Leem Han-Wool, Cho In-Ho, Lee Jong-Hyuk, Choi Yu-Sung
Department of Prosthodontics, College of Dentistry, Dankook University, Cheonan, Republic of Korea.
J Adv Prosthodont. 2016 Feb;8(1):9-15. doi: 10.4047/jap.2016.8.1.9. Epub 2016 Feb 23.
Although magnetic attachment is used frequently for overdenture, it is reported that attractive force can be decreased by abrasion and corrosion. The purpose of this study was to establish the clinical basis about considerations and long term prognosis of overdenture using magnetic attachments by investigating the change in attractive force of magnetic attachment applied to the patients.
Among the patients treated with overdenture using magnetic attachments in Dankook University Dental Hospital, attractive force records of 61 magnetic attachments of 20 subjects who re-visited from July 2013 to June 2014 were analyzed. Dental magnet tester (Aichi Micro Intelligent Co., Aichi, Japan) was used for measurement. The magnetic attachments used in this study were Magfit IP-B Flat, Magfit DX400, Magfit DX600 and Magfit DX800 (Aichi Steel Co., Aichi, Japan) filled with Neodymium (NdFeB), a rare-earth magnet.
Reduction ratio of attractive force had no significant correlation with conditional variables to which attachments were applied, and was higher when the maintenance period was longer (P<.05, r=.361). Reduction ratio of attractive force was significantly higher in the subject group in which attachments were used over 9 years than within 9 years (P<.05). Furthermore, 16.39% of total magnetic attachments showed detachment of keeper or assembly.
Attractive force of magnetic attachment is maintained regardless of conditional variables and reduction ratio increased as the maintenance period became longer. Further study on adhesive material, attachment method and design improvement to prevent detachment of magnetic attachment is needed.
尽管磁性附着体在覆盖义齿中应用频繁,但有报道称其吸引力会因磨损和腐蚀而降低。本研究的目的是通过调查应用于患者的磁性附着体吸引力的变化,建立关于使用磁性附着体的覆盖义齿的考虑因素和长期预后的临床依据。
在韩国檀国大学牙科学院使用磁性附着体治疗覆盖义齿的患者中,分析了2013年7月至2014年6月复诊的20名受试者的61个磁性附着体的吸引力记录。使用牙科磁体测试仪(日本爱知县爱知微智能有限公司)进行测量。本研究中使用的磁性附着体为Magfit IP - B Flat、Magfit DX400、Magfit DX600和Magfit DX800(日本爱知县爱知钢铁公司),均填充有稀土磁体钕(NdFeB)。
吸引力降低率与附着体所应用的条件变量无显著相关性,且在维护期较长时更高(P <.05,r =.361)。在使用附着体超过9年的受试者组中,吸引力降低率显著高于使用时间在9年以内的组(P <.05)。此外,在所有磁性附着体中,有16.39%出现了衔铁或组件脱落。
磁性附着体的吸引力不受条件变量的影响,且随着维护期延长,降低率增加。需要进一步研究粘结材料、附着方法和设计改进,以防止磁性附着体脱落。