Statement
of problem. When 2 implants are used to support a
removable overdenture, optimal stress distribution to
minimize forces to the implants is desired.
Purpose.
This study used photoelastic analysis to compare the stress
patterns generated around implants with 2 retention mechanisms.
Material
and methods. Two root form implants were anchored
in photoelastic mandible and a removable overdenture was
fabricated. The denture was lined with a resilient layer
of impression material to simulate oral mucosa. Attachment
of the denture to the implants was varied by using ball/O-ring
and bar-clip attachments. Vertical and oblique oclusal
forces from 10 to 200 lb were applied unilaterally to
the right and left first molars.Resultant
stress distributions in the photoelastic mandible were
photographed and evaluated.
Results.
With vertical forces, the ball/O-ring attachment transferred
minimal stress to both implants. Vertical forces applied
to the bar-clip overdenture created immediate stress patterns
of greater magnitude and concentration on both implants.
A posterior oblique load resulted in similar stress patterns
to both systems with greater stress to the bar-clip overdenture.
Conclusions.
Within the limits of this study, ball/O-ring attachments
transferred less stress to implants than the bar-clip
attachments when the photoeslastic model was subject to
a posterior load.