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The implant-supported telescopic prosthesis: a biomechanical analysis.

H Lindström1, H Preiskel

  • 1Research and Development Engineer, Nobel Biocare, Göteborg, Sweden.

The International Journal of Oral & Maxillofacial Implants
|March 31, 2001
PubMed
Summary
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This study examined load transfer in screw-retained telescopic dental prostheses. Findings show that tightening the prosthetic screw and cement buffering accommodate misfit, improving load distribution for a versatile prosthodontic option.

Area of Science:

  • Biomaterials and Biomechanics
  • Dental Prosthodontics
  • Implant Dentistry

Background:

  • Screw-retained and cemented prostheses are common in implant dentistry.
  • Understanding load transfer is crucial for long-term implant success.
  • Telescopic prostheses offer restorative versatility but can present fit challenges.

Purpose of the Study:

  • To investigate load transfer through screw-retained telescopic prostheses in vitro.
  • To evaluate the buffering capacity of cement in combined screw-retained/cemented systems.
  • To assess the impact of prosthesis misfit on load distribution.

Main Methods:

  • An in vitro model with three Brånemark System implants and strain gauges was used.
  • Telescopic prostheses with cantilevers were fabricated over specific abutments.

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  • Load distribution was measured under varying conditions, including applied loads and controlled misfit using shims.
  • Main Results:

    • Tightening the central prosthetic screw enhanced load distribution.
    • Cement demonstrated a buffering capacity, accommodating misfit and reducing bending moments on implants.
    • The system showed tolerance to misfit, indicating adaptability.

    Conclusions:

    • Screw-retained telescopic prostheses can effectively manage load distribution.
    • Cement plays a significant role in mitigating misfit-induced stresses.
    • This system offers a flexible and potentially robust prosthodontic solution.