الفهرس | Only 14 pages are availabe for public view |
Abstract Aim: The aim of this in-vitro study was to compare the retention of unilateral attachment retained removable partial denture with crossing the arch for stabilization versus not crossing the arch. The retention was measured using universal testing machine. Methodology: Mandibular epoxy model was made simulating unilateral free end saddle case with missing right first molar and second molar. The right first and second premolars were prepared to receive surveyed crowns with attached patrices of “rk-1 uni” attachment. Two metal framework designs were made with matrices of “rk-1 uni” attachment casted to it. The first design was unilateral design without cross-arch stabilization. The second design was a conventional denture with crossarch stabilization using double Aker clasp on the dentate side. A ready-made hook was attached to the unilateral design. A metal bar with a ready-made hook was attached to the second design. The hooks were used to help in measuring the retention with the Universal Testing Machine, at a speed of 0.5 mm/min. Measurements were done initially, after 500, 1000, 1500 & 2000 insertion/removal cycles which simulate 2 years of use by the patient. Results: Statistically significant difference was found between retention of both designs (p<0.001). The denture with cross arch stabilization had higher retention than the unilateral denture. Both dentures lost retention over time. Then retention increased again after 1500 cycles. At the end of the 2000 cycles, the denture with cross arch stabilization had higher retention than the unilateral denture design. Conclusion: The unilateral denture design, had less retention than the denture with cross arch stabilization. It also lost more retention than the denture with cross-arch stabilization. Although both dentures, had initial acceptable retention force, above 5 N, yet the denture with cross-arch stabilization remained with superior retention than the unilateral denture after 2000 cycles. |