International Journal of Prosthodontics and Restorative Dentistry

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VOLUME 14 , ISSUE 2 ( April-June, 2024 ) > List of Articles

ORIGINAL RESEARCH

Assessment of Retention and Stability for Mandibular Implant-supported Overdenture with Ball Attachment at Different Implant Locations: An In Vitro Study

Palak Salgia, Vikas Punia, Meenakshi Khandelwal, Anand Porwal, Abhijit Sethia

Keywords : Ball attachment, Implant, Mandibular implant overdenture, Retention, Stability

Citation Information : Salgia P, Punia V, Khandelwal M, Porwal A, Sethia A. Assessment of Retention and Stability for Mandibular Implant-supported Overdenture with Ball Attachment at Different Implant Locations: An In Vitro Study. Int J Prosthodont Restor Dent 2024; 14 (2):126-131.

DOI: 10.5005/jp-journals-10019-1459

License: CC BY-NC 4.0

Published Online: 29-06-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

Purpose: In vitro assessment of the effect of implant site location on the stability and retention of a simulated implant-supported overdenture. Materials and methods: Study was conducted on an edentulous mandibular ridge epoxy resin model. Eight implant analogs with ball attachments were placed in positions mimicking natural dentition (canine, premolar, and molar bilaterally). Four overdenture configurations were evaluated: group I—bilateral canine and first premolar; group II—bilateral canine and second premolar; group III—bilateral canine and first molar; group IV—bilateral first premolar and first molar. Four metal hooks were attached at the location of the attachment on the polished surface of denture bases. Peak dislodging forces were measured using a universal testing machine to evaluate retention and stability. Statistical analysis was conducted using repeated measures analysis of variance (ANOVA), one-way ANOVA, and the Bonferroni post hoc method to determine specific differences between the groups. Results: Significant differences (p < 0.001) were observed when applying forces in different directions and at different implant locations. Group II (bilateral canine and second premolar) exhibited the highest mean values for vertical retention (7.85 N), anterior stability (7.17 N), posterior stability (6.99 N), and right lateral stability (4.85 N). Vertical retention and horizontal stability increased with a distal implant position up to the second premolar in simulated overdenture prostheses. Conclusion: Within the bounds of this investigation, implant distribution and position have a significant impact on the stability and retention of an implant overdenture prosthesis. Specifically, positioning implants more distally, up to the second premolar, can enhance both vertical retention and horizontal stability.


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  1. The glossary of prosthodontic terms 2023: tenth edition. J Prosthet Dent 2023;130(4 Suppl 1):e1–e3. DOI: 10.1016/j.prosdent.2023.03.003
  2. Filipov I, Chirila L, Cristache CM. Rehabilitation of extremely atrophic edentulous mandible in elderly patients with associated comorbidities: a case report and proof of concept. Head Face Med 2021;17(1):22. DOI: 10.1186/s13005-021-00274-2
  3. Carlsson GE, Omar R. The future of complete dentures in oral rehabilitation. A critical review. J Oral Rehabil 2010;37(2):143–156. DOI: 10.1111/j.1365-2842.2009.02039.x
  4. Elawady D, Adam MA, Allam H, et al. Single implant-retained mandibular overdentures: a literature review. Cureus 2024;16(1):e52486. DOI: 10.7759/cureus.52486
  5. Chaware H, Thakkar T. A systematic review and meta-analysis of the attachments used in implant-supported overdentures. J Indian Prosthodont Soc 2020;20(3):255–268. DOI: 10.4103/jips.jips_368_19
  6. Feine JS, Carlsson GE, Awad MA, et al. The McGill consensus statement on overdentures. Mandibular two-implant overdentures as first choice standard of care for edentulous patients. Gerodontology 2002;19(1):3–4. DOI: 10.1111/j.1741-2358.2002.00003.x
  7. Alsabeeha NH, Payne AG, Swain MV. Attachment systerns for mandibular two-implant overdentures: a review of in vitro investigations on retention and wear features. int J Prosthodont 2009,22(5):429–440. PMID: 20095190.
  8. Petropoulos VC, Smith W. Maximum dislodging forces of implant overdenture stud attachments. Int J Oral Maxillofac Implants 2002;17(4):526–535. PMID: 12182295.
  9. Petropoulos VC, Smith W, Kousvelari E. Comparison of retention and release periods for implant overdenture attachments. Int J Oral Maxillofac Implants 1997;12(2):176–185. PMID: 9109267.
  10. Petropoulos VC, Mante FK. Comparison of retention and strain energies of stud attachments for implant overdentures. J Prosthodont 2011;20(4):286–293. DOI: 10.1111/j.1532-849X.2011.00699.x
  11. Chung KH, Chung CY, Cagna DR, et al. Retention characteristics of attachment systems for implant overdentures. J Prosthodont 2004;13(4):221–226. DOI: 10.1111/j.1532-849X.2004.04042.x
  12. Gaur N, Singla S, Kumar L, et al. An in vitro study to evaluate retention of ball and locator attachments in straight and angulated implant-supported overdenture. Int J Prosthodont Restor Dent 2023;13(4):235–241. DOI: 10.5005/jp-journals-10019-1435
  13. Shastry T, Anupama NM, Shetty S, et al. An in vitro comparative study to evaluate the retention of different attachment systems used in implant-retained overdentures. J Indian Prosthodont Soc 2016;16(2):159–166. DOI: 10.4103/0972-4052.176520
  14. Elsonbaty MA, Alshimy AM, Abdul-Monem MM, et al. Evaluation of retention and wear of a titanium-formed stud overdenture attachment with different interimplant angulations after simulated clinical use: an in vitro study. J Prosthet Dent 2022;128:205.e1–205.e10. DOI: 10.1016/j.prosdent.2022.06.007
  15. Ortegón SM, Thompson GA, Agar JR, et al. Retention forces of spherical attachments as a function of implant and matrix angulation in mandibular overdentures: an in vitro study. J Prosthet Dent 2009;101(4):231–238. DOI: 10.1016/S0022-3913(09)60045-7
  16. Lang BR. A review of traditional therapies in complete dentures. J Prosthet Dent 1994;72:538–542. DOI: 10.1016/0022-3913(94)90128-7
  17. Jacobson TE, Krol AJ. A contemporary review of the factors involved in complete denture retention, stability, and support. Part I: retention. J Prosthet Dent 1983;49(1):5–15. DOI: 10.1016/0022-3913(83)90228-7
  18. Wahab LA, Sadig W. The effect of location and number of endosseous implants on retention and stability of magnetically retained mandibular overdentures: an in vitro study. Int J Prosthodont 2008;21(6):511–513. PMID: 19149068.
  19. Sadig W. A comparative in vitro study on the retention and stability of implant-supported overdentures. Quintessence Int 2009;40(4):313–319. PMID: 19417876.
  20. Fatalla AA, Song K, Du T, et al. An in vitro investigation into retention strength and fatigue resistance of various designs of tooth/implant-supported overdentures. J Huazhong Univ Sci Technolog Med Sci 2012;32(1):124–129. DOI: 10.1007/s11596-012-0022-x
  21. Dolder EJ, Dent M. The bar joint mandibular denture. J Prosthet Dent 1961;11:689–707. DOI: 10.1016/0022-3913(61)90178-0
  22. Morrow RM, Feldmann EE, Rudd KD, et al. Tooth-supported complete dentures: an approach to preventive prosthodontics. J Prosthet Dent 1969;21(5):513–522. DOI: 10.1016/0022-3913(69)90073-0
  23. Mensor MC Jr. Attachment fixation for overdentures. Part I. J Prosthet Dent 1977;37(4):366–373. DOI: 10.1016/0022-3913(77)90137-8
  24. Schwartz IS, Morrow RM. Overdentures. Principles and procedures. Dent Clin North Am 1996;40(1):169–194. DOI: 10.1016/S0011-8532(22)00169-0
  25. Besimo CE, Guarneri A. In vitro retention force changes of prefabricated attachments for overdentures. J Oral Rehabil 2003;30:671–678. DOI: 10.1046/j.1365-2842.2003.01140.x
  26. Burns DR, Unger JW, Elswick RK Jr, et al. Prospective clinical evaluation of mandibular implant overdentures: part I-retention, stability, and tissue response. J Prosthet Dent 1995;73(4):354–363. DOI: 10.1016/s0022-3913(05)80331-2
  27. Tabatabaian F, Saboury A, Sobhani ZS, et al. The effect of inter-implant distance on retention and resistance to dislodging forces for mandibular implant-tissue-supported overdentures. J Prosthet Dent (Tehran, Iran) 2014;11(5):506–515. PMID: 25628676.
  28. Kawata T, Yoda N, Kawaguchi T, et al. Behaviours of three-dimensional compressive and tensile forces exerted on a tooth during function. J Oral Rehabil 2007;34(4):259–266. DOI: 10.1111/j.1365-2842.2007.01681.x
  29. Scherer MD, McGlumphy EA, Seghi RR, et al. Comparison of retention and stability of implant-retained overdentures based upon implant number and distribution. Int J Oral Maxillofac Implants 2013;28(6):1619–1628. DOI: 10.11607/jomi.3067
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