Magnetic Attachments: Introduction,
Clinical and Laboratory Procedures and clinical cases
Dr Andrew Dias
BDS, MDS, FDSRCPS, FHKAM, FCDSHK, M Phil
Prince Philip Dental Hospital
HONG KONG
Abstract
Although
the use of magnets to retain prostheses was advocated more than
60 years ago, the systems described had several inherent problems
which discouraged their widespread clinical use. The main problem
amongst several was the size factor. The nature of the magnet alloys
then available was such that to obtain an adequate retentive force,
the magnets necessarily had to be too large for intra-oral use.
The development of the rare-earth alloys, notably cobalt-samarium
in the early 1970s and neodymium-iron-boron a decade later, with
their superior magnetic properties, changed the situation. The magnetic
properties of these alloys made it possible to produce extremely
short magnets with sufficient magnetic force for effective retention.
With this development, the interest in dental magnets was revived,
resulting in several magnet systems being produced commercially.
In general, the features relevant to clinical use are the type of
field, retentive force, magnet dimension, keeper designs, useful
life and cost. Clinical and laboratory procedures are simple, not
requiring any special equipment or training. The problems common
to all system are pain/discomfort, loss of force, abutment margin
fracture, keeper and magnet loss and loss of abutment. These problems
however are easily managed.
The Speaker
Dr Andrew Dias, BDS (Ceylon), MDS (Singapore), FDSRCPS (Glasgow),
FHKAM (Dental Surgery), FCDSHK, M Phil (Hong Kong)
has served in several institutes and universities
in Sri Lanka, Birmingham (UK), and Papua New Guinea. He also served
in the Dental Faculty, University of Malaya as a lecturer (1974-1978),
and then as Head of the Prosthetics Department from 1980 to 1986.
He is presently an Assistant Professor in Prosthetic Dentistry at
the Prince Philip Dental Hospital, Hong Kong. Dr Dias has over 70
publications in international academic journals and has lectured
extensively on prosthetic dentistry and dental magnets internationally.
His current research projects include the use of magnets in dentistry
(keeper - coping interface, super-thin and extrusion magnets).