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Volume 31 , Issue 5
September/October 2016

Pages 10401048

Retention and Stability of Implant-Retained Mandibular Overdentures Using Different Types of Resilient Attachments: An In Vitro Study

Moustafa Abdou ELsyad, BDS, MSc, PhD/Nora Nory Agha, BDS/Ahmed Ali Habib, BDS, MSc, PhD

PMID: 27632258
DOI: 10.11607/jomi.4544

Purpose: The aim of this study was to evaluate and compare the retention and stability of mandibular implant overdentures using different types of resilient attachments. Materials and Methods: Two implant analogs were inserted in the canine areas of an acrylic edentulous mandibular model. A metal-reinforced experimental overdenture was constructed and connected to the implant analogs (on two occasions) using either resilient telescopic or Locator attachments. Locators were divided into three subgroups according to the degree of retention of the male nylon insert: Locator extra-light retention (blue insert), Locator light retention (pink insert), and Locator medium retention (transparent insert). Vertical and oblique (anterior, posterior, and lateral) dislodging forces were measured at the beginning of the study (initial retention) and after 540 cycles of denture insertion and removal (final retention). Results: For all dislodging forces, Locator medium recorded the highest initial and final retention. Telescopic attachments recorded the lowest retention during vertical and anterior dislodging, and Locator extra-light recorded the lowest retention during lateral and posterior dislodging. For all types of Locator attachments, anterior dislodging recorded the highest initial and final retention, and lateral dislodging recorded the lowest retention. For the telescopic attachment, posterior dislodgment recorded the highest initial and final retention, and anterior dislodging recorded the lowest retention. Conclusion: After repeated denture insertions and removals, the highest retention and stability were recorded with Locator medium followed by Locator light. The lowest retention was recorded with resilient telescopic attachment, and the lowest stability was recorded with Locator extra-light.

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