Setz J M, Wright P S, Ferman A M
Department of Prosthodontics, Martin-Luther-University, Halle, Germany.
Int J Prosthodont. 2000 Nov-Dec;13(6):494-9.
To stabilize overdentures, a wide range of attachments to implants is suggested. Although there is evidence that denture stability is an important factor for patient satisfaction, there are no data on how these attachments may reduce denture mobility. It was the purpose of this study to compare the effects of different types of attachments on the mobility of implant-stabilized overdentures in vitro, designing a measurement device that could also be used in vivo.
On an acrylic model with 2 implants in the canine areas, magnets were fixed to one of the implant abutments. Four Hall-effect devices were attached to the denture opposite the magnet, which allowed contact-free measurements of denture movements.
In vitro experiments loading an overdenture showed very small, largely insignificant differences in denture mobility when different bar or ball attachments were used. Geometric aspects of load application were more important than the choice of attachment.
The measurements gave no guide to the choice of an attachment. The similarity of the attachments must be confirmed by in vivo measurements.
为了稳定覆盖义齿,有人提出了多种与种植体相连的附着体。尽管有证据表明义齿稳定性是患者满意度的一个重要因素,但关于这些附着体如何减少义齿移动性的数据却未见报道。本研究的目的是在体外比较不同类型附着体对种植体支持的覆盖义齿移动性的影响,并设计一种也可用于体内的测量装置。
在犬牙区有2颗种植体的丙烯酸模型上,将磁体固定在其中一个种植体基台上。在与磁体相对的义齿上连接4个霍尔效应装置,可实现对义齿运动的无接触测量。
体外加载覆盖义齿的实验表明,使用不同的杆式或球状附着体时,义齿移动性的差异非常小,且大多无显著意义。加载的几何因素比附着体的选择更为重要。
这些测量结果无法指导附着体的选择。附着体之间的相似性必须通过体内测量来证实。