ÇİFT TARAFLI YÜKLEME ALTINDA FARKLI MUKOZA KALINLIKLARININ İKİ TİP İMPLANT DESTEKLİ OVERDENTURE DİZAYNI ÜZERİNDEKİ STRES DAĞILIMINA ETKİSİ

Year 2019, Volume: 29 Issue: 2, 277 - 286, 22.03.2019

Özgün Yusuf Özyılmaz Filiz Aykent

https://doi.org/10.17567/ataunidfd.461225

Abstract

Amaç:
Bu çalışmanın amacı fotoelastik stres analiz yöntemi kullanılarak çift taraflı
yükleme altında farklı mukoza kalınlığının, iki implant destekli mandibular
overdenture tasarımları üzerindeki stres dağılımına etkisini değerlendirmektir.

Gereç ve Yöntem:
Kaninler bölgesine iki adet bağımsız implant (4,0x11 mm; Fixture Osseospeed
İmplant, Astra Tech, Mölndal, İsveç) yerleştirilerek altı adet alt çene dişsiz
fotoelastik modeller üretildi.  Çalışılan
ataçman sistemler, locator ve ball stud ataçman sistemlerdi.  Ball ve locator grupların her ikisi de,
farklı mukoza kalınlıkları (1mm-1mm, 1mm-2mm, 1mm-4mm ) sağlayan  farklı rezidüel kret yüksekliğine sahip üç
farklı modelden oluşmaktadır. Birinci molarların santral fossalarına çift taraflı
olarak 135 N statik vertikal kuvvet uygulandı. 
Modeller, yükleme altında implantların etrafında ve implantlar arası
bölgede  izokromatik fringeleri gözlemek
için dairesel polariskop alanına yerleştirildi. Fotoelastik stres fringeleri
monitörize edildi ve fotoğrafik olarak kaydedildi.

Bulgular:
Ball ataçman grupların tüm test modellerinde locator gruplardan daha yüksek
stres değerleri gözlendi. Her iki ataçman tasarımında en düşük stres değerleri
1mm-1mm mukoza kalınlığındaki modellerde görüldü. Locator grupların ball
ataçman gruplara göre stresi daha homojen dağıttığı gözlendi.

Sonuç:
Bu çalışmanın sonucuna göre, protez yapımı için yerleştirilen implantlar
arasında farklı mukoza kalınlıkları varlığında locator ataçman seçimi ball
ataçmana göre daha dengeli stres dağılımı sebebiyle avantaj sağlamaktadır.

Anahtar Sözcükler: Fotoelastik
analiz, mukoza kalınlığı, stres dağılımı,  çift taraflı yükleme

Keywords

Fotoelastik analiz, mukoza kalınlığı, stres dağılımı

References

• 1. Assunção WG, Barão VA, Tabata LF, de Sousa EA, Gomes EA, Delben JA. Comparison Between Complete Denture and Implant-Retained Overdenture: Effect of Different Mucosa Thickness and Resiliency on Stress Distribution. Gerodontology 2009; 26:273-81.
• 2. Feine JS, Carlsson GE, Awad MA, Chehade A, Duncan WJ, Gizani S ve ark. The McGill Consensus Statement on Overdentures. Mandibular Two-Implant Overdentures as First Choice Standard of Care for Edentulous Patients. Gerodontology 2002;19:3-4.
• 3. Bal BT, Kurt M, Kahraman S. Rehabilitation of An Edentulous Patient with Severely Resorbed Ridges Using Bar Retained Implant Overdentures: A Case Report. J Dent Fac Ataturk Uni. 2016; 26:482-86
• 4. Hong HR, Pae A, Kim Y, Paek J, Kim HS, Kwon KR. Effect of Implant Position, Angulation, and Attachment Height on Peri-Implant Bone Stress Associated with Mandibular Two-Implant Overdentures: A Finite Element Analysis. Int J Oral Maxillofac Implants 2012; 27:69-76.
• 5. Batenburg RH, Meijer HJ, Raghoebar GM, Vissink A. Treatment Concept for Mandibular Overdentures Supported By Endosseous Implants: A Literature Review. Int J Oral Maxillofac Implants 1998;13:539-45.
• 6. Weibrich G, Buch RS, Wegener J, Wagner W. Five-Year Prospective Follow-Up Report of the Astra Tech Standard Dental Implant In Clinical Treatment. Int J Oral Maxillofac Implants 2001;16:557-62.
• 7. Esposito M, Grusovin MG, Coulthard P, Thomsen P, Worthington HV. A 5-Year Follow-Up Comparative Analysis of the Efficacy of Various Osseointegrated Dental Implant Systems: A Systematic Review of Randomized Controlled Clinical Trials. Int J Oral Maxillofac Implants 2005;20:557-68.
• 8. Assunção WG, Tabata LF, Barão VA, Rocha EP. Comparison of Stress Distribution Between Complete Denture and Implant-Retained Overdenture-2D FEA. J Oral Rehabil 2008;35:766-74.
• 9. Stellingsma K, Slagter AP, Stegenga B, Raghoebar GM, Meijer HJ. Masticatory Function In Patients with An Extremely Resorbed Mandible Restored with Mandibular Implant-Retained Overdentures: Comparison of Three Types of Treatment Protocols. J Oral Rehabil. 2005;32:403-10.
• 10. Schmitt A, Zarb GA. The Notion of Implant-Supported Overdentures. J Prosthet Dent 1998;79:60-5.
• 11. Krennmair G, Seemann R, Fazekas A, Ewers R, Piehslinger E. Patient Preference and Satisfaction with Implant-Supported Mandibular Overdentures Retained with Ball or Locator Attachments: A Crossover Clinical Trial. Int J Oral Maxillofac Implants 2012 ;27:1560-8.
• 12. Weinländer M, Piehslinger E, Krennmair G. Removable Implant-Prosthodontic Rehabilitation of the Edentulous Mandible: Five-Year Results of Different Prosthetic Anchorage Concepts. Int J Oral Maxillofac Implants 2010 ;25:589-97.
• 13. Cune M, van Kampen F, van der Bilt A, Bosman F. Patient Satisfaction and Preference with Magnet, Bar-clip, and Ball-Socket Retained Mandibular Implant Overdentures: A Cross-Over Clinical Trial. Int J Prosthodont. 2005;18:99-105.
• 14. Ellis JS, Burawi G, Walls A, Thomason JM. Patient Satisfaction with Two Designs of Implant Supported Removable Overdentures; Ball Attachment and Magnets. Clin Oral Implants Res 2009;20:1293-8.
• 15. Kleis WK, Kämmerer PW, Hartmann S, Al-Nawas B, Wagner W. A Comparison of Three Different Attachment Systems for Mandibular Two-Implant Overdentures: One-Year Report. Clin Implant Dent Relat Res 2010;12:209-18.
• 16. Bilhan H, Geckili O, Mumcu E, Bilmenoglu C. Maintenance Requirements Associated with Mandibular Implant Overdentures: Clinical Results After First Year of Service. J Oral Implantol 2011;37:697-704
• 17. Bilhan H, Geckili O, Sulun T, Bilgin T. A Quality of Life Comparison Between Self-Aligning and Ball Attachment Systems for 2-Implant-Retained Mandibular Overdentures. J Oral Implantol 2011;37:167-73
• 18. Ozan O, Ramoglu S. Effect of Implant Height Differences on Different Attachment Types and Peri-Implant Bone in Mandibular Two-Implant Overdentures: 3D Finite Element Study. J Oral Implantol 2015;41:50-9.
• 19. Misch CE. Dental Implant Prosthetics. 2th Ed. St. Louis; Elsevier Mosby: 2005. p.51-6
• 20. Vogel RC. Implant Overdentures: A New Standard of Care for Edentulous Patients Current Concepts and Techniques. Compend Contin Educ Dent 2008;29:270-6.
• 21. Osman RB, Elkhadem AH, Ma S, Swain MV. Finite Element Analysis of A Novel Implant Distribution to Support Maxillary Overdentures. Int J Oral Maxillofac Implants 2013;28:1-10.
• 22. Celik G, Uludag B. Photoelastic Stress Analysis of Various Retention Mechanisms on 3-Implant-Retained Mandibular Overdentures. J Prosthet Dent 2007;97:229-35.
• 23. Takeshita S, Kanazawa M, Minakuchi S. Stress Analysis of Mandibular Two-Implant Overdenture with Different Attachment Systems. Dent Mater J 2011;30:928-34.
• 24. Van Steenberghe D, Lekholm U, Bolender C, Folmer T, Henry P, Herrmann I ve ark. Applicability of Osseointegrated Oral Implants in the Rehabilitation of Partial Edentulism: A Prospective Multicenter Study on 558 Fixtures. Int J Oral Maxillofac Implants 1990;5:272-81.
• 25. Chun HJ, Cheong SY, Han JH, Heo SJ, Chung JP, Rhyu IC ve ark. Evaluation of Design Parameters of Osseointegrated Dental Implants Using Finite Element Analysis. J Oral Rehabil 2002;29:565-74.
• 26. Sadowsky SJ, Caputo AA. Stress Transfer of Four Mandibular Implant Overdenture Cantilever Designs. J Prosthet Dent 2004;92:328-36.
• 27. Ochiai KT, Williams BH, Hojo S, Nishimura R, Caputo AA. Photoelastic Analysis of the Effect of Palatal Support on Various Implant-Supported Overdenture Designs. J Prosthet Dent 2004;91:421-7.
• 28. Machado AC, Cardoso L, Brandt WC, Henriques GE, de Arruda Nobilo MA. Photoelastic Analysis of the Distribution of Stress in Different Systems of Overdentures on Osseous-Integrated Implants. J Craniofac Surg 2011;22:2332-6.
• 29. Mazaro JV, Filho HG, Vedovatto E, Pellizzer EP, Rezende MC, Zavanelli AC. Evaluation of Stress Patterns Produced By Implant-Retained Overdentures and Implant-Retained Fixed Partial Denture. J Craniofac Surg 2011;22:2153-7.
• 30. Asvanund P, Morgano SM. Photoelastic Stress Analysis of External Versus Internal Implant-Abutment Connections. J Prosthet Dent 2011;106:266-71.
• 31. Teixeira FM, de Assis Claro CA, Neves AC, de Mello Rode S, da Silva Concílio LR. Influence of Loading and Use of Occlusal Splint in Implant-Supported Fixed Prostheses. J Craniofac Surg 2012;23:477-80.
• 32. Ueda C, Markarian RA, Sendyk CL, Lagana DC. Photoelastic Analysis of Stress Distribution on Parallel and Angled Implants After Installation of Fixed Prostheses. Braz Oral Res 2004;18:45-52.
• 33. Sadowsky SJ, Caputo AA. Effect of Anchorage Systems and Extension Base Contact on Load Transfer with Mandibular Implant-Retained Overdentures. J Prosthet Dent 2000;84:327-34.
• 34. Markarian RA, Ueda C, Sendyk CL, Lagana DC, Souza RM. Stress Distribution After Installation of Fixed Frameworks with Marginal Gaps Over Angled and Parallel Implants: A Photoelastic Analysis. J Prosthodont 2007;16:117-22.
• 35. Porter JA Jr, Petropoulos VC, Brunski JB. Comparison of Load Distribution for Implant Overdenture Attachments. Int J Oral Maxillofac Implants 2002;17:651-62.
• 36. Ichikawa T, Horiuchi M, Wigianto R, Matsumoto N. In vitro Study of Mandibular Implant-Retained Overdentures: The Influence of Stud Attachments on Load Transfer to the Implant and Soft Tissue. Int J Prosthodont 1996;9:394-9.
• 37. Fanuscu MI, Caputo AA. Influence of Attachment Systems on Load Transfer of An Implant-Assisted Maxillary Overdenture. J Prosthodont 2004;13:214-20.
• 38. da Silva DP, Cazal C, de Almeida FC, Dias RB, Ballester RY. Photoelastic Stress Analysis Surrounding Implant-Supported Prosthesis and Alveolar Ridge on Mandibular Overdentures. Int J Dent 2010; 1:1-5
• 39. Hojo S, Ochiai K, Sadowsky S, Toyoda M, Caputo AA. Mandibular Implant Overdentures Load Transfer with Magnetic and Resilient Attachments. (13.03.2004). URL:http://iadr.confex.com/iadr/2004Hawaii/techprogram/abstract_42356.htm Erişim tarihi: 08/01/2017.
• 40. Barao VA, Assunçao WG, Tabata LF, de Sousa EA, Rocha EP. Effect of Different Mucosa Thickness and Resiliency on Stress Distribution of Implant-Retained Overdentures-2D FEA. Comput Methods Programs Biomed 2008;92:213-23.
• 41. Shigeto N, Hamada T, Iwanaga H, Murata H. Pressure Distribution Using Tissue Conditioners on Simplified Edentulous Ridge Models. Part 1: The influence of the Height of the Residual Ridge. Int J Prosthodont 1995;8:490-5.
• 42. Bidez MW, Misch CE. Force Transfer in Implant Dentistry: Basic Concepts and Principles. J Oral Implantol 1992;264-74
• 43. Meijer HJ, Kuiper JH, Starmans FJ, Bosman F. Stress Distribution Around Dental Implants: Influence of Superstructure, Length of Implants, and Height of Mandible. J Prosthet Dent 1992;68:96-102.
• 44. Menicucci G, Lorenzetti M, Pera P, Preti G. Mandibular Implant-Retained Overdenture: Finite Element Analysis of Two Anchorage Systems. Int J Oral Maxillofac Implants 1998;13:369-76.