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Dislodgement resistance of modified resin-bonded fixed partial dentures utilizing tooth undercuts: an in vitro study

STATEMENT OF PROBLEM: Over the years, resin-bonded fixed partial dentures (RBFPDs) have gone through substantial development and refinement. Several studies examined the biomechanics of tooth preparation and framework design in relation to the success rate of RBFPDs and considered retention and resi...

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Autores principales: Doh, Re-Mee, Lee, Keun-Woo
Formato: Texto
Lenguaje:English
Publicado: The Korean Academy of Prosthodontics 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2994683/
https://www.ncbi.nlm.nih.gov/pubmed/21165260
http://dx.doi.org/10.4047/jap.2009.1.2.85
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author Doh, Re-Mee
Lee, Keun-Woo
author_facet Doh, Re-Mee
Lee, Keun-Woo
author_sort Doh, Re-Mee
collection PubMed
description STATEMENT OF PROBLEM: Over the years, resin-bonded fixed partial dentures (RBFPDs) have gone through substantial development and refinement. Several studies examined the biomechanics of tooth preparation and framework design in relation to the success rate of RBFPDs and considered retention and resistance form essential for increase of clinical retention. However, these criteria required preparations to be more invasive, which violates not only the original intentions of the RBFPD, but may also have an adverse effect on retention due to loss of enamel, an important factor in bonding. PURPOSE: The object of this in vitro study was to compare the dislodgement resistance of the new types of RBFPDs, the conventional three-unit fixed partial denture, and conventional design of RBFPD (Maryland bridge). MATERIAL AND METHODS: Fifty resin mandibular left second premolars and second molars were prepared on dentiforms, according to the RBFPD design. After model fabrication (five group, n = 10), prostheses were fabricated and cemented with zinc phosphate cement. After cementation, the specimens were subjected to tensile loading at a cross head speed of 4 mm/min in a universal testing machine. The separation load was recorded and analyzed statistically using one-way analysis of variance followed by Duncan's multiple range test. RESULTS: Group V, the pin-retained RBFPDs, had the highest mean dislodgement resistance, whereas specimens of group II, the conventional RBFPDs, exhibited a significantly lower mean dislodgement resistance compared to the other 4 groups (P < .05). There were no significant differences between group I, III, and IV in terms of dislodgement resistance (P > .05). Group V had the highest mean MPa (N/mm(2)) (P < .05). There was no significant difference between groups I, II, III and IV (P > .05). CONCLUSION: Within the limits of the design of this in vitro study, it was concluded that: 1. The modified RBFPDs which utilizes the original tooth undercuts and requires no tooth preparation, compared with the conventional design of RBFPDs, has significantly high dislodgement resistance (P < .05). 2. The modified RBFPDs which utilizes the original tooth undercuts and requires minimal tooth preparation, compared with the conventional FPDs, has significantly no difference in retention and dislodgement resistance)(P > .05). 3. The pin-retained FPDs showed a high dislodgement resistance compared to the conventional three-unit FPDs (P < .05).
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spelling pubmed-29946832010-12-16 Dislodgement resistance of modified resin-bonded fixed partial dentures utilizing tooth undercuts: an in vitro study Doh, Re-Mee Lee, Keun-Woo J Adv Prosthodont Original Article STATEMENT OF PROBLEM: Over the years, resin-bonded fixed partial dentures (RBFPDs) have gone through substantial development and refinement. Several studies examined the biomechanics of tooth preparation and framework design in relation to the success rate of RBFPDs and considered retention and resistance form essential for increase of clinical retention. However, these criteria required preparations to be more invasive, which violates not only the original intentions of the RBFPD, but may also have an adverse effect on retention due to loss of enamel, an important factor in bonding. PURPOSE: The object of this in vitro study was to compare the dislodgement resistance of the new types of RBFPDs, the conventional three-unit fixed partial denture, and conventional design of RBFPD (Maryland bridge). MATERIAL AND METHODS: Fifty resin mandibular left second premolars and second molars were prepared on dentiforms, according to the RBFPD design. After model fabrication (five group, n = 10), prostheses were fabricated and cemented with zinc phosphate cement. After cementation, the specimens were subjected to tensile loading at a cross head speed of 4 mm/min in a universal testing machine. The separation load was recorded and analyzed statistically using one-way analysis of variance followed by Duncan's multiple range test. RESULTS: Group V, the pin-retained RBFPDs, had the highest mean dislodgement resistance, whereas specimens of group II, the conventional RBFPDs, exhibited a significantly lower mean dislodgement resistance compared to the other 4 groups (P < .05). There were no significant differences between group I, III, and IV in terms of dislodgement resistance (P > .05). Group V had the highest mean MPa (N/mm(2)) (P < .05). There was no significant difference between groups I, II, III and IV (P > .05). CONCLUSION: Within the limits of the design of this in vitro study, it was concluded that: 1. The modified RBFPDs which utilizes the original tooth undercuts and requires no tooth preparation, compared with the conventional design of RBFPDs, has significantly high dislodgement resistance (P < .05). 2. The modified RBFPDs which utilizes the original tooth undercuts and requires minimal tooth preparation, compared with the conventional FPDs, has significantly no difference in retention and dislodgement resistance)(P > .05). 3. The pin-retained FPDs showed a high dislodgement resistance compared to the conventional three-unit FPDs (P < .05). The Korean Academy of Prosthodontics 2009-07 2009-07-31 /pmc/articles/PMC2994683/ /pubmed/21165260 http://dx.doi.org/10.4047/jap.2009.1.2.85 Text en Copyright © 2009 The Korean Academy of Prosthodontics http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Doh, Re-Mee
Lee, Keun-Woo
Dislodgement resistance of modified resin-bonded fixed partial dentures utilizing tooth undercuts: an in vitro study
title Dislodgement resistance of modified resin-bonded fixed partial dentures utilizing tooth undercuts: an in vitro study
title_full Dislodgement resistance of modified resin-bonded fixed partial dentures utilizing tooth undercuts: an in vitro study
title_fullStr Dislodgement resistance of modified resin-bonded fixed partial dentures utilizing tooth undercuts: an in vitro study
title_full_unstemmed Dislodgement resistance of modified resin-bonded fixed partial dentures utilizing tooth undercuts: an in vitro study
title_short Dislodgement resistance of modified resin-bonded fixed partial dentures utilizing tooth undercuts: an in vitro study
title_sort dislodgement resistance of modified resin-bonded fixed partial dentures utilizing tooth undercuts: an in vitro study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2994683/
https://www.ncbi.nlm.nih.gov/pubmed/21165260
http://dx.doi.org/10.4047/jap.2009.1.2.85
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