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Análise fotoelástica da distribuição de tensões peri-implantares em overdenture mandibular retida por implante unitário com diferentes tipos de conexão / Photoelastic stress distribution produced by different retention systems for a single-implant mandibular overdenture

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Previous issue date: 2013-08-14 / Conselho Nacional de Pesquisa e Desenvolvimento Científico e Tecnológico - CNPq / For patients poorly adapted to conventional dentures, the single-implant
mandibular overdenture has been proposed as a simplified alternative for the
two-implant treatment, together with the use of immediate loading of the implant.
The aim of this in vitro study was to compare the photoelastic characteristics of
stress transfer to the implant in a single-implant mandibular overdenture using
different types of attachments. A photoelastic model of an edentulous mandible
with a resilient edentulous ridge and a unique implant located at the symphyseal
region was obtained to reproduce a single implant-retained mandibular
overdenture. Six 2.0 mm height attachments were selected and inserted in the
same photoelastic model in a random order. A universal material testing machine
was used to induce axial vertical loads of 70 N applied in the central incisor and
in the central region of the first right molar without contact on the contralateral
side. The photoelastic analysis was performed using a polariscope integrated into
the testing machine. Standard separate views were photographed and evaluated
visually for stress-induced fringes, to comparatively rank the different attachment
systems. All attachments showed a similar tension distribution concentrated in
the apical third, and the highest stress concentration at the apical level. There
was a low stress concentration at the coronal third of the implant, with no
discernible stress in the first threads of the implants, except for Dalla Bona which
showed low stress at the coronal part of the implant (one fringe). No identifiable
fringes were observed when the load was applied in the molar region, which
resulted from the low amount of stress transmitted by the implant for all
attachments. It was concluded that the load transferred to a single mandibular
implant is low and within the limits of functional loading, irrespective of the type of
retention system. / Implantes osseointegrados vêm sendo utilizados com sucesso para restaurar a
função e a estética de pacientes desdentados totais e parciais. No entanto há
necessidade de tornar o tratamento de pessoas com necessidade de
overdenture retida com implante menos oneroso e mais eficiente. O objetivo
deste trabalho foi verificar pela técnica fotoelástica (Qualitativa) as tensões
geradas ao redor do implante pela aplicação de carga sobre overdenture
mandibular retida por um implante unitário na sínfise da mandibular. Foi
confeccionado um modelo de resina fotoelástica Araldite, reproduzido de uma
mandibular anatômica, onde foi fixado na região sínfise um implante
3.75x11mm (Titamax Ti Cortical, Neodent, Curitiba, Brasil). Com um modelo foi
confeccionada uma prótese total e gingival artificial. Todos os pilares foram
posicionados sobre o implante e apertado com 10 Ncm, a fêmea foi capturada
de forma direta à prótese, com a réplica da mucosa em posição. Todos foram
sucessivamente capturados e levados ‘à máquina de ensaio universal. Com
uma carga axial de 70 Ncm na fossa central do 46 e incisal do 41. Foram
fotografados em um polariscópio as franjas resultantes das tensões. Foram
feitas análises qualitativa dos resultados das tensões sobre o attachment. De
acordo com os resultados obtidos pode-se concluir que a carga transferida para
o implante, é baixo, independente do sistema de retenção.

Identiferoai:union.ndltd.org:IBICT/oai:repositorio.bc.ufg.br:tde/2980
Date14 August 2013
CreatorsNascimento, João Francisco Machado do
ContributorsLeles, Cláudio Rodrigues
PublisherUniversidade Federal de Goiás, Programa de Pós-graduação em Ciências da Saúde (FM), UFG, Brasil, Faculdade de Medicina - FM (RG)
Source SetsIBICT Brazilian ETDs
LanguagePortuguese
Detected LanguageEnglish
Typeinfo:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis
Formatapplication/pdf
Sourcereponame:Biblioteca Digital de Teses e Dissertações da UFG, instname:Universidade Federal de Goiás, instacron:UFG
Rightshttp://creativecommons.org/licenses/by-nc-nd/4.0/, info:eu-repo/semantics/openAccess
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