The Periotest method: implant-supported framework precision of fit evaluation. 1996

K B May, and M J Edge, and B R Lang, and R F Wang
Department of Prosthodontics, School of Dentistry, University of Michigan. Ann Arbor 48109-1078, USA.

OBJECTIVE In this study, the Periotest instrument was used to measure the precision of fit between cast high noble-metal frameworks and the supporting implants in a patient-simulation model. Three framework conditions and three implant-location variables were used to evaluate the rigidity of the assembly as measured by the Periotest method. The framework variables were (1) one-piece castings (OPC); (2) sectioned-soldered inaccurate castings (SSIC); and (3) sectioned-soldered accurate castings (SSAC). The implant-location variables were right anterior (RA), center (C), and left anterior (LA). METHODS The patient simulation model used consisted of three self-tapping Branemark implants in a reasonable arch curvature in bovine bone. Three working casts were fabricated from the patient-simulation model using polyvinyl siloxane and tapered impression copings. From the working casts, three sets of three frameworks were fabricated as OPCs, SSICs, and SSACs using type 3 high noble alloy. The SSICs were fabricated with a quantitative misfit of 101.6 microns at the facial surface, between the abutment-to-gold cylinder interface at the C implant location. Periotest value (PTV) measurements were made at the midfacial surface of the frameworks directly above each abutment-to-gold cylinder interface. Three measurements were made for each test condition. The data were analyzed to compare framework condition(s) and implant location(s) using ANOVA and Fisher's Protected Least Significant Difference Comparison Test. RESULTS The ANOVA showed that significant differences exist between the mean PTV data for framework condition and for implant location (p < .01). Significant differences were shown between the mean PTV data for the SSAC assemblies and the OPC and SSIC assemblies. The SSICs displayed a more positive (+) mean PTV than the OPCs. The OPC assemblies had a more positive mean PTV than the SSAC assemblies. The mean PTV data for the SSAC assemblies had a significantly different PTV (p < .01) than the other two framework condition assemblies. The OPC and the SSIC assemblies had PTVs that were not significantly different. The C implant location was significantly different from the RA and the LA implant locations (p < .01). The RA and the LA implant locations were not significantly different from each other. The C implant location always demonstrated the most positive mean PTV regardless of the framework condition being tested. CONCLUSIONS The Periotest instrument quantified differences in the precision of fit between three framework conditions. The SSAC assemblies were significantly more rigid than the OPC and SSIC assemblies. The OPC and SSIC assemblies' mean PTVs were not significantly different. The mean PTVs for the C implant location and the RA and LA implant locations were significantly different (p < .01). The mean PTVs of the RA and LA implant locations were not significantly different. The implant-location PTVs followed the same rank order for all three framework conditions. The procedures used to fabricate a more precise fit between the framework and the supporting implants is influenced by the skill of the clinician and technician.

UI MeSH Term Description Entries
D010474 Percussion Act of striking a part with short, sharp blows as an aid in diagnosing the condition beneath the sound obtained. Percussions
D002417 Cattle Domesticated bovine animals of the genus Bos, usually kept on a farm or ranch and used for the production of meat or dairy products or for heavy labor. Beef Cow,Bos grunniens,Bos indicus,Bos indicus Cattle,Bos taurus,Cow,Cow, Domestic,Dairy Cow,Holstein Cow,Indicine Cattle,Taurine Cattle,Taurus Cattle,Yak,Zebu,Beef Cows,Bos indicus Cattles,Cattle, Bos indicus,Cattle, Indicine,Cattle, Taurine,Cattle, Taurus,Cattles, Bos indicus,Cattles, Indicine,Cattles, Taurine,Cattles, Taurus,Cow, Beef,Cow, Dairy,Cow, Holstein,Cows,Dairy Cows,Domestic Cow,Domestic Cows,Indicine Cattles,Taurine Cattles,Taurus Cattles,Yaks,Zebus
D003765 Models, Dental Presentation devices used for patient education and technique training in dentistry. Dental Models,Dental Model,Model, Dental
D000044 Dental Abutments Natural teeth or teeth roots used as anchorage for a fixed or removable denture or other prosthesis (such as an implant) serving the same purpose. Abutments, Dental,Abutment, Dental,Dental Abutment
D000704 Analysis of Variance A statistical technique that isolates and assesses the contributions of categorical independent variables to variation in the mean of a continuous dependent variable. ANOVA,Analysis, Variance,Variance Analysis,Analyses, Variance,Variance Analyses
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D017267 Dental Prosthesis Design The plan and delineation of dental prostheses in general or a specific dental prosthesis. It does not include DENTURE DESIGN. The framework usually consists of metal. Dental Prosthesis Designs,Design, Dental Prosthesis,Designs, Dental Prosthesis,Prosthesis Design, Dental,Prosthesis Designs, Dental
D017268 Dental Prosthesis Retention Holding a DENTAL PROSTHESIS in place by its design, or by the use of additional devices or adhesives. Prosthesis Retention, Dental,Retention, Dental Prosthesis
D017755 Prosthesis Fitting The fitting and adjusting of artificial parts of the body. (From Stedman's, 26th ed) Prosthesis Adjustment,Adjustment, Prosthesis,Adjustments, Prosthesis,Fitting, Prosthesis,Fittings, Prosthesis,Prosthesis Adjustments,Prosthesis Fittings
D019094 Dental Prosthesis, Implant-Supported A prosthesis that gains its support, stability, and retention from a substructure that is implanted under the soft tissues of the basal seat of the device and is in contact with bone. (From Boucher's Clinical Dental Terminology, 4th ed) Denture, Implant-Supported,Implant-Supported Dental Prosthesis,Implant-Supported Denture,Prosthesis Dental, Implant-Supported,Dental Prostheses, Implant-Supported,Dental Prosthesis, Implant Supported,Dental, Implant-Supported Prosthesis,Dentals, Implant-Supported Prosthesis,Denture, Implant Supported,Dentures, Implant-Supported,Implant Supported Dental Prosthesis,Implant Supported Denture,Implant-Supported Dental Prostheses,Implant-Supported Dentures,Implant-Supported Prosthesis Dental,Implant-Supported Prosthesis Dentals,Prostheses, Implant-Supported Dental,Prosthesis Dental, Implant Supported,Prosthesis Dentals, Implant-Supported,Prosthesis, Implant-Supported Dental

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