Resistance to wear of four matrices with ball attachments for implant overdentures: a fatigue study.

ABSTRACT: PURPOSE: The study evaluated in vitro the retention force and the wear resistance over simulated function of four matrix components of ball attachments for implant-retained overdentures. MATERIALS AND METHODS: Four types of matrices for ball attachments were evaluated in a fatigue study simulating 5500 cycles of insertion and removal. The matrices used were (1) a Teflon matrix supported by a metal housing, (2) a titanium matrix, (3) a gold alloy matrix, (4) an O-ring matrix using the red color ring for medium retention. Dimensional changes of the ball attachments were investigated with a profilometer. RESULTS: The Teflon matrices showed an increase of 27% in retention at 5500 cycles while the gold alloy matrices showed an increase of 50% in retention in the first 500 cycles and remained relatively stable up to 5500 cycles. On the other hand, titanium matrices and O-ring matrices exhibited progressive loss of retention ending with 68% and 75% of retention loss, respectively, at 5500 cycles. Dimensional analysis by profilometer revealed significant wear on the ball attachment only for titanium matrixes. CONCLUSIONS: Gold alloy and Teflon matrices showed the highest retention values without retention loss after 3 years of simulated function. Titanium and O-ring matrices presented a continuous loss of retention with the highest wear on the ball attachments when combined with the titanium matrix.