Browse > Article

STRAIN ON THE LABIAL PLATES AROUND ABUTMENTS SUPPORTING REMOVABLE PARTIAL DENTURES WITH VARIOUS PROSTHETIC DESIGNS: AN IN VITRO STUDY  

Kim, Seong-Kyun (Department of Prosthodontics, College of Dentistry, Seoul National University)
Publication Information
The Journal of Korean Academy of Prosthodontics / v.43, no.3, 2005 , pp. 322-330 More about this Journal
Abstract
Statement of problem. In distal extension removable partial denture, the preservation of health of abutment teeth is very important, but abutment teeth are subjected to unfavorable stress. Purpose. The purpose of this study was to investigate the biomechanical effects of mandibular removable partial dentures with various prosthetic designs using strain gauge analysis. Material and methods. Artificial teeth of both canines were anchored bilaterally in a mandibular edentulous model made of resin. Bilateral distal extension removable partial dentures with splinted and unsplinted abutments were fabricated. Group 1 : Clasp-retained mandibular removable partial denture with unsplinted abuhnents Group 2 : Clasp-retained mandibular removable partial denture with splinted abutments by 6-unit bridge Group 3 : Bar-retained mandibular removable partial denture Strain gauges were bonded on the labial plate of the mandibular resin model, approximately 2 mm close to the abutments. Two vertical experimental loadings (100N and 200N) were applied subsequently via two miniature load cells that were placed at mandibular first molar regions. Strain measurements were performed and simultaneously monitored from a computer connected to data acquisition system. For within-group evaluations, t-test was used to compare the strain values and for between-group comparisons, a one-way analysis of variance (ANOVA) was used and Duncan test was used as post hoc comparisons. Results. Strain values increased as the applied load increased from 100N to 200N for all groups (p<.05). The strain values of group 1 and 2 were tensile under loadings. In contrast, strain values of group 3 were compressive in nature. Under 100N loading, group 1 showed higher strain values than group 3 in absolute quantity (p<.05). Under 200N loading, group 3 showed higher strain values than group 1 and 2 in absolute quantity (p<.05). Group 1 showed higher strain values than group 2 (p<.05). Conclusion. Splinting of two isolated abutments by bridge reduced the peri-abutment strain in comparison with unsplinted abutments. Strain of bar-retained removable partial denture increased much more as applied load increased, but was compressive in nature.
Keywords
Abutment; Removable Partial Denture; Biomechanics; Strain gauge;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Kratochvil FJ, Thompson WD, Caputo AA. Photoelastic analysis of stress patterns on teeth and bone with attachment retainers for removable partial dentures. J Prosthet Dent 1981;46:21-8   DOI   ScienceOn
2 Asundi A, Kishen A. A strain gauge and photoelastic analysis of in vivo strain and in vitro stress distribution in human dental supporting structures. Arch Oral BioI 2000;45:543-50   DOI   ScienceOn
3 Berg T, Angelo A, Caputo. Load transfer by a maxillary distal-extension removable partial denture with cap and ring extracoronal attachments. J Prosthet Dent 1992;68:784-9   DOI   ScienceOn
4 Preiskel H. Precision retainers for free end saddle prostheses. Br Dent J 1969;127:462-8   PUBMED
5 Itoh. H, Caputo. AA, Wylie, R, Berg, T. Effects of periodontal support and fixed splinting on load transfer by removable partial dentures. J Prosthet Dent 1998;79:465-71   DOI   ScienceOn
6 Holmes JB. Influence of impression procedures and occlusal loading on partial denture movement. J Prosthet Dent 2001;86:335-41   DOI   PUBMED   ScienceOn
7 Igarashi Y, Ogata A, Kuroiwa A, Wang CH. Stress distribution and abutment tooth mobility of distalextension removable partial dentures with dif- ferent retainers: an in vivo study. J Oral Rehabil 1999;26:111-6   DOI   ScienceOn
8 Frechette A. Influence of partial denture design on distribution of forces on abutment teeth. J Prosthet Dent 1956;6:195-212   DOI
9 Craig RG, Farah JW, El-Tahawi HM. Three-dimensional photoelastic stress analysis of maxillary complete dentures. J Prosthet Dent 1974;31:122-9   DOI   ScienceOn
10 Pezzoli M, Appendino P, Calcagno L, Celasco M, Midica R. Load transmission evaluation by removable distal-extension partial dentures using holographic interferometry. J Dent 1993;21:312-6   DOI   ScienceOn
11 Kotowicz WE, Fisher RL, Reed RA, Jaslow C. The combination clasp and the distal extension removable partial denture. Dent Clin North Am 1973;17:651-60   PUBMED
12 Ben-Ur Z, Gorfil C, Shifman A. Designing clasps for the asymmetric distal extension removable partial denture. Int J Prosthodont 1996;9:374-78   PUBMED
13 Linke BA. Nicholls JI. Faucher RR. Distortion analysis of stone casts made from impression materials. J Prosthet Dent 1985;54:794-802   DOI   ScienceOn
14 Loard JL, Teel S. Photoelasticity as a research technique for analyzing stress in dental structures. J Dent Res 1955;34:831-7   DOI   PUBMED   ScienceOn
15 Silness J. Periodontal conditions in patients treated with dental bridges. The relationship between the location of crown margin and periodontal condition. J Periodontal Res 1970;5:225-9   DOI   PUBMED
16 Bickley RW. Combined splintstress breaker removable partial denture. J Prosthet Dent 1969:21:509-12   DOI   PUBMED   ScienceOn
17 Hickey JC. Zarb GA, Bolender CL. Boucher's prosthodontic treatment for edentulous patients. 9th ed. St. Louis: CV Mosby; 1985. p. 352-66
18 Morikawa M, Masumi S, Kido H, Toyoda S, Kozono Y, Chou TM. Analysis of abutment tooth movement utilizing mandibular kinesiography (MKG). Part 2. Effects of clasp design in unilateral free-end denture. Dent Mater J 1989;8:56-64   DOI   PUBMED   ScienceOn
19 Leupold RJ, Kratochvil FJ. An altered cast procedure to improve tissue support for removable partial dentures. J Prosthet Dent 1965;15:672-8   DOI   ScienceOn
20 Altay O'T, Tsolka P, Preisket HW. Abutment teeth with extracoronal attachments: The effects of splinting on tooth movement. Int J Prosthodont 1990;3:441-8   PUBMED
21 Carlsson GE, Hedegard B, Koivumaa KK. Studies in partial prosthesis IV, Final result of a 4-year longitudinal investigation of dentogingivally supported partial dentures. Acta Odontal Scand 1965;23:443-69   DOI   ScienceOn
22 Aydinlik E, Dayangac B, Celik E. Effect of splinting on abutment tooth movement. J Prosthet Dent 1983;49:477-80   DOI   ScienceOn
23 Wang HY, Lu YC. Shiau YY, Tsou D. Vertical distortion in distal extension ridges and palatal area of casts made by different techniques. J Prosthet Dent 1996;75:302-8   DOI   ScienceOn
24 McCarteny JW. Motion vector analysis of an abutment for a distal-extension removable partial denture. A pilot study. J Prosthet Dent 1980;43:15-21   DOI   PUBMED   ScienceOn
25 Levin B. Stressbreakers: A practical approach. Dent Clin North Am 1979;23:77-86   PUBMED
26 El-Sheikh AM, Hobkirk JA. Force transmission in bar-retained implant-stabilized mandibular overdentures: an in-vitro study. Eur J Prosthodont Restor Dent 2002;10:173-8   PUBMED