Journal of Oral Science Research ›› 2022, Vol. 38 ›› Issue (2): 150-156.DOI: 10.13701/j.cnki.kqyxyj.2022.02.012

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Effect of Attachment Type on the Stress of Short Implant-assisted Removable Partial Dentures at Different Implant Positions

AN Weikang1, LIU Lipeng1, ZHANG Wei1, ZHENG Yafei1, LIU Jingjing2, WANG Qing1, MA Chufan1,3*   

  1. 1. State Key Laboratory of Military Stomatology & National Clinical Research Center for Oral Diseases & Shaanxi Key Laboratory of Stomatology, Department of Prosthodontics, School of Stomatology, The Fourth Military Medical University, Xi'an 710032, China;
    2. State Key Laboratory of Military Stomatology & National Clinical Research Center for Oral Diseases & Shaanxi Clinical Research Center for Oral Diseases, Department of Orthodontics, School of Stomatology, The Fourth Military Medical University, Xi'an, 710032, China;
    3. Department of Stomatology,Air Force Medical Center,The Fourth Military Medical University,Beijing 100142, China
  • Received:2021-08-30 Online:2022-02-28 Published:2022-02-23

Abstract: Objective: To compare influences of attachment type and different implant sites on the stress distribution among all supporting structures. Methods: A three-dimensional finite element model of a short-implants-assisted removable partial denture was established to restore Kennedy class Ⅰ dentition defect, and nine experimental group models were constructed according to the implant positions (position A: the second premolar area, position B: the first molar area, position C: the second molar area) and attachment types (Brevis, Locator, and Magfit). A removable partial denture model was established as the control. The stress distribution of each component was analyzed, and the maximum von Mises stress values and displacement values were recorded. Results: Three-dimensional finite element models of short implant-assisted removable partial denture were established. Under vertical and oblique loads, the denture displacement was greater in the RPD group than in the experimental groups; under oblique loads, the denture displacement was greater in the Magfit groups than in the Brevis and Locator groups, while the implant-bone interface stress was smaller and the mucosa stress and cortical bone stress around the short implant were greater; the implant-bone interface stress and short implant stress were smaller, and the short implant stress was greater when the short implant was located at position C. Conclusion: Short implants-assisted removable partial dentures can significantly improve the retention and stability of the denture, and magnetic attachments are more beneficial to the long-term success of short implants. Position C is better suited for dispersion of occlusal forces.

Key words: short dental implants, attachment, implant-assisted removable partial dentures, dental implant position