4.Performance of attachments used in implant-supported overdentures: review of trends in the literature.
Journal of Periodontal & Implant Science 2013;43(1):12-17
The purpose of this review is to examine the performance of attachments used in implant-supported overdenture (IOD) in both clinical and in vitro settings and report the compiled findings, comparisons, and trends in the research literature. Articles published in PubMed on IOD attachment systems and performance were reviewed. Non-original articles were excluded. For each article included, the type of study, number of implants, number of attachment systems, and study outcome were recorded. Of the 283 articles found, 158 met the inclusion criteria. Ninety-four articles were clinical studies and 64 articles were in vitro studies. Studies on retention were the most common for in vitro studies, and four or more attachment systems were compared in most articles with significant differences in outcome. A clinical outcome of one attachment system was most common for clinical studies, while most studies had neutral outcomes overall. Ball attachment was the most commonly tested IOD attachment system. The trend in the literature showed that there is a large discrepancy between the study designs and outcomes between the clinical and the in vitro studies for IOD. Further clinical studies that can validate in vitro research should be encouraged to address this discrepancy between the two areas.
Dental Implants
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Denture Precision Attachment
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Denture, Overlay
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Retention (Psychology)
5.Effect of simulating static magnetic field of magnetic attachment on osteoblastic morphology and surface ultrastructure.
Wei YAO ; Yu ZHAO ; Bing-yan LI ; Yong-lie CHAO ; Li DU
Chinese Journal of Stomatology 2008;43(1):48-49
OBJECTIVETo investigate effects of the static magnetic field (SMF) generated by dental magnetic attachment on osteoblastic morphology and surface ultrastructure.
METHODSThe in vitro cultured rat osteoblasts were exposed continuously to 12.5 mT, 125 mT, and 250 mT static magnetic fields for 1, 3, 5, and 7 days. After exposed in SMF, osteoblasts were observed under a phase contrast microscope, and then HE stained and observed under a light microscope. In addition, the cells were observed under a scanning electron microscope (SEM).
RESULTSBy continuous exposure, the different intensities of SMF exposure did not change the vital osteoblast growth pattern or distribution. The SEM photos showed that there were certain changes in cellular microstructures for osteoblasts after exposed to 12.5 mT for 5 to 7 days, as well as 125 mT and 250 mT for 3 to 7 days. The more exposure time increased, the more microvesicles on the surfaces of cells were observed.
CONCLUSIONSContinuous SMF-stimulation could not affect the shape, distribution, and growth pattern of osteoblasts. The SMF of magnetic attachments could lead to certain changes in surface ultrastructures of osteoblasts in this study.
Animals ; Cells, Cultured ; Denture Precision Attachment ; Electromagnetic Fields ; Osteoblasts ; radiation effects ; ultrastructure ; Rats ; Rats, Sprague-Dawley
6.The 3D finite element analysis of stress distributions in abutment and periodontal tissues with extra-coronal attachment.
Ailing ZHANG ; Zhan LIU ; Yandong MU ; Yingli QIAN ; Yubo FAN
Journal of Biomedical Engineering 2007;24(4):717-720
A 3D finite element model of bilateral distal-extension edentulous dentition, which includes mandible, incisors, canines and premolars, was established in the first place. Based on it, another model with extra-coronal attachments and dentures was also developed. Moreover, contact elements were applied to the regions between the denture and alveolar bone. The von Mises stress distributions of the abutments and their periodontal tissues, edentulous alveolar bone in the two models were compared. The results indicate that the stresses in the abutments and the alveolar sockets obviously increase at the buccal and lingual sides after reparation, and that the stresses on the edentulous alveolar bone also increase.
Dental Abutments
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Dental Stress Analysis
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Denture Design
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Denture Precision Attachment
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Finite Element Analysis
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Humans
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Models, Biological
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Periodontium
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physiology
8.Prosthetic reconstruction with an obturator using swing-lock attachment for a patient underwent maxillectomy: A clinical report.
Dong Jae SEONG ; Seoung Jin HONG ; Seung Ryong HA ; Young Gi HONG ; Hyo Won KIM
The Journal of Advanced Prosthodontics 2016;8(5):411-416
Patients who underwent resection of maxilla due to benign or malignant tumor, or accident will have defect in palatal area. They get retention, support and stability from remaining tissues which are hardly optimal. The advantage of swing-lock attachment design is having multiple contacts on labial and lingual side of the abutment teeth by retentive strut and palatal bracing component. Because the force is distributed equally to abutment teeth, abutment teeth of poor prognosis can be benefited from it. It is also more advantageous to cover soft tissue defects which are hard to reach with conventional prosthesis. A 56-year-old female patient who had undergone a maxillectomy due to malignant melanoma complaining of loose and unstable surgical obturator. Surveyed crowns were placed on #12, 26, and 27. Teeth #11, 21, 22, and 23 had lingual rest seat and #24 had mesial rest seat to improve stability and support of the obturator. This clinical report presents the prosthetic management of a patient treated with obturator on the maxilla using swing-lock attachment to the remaining teeth.
Braces
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Crowns
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Denture Precision Attachment
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Female
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Humans
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Maxilla
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Melanoma
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Middle Aged
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Palatal Obturators
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Prognosis
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Prostheses and Implants
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Tooth
9.Clinical application and follow-up evaluation of attachments in partial edentulous jaw prosthodontics.
Chinese Journal of Stomatology 2008;43(4):206-208
OBJECTIVETo evaluate the outcomes of attachments prosthesis in patients with complicated intraoral situation.
METHODSThirty-eight patients provided with fixed-removable partial denture were followed up for 1 to 5 years. A total of 51 attachments restoration supported by 139 abutments were included.
RESULTSGood retention and stability of the restoration were achieved; masticatory function and esthetic effects were recovered satisfactorily.
CONCLUSIONSFixed-removable partial denture is an effective method for patients with complicated intraoral situation.
Adult ; Aged ; Dentition ; Denture Precision Attachment ; Denture, Partial ; Female ; Follow-Up Studies ; Humans ; Jaw, Edentulous, Partially ; Male ; Middle Aged ; Tooth Diseases ; surgery
10.Three-dimensional finite element stress analysis of mandibular unilateral distal-extension with extra-coronal precision attachment.
Bolei SUN ; Yubo FAN ; Zhan LIU ; Yingli QIAN ; Yandong MU
Journal of Biomedical Engineering 2007;24(1):116-119
From alveolar bone and the complete dentition CT images, a three-dimensionalysis of nonlinear finite element model of mandibular unilateral distal-extension with extracoronal precision attachment was established. The contact elements were used between the denture and alveolar bone. The result shows that, the stress in the second premolar and periodontal tissue decreased obviously as the second abutment was added. However, the stress difference was unapparent as the third abutment was added. Considering various facts, the attachment with two abutments was suggested to be used. With the decrease of the periodontal tissue, the stress in the periodontal tissue increased, however the stress in the tooth changed slightly. Thestress in the periodontal tissue decreased effectively when the third abutment was added, as the tooth root was absorbed by 50%. In this situation, the extracoronal precision attachment can also be used.
Dental Stress Analysis
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Denture Precision Attachment
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Denture, Partial, Removable
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Finite Element Analysis
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Humans
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Imaging, Three-Dimensional
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methods
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Mandible
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diagnostic imaging
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physiology
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Models, Biological
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Tomography, X-Ray Computed