A Within- Subject Comparison of Two Reinforcement Materials Used for Single Mandibular Implant Retained Overdentures

Amira O. Alkamel, Heba Abozaed, W. Ahmed, F. El-Waseef
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Abstract

Purpose : This cross-over study aimed at assessing masticatory efficiency in single-implant mandibular overdentures with different reinforcement materials (CO-Cr and PEEK). Materials and Methods: Eight completely edentulous participants have been delivered conventional complete dentures. One month later; they received a single midline mandibular implant. After three months of osseointegration, each patient received two mandibular overdentures; one was metal reinforced (Group I) , and the other was PEEK reinforced (Group II) . Masticatory efficiency for both groups (I & II) was carried out. Masticatory efficiency was measured by two colored chewing gums test at time of each overdenture insertion (T0). Thereafter, masticatory efficiency was evaluated subsequent to three months of using metal and PEEK reinforced overdentures (T3). Results: In regard to masticatory efficiency, no significant difference was noted between the studied groups reinforced with metal or PEEK at (T0) and three months after insertion (T3). Among chewing strokes, significant differences were revealed between varied chewing stroke counts among both groups (increased chewing efficiency with an increased number of chewing strokes). Conclusion: Respecting single midline implant overdenture, there was no significant difference between (Metal & PEEK) reinforcement regarding masticatory efficiency. SIMOs reinforced with either Metal or PEEK frameworks could be successful treatment options for assisting mandibular complete overdentures.
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两种加固材料用于单下颌种植固位覆盖义齿的研究
目的:本交叉研究旨在评估不同补强材料(CO-Cr和PEEK)单种植下颌覆盖义齿的咀嚼效率。材料与方法:8例全牙缺失患者采用常规全口义齿。一个月后;他们接受了单个下颌中线种植体。骨融合3个月后,每位患者接受2个下颌覆盖义齿;一种是金属增强(I组),另一种是PEEK增强(II组)。对两组(ⅰ组和ⅱ组)进行咀嚼效率测定。采用双色口香糖测试法测定每次植入覆盖义齿时的咀嚼效率(T0)。然后,在使用金属和PEEK强化覆盖义齿(T3) 3个月后评估咀嚼效率。结果:在咀嚼效率方面,金属或PEEK加固组在(T0)和置入后3个月(T3)无显著差异。在不同的咀嚼次数之间,两组的咀嚼效率有显著差异(咀嚼次数越多,咀嚼效率越高)。结论:对于单中线种植覆盖义齿,金属加固与PEEK加固在咀嚼效率上无显著差异。用金属或PEEK框架加固的SIMOs可以成功地辅助下颌全覆盖义齿的治疗选择。
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