Mariko Tanoue1, Manabu Kanazawa2, Shin Takeshita3, Shunsuke Minakuchi4. 1. Graduate student, Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Yushima, Bunkyo, Tokyo, Japan. 2. Assistant Professor, Gerodontology and Oral Rehabilitation, Tokyo Medical and Dental University, Tokyo, Japan. Electronic address: m.kanazawa.gerd@tmd.ac.jp. 3. Resident, Gerodontology and Oral Rehabilitation, Tokyo Medical and Dental University, Tokyo, Japan. 4. Professor, Gerodontology and Oral Rehabilitation, Tokyo Medical and Dental University, Tokyo, Japan.
Abstract
STATEMENT OF PROBLEM: Fracture of maxillary implant overdentures (IODs) is a frequent complication. However, no studies have examined the effects of clip materials on the stress applied to maxillary IODs. PURPOSE: The purpose of this study was to investigate the effects of clip materials for bar attachments on the stress applied to maxillary IODs without palatal coverage. MATERIAL AND METHODS: This study included finite element analysis and a model study. An edentulous maxillary model with 4 implants and an experimental overdenture with bar attachments was fabricated. Strain gauges were attached on the denture surface adjacent to the end of each clip. Four clip conditions (n=5) were prepared: 3 plastic clips, 1 plastic clip, 3 metal clips, and 1 metal clip. A vertical load of 50 N was applied on the IOD. The maximum principle strain (MPS) was statistically analyzed by 2-way ANOVA and the post hoc Tukey HSD tests with clip materials and clip numbers as factors (α=.05). RESULTS: The greatest stress was observed on the resin surface around the end of the clip on the loaded side. The MPSs between both clip materials (P=.048) and numbers (P<.001) differed significantly on the palatal side of the end of the center clip on the loaded side: the MPSs of the metal clips were significantly larger than those of the plastic clips, and the MPS of 1 clip was significantly larger than for 3 clips. CONCLUSIONS: The stress around plastic clips tended to be lower than that around metal clips.
STATEMENT OF PROBLEM: Fracture of maxillary implant overdentures (IODs) is a frequent complication. However, no studies have examined the effects of clip materials on the stress applied to maxillary IODs. PURPOSE: The purpose of this study was to investigate the effects of clip materials for bar attachments on the stress applied to maxillary IODs without palatal coverage. MATERIAL AND METHODS: This study included finite element analysis and a model study. An edentulous maxillary model with 4 implants and an experimental overdenture with bar attachments was fabricated. Strain gauges were attached on the denture surface adjacent to the end of each clip. Four clip conditions (n=5) were prepared: 3 plastic clips, 1 plastic clip, 3 metal clips, and 1 metal clip. A vertical load of 50 N was applied on the IOD. The maximum principle strain (MPS) was statistically analyzed by 2-way ANOVA and the post hoc Tukey HSD tests with clip materials and clip numbers as factors (α=.05). RESULTS: The greatest stress was observed on the resin surface around the end of the clip on the loaded side. The MPSs between both clip materials (P=.048) and numbers (P<.001) differed significantly on the palatal side of the end of the center clip on the loaded side: the MPSs of the metal clips were significantly larger than those of the plastic clips, and the MPS of 1 clip was significantly larger than for 3 clips. CONCLUSIONS: The stress around plastic clips tended to be lower than that around metal clips.
Authors: Regina Furbino Villefort; João Paulo Mendes Tribst; Amanda Maria de Oliveira Dal Piva; Alexandre Luiz Borges; Nívia Castro Binda; Carlos Eduardo de Almeida Ferreira; Marco Antonio Bottino; Sandra Lúcia Ventorim von Zeidler Journal: PLoS One Date: 2020-10-30 Impact factor: 3.240