El-Amier Nesma, Elsaih Ehab, Gibreel Mona, El-Motaiam Hassan
Department of Prosthodontics, Faculty of Dentistry, Mansoura University, MansouraEgypt.
Department of Biomaterials Science and Turku Clinical Biomaterials Centre-TCBC, Institute of Dentistry, University of Turku, TurkuFinland.
J Oral Maxillofac Res. 2018 Sep 30;9(3):e3. doi: 10.5037/jomr.2018.9303. eCollection 2018 Jul-Sep.
OBJECTIVES: The purpose of this study was to evaluate effect of implant location on initial retention values of palateless complete overdentures retained by four o-rings at different inter-implant distances. MATERIAL AND METHODS: Two standard acrylic models representing completely edentulous maxillary arches were used. Four single piece ball type implants were placed in each model. Models were divided into two groups according to the distance between anterior and posterior implants. Two canine implants with 32 mm inter-implant distance were placed in both models. In one model (G1), two posterior implants were placed in second premolar region away from canine implants by 14 mm on both sides, while in the other model (G2), the two posterior implants were placed in first molar region away from canine implants by 22 mm on both sides. Eighteen palateless complete overdentures were constructed for each model. Overdentures were retained by four o-rings. Initial axial (central), and para-axial (anterior, posterior, and lateral) retention values of overdentures were estimated and compared using a universal testing machine. RESULTS: Independent t-test revealed that implant location has a significant role in palateless complete overdenture retention with a level of significance set at P < 0.05. CONCLUSIONS: For simulated palateless implant overdentures retained by four o-rings, increasing the inter-implant distance between anterior and posterior implants is favourable for a more retentive prosthesis.
目的:本研究旨在评估种植体位置对由四个O形环固定的无腭全口覆盖义齿在不同种植体间距下的初始固位值的影响。 材料与方法:使用两个代表上颌无牙弓的标准丙烯酸模型。每个模型中植入四个单件球形种植体。根据前后种植体之间的距离将模型分为两组。在两个模型中均植入两个种植体间距为32 mm的尖牙种植体。在一个模型(G1)中,两个后牙种植体放置在双侧第二前磨牙区,距尖牙种植体14 mm远;而在另一个模型(G2)中,两个后牙种植体放置在双侧第一磨牙区,距尖牙种植体22 mm远。每个模型制作18副无腭全口覆盖义齿。覆盖义齿由四个O形环固定。使用万能试验机估计并比较覆盖义齿的初始轴向(中心)和旁轴向(前、后和侧方)固位值。 结果:独立t检验显示,种植体位置在无腭全口覆盖义齿固位中具有显著作用,显著性水平设定为P < 0.05。 结论:对于由四个O形环固定的模拟无腭种植覆盖义齿,增加前后种植体之间的种植体间距有利于获得更具固位力的修复体。
J Oral Maxillofac Res. 2018-9-30
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