Browsing by Author "ElGabry, Hisham S"

Now showing 1 - 2 of 2

3D Finite Element Study on Incomplete Osseointegration: Locator Attachment versus Ball Attachment
(Open Access Macedonian Journal of Medical Sciences, 2021-02) ElGabry, Hisham S; Yousief, Salah A; Moubarak, Amal H; Eltaftazani, Iman A; El-Anwar, Mohamad; El-Zawahry, Mohamed M
BACKGROUND: Incomplete implant osseointegration may affect the choice of the type of attachment to ensure less amount of bone resorption, periods of maintenance, and longer implant/attachment life-time. AIM: The aim of this study was to evaluate, using 3D FE analysis (FEA), the influence of two different types of attachments on the rate of bone resorption, need for maintenance and implant/attachment life time in cases of unpredictable osseointegration in various bone types and using different implant angulations. METHODS: Six finite element models were prepared; three for the locator attachment while the other three for the ball attachment. Each of the three models simulates vertical implant and inclined implants by 10° and 20° degrees. Frictional contact between implant and cortical bone simulated the incomplete osseointegration scenario. RESULTS: Non-linear static analysis results showed that locator attachment and its cap may have longer time life in comparison with the ball attachment and its cap. CONCLUSIONS: Both attachments were safe for cortical and spongy bone, while the cortical bone receives less Von Mises stress by up to 33% with the increased implant angulation.
A Seven-year Follow-up Study of Patient Satisfaction with Three-implant-retained Mandibular Overdentures
(Scientific Foundation SPIROSKI, Skopje, Republic of Macedonia, 05/05/2021) ElGabry, Hisham S
PURPOSE: This study aimed to compare patients’ satisfaction with mandibular overdentures retained by three- splinted implants versus conventional complete denture wearers during a 7-year follow-up study period. MATERIALS AND METHODS: Thirty edentulous male patients (mean age: 60 years) were carefully selected and divided into two equal groups. All patients received a new set of complete dentures. Group I patients received three implants in the anterior mandible and were connected after 3 months with bars, clips, and loaded. Group II patients received conventional complete dentures. Patients’ satisfaction was recorded for both groups at 3 weeks (baseline) and after 1, 3, 5, and 7 years. Patients were then asked to grade their overdentures/dentures on a visual analog scale and written questionnaire to evaluate their overall satisfaction. RESULTS: Satisfaction scores of Group I patients were found to be statistically significantly higher than that of Group II patients (p < 0.05) at 3, 5, and 7 years follow-up, meanwhile, no statistically significant difference was found at baseline or after 12 months. CONCLUSION: The long-term results suggest that three-implant-retained mandibular overdenture with a clip-bar attachment appears to be a successful rehabilitation strategy which is superior to conventional dentures for patients with advanced ridge resorption.