J Adv Prosthodont.  2021 Feb;13(1):55-64. 10.4047/jap.2021.13.1.55.

Influence of marginal bone resorption on two mini implant-retained mandibular overdenture: An in vitro study

Affiliations
  • 1Department of Stomatology, Beijing Shijitan Hospital, Capital Medical University, Beijing, People’s Republic of China
  • 2Department of Removable Prosthodontics, Tsurumi University School of Dental Medicine, Yokohama, Japan
  • 3Division of Oral and Maxillofacial Implantology, Tsurumi University School of Dental Medicine, Yokohama, Japan
  • 4Center for Dental Implantology, School of Stomatology, Capital Medical University, Beijing, People’s Republic of China
  • 5Beijing Key Laboratory for Tooth Regeneration and Function Reconstruction of Oral Tissues, Beijing, People’s Republic of China

Abstract

PURPOSE
To investigate the biomechanical effect of marginal bone resorption (MBR) on the mandibular mini implant (MI)-retained overdenture (MI-OD) on the edentulous model.
MATERIALS AND METHODS
The experimental mandibular edentulous model was modified from a commercial model with 2 mm thick artificial soft tissue under denture base. Two MIs (Φ2.6 mm x 10 mm) were bilaterally placed between the lateral incisor and the canine area and attached with magnetic attachments. Three groups were set up as follows: 1) alveolar bone around the MI without MBR (normal group), 2) with MBR to 1/2 the length of the implant (resorption group), and 3) complete denture (CD) without MI (CD group). Strain around the MI, pressure near the first molar area, and displacement of denture were simultaneously measured, loading up to 50 N under bilateral/ unilateral loading. Statistical analysis was performed using independent-samples t test and one-way ANOVA (α=.05).
RESULTS
The strain around the MI with MBR was approximately 1.5 times higher than that without MBR. The pressure in CD was higher than in MI-ODs (P <.05), while there was no statistical difference between the normal and resorption group (P >.05). Similarly, the CD demonstrated a greater displacement of the denture base than did the MI-ODs during bilateral and unilateral loadings (P <.05).
CONCLUSION
The strain around the MI with MBR was approximately 1.5 times higher than that without MBR. The pressure on posterior alveolar ridge and denture displacement of MI-ODs significantly decreased compared to CDs, even when MBR occurs. Bilateral balanced occlusion was recommended for MI-ODs, especially when MBR occurred.

Keyword

Mini dental implant-retained overdenture (MI-OD); Marginal bone resorption (MBR); Magnetic attachment; Strain; Pressure distribution
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