Clinical performance and satisfaction of removable prostheses with self-adjusting magnetic attachments
Journal
Journal of Prosthetic Dentistry
Journal Volume
111
Journal Issue
2
Pages
131-135
Date Issued
2014
Author(s)
Abstract
Statement of problem Conventional magnetic attachments have rigid assemblies and are unable to compensate for the movement of the prosthesis under function, which may result in the deepening of periodontal pockets and an increase in the mobility of abutment teeth. Purpose The purpose of this study was to evaluate the clinical performance and satisfaction of participants with removable prostheses with self-adjusting magnetic attachments that allow vertical and rotational movement. Material and methods The clinical performance of 17 prostheses with 22 self-adjusting magnetic attachments in 16 participants was analyzed for a mean of 3.1 years. Periodontal indices, including probing pocket depth and tooth mobility, were measured at denture placement (baseline) and from 0.5 to 5 years after insertion. Control data were obtained from the remaining teeth, which were restored by resin or metal coping. Prosthetic parameters, including the reduction of retention in self-adjusting magnetic attachments, reline, or fracture of dentures, were also recorded. A visual analog scale questionnaire on participant satisfaction with stability, comfort, and cleaning of the prostheses was completed. The Wilcoxon signed rank test and 1-way analysis of variance (α=.05) were performed on data collected at the time of prostheses placement and final follow-up evaluation. Results No significant differences were found in terms of probing pocket depth and tooth mobility between the baseline and postinsertion data for self-adjusting magnetic attachments and control teeth. Retention in all prostheses was stable, without reduction. Higher visual analog scale scores for "easy cleaning" were noted. Conclusions No significant difference between baseline and postinsertion was noted regarding the periodontal condition of self-adjusting magnetic attachments and control teeth with resin or metal coping materials. ? 2014 by the Editorial Council for The Journal of Prosthetic Dentistry.
SDGs
Other Subjects
aged; classification; complete denture; dental surgery; denture; denture; denture; devices; female; follow up; human; magnet; male; middle aged; mouth hygiene; overlay denture; patient satisfaction; periodontal disease; periodontal pocket; periodontics; removable partial denture; tooth plaque; treatment outcome; very elderly; visual analog scale; Aged; Aged, 80 and over; Dental Plaque Index; Dental Restoration Failure; Denture Design; Denture Rebasing; Denture Retention; Denture, Complete; Denture, Overlay; Denture, Partial, Removable; Female; Follow-Up Studies; Humans; Magnets; Male; Middle Aged; Oral Hygiene; Patient Satisfaction; Periodontal Index; Periodontal Pocket; Tooth Mobility; Treatment Outcome; Visual Analog Scale
Type
journal article