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      In vitro retention force measurement for three different attachment systems for implant-retained overdenture

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          Abstract

          Aim:

          The aim of this study is to compare the retention force of three different types of overdenture attachment systems used in implant-retained mandibular complete overdentures.

          Materials and Methods:

          Twenty-one similar acrylic resin blocks were prepared and divided into three study groups: Group A (snap attachment) - 10 specimens, Group B (locator attachment) - 1 specimen, and Group C (syncone attachment) - 10 specimens. A single rectangular heat cure acrylic resin block with two implant analogs 22 mm apart was used with all specimens. Each specimen was subjected to 5500 cycles of insertion and removal in the presence of artificial saliva, representing 5 years of usage. Retention was measured three times for each specimen using universal testing machine. Data were analyzed using one-way and two-way analysis of variance at 95% level of confidence.

          Results:

          Locator attachment group (Group B) showed the greatest retention level throughout the study, followed by snap attachment (Group A), and syncone attachment (Group C) showed the lowest retention level.

          Conclusion:

          Regardless of the initial retention level of overdenture attachment, gradual loss of retention values is inevitable. However, the rate of retention loss in overdenture attachments is higher in types which comprised plastic parts within their components, rather than those totally made up of noble metals.

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          Most cited references44

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          Mandibular two implant-supported overdentures as the first choice standard of care for edentulous patients--the York Consensus Statement.

          The Annual Conference of the BSSPD (British Society for the Study of Prosthetic Dentistry) was held in York on 6 and 7 April 2009. At the symposium on mandibular overdentures, presenters offered a synopsis of the research available on the efficacy of implant-supported mandibular overdentures in the edentulous mandible. Emphasis was given to both qualitative and quantitative research based on patient-centred outcomes of treatment. A draft consensus was circulated to all presenters and to the Council members of the BSSPD and to BSSPD members on the Society's website. The statement was modified in the light of their comments, audience feedback following the presentations and members' feedback. We hope that this consensus statement will be a useful guide for patients and clinicians and that it will act to stimulate wider debate. We also hope that it will prove useful to other patient and professional organisations and will inform discussions with providers of national healthcare and with independent funders.
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            Attachment systems for implant retained overdentures: a literature review.

            This article presents a comparison between different attachment systems used to retain and support maxillary and mandibular overdentures in completely edentulous patients. A literature review based on a MEDLINE search limited to English-language articles published from 1988 to the present was performed, and a large number of attachments available in the dental market were reviewed with regard to several factors, including: (1) implant survival rate, (2) marginal bone loss, (3) soft tissue complications, (4) retention, (5) stress distribution, (6) space requirements, (7) maintenance complications, and (8) patient satisfaction. These factors are considered essential for the successful outcome and good long-term prognosis of the prostheses. Selection criteria previously published in the literature are discussed as well. Product names and manufacturers are mentioned only if related to attachment systems, as they are cited in the original articles.
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              A comparison of three different attachment systems for mandibular two-implant overdentures: one-year report.

              There is a lack of clinical studies on the self-aligning attachment system (Locator(R); Zest Anchors, Inc. homepage, Escondido, CA, USA) for two-implant-retained overdentures in the edentulous mandible. Therefore, a comparison of the Locator with two traditional designs (a rotational gold matrix and a rubber O-ring type) in clinical 1-year use was conducted. From 2003 to 2007, 60 patients received two Osseotite(R) TG Standard implants (BIOMET 3i Implant Innovations, Palm Beach Gardens, FL, USA) in the intraforaminal area of the edentulous mandible. The implants were left unloaded for 3.5 months, randomized to three different attachment systems, and loaded through a mandibular overdenture. Twenty-three patients received a self-aligning attachment system (Locator) and 33 patients a ball attachment (Dal-Ro(R)[BIOMET 3i Implant Innovations]n = 25; TG-O-Ring(R)[Cendres & Metaux SA, Biel-Bienne, Switzerland]n = 8). After 12 months of delivery of the overdentures, the oral situation was evaluated: prosthodontic maintenance and biologic complications, subjective patients' experience, and oral health-related life quality (Oral Health Impact Profile [OHIP-G 49]). After 1-year of clinical service, 8 of 120 implants were lost (9.6%). The Locator system brought up 34 prosthetic complications, especially the need for change of the male parts or activation because of loss of retention. The TG-O-Ring patients showed 14 complications, most of them the change of the O-Rings. The patients with the Dal-Ro abutment had seven minor complications in 12 months of clinical use. Biologic complications and patients' oral health-related life quality showed no significant difference among the three experimental groups. Prosthodontic maintenance was restricted to loss of retention for all systems. Within the observation period of this study, the self-aligning attachment system showed a higher rate of maintenance than the ball attachments. The patients' oral health-related life qualities as well as the biologic parameters do not differ when using the three abutment systems.
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                Author and article information

                Journal
                J Indian Prosthodont Soc
                J Indian Prosthodont Soc
                JIPS
                The Journal of the Indian Prosthodontic Society
                Medknow Publications & Media Pvt Ltd (India )
                0972-4052
                1998-4057
                Oct-Dec 2016
                : 16
                : 4
                : 380-385
                Affiliations
                [1]Department of Prosthodontics, Menoufia University Hospitals, Shibin al Kawm, Menoufia Governorate, Egypt
                [1 ]Department of Prosthodontics, College of Dentistry, Al Jouf University, Sakakah, Saudi Arabia
                [2 ]Department of Prosthodontics, Faculty of Dentistry, Tanta University, Tanta, Gharbia Governorate, Egypt
                Author notes
                Address for correspondence: Dr. Kareem Mohammed Reda, Department of Prosthodontics, Menoufia University Hospitals, Shibin al Kawm, Menoufia Governorate, Egypt. E-mail: kareem38782@ 123456dent.tanta.edu.eg
                Article
                JIPS-16-380
                10.4103/0972-4052.191284
                5062134
                27746603
                f9169651-562a-4369-b05b-afbf26bd9965
                Copyright: © 2016 The Journal of Indian Prosthodontic Society

                This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

                History
                : 21 October 2015
                : 30 May 2016
                Categories
                Original Article

                fatigue strength,locator,overdenture attachment,retention force,snap,syncone

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