下颌种植体覆盖义齿中两种弹性附着体固位力的比较研究(无菌研究)

Mohamed Zaki Bassiony, N. Ammar, Khaled Mahmoud Elsherif, Sherif M. Abd Elhamid
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摘要

研究目的本研究旨在比较两种不同附着体(即定位器和弹性伸缩附着体)在固位两个种植体辅助下颌覆盖义齿时的固位力。材料和方法:加工十六颗相同的下颌全口义齿,将其固定在完全无牙颌的环氧树脂铸模上。在手术导板的帮助下,将两颗种植体植入铸型的齿间区域。假牙被随机分为两组,采用直接取戴技术,通过定位器固位(A 组)或伸缩式固位(B 组)进行种植体固位。使用万能试验机,平行于插入路径施加垂直方向的拉伸负荷,直到连接体与基台分离。计算基线时以及反复插入和拔出后分离所需的最大负荷(固位力)。结果:两种附着体在所有三个时间点(初始时间点、90 天后和 180 天后)都存在显著差异。Locator 组的平均值明显高于 Peek 伸缩组(p < 0.001)。结论:从所有三个时间点的垂直脱位力来看,定位器组的固位情况均优于Peek伸缩组。
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COMPARATIVE STUDY OF THE RETENTION FORCE BETWEEN TWO RESILIENT ATTACHMENTS IN MANDIBULAR IMPLANT OVERDENTURE (AN INVITRO STUDY)
Objectives: This study aimed to compare the retention force of two different attachments namely, locator and resilient telescopic attachment in retaining two implant-assisted mandibular overdenture. Materials and Methods: Sixteen identical mandibular complete dentures were processed to be attached to a completely edentulous epoxy cast. Two implants were placed in the cast’s interforaminal region with the aid of a surgical guide. Dentures were randomly divided into two equal groups to be implant retained by either locator attachment (Group A), or telescopic attachment (Group B) using the direct pickup technique. Using the universal testing machine, a vertically oriented tensile load was applied parallel to the path of insertion until the attachments were detached from the abutments. The maximum load required for detachment (retentive force) was calculated at the baseline and following repeated insertions and removals. Results: Significant differences were observed in all three-time points (initial time point, after 90 days, and after 180 days) in both attachments. The Locator group had a significantly higher mean in comparison to the Peek telescopic group (p < 0.001). Conclusions: The locator had better retention than the peek telescopic group according to vertical dislodging forces in all three-time points.
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