O-Ring and Bar-Clip: A Comparative Analysis of Retention in Overdenture Prostheses - A Systematic Review.

IF 1.1 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

European Journal of Prosthodontics and Restorative Dentistry Pub Date : 2024-10-24 DOI:10.1922/EJPRD_2727Araujo08

B L P Araujo, J D C Tardelli, C A S Celles, A C Dos Reis

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引用次数: 0

Abstract

Introduction: Mandibular implant-supported overdentures (IODs) show higher retention than conventional complete dentures. However, there is no consensus on the best attachment to ensure resistance to vertical displacement. The most used are o-ring and bar-clip. This systematic review answered "Which type of attachment for overdenture prosthesis provides higher retention: o-ring or bar-clip?

Methods: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) was followed and registered in the International Prospective Register of Systematic Reviews (PROSPERO). The search was applied to 5 databases and grey literature. The selection process occurred in two blinded steps by the reviewers following the eligibility criteria: a randomized clinical trial comparing retention between o-ring and bar-clip in IODs. The risk of bias was analyzed by RoB II.

Results: 206 articles were found, and after removing the duplicates 136 were evaluated by title and abstract of which 24 were selected for full reading, 5 met the eligibility criteria, and all had a high risk of bias. The bar-clip provided higher retention than o-ring in four studies.

Conclusions: The bar-clip system provides a higher retention rate than the o-ring. In addition, the selection of attachment systems is dependent on the patient's anatomical-functional and economic conditions.

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O形环和条形卡环：义齿覆盖修复体固位的比较分析 - 系统性综述。

导言：与传统的全口义齿相比，下颌种植体支持覆盖义齿（IOD）具有更高的固位力。然而，对于确保抗垂直位移的最佳连接方式还没有达成共识。使用最多的是 O 形环和条形卡环。本系统综述回答了 "O形环和条形夹哪种义齿连接体的固位效果更好？遵循系统综述和元分析首选报告项目（PRISMA），并在国际系统综述前瞻性注册中心（PROSPERO）注册。检索范围包括 5 个数据库和灰色文献。筛选过程由审稿人按照资格标准分两步进行：比较 IOD 中 O 形环和条形夹保留率的随机临床试验。结果：共找到 206 篇文章，去除重复文章后，根据标题和摘要对 136 篇文章进行了评估，其中 24 篇被选中进行全文阅读，5 篇符合资格标准，所有文章的偏倚风险都很高。在四项研究中，条形夹的留置率高于O形环：结论：条形夹系统的固定率高于 O 形环。结论：条形夹系统的固定率高于 O 形环。此外，固定系统的选择取决于患者的解剖功能和经济条件。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Journal of Prosthodontics and Restorative Dentistry DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

2.30

自引率

7.70%

发文量

期刊介绍： The European Journal of Prosthodontics and Restorative Dentistry is published quarterly and includes clinical and research articles in subjects such as prosthodontics, operative dentistry, implantology, endodontics, periodontics and dental materials.