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Abutment-Bar Structure Connection Geometry: An Important Design Parameter for Implant-Supported Bar-Retained Overdentures With Cantilever Extension

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dc.creator Akgün, Gökçen
dc.creator KAYACAN, Ramazan
dc.date 2023-06-01T00:00:00Z
dc.date.accessioned 2025-02-25T10:34:51Z
dc.date.available 2025-02-25T10:34:51Z
dc.identifier 9a5b257e-6dd2-4a46-b3cb-fdc768710f49
dc.identifier 10.1563/aaid-joi-d-22-00055
dc.identifier https://avesis.sdu.edu.tr/publication/details/9a5b257e-6dd2-4a46-b3cb-fdc768710f49/oai
dc.identifier.uri http://acikerisim.sdu.edu.tr/xmlui/handle/123456789/100688
dc.description When extended distally due to higher loading in the posterior region, implant-supported bar-retained overdentures with cantilever bar extension exhibit greater bending moments on the implants closest to the cantilever bar and increased stresses in the overdenture components. In this study, a new abutment-bar structure connection was introduced to minimize undesired bending moments and reduce the resulting stresses by increasing the rotational mobility of the bar structure on the abutments. Copings of the bar structure were modified to have 2 spherical surfaces, sharing the same center, located at the centroid of the top surface of the coping screw head. The new connection design was applied to a 4 implant-supported mandibular overdenture to create a modified overdenture. Both the classical and modified models had bar structures with cantilever extensions in the first and second molar areas and were analyzed for deformation and stress distribution using finite element analysis, which was also conducted for both the overdenture models without cantilever bar extensions. Real-scale prototypes of both models with cantilever extensions were manufactured, assembled on implants embedded in polyurethane blocks, and subjected to fatigue testing. Both models' implants were subjected to pullout testing. The new connection design increased the rotational mobility of the bar structure, minimized the bending moment effects, and reduced the stress levels in the peri-implant bone and overdenture components, whether cantilevered or not. Our results verify the effects of rotational mobility of the bar structure on the abutments and validate the importance of the abutment-bar connection geometry as a design parameter.
dc.language eng
dc.rights info:eu-repo/semantics/closedAccess
dc.title Abutment-Bar Structure Connection Geometry: An Important Design Parameter for Implant-Supported Bar-Retained Overdentures With Cantilever Extension
dc.type info:eu-repo/semantics/article


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