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PubMed1997

Biodynamics of attachments used in overdentures: experimental analysis with photoelasticity.

Treatment with overdentures is an alternative to conventional complete prostheses. Different types of attachments can be placed in natural teeth that act as retainers for overdentures. The photoelastic relationship between the design of the attachment and the distribution of occlusal forces among the abutment teeth and the distal alveolar ridges was examined. The results were used to develop a classification for clinical cases so that the correct attachment design can be selected.

Dental Abutments↗
PubMedDate not supplied

Use of an intra-pontic attachment as cosmetic support for a removable appliance.

When using an introcoronal precision attachment in a combined Fixed and Removable Prosthodontic case, the retention and appearance can be greatly improved. When taking into consideration these advantages one must not forget the disadvantages and possible violation of the biological principles of tooth preparation. Because in order to obtain a restoration with adequate contours it is necessary to reduce a significant amount of tooth structure. In this case the attachment is used in a catelever pontic avoiding any excessive tooth reduction. In metal-ceramic restorations it is important that a glazed surface be achieved upon completion because it enhances material strength and reduces plaque retention. This clinical report presents a step-by-step procedure using an intra-pontic attachment as a retainer for a removable partial denture. The procedural sequence assures optimal marginal integrity and glazed porcelain surfaces upon completion. A post-solder technique is recommended to assemble multi-abutment metal ceramic fixed partial dentures.

Dental Abutments↗
PubMed1985

Symposium on semiprecision attachments in removable partial dentures. Laboratory procedures.

The fabrication of semiprecision rest systems will differ depending on whether a prefabricated rest system or milled-in rest system is indicated. In a prefabricated rest seat, a die-related model must be used and the rest seats must be waxed into the wax pattern. A means of fabricating both locking and nonlocking rests has been described. The instruments and tools necessary for the milled-in rest seat have been illustrated. The need for a stress-releasing attachment for distal-extension removable partial dentures is satisfied by the Thompson dowel rest. In fabricating the Thompson dowel rest prosthesis, both vertical parallelism and horizontal parallelism are essential for rotation. The use of a parallelometer and the parallel rule insures precise positioning of the Thompson dowel rest, which in turn, will enable the distal extension partial to rotate.

Dental Abutments↗
PubMed1980

Photoelastic stess analysis of overdenture attachments.

This is a summary of various investigations designed to study the transmission of forces through overdenture abutments to the remaining oral structures: 1. The best design for uniform distribution of occlusal forces to the remaining structures was the conventional design, particularly the amalgam restored abutment. This design, however, provided less effective retention and stability than the other designs. 2. In the group of stud type attachments studied, the Ancrofix transferred stress in a more favorable manner to the remaining structures in the oral cavity when compared to the other stud attachments. 3. The Hader Bar provided more desirable effects to the abutments and remaining structures than did the other tissue bars. 4. The major objective in the choice of an overdenture attachment should be the consideration of how the stress is transferred from these attachments through the abutments and other structures, not the retnetion and stability.

Dental Abutments↗
PubMed1991

Root-retained overdentures: Part I--Biomechanical and clinical aspects.

Despite recent developments in dental implantology, the conservative approach to root preservation is still valid. In view of increased root caries rate in the elderly and lax oral hygiene habits of most overdenture wearers, placing protective copings on root abutments, when economically feasible, is the preferred method of treatment. Retention of overdentures is increased by including stud attachments in the abutments. Incorporation of cast metal frameworks is recommended to prevent base fractures.

Biomechanical Phenomena↗
PubMed1991

Retrievable/fixed prosthetics for implant and natural dentitions.

Even though restorative procedures employed in oral implantology vary from traditional restorative techniques, meticulous attention to the sound, time-tested prosthetic principles of traditional restorative procedures are the basis on which the foundation of implant prosthodontics is based. In addition, the retrieval of a portion of/or the entire implant prosthesis to facilitate serviceability and/or oral hygiene maintenance is often desirable. To this end, the Castable-Telescopic Screw is unique in that it allows retrievability of implant prosthetics without compromise to sound prosthetic principles. In addition to retrievability, the Castable-Telescopic Screw offers flexibility of prosthetic design, maximum strength, a perfected occlusal scheme, life-like esthetic results, and is applicable with natural abutments as well as implant abutments. This paper outlines the potential, the indication, and advantages of the attachment. A case study is presented to demonstrate one of the many applications of the Castable Telescopic Screw.

Dental Implants↗
PubMedDate not supplied

Mandibular implant-retained overdenture: finite element analysis of two anchorage systems.

Transmission of masticatory load in mandibular implant-retained overdentures was evaluated using a three-dimensional finite element model. The reaction forces on the distal edentulous mucosa and the stress on the perimplant bone were compared in overdentures retained either by two ball attachments or by two clips on a bar connecting two implants. In the finite element model, a 35 N load on the first mandibular molar induced a greater reaction force on the distal edentulous ridge mucosa of the nonworking side when the overdenture was anchored by ball attachments than with the clips/bar attachment. Stress on peri-implant bone was greater with the clips/bar attachment than with the ball attachment.

Alveolar Process↗
PubMed1993

Retentive properties of a threaded split post with attachment sleeves cemented with various luting agents.

This study determined the retention, in pounds, of Nos. 1 through 3 stainless steel attachment sleeves for the threaded split post system cemented with various cements. Post heads and matching sleeves were also sandblasted and compared with attachments not sandblasted. Four luting agents were selected, zinc oxyphosphate cement (ZOP), and three brands of composite resin cement (CRC). The experiment was divided into two parts; in part 1, samples were not treated, and in part 2, samples were sandblasted. Retentive values were recorded with a universal testing machine. A 2 x 3 x 4 factorial three-way analysis of variance was used to compute the effects sandblasting, sleeve and post type, and the luting agent. No statistical differences were recorded for sleeves not sandblasted, Nos. 1 and 2, regardless of the luting agent. The nonsandblasted No. 3 sleeve cemented with Panavia CRC had significantly greater retention than All-Bond CRC or ZOP. There were no statistical differences in retention of sandblasted sleeves for the No. 1 sleeve despite the type of luting agent. For sandblasted sleeves Nos. 2 and 3, ZOP and Panavia CRC recorded significantly greater retention than All-Bond CRC. However, there was no difference between sandblasting and not sandblasting for the No. 1 sleeve. Mean loads for Nos. 2 and 3 sleeves were substantially greater for sandblasted compared with attachments not sandblasted.

Adhesives↗
PubMed1978

A method of verifying parallelism of preparations for Zest anchor attachments.

In overdenture therapy using attachments, near-perfect alignment is mandatory for the success of the procedure. A good example of failure due to mis-alignment is seen in Fig. 5. This resulted in the eventual breakdown of the periodontium and the extraction of the root remnant upon removal of the denture. The application of semiprecision attachments in overdenture therapy may greatly enhance the success of the denture. However, care must be taken to adhere to the principles and philosophies of complete denture therapy.

Denture Design↗
PubMedDate not supplied

Tapered cross-pin attachments for fixed bridges.

The design and fabrication of multi-unit fixed prostheses where abutment teeth are misaligned have been difficult technical challenges for dentists and dental technicians. There have been a number of methods developed to attain a common path of insertion, including modified preparation designs, telescopic copings placed on abutments to correct alignment, adhesively retained bridge frameworks, and mechanical precision attachments between sections of a segmented prosthesis. This paper describes a method of fabricating a precision attachment on a segmented prosthesis that can be rigidly fixed after cementation. The technique involves the use of a cast tapered pin to permanently attach the prosthesis segments together. All parts can be fabricated by conventional lost-wax techniques with a minimum of instrumentation. The technique has the added advantage of being reversible should the prosthesis ever need to be separated for repair or recementation.

Dental Casting Technique↗
PubMed1980

Overdentures and the periodontium.

Many reasons have been clarified for the retention of teeth in the oral cavity for use as overdenture abutments. The benefits afforded the patient by the preservation of the periodontium have been explained, and methods have been discussed to evaluate the zone of attached gingiva around overdenture abutments. Finally, some research has been discussed to compare some representative overdenture attachments and provide some guidelines for their use in order to more carefully preserve the periodontium.

Alveolar Process↗
PubMed1999

In vivo forces on oral implants supporting a mandibular overdenture: the influence of attachment system.

This study was designed to gain insight into the influence of the attachment system on the loading conditions of oral implants supporting a mandibular overdenture on two implants. Five patients were selected and were provided with two implants in the canine area of the mandible (Brånemark System). All patients received a new mandibular overdenture that could be mounted on an ovoid-shaped bar (Dolder, C&M): (a) with and (b) without bilateral extensions and (c) on ball-attachments (Nobel Biocare). Using three strain gauges attached to the outer surface of the 5.5-mm standard abutments, the axial forces and bending moments on both supporting implants could be quantified. Load registrations were made during application of 50 N on seven predetermined positions along the occlusal surface of the prosthesis and during maximal biting in maximal occlusion (clenching). The results revealed no differences in induced axial force for the various anchorage devices, unlike the differences in bending moment. Although there is a tendency for better axial load sharing with bars and better sharing of bending moments with ball attachments, these differences were not significant.

Dental Implantation, Endosseous↗
PubMed2003

[The measurement of retentive forces in mandibular complete overdenture with Magfit magnetic attachments].

OBJECTIVE: To evaluate the in vivo retentive forces of mandibular complete overdenture with Magfit attachments, as well as the relation between the location of magnetic attachments and the retentive forces of the denture. METHODS: 5 patients were selected and treated with mandibular complete overdentures retained by Magfit EX600 and MD800 attachments. A strainometer was used to measure the retentive forces in anterior, central and posterior parts of the overdenture before and after magnets were set. The vertical and anterior-upper 60 degrees retentive forces of the overdenture were measured one month later. RESULTS: The retentive forces of the overdentures after setting magnets were significantly greater than that before magnets were set (P < 0.05). There was no significant difference in retentive forces between the different parts (P > 0.05). The retentive force in vertical direction was greater than that in anterior-upper 60 degrees direction (P < 0.025). CONCLUSION: Magnetic attachments can significantly improve the retention of mandibular complete overdenture. The location of magnetic attachments greatly influences the retentive force of the overdenture.

Aged↗
PubMed1996

Effects of overdenture retention designs and implant orientations on load transfer characteristics.

Various approaches have been used for the retention and stabilization of implant-supported overdentures. This study examined photoelastically the simulated load transfer characteristics of a resilient cap attachment with moderately atrophied mandibular plastic models with two implant orientations. Comparison was made with overdentures supported by a splinting bar and a bar with distal resilient cap attachments. Stress patterns developed by simulated occlusal loading demonstrated little cross-arch load sharing and more uniform stress distribution with noninclined implants for all retention designs. The most equitable simulated occlusal force transfer was provided by the resilient cap attachments direct to the implants.

Biomechanical Phenomena↗
PubMedDate not supplied

The use of attachments in combination implant and natural-tooth fixed partial dentures: a technical report.

When implants and natural teeth are combined, forces on the abutments need to be controlled so that neither the teeth nor the implants sustain excessive amounts of force. The technique described addresses reduction of potentially harmful cantilever effects in a fixed prosthesis that is facultatively removable. A nonrigid attachment is used in the implant crown. Telescopic copings are definitively cemented on the natural teeth. Provisionally cemented overcastings incorporate this nonrigid connection between the pontics and the implant crowns. The means of connection employs a semiprecision attachment in which the female connector is placed within the relatively immobile implant crown. The male connector is placed on the pontic seating into the implant crown. This relationship limits cantilever forces exerted on the natural-tooth abutment. The nonrigid connection of the tooth-supported retainer limits cantilever forces and directs occlusal loads axially in a direction along the long axis of the implant. This arrangement is acceptable as compared to the complete tooth-supported arrangement described by Shillingburg; in this situation, the implant will not migrate. Since 1986, this arrangement has been used clinically without attachment migrations, implant failure, or endodontic therapy, with only minor screw-loosening episodes.

Dental Abutments↗
PubMed1991

Prosthetic aspects of osseointegrated fixtures supporting overdentures. A 4-year report.

Eighty-six consecutive patients, provided with 84 resilient and two nonresilient overdentures (six in the upper and 80 in the lower jaw), were examined. The overdentures were supported by a total of 173 osseointegrated titanium fixtures (the standard Branemark abutment), with a mean loading time of 19.1 months (range 4 to 48 months). In each jaw only two fixtures anchored the overdentures. No failures occurred during the observation period but two fixtures were lost before loading. The radiographic annual bone loss around fixtures in the lower jaw was -0.8 mm for the first year and less than -0.1 mm for the following years. The change in marginal bone height did not correlate with parameters such as the occlusion and articulation pattern, the presence or absence of a soft liner around the abutments, and the magnitude of the interabutment distance. The patients' reactions to overdenture treatment were, on the whole, positive concerning chewing function, phonetics, and comfort. The need for maintenance care of the clip-bar attachment was minimal.

Adult↗
PubMed1998

An esthetic and hygienic approach to the use of intracoronal attachments as interlocks in fixed prosthodontics.

This article describes a procedure that uses the Ney MS (Minimal Space) intracoronal attachment as an interlock in a pontic. This procedure overcomes the disadvantages associated with the use of the intracoronal attachments, which are (1) excessive tooth reduction often required to place the attachment within the contour of the crown; (2) compromised embrasures, which result in oral hygiene and periodontal problems; and (3) poor esthetics.

Denture Design↗