A strain gauge analysis of implant-supported cantilevered fixed prosthesis under distal static load / 대한치과보철학회지

ABSTRACT

STATEMENT OF PROBLEM: Unreasonable distal cantilevered implant-supported prosthesis can mask functional problems of reconstruction temporarily, but it can cause serious strain and stress around its supported implant and surrounding alveolar bone. PURPOSE: The purpose of this study was to evaluate strain of implants supporting distal cantilevered fixed prosthesis with two different cantilevered length under distal cantilevered static load. MATERIAL AND METHODS: A partially edentulous mandibular test model was fabricated with auto-polymerizing resin (POLYUROCK; Metalor technologies, Stuttgart, Swiss) and artificial denture teeth (Endura; Shofu inc., Kyoto, Japan). Two implants-supported 5-unit screwretained cantilevered fixed prosthesis was made using standard methods with Type III gold alloy (Harmony C & B55; Ivoclar-vivadent, Liechtenstein, Germany) for superstructure and reinforced hard resin (Tescera; Ivoclar-vivadent, Liechtenstein, Germany) for occlusal material. Two strain gauges (KFG-1-120-C1-11L1M2R; KYOWA electronic instruments, Tokyo, Japan) were then attached to the mesial and the distal surface of each standard abutment with adhesive (M-bond 200; Tokuyama, Tokyo, Japan). Total four strain gauges were attached to test model and connected to dynamic signal conditioning strain amplifier (CTA1000; Curiotech inc., Paju, Korea). The stepped 20-100 N in 25 N increments, cantilevered static load 8mm apart (Group I) or 16mm apart (Group II), were applied using digital push-pull gauge (Push-Pull Scale & Digital Force Gauge, Axis inc., Seoul, Korea). Each step was performed ten times and every strain signal was monitored and recorded. RESULTS: In case of Group I, the strain values were surveyed by 80.7 ~ 353.8 micrometer/m in Ch1, 7.5 ~ 47.9 micrometer/m in Ch2, 45.7 ~ 278.6 micrometer/m in Ch3 and -212.2 ~ -718.7 micrometer/m in Ch4 depending on increasing cantilevered static load. On the other hand, the strain values of Group II were surveyed by 149.9 ~ 612.8 micrometer/m in Ch1, 26.0 ~ 168.5 micrometer/m in Ch2, 114.3 ~ 632.3 micrometer/m in Ch3, and -323.2 ~ -894.7 micrometer/m in Ch4. CONCLUSION: A comparative statistical analysis using paired sample t-test about Group I Vs Group II under distal cantilevered load shows that there are statistical significant differences for all 4 channels (P<0.05).