Effect of attachment type and implant position on the retention of mandibular implant-supported overdentures

Background. In implant-supported overdentures increase in the number of implants improves the retention and stability of the overdentures. A direct correlation exists between prosthesis retention and patient satisfaction. Therefore, this experimental study assessed the effect of attachment type and...

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Main Authors: Alireza Saadati, Farnaz Taghavi-Damghani, Sara Tavakolizadeh, Alireza Hadi
Format: Article
Language:English
Published: Tabriz University of Medical Sciences 2024-12-01
Series:Journal of Dental Research, Dental Clinics, Dental Prospects
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Online Access:https://joddd.tbzmed.ac.ir/PDF/joddd-18-249.pdf
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author Alireza Saadati
Farnaz Taghavi-Damghani
Sara Tavakolizadeh
Alireza Hadi
author_facet Alireza Saadati
Farnaz Taghavi-Damghani
Sara Tavakolizadeh
Alireza Hadi
author_sort Alireza Saadati
collection DOAJ
description Background. In implant-supported overdentures increase in the number of implants improves the retention and stability of the overdentures. A direct correlation exists between prosthesis retention and patient satisfaction. Therefore, this experimental study assessed the effect of attachment type and implant position on the retention of mandibular implant-supported overdentures. Methods. A transparent acrylic resin model of the mandible was fabricated, and dental implants were positioned at the first molar area (position 6), between the lateral incisor and canine teeth (positions B and D), and first premolars (positions A and E) bilaterally. Novaloc attachments (strong, medium, and light retentive caps) were used with ABDE, 6AE6, and 6BD6 implant positions. A Dolder bar attachment was also used with the ABDE implant position. Overdenture retention was measured under vertical loading, and the maximum dislodging force (MDF) was recorded. Data were analyzed by two-way and one-way ANOVA and post hoc Tukey tests (α=0.05). Results. The effects of attachment type and implant position [except for ABDE and 6AE6 with light retention insert (P=0.49), and 6AE6 and 6BD6 with strong retention insert (P=0.48)], and their interaction effect were significant on MDF (P<0.01). The highest retention was recorded for bar attachment (65.15 N), with the lowest for Novaloc attachment with light retention insert at ABDE implant position (11.97 N). Conclusion. With Novaloc attachments, minimum retention was recorded in ABDE, and maximum retention was recorded in the 6BD6 implant position due to the increased distance between attachments. The strong insert showed the highest retention value, which confirmed the manufacturer’s claim. Maximum retention was recorded with the bar and clip attachment.
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spelling doaj-art-4236112fcd674500a41a408f7c62c1482025-08-20T02:11:51ZengTabriz University of Medical SciencesJournal of Dental Research, Dental Clinics, Dental Prospects2008-210X2008-21182024-12-0118424925710.34172/joddd.41514joddd-41514Effect of attachment type and implant position on the retention of mandibular implant-supported overdenturesAlireza Saadati0Farnaz Taghavi-Damghani1Sara Tavakolizadeh2Alireza Hadi3Oral Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, IranDepartment of Prosthodontics, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, IranDepartment of Prosthodontics, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, IranDepartment of Prosthodontics, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, IranBackground. In implant-supported overdentures increase in the number of implants improves the retention and stability of the overdentures. A direct correlation exists between prosthesis retention and patient satisfaction. Therefore, this experimental study assessed the effect of attachment type and implant position on the retention of mandibular implant-supported overdentures. Methods. A transparent acrylic resin model of the mandible was fabricated, and dental implants were positioned at the first molar area (position 6), between the lateral incisor and canine teeth (positions B and D), and first premolars (positions A and E) bilaterally. Novaloc attachments (strong, medium, and light retentive caps) were used with ABDE, 6AE6, and 6BD6 implant positions. A Dolder bar attachment was also used with the ABDE implant position. Overdenture retention was measured under vertical loading, and the maximum dislodging force (MDF) was recorded. Data were analyzed by two-way and one-way ANOVA and post hoc Tukey tests (α=0.05). Results. The effects of attachment type and implant position [except for ABDE and 6AE6 with light retention insert (P=0.49), and 6AE6 and 6BD6 with strong retention insert (P=0.48)], and their interaction effect were significant on MDF (P<0.01). The highest retention was recorded for bar attachment (65.15 N), with the lowest for Novaloc attachment with light retention insert at ABDE implant position (11.97 N). Conclusion. With Novaloc attachments, minimum retention was recorded in ABDE, and maximum retention was recorded in the 6BD6 implant position due to the increased distance between attachments. The strong insert showed the highest retention value, which confirmed the manufacturer’s claim. Maximum retention was recorded with the bar and clip attachment.https://joddd.tbzmed.ac.ir/PDF/joddd-18-249.pdfattachmentdental implantoverdentureretention
spellingShingle Alireza Saadati
Farnaz Taghavi-Damghani
Sara Tavakolizadeh
Alireza Hadi
Effect of attachment type and implant position on the retention of mandibular implant-supported overdentures
Journal of Dental Research, Dental Clinics, Dental Prospects
attachment
dental implant
overdenture
retention
title Effect of attachment type and implant position on the retention of mandibular implant-supported overdentures
title_full Effect of attachment type and implant position on the retention of mandibular implant-supported overdentures
title_fullStr Effect of attachment type and implant position on the retention of mandibular implant-supported overdentures
title_full_unstemmed Effect of attachment type and implant position on the retention of mandibular implant-supported overdentures
title_short Effect of attachment type and implant position on the retention of mandibular implant-supported overdentures
title_sort effect of attachment type and implant position on the retention of mandibular implant supported overdentures
topic attachment
dental implant
overdenture
retention
url https://joddd.tbzmed.ac.ir/PDF/joddd-18-249.pdf
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