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THE EFFECT OF TWO PROTECTIVE OCCLUSAL SCHEMES OF IMMEDIATELY LOADED MINI-IMPLANT SUPPORTED MANDIBULAR OVERDENTURE ON MASSETER MUSCLE ACTIVITY AND RIDGE KERATINIZATION

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Last updated: 01 Jan 2025

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Abstract

background:  Lingualized and monoplane occlusal (LO and MO) schemes are the most protective schemes regarding the prognosis of the immediately loaded mini-implants. The occlusal scheme in complete overdentures is a prime factor that affects masticatory efficiency that will subsequently determine the forces transmitted through the denture base to the denture foundation thus affecting ridge keratinization reaction as well as the degree of mini-implant osseo-integration .   material and methods: Twenty completely edentulous male patients were divided into two equal groups. Complete upper and lower dentures were constructed for all patients with their artificial teeth set following the LO scheme for group I patients and the MO scheme for group II patients. Four mini-implants were installed interforaminally and immediately loaded in each patient. Electromyographic (EMG) records, keratinization index (KI) values and periotest values (PTVs) were collected at the time of denture delivery, one month and four months after denture delivery.   results: Median EMG and KI values for LO and MO groups showed a significant increase after 1 and 4 months. Similarly, the median PTVs for LO group increased along the follow up periods showing a significant increase after 1 and 4 months. However, the median PTVs for MO group showed a perculating pattern showing a significant increase after 1 month followed by a significant decrease after 4 months of denture delivery. Changes in median KI values for MO group showed a significant difference than that for LO group after 1 and 4 months. Changes in median PTVs for LO group showed a significant difference than that for MO group after 4 months only. A significant inverse correlation was noticed between changes in EMG records and PTVs as well as between PTVs and KI values after 4 months of denture delivery

DOI

10.21608/edj.2016.96968

Authors

First Name

Essam

Last Name

Aziz

MiddleName

A.

Affiliation

Assistant Professor, Removable Prosthodontics Department, Faculty of Oral and Dental Medicine, Cairo University.

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First Name

Nermine

Last Name

Amin

MiddleName

R.

Affiliation

Lecturer, Oral Pathology Department, Faculty of Oral and Dental Medicine, Cairo University.

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Volume

62

Article Issue

Issue 1 - January (Part 5)

Related Issue

14386

Issue Date

2016-01-01

Receive Date

2020-06-20

Publish Date

2016-01-01

Page Start

1,195

Page End

1,209

Print ISSN

0070-9484

Online ISSN

2090-2360

Link

https://edj.journals.ekb.eg/article_96968.html

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https://edj.journals.ekb.eg/service?article_code=96968

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17

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Original Article

Type Code

254

Publication Type

Journal

Publication Title

Egyptian Dental Journal

Publication Link

https://edj.journals.ekb.eg/

MainTitle

THE EFFECT OF TWO PROTECTIVE OCCLUSAL SCHEMES OF IMMEDIATELY LOADED MINI-IMPLANT SUPPORTED MANDIBULAR OVERDENTURE ON MASSETER MUSCLE ACTIVITY AND RIDGE KERATINIZATION

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Article

Created At

22 Jan 2023