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Influence of the preparation form on the retention of resin-bonded attachments for removable dental prostheses

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Abstract

Objectives

The study evaluated the influence of the number of retention grooves and the retainer wing thickness on the retention of resin-bonded attachments (RBAs).

Methods

Overall, 64 extracted human teeth were prepared, whereby the number of retention grooves (4, 2, 1, or no grooves) and the material thickness (0.7 or 0.5 mm) of the RBAs were varied. This resulted in eight groups with eight specimens each. A sample size of eight specimens per group was chosen because the chewing simulator used for dynamic loading can load eight specimens at a time. After the size of the adhesive area was determined, the abutment teeth were provided with RBAs and subjected to a dynamic loading with thermal cycling. Finally, the failure load was examined using a retention test.

Results

The mean failure loads ranged from 152 ± 50 N to 228 ± 32 N. There had been a significant interaction between the two main factors, i.e., number of retention grooves and material thickness. Neither the number of retention grooves nor the size of the adhesive area had a significant influence on the failure load.

Conclusions

Using a reduced number of retention grooves seems reasonable. However, clinical considerations suggest using two retention grooves to simplify the preparation and bonding procedures.

Clinical relevance

The retention of resin-bonded attachments is promising and supports the clinical application of this minimally invasive treatment modality.

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Acknowledgments

The authors wish to thank the company Kuraray Noritake for the supply of the adhesive material free of charge. Furthermore, the authors wish to thank Mr. Reinhard Busch from the Department of Prosthodontics, Propaedeutics and Dental Materials of the University Medical Center Schleswig-Holstein, Campus Kiel, for his continuous impetus.

Funding

The work was supported by the Department of Prosthodontics, Propaedeutics and Dental Materials, School of Dentistry, Christian-Albrechts University of Kiel, Kiel, Germany.

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Correspondence to Joram Brune.

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Brune, J., Wille, S. & Kern, M. Influence of the preparation form on the retention of resin-bonded attachments for removable dental prostheses. Clin Oral Invest 24, 3307–3313 (2020). https://doi.org/10.1007/s00784-020-03208-5

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  • DOI: https://doi.org/10.1007/s00784-020-03208-5

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