Karl Matthias, Carretta Roberto, Higuchi Kenji W
Int J Prosthodont. 2018 September/October;31(5):440–442. doi: 10.11607/ijp.5707. Epub 2018 May 17.
To quantify the strain development of a new prefabricated implant-supported mandibular full-arch reconstruction.
Five resin models reflecting edentulous mandibles were each restored with three interforaminal implants and prefabricated frameworks with a novel compensation mechanism, cast frameworks, and computer-aided design/computer-assisted manufacturing (CAD/CAM)-fabricated frameworks. Strains were recorded during superstructure fixation. Statistical analyses (analysis of variance, t tests; α = .05) were based on level of misfit and distribution of misfit.
Cast restorations showed significantly higher levels of misfit and a significantly more uneven distribution of misfit compared to prefabricated and CAD/CAM restorations (P < .05 for all comparisons). Prefabricated and CAD/CAM frameworks showed a similar low level and distribution of misfit (P = .24145 and P = .2837, respectively).
The compensation mechanism of the prefabricated frameworks provides a level of fit comparable to CAD/CAM superstructures.