In vitro study of the insertion and disinsertion effect on retention of two attachment systems of an overdenture on two implants

Authors

  • Elsa Rodrigues Carvalho Faculdade de Medicina Dentária da Universidade do Porto
  • Maria Helena Figueiral Faculdade de Medicina Dentária da Universidade do Porto
  • Patrícia Fonseca Faculdade de Medicina Dentária da Universidade do Porto
  • Mário Augusto Vaz Faculdade de Engenharia da Universidade do Porto
  • Fernando Morais Branco Faculdade de Medicina Dentária da Universidade do Porto

DOI:

https://doi.org/10.15448/1980-6523.2014.1.11950

Keywords:

Dental prosthesis, implant-supported overdentures, attachment system

Abstract

Objective: Implant-supported overdentures are a valid treatment option for edentulous patients. The use of two mandibular implants is considered the minimum standard of care. This study evaluated the retentive force of two attachments and their respective connection systems in a mandibular implant-supported overdenture. Methods: Two acrylic blocks were prepared: two parallel implants set 22 mm apart were embedded in one of the blocks, while in the other were positioned the female systems for each attachment system tested (Dalbo Ball BTI® and Locator® with female components in both clear and pink nylon). A specific machine was designed to measure the retentive force of the attachments over the cycles applied. The speed of insertion/disinsertion was 0.5 Hz, applied constantly. Results: The clear nylon Locator® attachments registered the highest initial retention value (85.7 N), followed by the Dalbo-Ball® system (62.1 N) and pink nylon Locator® (49.6 N). After 5400 cycles, the mean force exerted was highest in the clear nylon Locator® attachments (42.3 N) followed by Dalbo-Ball® (34.3 N) and pink nylon Locator® (24.6 N). Conclusion: The initial retention force decreases over time for the attachment systems tested.

References

Douglas CW, Shih A, Ostry L. Will there be a need for complete dentures in the United States in 2020? J Prosthet Dent 2002;87:5-8.

Burns DR, Unger JW, Elswick RK Jr, Beck DA. Prospective clinical evaluation of mandibular implant overdentures. Part I – Retention stability and tissue response. J. Prosthet. Dent. 1995;73:354-63.

Frometin O, Lassauzay C, Abi Nader S, Feine J, de Albuquerque Junior RF. Testing the retention of attachments for implant overdenturesvalidation

of an original force measurement system. J Oral Rehabil 2010; 37:54-62.

Burns DR, Unger JW, Elswick RK Jr, Giglio JA. Prospective clinical evaluation of mandibular implant overdentures: Part II – Patient satisfaction and preference. J Prosthet. Dent 1995;73:364-9.

Fakhry A, Tan SC, Heiner AD, DehKordi-Vakil FH, Dircks HW. Methodology for measuring the in vitro seating and unseating forces of prefabricated attachment systems used to retain implant overdentures. J Prosthodont

;19:87-94.

Alsabeeha NH, Payne AG, Swain MV. Attachment systems for mandibular two-implant overdentures: a review of in vitro investigations on retention and wear features. Int J Prosthodont 2010;23:160-6.

Attard N, Wei X, Laporte A, Zarb GA, Ungar WJ. A cost minimization analysis of implant treatment in mandibular edentulous patients. Int J Prosthodont 2003;16:271–6.

Rutkunas V, Mizutani H, Takahashi H: Influence of attachment wear on retention of mandibular overdenture. J Oral Rehabil 2007;34:41-51.

Pigozzo MN, Mesquita MF, Henriques GE, Vaz LG. The service life of implant-retained overdenture attachment systems. J Prosthet Dent 2009;102:74-80.

Geertman ME. Denture satisfaction in a comparative study of implant retained mandibular overdentures: a randomized clinical trial. Int. J. Oral Maxillofac. Implants 1996;11:194-200.

Zitzmann NU, Marinello CP. A review of clinical and technical considerations for fixed and removable implant protheses in the edentulous mandible. Int. J. Prosthodont 2002;15:65-72.

Setz I, Lee SH, Engel E. Retention of prefabricated attachments for implant stabilized overdentures in the edentulous mandible: an in vitro study. J. Prosthet.Dent 1998;80:323-9.

Williams BH, Ochiai KT, Hojo S, Nishimura R, Caputo AA. Retention of maxillary implant overdenture bars of different designs. J. Prosthet. Dent 2001;86:603-7.

Petropoulos VC, Smith W. Maximum dislodging forces of implant overdenture stud attachments. Int J Oral Maxillofac Implants 2002;17: 526-35.

Setz JM, Wright PS, Ferman AM. Effects of attachment type on the mobility of implant-stabilized overdentures-an in vitro study. Int J Prosthodont 2000;13:494-9.

Alsabeeha NH, Payne AG, Swaine MV. Attachment systems for mandibular two-implant overdentures: a review of in vitro investigations on retention and wear features. Int J Prosthodont 2009;22:429-40.

Alsabeeha N, Atieh M, Swain MV, Paine AG. Attachment systems for mandibular single implant overdentures: an in vitro retention force investigation on different designes. Int J Prosthodont 2010;23: 160-6.

Branchi R, Vangi D, Virga A, Guertin G, Fazi G. Resistence to wear of four matrices with ball attachments for Implant Overdentures: A fatigue study. J Prosthodont 2010;19:614-9.

Fakhry A, Tan SC, Heiner AD, Dehkordi-Vakil FH, Dircks HW. Methodology for measurement the in vitro seating and unseating forces of prefabricated attachment systems used to retain implant overdentures. J Prosthodont 2010;19:87-94.

Evtimovska E, Masri R, Driscoll CF, Romberg E. The change in retentive values of locator attachments and hader clips over time. J Prosthodont 2009;18:479-83.

Doukas D, Michelinakis G, Smith PW, Barclay CW. The influence of interimplant distance and attachment type on the retention characteristics of mandibular overdentures on 2 implants: 6 month fatigue retention

values. Int J Prosthodont 2008;21:152-4.

Maeda Y, Horisaka M, Yagi K. Biomechanical rationale for a single implantretained mandibular overdenture: an in vitro study. Clin Oral Implants Res 2008;19:271-5.

Ortegón SM, Thompson GA, Agar JR, Taylor TD, Perdikis D. Retention forces of spherical attachments as a function of implant and matrix angulation in mandibular overdentures: an in vitro study. J Prosthet Dent

;101:231-8.

Abi Nader S, de Souza RF, Fortin D, De Koninck L, Fromentin O, Albuquerque Junior RF. Effect of simmullated masticatotry loading on the retention of stud attachments for implant overdentures. J Oral Rehabil 2011;38:157-64.

Saavedra G, Barbosa SH, Landin KT, Alonso AA, Vasconcelos DK, Avelar RP, Bottino MA, Kimpara ET. Influence of the insertion angle in the retention and fatigue strength of an O’ring system for implant overdentures. Rev ImplantNews 2007;4:249-53.

Downloads

Published

2014-07-28

Issue

Section

Original Article