Comparison of Three Different Types of Two-Implant-Supported Magnetic Attachments on the Stress Distribution in Edentulous Mandible

Comput Math Methods Med. 2019 Apr 8:2019:6839517. doi: 10.1155/2019/6839517. eCollection 2019.

Abstract

Two-implant-retained mandibular overdentures with magnetic attachments can provide an effective treatment modality for edentulous patients. In this study, a three-dimensional finite element analysis was used to compare the biomechanical characteristics of three different types of magnetic attachments in two-implant-retained mandibular overdentures. Flat-type, dome-type, and cushion-type of the magnetic attachments were designed to retain the overdenture. Four types of load were applied to the overdenture in each model: 100 N vertical and oblique loads on the right first molar and a 100 N vertical load on the right canine and the lower incisors. The biomechanical behaviors of peri-implant bone, abutment, and mucosa were recorded. In vertical incisors, vertical right canine, and oblique molar loading condition, the flat-type group exhibited the highest levels of maximum equivalent strain/stress in the peri-implant bone. The total deformation of mucosa and the maximum equivalent strain/stress in the oblique molar loading condition are about two times as the vertical molar loading condition. These results suggested that both cushion-type and dome-type of the magnetic attachments are better choices in two-implant-retained mandibular overdentures, and oblique loading is more harmful than vertical loading.

Publication types

  • Comparative Study

MeSH terms

  • Biomechanical Phenomena
  • Computational Biology
  • Dental Implants / statistics & numerical data*
  • Dental Stress Analysis / statistics & numerical data*
  • Denture, Overlay* / statistics & numerical data
  • Finite Element Analysis
  • Humans
  • Imaging, Three-Dimensional
  • Jaw, Edentulous / physiopathology*
  • Jaw, Edentulous / surgery*
  • Magnetics
  • Mandible / physiopathology
  • Mandible / surgery
  • Mathematical Computing
  • Models, Dental*
  • Weight-Bearing

Substances

  • Dental Implants