Takahashi Toshihito, Gonda Tomoya, Maeda Yoshinobu
Int J Oral Maxillofac Implants. 2018 Jan/Feb;33(1):80-86. doi: 10.11607/jomi.5936.
The aim of this study was to examine the deformation modality of palateless maxillary implant overdentures using isolated attachments under various implant configurations.
A maxillary edentulous model with implants inserted in the anterior, premolar, and molar areas was fabricated, and three types of unsplinted attachments-ball, locator, and magnet-were set on the implants distributed in various configurations. Experimental palateless dentures were fabricated, and two strain gauges were attached at the anterior midline of the labial and palatal sides. A vertical occlusal load of 98 N was applied, and the shear strains of dentures were measured. The measurements of strains were compared with the Kruskal-Wallis test (P = .05).
The strains of the labial side were much larger than those of the palatal side except for those using the ball attachment. The strains using the magnet attachment on anterior implants were significantly larger than those using other attachments (P < .05). Those using anterior implants were significantly smaller than those using premolar or molar implants (P < .05).
The strains of palateless overdentures were different according to the attachments and implant distribution. However, when using molar implants, there was no significant difference among the three attachments.
本研究旨在探讨在各种种植体配置下使用孤立附着体的无腭上颌种植覆盖义齿的变形方式。
制作一个在上颌前牙区、前磨牙区和磨牙区植入种植体的无牙颌模型,并在以各种配置分布的种植体上设置三种类型的非夹板式附着体——球帽、Locator附着体和磁性附着体。制作实验性无腭覆盖义齿,并在唇侧和腭侧的前中线处粘贴两个应变片。施加98 N的垂直咬合负荷,并测量覆盖义齿的剪切应变。应变测量结果采用Kruskal-Wallis检验进行比较(P = 0.05)。
除使用球帽附着体的情况外,唇侧的应变远大于腭侧。在前牙种植体上使用磁性附着体时的应变显著大于使用其他附着体时的应变(P < 0.05)。使用前牙种植体时的应变显著小于使用前磨牙或磨牙种植体时的应变(P < 0.05)。
无腭覆盖义齿的应变因附着体和种植体分布而异。然而,当使用磨牙种植体时,三种附着体之间没有显著差异。