IADR Abstract Archives

Bilateral Distal Extension Removable Partial Overdenture Retained by O-ring Attachment

Objectives: The purpose of this study was to evaluate the influence of the spacer on reducing the stresses transmitted to abutment teeth retaining a RPOD for mandibular bilateral distal extension case using O-ring attachment.
Methods: Two designs were tested according to use of spacer between denture base and abutment teeth during picking up the O-ring attachment as follows:
Design І used without a spacer.
Design ІІ same as design one but used with spacer between the denture base and the abutment teeth
The two designs were loaded 10 times with a controlled vertical static load of 60 N for 15 seconds unilaterally and bilaterally, micro strains were recorded from three surfaces (distal, buccal, and lingual) of the abutment teeth.
Results: 1- The stresses were significantly reduced for the second design in which a spacer was used in both loading positions on the loaded and unloaded side.

2- The lateral forces were markedly directed toward the buccal side more than lingual side in both designs regardless of using the spacer.
Conclusions: 1- It is very important to use spacer with resilient attachments retaining a partial overdenture in order to minimize the forces exerted on the abutment teeth.
2-Most of the lateral forces were directed to the buccal side of the abutment teeth.
Recommendations:-
-Periodic monitoring of the buccal side of the abutment teeth when using a resilient attachment.
-Further investigation is needed to evaluate the stresses directed to the residual ridge of with or without spacer
IADR/AADR/CADR General Session
2015 IADR/AADR/CADR General Session (Boston, Massachusetts)
Boston, Massachusetts
2015
2435
Prosthodontics Research
  • Sultan, Mohamed  ( Faculty of Dentistr Mansoura Uni. , Toronto , Ontario , Canada ;  Faculty of Dentistry University of Toronto , Toronto , Ontario , Canada )
  • Almotayam, Hassan  ( Faculty of Dentistr Mansoura Uni. , Toronto , Ontario , Canada )
  • NONE
    Poster Session
    Removable Prosthodontics & Impression Materials, Laboratory Studies
    Friday, 03/13/2015 , 03:30PM - 04:45PM
    Mean micro-strains for the three surfaces (distal, buccal, and lingual) of the abutment’s roots (n=30) after application of bilateral (central) static load (60 N) in the two designs
    Design І Design ІІ
    t

    P
    (X¯) SD (X¯) SD
    251.70 170.66 60.667 62.643 5.755 <0.001***
    X¯= Arithmetic mean SD= standard deviation t = tabulated t-value Singnificant when (p<0.001*)
    mean micro-strains for the three surfaces (distal, buccal, and lingual) of the abutment’s roots (n=30) after application of unilateral static load (60 N) in the two designs in the loaded side
    Design І Design ІІ
    t

    P
    (X¯) SD (X¯) SD
    287.70 186.41 77.663 66.219 7.182 <0.001***
    X¯= Arithmetic mean SD= standard deviation t = tabulated t-value Singnificant when (p<0.001*)
    mean micro-strains for the three surfaces (distal, buccal, and lingual) of the abutment’s roots (n=30) after application of unilateral static load (60 N) in the two designs in the unloaded side
    Design І Design ІІ
    t

    P
    (X¯) SD (X¯) SD
    14.367 8.923 10.200 8.872 6.549 <0.001***
    X¯= Arithmetic mean SD= standard deviation t = tabulated t-value Singnificant when (p<0.001*)