Evaluation of Maximum Biting Force in Two Different Attachment Systems (Bollard vs. Ball and Socket) Retaining Mandibular Overdenture: A Split-mouth Design

AIM: The study was conducted to evaluate maximum biting force (MBF) in two different attachment systems (bollard a vs. ball and socket attachment) retaining mandibular overdenture using a split-mouth design. SUBJECTS AND METHODS: Twelve completely edentulous patients received complete dentures and after adaption of the patient with the new denture, 24 implants were inserted in the canine region using two-stage surgical technique and conventional loading protocol. Six patients received the Bollard attachment at the right side and the Ball and Socket at the left side. Moreover, the other six patients received the bollard attachment at the left side and the ball and socket attachment at the right side. Each patient was treated according to split-mouth design. Insertion of each of the attachment type was assigned randomly. Using occlusal force meter instrument, MBF was measured immediately after loading (0), after 6 months (6), and after 12 months (12). RESULTS: Significant statistical differences (p < 0.05) were obvious in in MBF between Attachment (1) and Attachment (2) immediately after loading (0 months), after 6 months (6) and after 12 months (12) follow-up visits. CONCLUSION: Mandibular implant retained overdenture received Bollard abutment that retained with the denture by the help of resilient liner “Retention.sil”* without housing have higher biting forces than mandibular implant retained overdenture with ball abutment where the plastic house was picked up by monomer free self-cured acrylic resin.