, oblique retentive force showed the highest and anterior-posterior retentive force showed the lowest value in both attachment types (P < .05). In group 2, both types of attachment showed the lowest retentive force with anteriorposterior direction of dislodging force (P <.05).

CONCLUSION

Proper retentive properties for implant overdenture were obtained, regardless of the number and type of magnetic attachment. In both types of magnetic attachment, the greater retentive force was attained with more implants. Oblique retentive force of flat type magnetic attachment was greater than that of cushion type. Among all subgroups, anterior-posterior retentive force was the lowest among three different directions of dislodging force.


Url:
DOI: 10.4047/jap.2017.9.1.14
PubMed: 28243387
PubMed Central: 5321584

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PMC:5321584

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<title>PURPOSE</title>
<p>The aim of this study was to compare the retention of mini implant overdenture by the number, the type of magnetic attachment, and the directions of applied dislodging force.</p>
</sec>
<sec>
<title>MATERIALS AND METHODS</title>
<p>The experimental groups were designed by the number and type of magnetic attachment. Twenty samples were tested with Magden implants. Each attachment was composed of the magnet assembly in overdenture sample and the abutment keeper in a mandibular model. Dislodging forces were applied to the overdenture samples (50.0 mm/min) in 3 directions. The loading was repeated 10 times in each direction. The values of dislodging force were analyzed statistically using SPSS at 95% level of confidence.</p>
</sec>
<sec>
<title>RESULTS</title>
<p>The retentive force of group 2 was greater than that of group 1 in both types of attachment in every direction (
<italic>P</italic>
< .05). Oblique retentive force of flat type magnetic attachment was higher than that of cushion type attachment in both groups (
<italic>P</italic>
< .05). In group 1, oblique retentive force showed the highest and anterior-posterior retentive force showed the lowest value in both attachment types (
<italic>P</italic>
< .05). In group 2, both types of attachment showed the lowest retentive force with anteriorposterior direction of dislodging force (
<italic>P</italic>
<.05).</p>
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<sec>
<title>CONCLUSION</title>
<p>Proper retentive properties for implant overdenture were obtained, regardless of the number and type of magnetic attachment. In both types of magnetic attachment, the greater retentive force was attained with more implants. Oblique retentive force of flat type magnetic attachment was greater than that of cushion type. Among all subgroups, anterior-posterior retentive force was the lowest among three different directions of dislodging force.</p>
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<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">J Adv Prosthodont</journal-id>
<journal-id journal-id-type="iso-abbrev">J Adv Prosthodont</journal-id>
<journal-id journal-id-type="publisher-id">JAP</journal-id>
<journal-title-group>
<journal-title>The Journal of Advanced Prosthodontics</journal-title>
</journal-title-group>
<issn pub-type="ppub">2005-7806</issn>
<issn pub-type="epub">2005-7814</issn>
<publisher>
<publisher-name>The Korean Academy of Prosthodontics</publisher-name>
</publisher>
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<article-meta>
<article-id pub-id-type="pmid">28243387</article-id>
<article-id pub-id-type="pmc">5321584</article-id>
<article-id pub-id-type="doi">10.4047/jap.2017.9.1.14</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>The influence of the number and the type of magnetic attachment on the retention of mandibular mini implant overdenture</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid" authenticated="true">http://orcid.org/0000-0003-2843-3636</contrib-id>
<name>
<surname>Lee</surname>
<given-names>Eunjee</given-names>
</name>
<xref ref-type="aff" rid="A1"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<contrib-id contrib-id-type="orcid" authenticated="true">http://orcid.org/0000-0001-6160-7277</contrib-id>
<name>
<surname>Shin</surname>
<given-names>Soo-Yeon</given-names>
</name>
<xref ref-type="aff" rid="A1"></xref>
</contrib>
</contrib-group>
<aff id="A1">Department of Prosthodontics, College of Dentistry, Dankook University, Cheonan, Republic of Korea.</aff>
<author-notes>
<corresp>Corresponding author: College of Dentistry, Dankook University, 119 Dandae-ro, Dongnam-gu, Cheonan-si, Chungnam 31116, Republic of Korea. Tel. +82415500251:
<email>syshin@dankook.ac.kr</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>2</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>07</day>
<month>2</month>
<year>2017</year>
</pub-date>
<volume>9</volume>
<issue>1</issue>
<fpage>14</fpage>
<lpage>21</lpage>
<history>
<date date-type="received">
<day>26</day>
<month>1</month>
<year>2016</year>
</date>
<date date-type="rev-recd">
<day>14</day>
<month>10</month>
<year>2016</year>
</date>
<date date-type="accepted">
<day>20</day>
<month>12</month>
<year>2016</year>
</date>
</history>
<permissions>
<copyright-statement>© 2017 The Korean Academy of Prosthodontics</copyright-statement>
<copyright-year>2017</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">
<license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0">http://creativecommons.org/licenses/by-nc/3.0</ext-link>
) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract>
<sec>
<title>PURPOSE</title>
<p>The aim of this study was to compare the retention of mini implant overdenture by the number, the type of magnetic attachment, and the directions of applied dislodging force.</p>
</sec>
<sec>
<title>MATERIALS AND METHODS</title>
<p>The experimental groups were designed by the number and type of magnetic attachment. Twenty samples were tested with Magden implants. Each attachment was composed of the magnet assembly in overdenture sample and the abutment keeper in a mandibular model. Dislodging forces were applied to the overdenture samples (50.0 mm/min) in 3 directions. The loading was repeated 10 times in each direction. The values of dislodging force were analyzed statistically using SPSS at 95% level of confidence.</p>
</sec>
<sec>
<title>RESULTS</title>
<p>The retentive force of group 2 was greater than that of group 1 in both types of attachment in every direction (
<italic>P</italic>
< .05). Oblique retentive force of flat type magnetic attachment was higher than that of cushion type attachment in both groups (
<italic>P</italic>
< .05). In group 1, oblique retentive force showed the highest and anterior-posterior retentive force showed the lowest value in both attachment types (
<italic>P</italic>
< .05). In group 2, both types of attachment showed the lowest retentive force with anteriorposterior direction of dislodging force (
<italic>P</italic>
<.05).</p>
</sec>
<sec>
<title>CONCLUSION</title>
<p>Proper retentive properties for implant overdenture were obtained, regardless of the number and type of magnetic attachment. In both types of magnetic attachment, the greater retentive force was attained with more implants. Oblique retentive force of flat type magnetic attachment was greater than that of cushion type. Among all subgroups, anterior-posterior retentive force was the lowest among three different directions of dislodging force.</p>
</sec>
</abstract>
<kwd-group>
<kwd>Overdenture</kwd>
<kwd>Dental mini implants</kwd>
<kwd>Magnets</kwd>
<kwd>Precision attachment</kwd>
</kwd-group>
</article-meta>
</front>
<floats-group>
<fig id="F1" orientation="portrait" position="float">
<label>Fig. 1</label>
<caption>
<title>Two experimental models with two and four implants placed in the interforamen area of mandible. (A) group 1, (B) group 2.</title>
</caption>
<graphic xlink:href="jap-9-14-g001"></graphic>
</fig>
<fig id="F2" orientation="portrait" position="float">
<label>Fig. 2</label>
<caption>
<title>Magnetic attachment overdenture sample seated on a mandibular model with nuts and bolts securely fastened.</title>
</caption>
<graphic xlink:href="jap-9-14-g002"></graphic>
</fig>
<fig id="F3" orientation="portrait" position="float">
<label>Fig. 3</label>
<caption>
<title>Comparison of retentive force according to the number of implant.</title>
</caption>
<graphic xlink:href="jap-9-14-g003"></graphic>
</fig>
<fig id="F4" orientation="portrait" position="float">
<label>Fig. 4</label>
<caption>
<title>Comparison of retentive force according to the type of magnetic attachment.</title>
</caption>
<graphic xlink:href="jap-9-14-g004"></graphic>
</fig>
<fig id="F5" orientation="portrait" position="float">
<label>Fig. 5</label>
<caption>
<title>Comparison of retentive force according to vertical (V), oblique (O), anterior-posterior (AP) directions.</title>
</caption>
<graphic xlink:href="jap-9-14-g005"></graphic>
</fig>
<table-wrap id="T1" orientation="portrait" position="float">
<label>Table 1</label>
<caption>
<title>Means and standard deviations of retentive forces of experimental groups (unit: N)</title>
</caption>
<alternatives>
<graphic xlink:href="jap-9-14-i001"></graphic>
<table frame="hsides" rules="rows">
<col width="10.15%" span="1"></col>
<col width="11%" span="1"></col>
<col width="11%" span="1"></col>
<col width="11%" span="1"></col>
<col width="11%" span="1"></col>
<col width="11%" span="1"></col>
<col width="11%" span="1"></col>
<col width="11%" span="1"></col>
<col width="11%" span="1"></col>
<thead>
<tr>
<th valign="top" align="left" rowspan="3" colspan="1"></th>
<th valign="top" align="center" rowspan="1" colspan="4">Group 1</th>
<th valign="top" align="center" rowspan="1" colspan="4">Group 2</th>
</tr>
<tr>
<th valign="top" align="center" rowspan="1" colspan="2">Flat type</th>
<th valign="top" align="center" rowspan="1" colspan="2">Cushion type</th>
<th valign="top" align="center" rowspan="1" colspan="2">Flat type</th>
<th valign="top" align="center" rowspan="1" colspan="2">Cushion type</th>
</tr>
<tr>
<th valign="top" align="center" rowspan="1" colspan="1">Mean</th>
<th valign="top" align="center" rowspan="1" colspan="1">SD</th>
<th valign="top" align="center" rowspan="1" colspan="1">Mean</th>
<th valign="top" align="center" rowspan="1" colspan="1">SD</th>
<th valign="top" align="center" rowspan="1" colspan="1">Mean</th>
<th valign="top" align="center" rowspan="1" colspan="1">SD</th>
<th valign="top" align="center" rowspan="1" colspan="1">Mean</th>
<th valign="top" align="center" rowspan="1" colspan="1">SD</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="middle" align="left" rowspan="1" colspan="1">Vertical</td>
<td valign="middle" align="right" rowspan="1" colspan="1">1.06</td>
<td valign="middle" align="right" rowspan="1" colspan="1">0.21</td>
<td valign="middle" align="right" rowspan="1" colspan="1">1.01</td>
<td valign="middle" align="right" rowspan="1" colspan="1">0.13</td>
<td valign="middle" align="right" rowspan="1" colspan="1">5.10</td>
<td valign="middle" align="right" rowspan="1" colspan="1">1.01</td>
<td valign="middle" align="right" rowspan="1" colspan="1">3.99</td>
<td valign="middle" align="right" rowspan="1" colspan="1">0.43</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Oblique</td>
<td valign="top" align="right" rowspan="1" colspan="1">1.65</td>
<td valign="top" align="right" rowspan="1" colspan="1">0.21</td>
<td valign="top" align="right" rowspan="1" colspan="1">1.37</td>
<td valign="top" align="right" rowspan="1" colspan="1">0.18</td>
<td valign="top" align="right" rowspan="1" colspan="1">4.66</td>
<td valign="top" align="right" rowspan="1" colspan="1">0.46</td>
<td valign="top" align="right" rowspan="1" colspan="1">3.71</td>
<td valign="top" align="right" rowspan="1" colspan="1">0.43</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Ant-Post</td>
<td valign="top" align="right" rowspan="1" colspan="1">0.81</td>
<td valign="top" align="right" rowspan="1" colspan="1">0.12</td>
<td valign="top" align="right" rowspan="1" colspan="1">0.75</td>
<td valign="top" align="right" rowspan="1" colspan="1">0.12</td>
<td valign="top" align="right" rowspan="1" colspan="1">1.77</td>
<td valign="top" align="right" rowspan="1" colspan="1">0.42</td>
<td valign="top" align="right" rowspan="1" colspan="1">1.52</td>
<td valign="top" align="right" rowspan="1" colspan="1">0.51</td>
</tr>
</tbody>
</table>
</alternatives>
</table-wrap>
<table-wrap id="T2" orientation="portrait" position="float">
<label>Table 2</label>
<caption>
<title>Comparison of retentive force according to the number of implant by Mann-Whitney U test</title>
</caption>
<alternatives>
<graphic xlink:href="jap-9-14-i002"></graphic>
<table frame="hsides" rules="rows">
<col width="36%" span="1"></col>
<col width="32%" span="1"></col>
<col width="32%" span="1"></col>
<thead>
<tr>
<th valign="top" align="center" rowspan="2" colspan="1"></th>
<th valign="top" align="center" rowspan="1" colspan="1">Flat type</th>
<th valign="top" align="center" rowspan="1" colspan="1">Cushion type</th>
</tr>
<tr>
<th valign="top" align="center" rowspan="1" colspan="1">Group 1 – Group 2</th>
<th valign="top" align="center" rowspan="1" colspan="1">Group 1 – Group 2</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Vertical</td>
<td valign="top" align="right" rowspan="1" colspan="1">.008
<sup>*</sup>
</td>
<td valign="top" align="right" rowspan="1" colspan="1">.008
<sup>*</sup>
</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Oblique</td>
<td valign="top" align="right" rowspan="1" colspan="1">.008
<sup>*</sup>
</td>
<td valign="top" align="right" rowspan="1" colspan="1">.008
<sup>*</sup>
</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Anterior-Posterior</td>
<td valign="top" align="right" rowspan="1" colspan="1">.008
<sup>*</sup>
</td>
<td valign="top" align="right" rowspan="1" colspan="1">.008
<sup>*</sup>
</td>
</tr>
</tbody>
</table>
</alternatives>
<table-wrap-foot>
<fn>
<p>
<sup>*</sup>
denotes the significance at the 0.05 level</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="T3" orientation="portrait" position="float">
<label>Table 3</label>
<caption>
<title>Comparison of retentive force according to the type of magnetic attachment by Mann-Whitney U test</title>
</caption>
<alternatives>
<graphic xlink:href="jap-9-14-i003"></graphic>
<table frame="hsides" rules="rows">
<col width="36%" span="1"></col>
<col width="32%" span="1"></col>
<col width="32%" span="1"></col>
<thead>
<tr>
<th valign="top" align="left" rowspan="2" colspan="1"></th>
<th valign="top" align="center" rowspan="1" colspan="1">Flat type</th>
<th valign="top" align="center" rowspan="1" colspan="1">Cushion type</th>
</tr>
<tr>
<th valign="top" align="center" rowspan="1" colspan="1">Group 1 – Group 2</th>
<th valign="top" align="center" rowspan="1" colspan="1">Group 1 – Group 2</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Vertical</td>
<td valign="top" align="right" rowspan="1" colspan="1">.548
<sup>*</sup>
</td>
<td valign="top" align="right" rowspan="1" colspan="1">.056
<sup>*</sup>
</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Oblique</td>
<td valign="top" align="right" rowspan="1" colspan="1">.008
<sup>*</sup>
</td>
<td valign="top" align="right" rowspan="1" colspan="1">.008
<sup>*</sup>
</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Anterior-Posterior</td>
<td valign="top" align="right" rowspan="1" colspan="1">.841
<sup>*</sup>
</td>
<td valign="top" align="right" rowspan="1" colspan="1">.421
<sup>*</sup>
</td>
</tr>
</tbody>
</table>
</alternatives>
<table-wrap-foot>
<fn>
<p>
<sup>*</sup>
denotes the significance at the 0.05 level</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="T4" orientation="portrait" position="float">
<label>Table 4</label>
<caption>
<title>Comparison of retentive force according to vertical (V), oblique (O), anterior-posterior (AP) directions by Wilcoxon signed-rank test</title>
</caption>
<alternatives>
<graphic xlink:href="jap-9-14-i004"></graphic>
<table frame="hsides" rules="rows">
<col width="10%" span="1"></col>
<col width="15%" span="1"></col>
<col width="15%" span="1"></col>
<col width="15%" span="1"></col>
<col width="15%" span="1"></col>
<col width="15%" span="1"></col>
<col width="15%" span="1"></col>
<thead>
<tr>
<th valign="top" align="center" rowspan="2" colspan="1"></th>
<th valign="top" align="center" rowspan="1" colspan="3">Group 1</th>
<th valign="top" align="center" rowspan="1" colspan="3">Group 2</th>
</tr>
<tr>
<th valign="top" align="center" rowspan="1" colspan="1">V-O</th>
<th valign="top" align="center" rowspan="1" colspan="1">O-AP</th>
<th valign="top" align="center" rowspan="1" colspan="1">AP-V</th>
<th valign="top" align="center" rowspan="1" colspan="1">V-O</th>
<th valign="top" align="center" rowspan="1" colspan="1">O-AP</th>
<th valign="top" align="center" rowspan="1" colspan="1">AP-V</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="center" rowspan="1" colspan="1">Flat type</td>
<td valign="top" align="right" rowspan="1" colspan="1">.043
<sup>*</sup>
</td>
<td valign="top" align="right" rowspan="1" colspan="1">.043
<sup>*</sup>
</td>
<td valign="top" align="right" rowspan="1" colspan="1">.043
<sup>*</sup>
</td>
<td valign="top" align="right" rowspan="1" colspan="1">.686</td>
<td valign="top" align="right" rowspan="1" colspan="1">.043
<sup>*</sup>
</td>
<td valign="top" align="right" rowspan="1" colspan="1">.043
<sup>*</sup>
</td>
</tr>
<tr>
<td valign="top" align="center" rowspan="1" colspan="1">Cushion type</td>
<td valign="top" align="right" rowspan="1" colspan="1">.043
<sup>*</sup>
</td>
<td valign="top" align="right" rowspan="1" colspan="1">.043
<sup>*</sup>
</td>
<td valign="top" align="right" rowspan="1" colspan="1">.04
<sup>2*</sup>
</td>
<td valign="top" align="right" rowspan="1" colspan="1">.345</td>
<td valign="top" align="right" rowspan="1" colspan="1">.043
<sup>*</sup>
</td>
<td valign="top" align="right" rowspan="1" colspan="1">.043
<sup>*</sup>
</td>
</tr>
</tbody>
</table>
</alternatives>
<table-wrap-foot>
<fn>
<p>
<sup>*</sup>
denotes the significance at the 0.05 level</p>
</fn>
</table-wrap-foot>
</table-wrap>
</floats-group>
</pmc>
<affiliations>
<list>
<country>
<li>Corée du Sud</li>
</country>
</list>
<tree>
<country name="Corée du Sud">
<noRegion>
<name sortKey="Lee, Eunjee" sort="Lee, Eunjee" uniqKey="Lee E" first="Eunjee" last="Lee">Eunjee Lee</name>
</noRegion>
<name sortKey="Shin, Soo Yeon" sort="Shin, Soo Yeon" uniqKey="Shin S" first="Soo-Yeon" last="Shin">Soo-Yeon Shin</name>
</country>
</tree>
</affiliations>
</record>

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