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Abad-Coronel C, Vélez Chimbo D, Lupú B, Pacurucu M, Fárez MV, Fajardo JI. Comparative Analysis of the Structural Weights of Fixed Prostheses of Zirconium Dioxide, Metal Ceramic, PMMA and 3DPP Printing Resin-Mechanical Implications. Dent J (Basel) 2023; 11:249. [PMID: 37999013 PMCID: PMC10670660 DOI: 10.3390/dj11110249] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2023] [Revised: 09/11/2023] [Accepted: 10/23/2023] [Indexed: 11/25/2023] Open
Abstract
The aim of this study was to determine the mechanical implications of four-unit fixed dental prostheses (FDPs) made of (1) monolithic zirconium dioxide (ZR O2), (2) polymethylmethacrylate (PMMA), (3) metal ceramic (PFM) and (4) impression resin (3DPP). METHODS Four groups were studied with eight samples for each material (n: 32). Each structure was weighed, subjected to compressive tests and analyzed using 3D FEA. RESULTS PMMA presented the lowest structural weight (1.33 g), followed by 3DPP (1.98 g), ZR O2 (6.34 g) and PFM (6.44 g). In fracture tests, PMMA presented a compressive strength of 2104.73 N and a tension of 351.752 MPa; followed by PFM, with a strength of 1361.48 N and a tension of 227.521 MPa; ZR O2, with a strength of 1107.63 N and a tension of 185.098 MPa; and 3DPP, with a strength of 1000.88 N and a tension of 143.916 MPa. According to 3D FEA, 3DPP presented the lowest degree of deformation (0.001 mm), followed by PFM (0.011 mm), ZR O2 (0.168 mm) and PMMA (1.035 mm). CONCLUSIONS The weights of the materials did not have a direct influence on the mean values obtained for strength, stress or strain. Since the performance was related to the tension and forces supported by the structures in critical zones, the importance of considering design factors is clear. In vitro and 3D FEA assays allowed us to simulate different scenarios for the mechanical properties of certain materials before evaluating them clinically. Thus, they can generate predictions that would allow for the design of a better research methodology in future clinical trials.
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Affiliation(s)
- Cristian Abad-Coronel
- Research Group on CAD/CAM Materials and Digital Dentistry, Faculty of Dentistry, University of Cuenca, Cuenca 10107, Ecuador
| | - David Vélez Chimbo
- Facultad de Odontología, Universidad de Cuenca, Cuenca 10107, Ecuador; (D.V.C.); (B.L.); (M.P.)
| | - Billy Lupú
- Facultad de Odontología, Universidad de Cuenca, Cuenca 10107, Ecuador; (D.V.C.); (B.L.); (M.P.)
| | - Miguel Pacurucu
- Facultad de Odontología, Universidad de Cuenca, Cuenca 10107, Ecuador; (D.V.C.); (B.L.); (M.P.)
| | - Marco V. Fárez
- New Materials and Transformation Processes Research Group GiMaT, Universidad Politécnica Salesiana, Cuenca 010105, Ecuador (J.I.F.)
| | - Jorge I. Fajardo
- New Materials and Transformation Processes Research Group GiMaT, Universidad Politécnica Salesiana, Cuenca 010105, Ecuador (J.I.F.)
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García-Minguillán G, Preciado A, Romeo M, Río JD, Lynch CD, Castillo-Oyagüe R. 'Differences in self-perceived OHRQoL between fully dentate subjects and edentulous patients depending on their prosthesis type, socio-demographic profile, and clinical features'. J Dent 2021; 114:103756. [PMID: 34333055 DOI: 10.1016/j.jdent.2021.103756] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2021] [Revised: 06/25/2021] [Accepted: 07/01/2021] [Indexed: 10/20/2022] Open
Abstract
OBJECTIVES This observational cross-sectional study aimed to evaluate and compare the oral health-related quality of life (OHRQoL) and clinical performance between dentate subjects and edentulous patients restored with conventional dentures or implant overdentures. METHODS 85 edentulous patients were grouped as follows: Group-1 (CD): conventional denture wearers (n= 42), and Group-2 (IO): implant-retained overdenture wearers (n= 43). For the OHRQoL comparisons, a control group of subjects with a healthy natural dentition (Group-3, ND; n= 50) was included. Participants completed three validated questionnaires (OHIP-14sp, OHIP-20sp, and QoLIP-10). Socio-demographic data, prosthesis-related factors, clinical condition of the mouth, and patient subjective evaluations, were gathered. Descriptive and non-parametric probes were run (α= 0.05). RESULTS The ND group was the most unsatisfied (OHIP-14sp; p≤ 0.001). The OHIP-20sp attributed significantly worse Psychological disability (p= 0.029) and Handicap (p= 0.027) to CD wearers when compared to IO wearers. The CD group showed the significantly highest need for relining (p= 0.041), and the lowest retention (p= 0.011). The OHIP-14sp disclosed a significantly worse OHRQoL for those volunteers who had a job (p= 0.003), a basic education instead of a secondary one (p= 0.022), and no partner (p= 0.006). CONCLUSIONS The overall OHRQoL was comparable for both prosthodontic groups, being modulated by socio-demographic and prosthesis-related features. Nonetheless, CD wearers presented prosthetic complications more frequently.
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Affiliation(s)
| | - Arelis Preciado
- Faculty of Dentistry, Complutense University of Madrid (UCM), Pza. Ramón y Cajal s/n, 28040, Madrid, Spain.
| | - Marta Romeo
- Faculty of Dentistry, Complutense University of Madrid (UCM), Pza. Ramón y Cajal s/n, 28040, Madrid, Spain.
| | - Jaime Del Río
- Faculty of Dentistry, Complutense University of Madrid (UCM), Pza. Ramón y Cajal s/n, 28040, Madrid, Spain.
| | - Christopher D Lynch
- University Dental School & Hospital/ University College Cork, T12 E8YV, Wilton, Cork, Ireland.
| | - Raquel Castillo-Oyagüe
- Faculty of Dentistry, Complutense University of Madrid (UCM), Pza. Ramón y Cajal s/n, 28040, Madrid, Spain.
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Clinical and satisfaction outcomes of using one or two dental implants for mandibular overdentures: preliminary short-term follow-up of a randomized clinical trial. Int J Implant Dent 2021; 7:10. [PMID: 33569757 PMCID: PMC7876186 DOI: 10.1186/s40729-020-00286-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2020] [Accepted: 12/28/2020] [Indexed: 11/17/2022] Open
Abstract
Objective This randomized clinical trial aimed to evaluate the marginal bone loss and peri-implant aspects in patients with mandibular overdentures retained by one or two implants and assess patient satisfaction, prosthesis-related clinical outcomes, and masticatory efficiency. Methods Patients from the School of Dentistry of the University of Passo Fundo (UPF) with lower conventional complete dentures dissatisfied with prosthetic retention were selected. Eighteen patients were analyzed and divided into randomized treatment groups: GA, installation of one implant in the midline of the mandibular symphysis (8 patients), and GB, installation of two implants in the lower canine region (10 patients). Implant survival and prosthetic maintenance were assessed by clinical and radiographic examinations performed 6 months after implant placement and 3 months after loading. Finally, the masticatory efficiency of the prostheses was evaluated with the QoLIP-10 (Quality of Life with Implant-Prostheses) questionnaire, and the degree of patient satisfaction used the visual analog scale (VAS). Results Regarding the esthetic satisfaction of the patients, there was no statistical difference between the two groups studied (p = 0.680). Patients who received two implants presented easier chewing (p = 0.049) and a lower average number of prosthesis maintenance. There was no difference between the groups regarding peri-implant bone resorption 3 months after the use of prostheses. Conclusions The use of two dental implants showed higher masticatory ability and lower need for maintenance appointments when compared with one implant in mandibular overdentures but did not affect peri-implant aspects and patient satisfaction. The treatment using one implant was effective for the aspects evaluated, but further clinical studies are required on the subject.
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Egido Moreno S, Ayuso Montero R, Schemel Suárez M, Roca-Umbert JV, Izquierdo Gómez K, López López J. Evaluation of the quality of life and satisfaction in patients using complete dentures versus mandibular overdentures. Systematic review and meta-analysis. Clin Exp Dent Res 2020; 7:231-241. [PMID: 33205918 PMCID: PMC8019770 DOI: 10.1002/cre2.347] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2020] [Revised: 10/06/2020] [Accepted: 10/17/2020] [Indexed: 12/21/2022] Open
Abstract
Background The World Health Organization (WHO) recognizes edentulism as a physical impairment that results in a negative impact in the daily activities. Objective The study aimed to compare the satisfaction and the quality of life, in patients treated with implant retained overdentures with two mandibular implants (IOD) against those with mandibular conventional complete dentures (CCD). Methods Different search strategies were used to screen for articles in Pubmed/Medline, Cochrane Library and Scielo of the last 17 years (2003–2020). The keywords used were: “quality of life OR satisfaction” AND “complete denture OR conventional denture” AND “overdenture OR implant retained.” Results Six articles and two more were added by manual search. The population was 400 in the CCD and 412 for IOD. The mean age was 64.3 ± 6.41 years. The group was comprised of 283 men and 427 women. The scores obtained in the visual analog scale (VAS) before and after the treatment were statistically significant in favor of the IOD for overall satisfaction, (WMD: 12.329; 95% CI: 4.873 to 19.784, p‐value = 0.001), comfort, speech and stability. For esthetics and chewing there was non‐significant improvement while hygiene worsened for the IOD. For the comparison after the treatment between both treatment modalities a statistically significant improvement was found in overall satisfaction (WMD: 14.408; 95% CI: 8.589 to 20.226, p‐value < 0.001), comfort, speech, chewing and stability in favor of the IOD but not in esthetics or hygiene. Conclusions This systematic review and meta‐analysis show the superiority of the IOD, despite is not achieved in all aspects.
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Affiliation(s)
- Sonia Egido Moreno
- Department of Odontoestomatology, Faculty of Medicine and Health Sciences (Dentistry), University of Barcelona, L'Hospitalet de Llobregat, Barcelona, Spain
| | - Raul Ayuso Montero
- Department of Odontoestomatology, Faculty of Medicine and Health Sciences (Dentistry), University of Barcelona, L'Hospitalet de Llobregat, Barcelona, Spain.,Oral Health and Masticatory System Group, IDIBELL (Bellvitge Biomedical Research Institute), Barcelona, Spain
| | - Mayra Schemel Suárez
- University of Barcelona Dental Hospital (HOUB), University of Barcelona, L'Hospitalet de Llobregat, Barcelona, Spain
| | - Joan Valls Roca-Umbert
- Department of Odontoestomatology, Faculty of Medicine and Health Sciences (Dentistry), University of Barcelona, L'Hospitalet de Llobregat, Barcelona, Spain
| | - Keila Izquierdo Gómez
- Department of Odontoestomatology, Faculty of Medicine and Health Sciences (Dentistry), University of Barcelona, L'Hospitalet de Llobregat, Barcelona, Spain
| | - José López López
- Department of Odontoestomatology, Faculty of Medicine and Health Sciences (Dentistry), University of Barcelona, L'Hospitalet de Llobregat, Barcelona, Spain.,Oral Health and Masticatory System Group, IDIBELL (Bellvitge Biomedical Research Institute), Barcelona, Spain
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Tribst JPM, Dal Piva AMDO, Borges ALS, Rodrigues VA, Bottino MA, Kleverlaan CJ. Does the prosthesis weight matter? 3D finite element analysis of a fixed implant-supported prosthesis at different weights and implant numbers. J Adv Prosthodont 2020; 12:67-74. [PMID: 32377319 PMCID: PMC7183854 DOI: 10.4047/jap.2020.12.2.67] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2019] [Revised: 02/27/2020] [Accepted: 02/28/2020] [Indexed: 11/18/2022] Open
Abstract
PURPOSE This study evaluated the influence of prosthesis weight and number of implants on the bone tissue microstrain. MATERIALS AND METHODS Fifteen (15) fixed full-arch implant-supported prosthesis designs were created using a modeling software with different numbers of implants (4, 6, or 8) and prosthesis weights (10, 15, 20, 40, or 60 g). Each solid was imported to the computer aided engineering software and tetrahedral elements formed the mesh. The material properties were assigned to each solid with isotropic and homogeneous behavior. The friction coefficient was set as 0.3 between all the metallic interfaces, 0.65 for the cortical bone-implant interface, and 0.77 for the cancellous bone-implant interface. The standard earth gravity was defined along the Z-axis and the bone was fixed. The resulting equivalent strain was assumed as failure criteria. RESULTS The prosthesis weight was related to the bone strain. The more implants installed, the less the amount of strain generated in the bone. The most critical situation was the use of a 60 g prosthesis supported by 4 implants with the largest calculated magnitude of 39.9 mm/mm, thereby suggesting that there was no group able to induce bone remodeling simply due to the prosthesis weight. CONCLUSION Heavier prostheses under the effect of gravity force are related to more strain being generated around the implants. Installing more implants to support the prosthesis enables attenuating the effects observed in the bone. The simulated prostheses were not able to generate harmful values of peri-implant bone strain.
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Affiliation(s)
- João Paulo Mendes Tribst
- Department of Dental Materials and Prosthodontics, São Paulo State University (UNESP), Institute of Science and Technology, São José dos Campos, SP, Brazil
| | - Amanda Maria de Oliveira Dal Piva
- Department of Dental Materials and Prosthodontics, São Paulo State University (UNESP), Institute of Science and Technology, São José dos Campos, SP, Brazil
| | - Alexandre Luiz Souto Borges
- Department of Dental Materials and Prosthodontics, São Paulo State University (UNESP), Institute of Science and Technology, São José dos Campos, SP, Brazil
| | | | - Marco Antonio Bottino
- Department of Dental Materials and Prosthodontics, São Paulo State University (UNESP), Institute of Science and Technology, São José dos Campos, SP, Brazil
| | - Cornelis Johannes Kleverlaan
- Department of Dental Materials Science, Academic Centre for Dentistry Amsterdam (ACTA), The University of Amsterdam and Free University Amsterdam, Amsterdam, Netherlands
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Probst LF, Vanni T, Cavalcante DDFB, Silva ETD, Cavalcanti YW, Passeri LA, Pereira AC. Cost-effectiveness of implant-supported dental prosthesis compared to conventional dental prosthesis. Rev Saude Publica 2019; 53:S0034-89102019000100257. [PMID: 31432931 PMCID: PMC6705549 DOI: 10.11606/s1518-8787.2019053001066] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2018] [Accepted: 11/05/2018] [Indexed: 12/12/2022] Open
Abstract
OBJECTIVE To conduct a cost-effectiveness analysis of alternatives for rehabilitation treatment of mandibular edentulism in the context of the Brazilian Unified Health System (implant-supported total dental prosthesis versus conventional total dental prosthesis). METHODS A Markov model was developed to capture long-term clinical and economic outcomes. The model’s population was comprised of a hypothetical cohort of 1,000,000 patients, aged 55 years, with total mandibular edentulism and without medical contraindications for performing surgical procedures. The adopted analysis perspective was that of the Brazilian Unified Health System. Based on the proposed model, we calculated cost – in BRL, and effectiveness – measured by quality-adjusted prosthesis year (QAPY). The time horizon of the analysis was 20 years. RESULTS Considering a 5% discount in costs and effects, the incremental cost-effectiveness ratio of implant-supported total dental prostheses compared to conventional total dental prosthesis (BRL 464.22/QAPY) was lower than the willingness to pay threshold adopted in the model (BRL 3,050.00/QAPY). CONCLUSIONS The results of this economic analysis showed that the rehabilitation of mandibular edentulous patients by implant-supported total prosthesis is very cost-effective when compared to conventional complete prosthesis, considering the cost-effectiveness limits employed.
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Affiliation(s)
- Livia Fernandes Probst
- Universidade Estadual de Campinas. Faculdade de Odontologia de Piracicaba. Programa de Pós-Graduação em Odontologia. Piracicaba, SP, Brasil.,MBA em Economia e Avaliação de Tecnologias em Saúde. Hospital Alemão Oswaldo Cruz. São Paulo, SP, Brasil
| | - Tazio Vanni
- Instituto Butantan. Divisão de Ensaios Clínicos e Farmacovigilância. São Paulo, SP, Brasil
| | - Denise de Fátima Barros Cavalcante
- Universidade Estadual de Campinas. Faculdade de Odontologia de Piracicaba. Programa de Pós-Graduação em Odontologia. Piracicaba, SP, Brasil.,MBA em Economia e Avaliação de Tecnologias em Saúde. Hospital Alemão Oswaldo Cruz. São Paulo, SP, Brasil
| | - Erica Tatiane da Silva
- MBA em Economia e Avaliação de Tecnologias em Saúde. Hospital Alemão Oswaldo Cruz. São Paulo, SP, Brasil.,Fiocruz Brasília. Programa de Evidências para Políticas e Tecnologias em Saúde. Brasília, DF, Brasil
| | - Yuri Wanderley Cavalcanti
- Universidade Federal da Paraíba. Departamento de Clínica e Odontologia Social. João Pessoa, PB, Brasil
| | - Luis Augusto Passeri
- MBA em Economia e Avaliação de Tecnologias em Saúde. Hospital Alemão Oswaldo Cruz. São Paulo, SP, Brasil.,Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Cirurgia. Campinas, SP, Brasil
| | - Antonio Carlos Pereira
- Universidade Estadual de Campinas. Faculdade de Odontologia de Piracicaba. Departamento de Odontologia Social. Piracicaba, SP, Brasil
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Quality of Life of Implant-Supported Overdenture and Conventional Complete Denture in Restoring the Edentulous Mandible. IMPLANT DENT 2017; 26:945-950. [DOI: 10.1097/id.0000000000000668] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Peng L, Chen L, Harris BT, Morton D, Lin WS. Managing complications resulting from limited prosthetic space with a monolithic, multichromatic CAD-CAM implant-retained overdenture: A dental technique. J Prosthet Dent 2017; 118:712-716. [PMID: 28456371 DOI: 10.1016/j.prosdent.2017.01.022] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2016] [Revised: 01/06/2017] [Accepted: 01/06/2017] [Indexed: 10/19/2022]
Abstract
This article proposes a 2-visit clinical protocol to manage prosthodontic complications resulting from limited prosthetic space, using a monolithic, multichromatic computer-aided design and computer-aided manufacturing (CAD-CAM) acrylic resin implant overdenture. The advantages and limitations of using this approach are outlined and discussed.
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Affiliation(s)
- Lingyan Peng
- Former ITI Scholar, Division of Prosthodontics, Department of Oral Health and Rehabilitation, School of Dentistry, University of Louisville, Louisville, Ky; Director, Beijing Citident Implant Dentistry Technology College, Beijing, China; and Attending faculty, Department of Implantology and Prosthodontics, Beijing Citident Stomatology Hospital, Beijing, China
| | - Li Chen
- ITI Scholar, Division of Prosthodontics, Department of Oral Health and Rehabilitation, School of Dentistry, University of Louisville, Louisville, Ky; Attending faculty, Department of Prosthodontics, Peking University School and Hospital of Stomatology, Beijing, China; Attending faculty, National Engineering Laboratory for Digital and Material Technology of Stomatology; and Attending faculty, Beijing Key Laboratory of Digital Stomatology, Beijing, China
| | - Bryan T Harris
- Associate Professor and Director, Advanced Education in Prosthodontics, Department of Oral Health and Rehabilitation, School of Dentistry, University of Louisville, Louisville, Ky
| | - Dean Morton
- Professor and Chair, Department of Prosthodontics, Indiana University School of Dentistry, Indianapolis, Ind
| | - Wei-Shao Lin
- Associate Professor and Director, Division of Prosthodontics, Department of Oral Health and Rehabilitation, University of Louisville School of Dentistry, Louisville, Ky.
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Assaf A, Daas M, Boittin A, Eid N, Postaire M. Prosthetic maintenance of different mandibular implant overdentures: A systematic review. J Prosthet Dent 2017; 118:144-152.e5. [PMID: 28385441 DOI: 10.1016/j.prosdent.2016.10.037] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2016] [Revised: 10/29/2016] [Accepted: 10/31/2016] [Indexed: 10/19/2022]
Abstract
STATEMENT OF PROBLEM Different factors can affect prosthetic maintenance requirements for mandibular implant overdentures (IODs). However, the literature shows a high level of disagreement concerning the effect of each factor on maintenance needs. PURPOSE The purpose of this systematic review was to address the focus question: "In the clinical studies published since 2004 of adult patients with totally edentulous mandibles treated by IODs with a variable number of implants and different designs, what were the maintenance types, frequencies, and complications?" MATERIAL AND METHODS A search of MEDLINE and PubMed databases was performed targeting papers in English on prosthetic maintenance of mandibular IODs published between 2004 and June 2015, aiming at recognizing the needs for adjustment, repair, and renewal. The recorded data were divided into 6 categories, and a percentage value was attributed to each. RESULTS From a total of 130 articles, 33 studies met the specified inclusion criteria for the review (14 randomized controlled trials, 8 prospective clinical trials, 3 retrospective studies, and 4 systematic reviews). These articles provided evidence that a mean complication rate was impossible to determine because of the multiplicity of contributing factors. No clear identification of the causes of mechanical complications was found, nor was there any clear evidence of superiority of one implant and/or attachment design over another. CONCLUSIONS Prosthetic complications with IODs are unavoidable. However, they can be reduced to an expected level if a close follow-up protocol is implemented aiming at anticipating risks of unexpected complications. Further clinical studies are needed to achieve a constructive meta-analysis that accounts for different parameters such as opposite arch, attachment functional variety, connection method, and prosthesis quality.
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Affiliation(s)
- André Assaf
- Clinical Associate Professor, Department of Prosthodontics, Faculty of Dentistry, Beirut Arab University; Director of Biomaterials and Technology Unit, School of Dentistry, Lebanese University, Beirut, Lebanon.
| | - Marwan Daas
- Associate Professor, Department of Prosthodontics, University Paris Descartes, Paris, France
| | - Adeline Boittin
- Clinical Associate, Department of Prosthodontics, University Paris Descartes, Paris, France
| | - Nicolas Eid
- Associate Professor, Department of Prosthodontics, University Paris Descartes, Paris, France
| | - Michel Postaire
- Professor, Department of Prosthodontics, University Paris Descartes, Paris, France
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Kronstrom M, Carlsson GE. An International Survey among Prosthodontists of the Use of Mandibular Implant-Supported Dental Prostheses. J Prosthodont 2017; 28:e622-e626. [PMID: 28314082 DOI: 10.1111/jopr.12603] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/07/2017] [Indexed: 01/12/2023] Open
Abstract
PURPOSE To evaluate the use of implant-supported overdentures (IOD) and implant-supported fixed dental prostheses (IFDP) in patients with edentulous mandibles among international prosthodontists. MATERIALS AND METHODS A questionnaire was sent by e-mail to all clinically active prosthodontists in the International College of Prosthodontists with questions related to implant treatment of the edentulous mandible performed in 2015. RESULTS One hundred and sixteen prosthodontists from 33 countries responded to the questionnaire. The vast majority of the responding prosthodontists was faculty or worked in private practice, and the great majority had performed treatment with mandibular implant-supported dental prostheses; however, two thirds of the respondents reported that <20% of the implant patients in their clinic had received treatment related to edentulous mandibles. The majority reported using 2 implants (84%), while 13% used 4 for overdenture retention. There were great variations regarding retention systems used for mandibular IODs; the most common was individual Locator attachments. Cost was considered the most common reason to choose mandibular IOD, There was a wide variation of materials used for mandibular IFDPs. The most common combination included milled titanium frameworks and acrylic resin teeth. CONCLUSIONS This survey, completed by 116 prosthodontists from 33 countries, showed that implant treatment for edentulous mandibles is common, but there was great variation among the respondents regarding amount of treatments performed, design, and materials used for the implant prostheses.
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Affiliation(s)
- Mats Kronstrom
- Department of Restorative Dentistry, School of Dentistry, University of Washington, Seattle, WA
| | - Gunnar E Carlsson
- Department of Prosthetic Dentistry/Dental Materials Science, University of Gothenburg, Göteborg, Sweden
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11
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Fayaz A, Geramy A, Memari Y, Rahmani Z. Effects of Length and Inclination of Implants on Terminal Abutment Teeth and Implants in Mandibular CL1 Removable Partial Denture Assessed by Three-Dimensional Finite Element Analysis. JOURNAL OF DENTISTRY (TEHRAN, IRAN) 2015; 12:739-46. [PMID: 27252757 PMCID: PMC4888160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
OBJECTIVES This study sought to assess the effects of length and inclination of implants on stress distribution in an implant and terminal abutment teeth in an implant assisted-removable partial denture (RPD) using three-dimensional (3D) finite element analysis (FEA). MATERIALS AND METHODS In this in vitro study, a 3D finite element model of a partially dentate mandible with a distal extension RPD (DERPD) and dental implants was designed to analyze stress distribution in bone around terminal abutment teeth (first premolar) and implants with different lengths (7 and 10 mm) and angles (0°, 10° and 15°). RESULTS Stress in the periodontal ligament (PDL) of the first premolar teeth ranged between 0.133 MPa in 10mm implants with 15° angle and 0.248 MPa in 7mm implants with 0° angle. The minimum stress was noted in implants with 10mm length with 0° angle (19.33 MPa) while maximum stress (25.78 MPa) was found in implants with 10mm length and 15° angle. In implants with 7 mm length, with an increase in implant angle, the stress on implants gradually increased. In implants with 10 mm length, increasing the implant angle gradually increased the stress on implants. CONCLUSION Not only the length of implant but also the angle of implantation are important to minimize stress on implants. The results showed that vertical implant placement results in lower stress on implants and by increasing the angle, distribution of stress gradually increases.
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Affiliation(s)
- Amir Fayaz
- Assistant Professor, Department of Prosthodontics, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Alahyar Geramy
- Professor, Dental Research Center, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran; Department of Orthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
| | - Yeganeh Memari
- Assistant Professor, Department of Prosthodontics, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Zahra Rahmani
- Assistant Professor, Department of Prosthodontics, School of Dentistry, Zahedan University of Medical Sciences, Zahedan, Iran,Corresponding author: Z. Rahmani, Department of Prosthodontics, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran,
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12
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Hoeksema AR, Visser A, Raghoebar GM, Vissink A, Meijer HJ. Influence of Age on Clinical Performance of Mandibular Two-Implant Overdentures: A 10-Year Prospective Comparative Study. Clin Implant Dent Relat Res 2015; 18:745-51. [DOI: 10.1111/cid.12351] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Arie R. Hoeksema
- University Medical Center Groningen; Department of Oral and Maxillofacial Surgery; University of Groningen; Groningen The Netherlands
| | - Anita Visser
- University Medical Center Groningen; Department of Oral and Maxillofacial Surgery; University of Groningen; Groningen The Netherlands
| | - Gerry M. Raghoebar
- University Medical Center Groningen; Department of Oral and Maxillofacial Surgery; University of Groningen; Groningen The Netherlands
| | - Arjan Vissink
- University Medical Center Groningen; Department of Oral and Maxillofacial Surgery; University of Groningen; Groningen The Netherlands
| | - Henny J.A. Meijer
- University Medical Center Groningen; Department of Oral and Maxillofacial Surgery; University of Groningen; Groningen The Netherlands
- University Medical Center Groningen; Center for Dentistry and Oral Hygiene; Dental School; Department of Fixed and Removable Prosthodontics; University of Groningen; Groningen The Netherlands
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Affiliation(s)
- J Dudley
- School of Dentistry; The University of Adelaide; South Australia Australia
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14
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Meijer HJA, Raghoebar GM, de Waal YCM, Vissink A. Incidence of peri-implant mucositis and peri-implantitis in edentulous patients with an implant-retained mandibular overdenture during a 10-year follow-up period. J Clin Periodontol 2014; 41:1178-83. [DOI: 10.1111/jcpe.12311] [Citation(s) in RCA: 43] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/08/2014] [Indexed: 11/27/2022]
Affiliation(s)
- Henny J. A. Meijer
- Department of Oral and Maxillofacial Surgery; University Medical Center Groningen; University of Groningen; Groningen The Netherlands
- Department of Fixed and Removable Prosthodontics; Center for Dentistry and Oral Hygiene; Dental School; University Medical Center Groningen; University of Groningen; Groningen The Netherlands
| | - Gerry M. Raghoebar
- Department of Oral and Maxillofacial Surgery; University Medical Center Groningen; University of Groningen; Groningen The Netherlands
| | - Yvonne C. M. de Waal
- Department of Periodontology; Center for Dentistry and Oral Hygiene; Dental School; University Medical Center Groningen; University of Groningen; Groningen The Netherlands
| | - Arjan Vissink
- Department of Oral and Maxillofacial Surgery; University Medical Center Groningen; University of Groningen; Groningen The Netherlands
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