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在功能模拟 1 年后,保留定制基台上的可摘式套筒冠义齿。

Retention of a telescopic overdenture on customized abutments after the simulation of 1 year in function.

机构信息

Department of Oral and Maxillofacial Prosthodontics, Faculty of Dentistry, Ain Shams University, Cairo, Egypt.

Department of Fixed Prosthodontics, Faculty of Dentistry, Ain Shams University, Cairo, Egypt.

出版信息

Dent Med Probl. 2021 Apr-Jun;58(2):201-206. doi: 10.17219/dmp/127963.

Abstract

BACKGROUND

Telescopic implant-retained overdentures are considered one of the most common treatment modalities for edentulous patients.

OBJECTIVES

The aim of the study was to evaluate the retention of a BioHPP (biocompatible highperformance polymer) telescopic overdenture supported by customized abutments made from 2 different materials after the simulation of 1 year in function.

MATERIAL AND METHODS

Twelve models of a completely edentulous mandible were three-dimensionally (3D)-printed. Two implants and 2 groups of customized abutments - group Bio: BioHPP (n = 6) and group Ti: titanium (n = 6) - were used to support BioHPP telescopic overdentures. A vertically dislodging force was applied to each denture until its separation before and after 240,000 cycles of chewing simulation and 1,440 iterations of cyclic dislodgement for the simulation of 1 year in function in order to measure maximum tensile loads needed to dislodge the overdenture. Student's t test and the paired t test were used for the statistical analysis (α = 0.05).

RESULTS

The initial and final retentive forces of the Ti group were significantly higher than in the case of the Bio group. A significant decrease in the retentive forces within the 2 groups after chewing simulation was observed and it was higher in group Ti; however, there was no statistically significant difference between the 2 groups.

CONCLUSIONS

The retentive force values for implant-retained telescopic overdentures significantly decreased after the simulation of 1 year of overdenture use. Both BioHPP and titanium are considered suitable abutment materials to retain telescopic overdentures.

摘要

背景

伸缩式种植体支持的覆盖义齿被认为是无牙颌患者最常见的治疗方法之一。

目的

本研究的目的是评估在功能模拟 1 年后,由两种不同材料制成的个性化基台支撑的 BioHPP(生物相容性高性能聚合物)伸缩式覆盖义齿的固位力。

材料和方法

使用三维(3D)打印技术制作了 12 个完全无牙颌下颌模型。使用 2 个种植体和 2 组个性化基台——Bio 组:BioHPP(n = 6)和 Ti 组:钛(n = 6)——来支撑 BioHPP 伸缩式覆盖义齿。在功能模拟 1 年中,模拟咀嚼 24 万次循环和周期性脱位 1440 次后,向每个义齿施加垂直脱位力,直到分离,以测量脱位覆盖义齿所需的最大拉伸载荷。采用学生 t 检验和配对 t 检验进行统计学分析(α = 0.05)。

结果

Ti 组的初始和最终固位力明显高于 Bio 组。在咀嚼模拟后,两组的固位力均显著下降,Ti 组下降幅度更大;但两组之间无统计学差异。

结论

在覆盖义齿使用 1 年的模拟后,种植体支持的伸缩式覆盖义齿的固位力值显著下降。BioHPP 和钛都被认为是适合保留伸缩式覆盖义齿的基台材料。

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