Faculty of Dentistry, Alexandria University, Alexandria, Egypt.
Prosthodontics Department, Faculty of Dentistry, University of Alexandria, Alexandria, Egypt.
BMC Oral Health. 2024 Sep 11;24(1):1059. doi: 10.1186/s12903-024-04797-3.
BACKGROUND: Implant-retained obturators for maxillectomy cases have several advantages over traditional obturators but prosthetic design for specific conditions after maxillary resection has several challenges and the appropriate implant placement configuration is essential for improving retention and the stability of the implant-retained obturator. OBJECTIVES: The present study aimed to assess the retention force of using linear and nonlinear implant placement configurations using ball and socket attachment in implant-retained obturators at the initial retention and after simulation of six months of use. MATERIALS AND METHODS: Two identical epoxy resin maxillary models of a completely edentulous unilateral maxillary defect (Brown's class IIb) were used for implant placement, in the first model three implants were arranged with linear placement configuration, and in the second model three implants were arranged in nonlinear placement configuration. For proper sample sizing, 26 models and obturator were used. Two equal groups of obturators (13 for each group) were constructed, each with a different implant placement configuration. Both groups used the same attachment design (a non-splinted ball attachment). Using a cyclic loading machine that served as a dental insertion and removal simulator, each study group was subjected to 500 tension-compression cycles simulating 6 months of use. Using the universal testing machine, each obturator was removed at a speed of 50 mm/min for the crosshead. peak load to dislodgement was measured at the initial retention and after the simulations of six months of use. Data were analyzed using independent and paired t-tests while percent change was analyzed using the Mann Whitney U test. RESULTS: There were a statistically significant differences in retention between the nonlinear implant placement configuration for Brown's class IIb maxillectomy and the linear implant placement configuration at initial retention evaluation with p-value of < 0.0001 and after simulation of six months of usage with p-value of < 0.0001 Also, after simulation of 6 months of use group I lose - 24.87 (10.16) % of its retention while group II lose - 17.49 (7.78) %. CONCLUSIONS: Non-linear implant placement is more retentive at the initial retention and after simulation of six months of use than linear and loses less retention after usage.
背景:与传统堵板相比,用于上颌骨切除术的种植体固位堵板具有多项优势,但上颌骨切除术后特定情况下的修复设计存在诸多挑战,合适的种植体放置配置对于提高种植体固位堵板的固位力和稳定性至关重要。
目的:本研究旨在评估使用球窝附着体的线性和非线性种植体放置配置在上颌骨切除术后 6 个月的初始固位力和使用模拟后的固位力。
材料和方法:使用两个完全无牙的单侧上颌骨缺损(Brown Ⅱb 类)的相同环氧树脂上颌模型进行种植体放置,在第一个模型中,三个种植体采用线性放置配置排列,在第二个模型中,三个种植体采用非线性放置配置排列。为了进行适当的样本量计算,使用了 26 个模型和堵板。构建了两组相同的堵板(每组 13 个),每组采用不同的种植体放置配置。两组均使用相同的附着体设计(非夹板球附着体)。使用充当牙科插入和移除模拟器的循环加载机,每个研究组经受 500 次张紧-压缩循环,模拟使用 6 个月。使用万能试验机,以 50mm/min 的速度将每个堵板从十字头移除。测量初始固位和使用模拟 6 个月后的跨头峰值负荷至脱位。使用独立和配对 t 检验分析数据,使用 Mann Whitney U 检验分析百分比变化。
结果:在上颌骨 IIb 类截骨术的非线性种植体放置配置与线性种植体放置配置的初始保留评估之间,保留力存在统计学显著差异,p 值<0.0001,使用模拟 6 个月后,p 值<0.0001。此外,在使用 6 个月后,第 1 组的保留力损失了-24.87(10.16)%,而第 2 组的保留力损失了-17.49(7.78)%。
结论:与线性相比,非线性种植体放置在初始保留和使用模拟 6 个月后的保留力更强,使用后保留力损失更少。
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