Marginal bone loss in ball versus locator attachments in implant-retained overdentures: systematic review and meta-analysis.

OBJECTIVES: This systematic review compares the impact of ball and locator attachments on marginal bone loss in implant-retained overdentures in completely edentulous patients. METHOD AND MATERIALS: Following PRISMA guidelines, health science librarians completed literature searches from inception to March 17, 2023 in seven databases. There were 15,686 items exported to EndNote from Embase.com, CINAHL (EBSCO), Cochrane Library, Ovid MEDLINE-ALL, PubMed, Scopus, and Web of Science. Hand-searching added four more articles. After deduplication, 6756 items were screened for eligibility. Twenty-nine studies were assessed by full text, of which ten studies, involving 424 subjects, were included in the review. Risk of bias assessment was conducted using the Cochrane Risk of Bias tool and the Newcastle Ottawa Scale. A meta-analysis was performed to synthesize and analyze the collective data from the selected studies. RESULTS: The included studies used diverse methodologies, implant systems, and loading protocols. Most studies reported no significant difference in marginal bone loss between ball and locator attachments. The meta-analysis revealed high heterogeneity. CONCLUSION: The results of this systematic review suggest that ball and locator attachments exhibit similar performance in terms of marginal bone loss in implant-retained overdentures. However, the limited number, risk of bias, and heterogeneity of studies highlight the need for standardized research designs and larger sample sizes in future investigations to draw more definitive conclusions.

Management of stretched scar- induced secondary strabismus.

BACKGROUND: To determine characteristics and management of consecutive or recurrent strabismus secondary to stretched scar. METHODS: This is a retrospective review of all patients diagnosed with late secondary consecutive or recurrent strabismus due to stretched scar from 2012 to 2017. The diagnosis of stretched scar was made in any case of late (≥ 1 month) consecutive or recurrent strabismus associated with underaction of the previously operated muscle. The diagnosis was confirmed intraoperatively by negative forced duction test and the characteristic appearance of the scar tissue. Surgical correction involved excision of the scar tissue with muscle re-attachment to the sclera using non-absorbable sutures. Study parameters include improvement in secondary deviations, degree of muscle underaction and diplopia. RESULTS: 21 consecutive and 6 recurrent cases of stretched scar -induced strabismus were identified and all cases were associated with variable degrees of limited ocular duction. After surgical correction of the stretched scar, consecutive deviations in the form of consecutive esotropia and exotropia were corrected by means of 26.1PD and 65.6PD while recurrent deviations in the form recurrent exotropia and recurrent hypertropia were corrected by means of 34.3PD and 11PD respectively with significant improvement of limited ocular ductions. 21 patients had diplopia at presentation and all were improved after surgery. CONCLUSION: management of stretched scar -induced secondary strabismus by excision of the stretched scar and muscle fixation to the sclera using non-absorbable sutures significantly corrects secondary deviations and improves limitation of ocular duction.

Synthesis, X-ray powder structure, and magnetic properties of layered NiII methylphosphonate, [Ni(CH3PO3)(H2O)], and NiII octadecylphosphonate, [Ni(CH3-(CH2)17-PO3)(H2O)].

[Ni(CH(3)PO(3))(H(2)O)] (1) and [Ni(CH(3)-(CH(2))(17)-PO(3))(H(2)O)] (2) were synthesised by reaction of NiCl(2).6 H(2)O and the relevant phosphonic acid in water in presence of urea. The compounds were characterised by elemental and thermogravimetric analyses, UV-visible and IR spectroscopy, and their magnetic properties were studied by using a SQUID magnetometer. The crystal structure of 1 was determined "ab initio" from X-ray powder diffraction data and refined by the Rietveld method. The crystals of 1 are orthorhombic, space group Pmn2(1), with a=5.587(1), b=8.698(1), c=4.731(1) A. The compound has a hybrid, layered structure made up of alternating inorganic and organic layers along the b direction of the unit-cell. The inorganic layers consist of Ni(II) ions octahedrally coordinated by five phosphonate oxygen atoms and one oxygen atom from the water molecule. These layers are separated by bilayers of methyl groups and van der Waals contacts are established between them. A preliminary structure characterisation of compound 2 suggests the crystallisation in the orthorhombic system with the following unit-cell parameters: a=5.478(7), b=42.31(4), c=4.725(3) A. The oxidation state of the Ni ion in both compounds is +2, and the electronic configuration is d(8) (S=1), as determined from static magnetic susceptibility measurements above 50 K. Compound 1 obeys the Curie-Weiss law at temperatures above 50 K; the Curie (C) and Weiss (theta) constants were found to be 1.15 cm(3) K mol(-1) and -32 K, respectively. The negative value of theta indicates an antiferromagnetic exchange coupling between near-neighbouring Ni(II) ions. No sign of 3D antiferromagnetic long-range order is observed down to T=5 K, the lowest measured temperature. Compound 2 is paramagnetic above T=50 K, and the values of C and theta were found to be 1.25 cm(3) K mol(-1) and -24 K, respectively. Below 50 K the magnetic behavior of 2 is different from that of 1. Zero-field cooled (zfc) and field-cooled (fc) magnetisation plots do not overlap below T=21 K. The irreversible magnetisation, DeltaM(fc-zfc), obtained as a difference from fc and zfc plots starts to increase at T=20 K, on lowering the temperature, and it becomes steady at T=5 K. The presence of spontaneous magnetisation below T=20 K indicates a transition to a weak-ferromagnetic state for compound 2.