{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:33:44Z","timestamp":1787070824247,"version":"build-2736575974"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 5","license":[{"start":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T00:00:00Z","timestamp":1761868800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To evaluate the distribution of occlusal load and functional outcomes in patients receiving precision attachments for the replacement of bilateral edentulous mandibular posteriors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>A clinical study was conducted involving 30 participants with bilateral edentulous mandibular posteriors. Custom precision attachments were fabricated and assessed for their load distribution using a pressure-mapping system. Functional outcomes, including patient satisfaction and masticatory efficiency, were measured using validated questionnaires and clinical tests.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Precision attachments demonstrated uniform load distribution across the prosthesis, reducing stress on residual ridges. High levels of patient satisfaction and significant improvement in masticatory efficiency were observed. Statistical analysis showed a correlation between load distribution and patient-reported outcomes (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Precision attachments provide an effective solution for load distribution in bilateral edentulous mandibular posteriors, improving function and comfort for patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jpbs.jpbs_718_25","type":"journal-article","created":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T12:01:20Z","timestamp":1761912080000},"page":"S3704-S3706","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Assessment of Load in Replacement of Bilateral Edentulous Mandibular Posteriors by Precision Attachments: A Clinical Study"],"prefix":"10.4103","volume":"17","author":[{"given":"Pritha","family":"Negi","sequence":"first","affiliation":[{"name":"Department of Prosthodontics and Crown and Bridge, K. M. Shah Dental College and Hospital, Sumandeep Vidyapeeth, Vadodara, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lakshmi Priyanka","family":"Chilukuri","sequence":"additional","affiliation":[{"name":"Department of Health Informatics, Northeastern University, Boston, Massachusetts, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sujeet","family":"Patil","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics, Crown and Bridge, Bharati Vidyapeeth Deemed University Dental College and Hospital, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nag Bhushan","family":"Mandal","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics Crown and Bridge, Buddha Institute of Dental Sciences and Hospital, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanghamitra","family":"Jena","sequence":"additional","affiliation":[{"name":"Department of Orthodontics and Dentofacial Orthopaedics, Kalinga Institute of Dental Sciences (KIDS), Kalinga Institute of Industrial Technology (KIIT) Deemed to be University, Bhubaneswar, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V. S.","family":"Deepasri","sequence":"additional","affiliation":[{"name":"Clinic Head and Consultant Prosthodontist and Implantologist, Maruthi Multi Speciality Dental Care, Anantapur, Andhra Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,10,31]]},"reference":[{"key":"R1-20260217","doi-asserted-by":"crossref","first-page":"S1030","DOI":"10.4103\/jpbs.jpbs_581_21","article-title":"Precision Attachment Boon to Prosthodontists","volume":"14","author":"Ghiaz","year":"2022","journal-title":"J Pharm Bioallied Sci"},{"key":"R2-20260217","doi-asserted-by":"crossref","first-page":"1758736012462025","DOI":"10.1177\/1758736012462025","article-title":"Biomechanical considerations on tooth-implant supported fixed partial dentures","volume":"3","author":"Michalakis","year":"2012","journal-title":"J Dent Biomech"},{"key":"R3-20260217","first-page":"e807","article-title":"Stress distribution in fixed mandibular prostheses fabricated by CAD\/CAM and conventional techniques: Photoelastic and strain gauge analyses","volume":"11","author":"de Medeiros","year":"2019","journal-title":"J Clin Exp Dent"},{"key":"R4-20260217","doi-asserted-by":"crossref","first-page":"1211","DOI":"10.1016\/j.prosdent.2021.04.008","article-title":"Effect of the attachments on clinical outcomes of mandibular distal extension implant-supported removable partial dentures: A systematic review","volume":"128","author":"Zhang","year":"2022","journal-title":"J Prosthet Dent"},{"key":"R5-20260217","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1007\/s13191-011-0106-5","article-title":"Patient satisfaction in prosthodontic treatment: Multidimensional paradigm","volume":"12","author":"Sangappa","year":"2012","journal-title":"J Indian Prosthodont Soc"},{"key":"R6-20260217","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1016\/j.prosdent.2017.01.008","article-title":"Removable partial dentures: The clinical need for innovation","volume":"118","author":"Campbell","year":"2017","journal-title":"J Prosthet Dent"},{"key":"R7-20260217","first-page":"8466979","article-title":"Sociodemographic factors and implant consideration by patients attending removable prosthodontics clinics","author":"Alamoush","year":"2022","journal-title":"Biomed Res Int 2022"},{"key":"R8-20260217","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1186\/s40729-024-00555-w","article-title":"Effects of various prosthetic methods for patients with Kennedy Class I partial edentulism on oral hypofunction, subjective symptoms, and oral health-related quality of life","volume":"10","author":"Morinaga","year":"2024","journal-title":"Int J Implant Dent"},{"key":"R9-20260217","doi-asserted-by":"crossref","first-page":"e2316480","DOI":"10.1001\/jamanetworkopen.2023.16480","article-title":"Effect of a continuous bedside pressure mapping system for reducing interface pressures: A randomized clinical trial","volume":"6","author":"Ho","year":"2023","journal-title":"JAMA Netw Open"},{"key":"R10-20260217","first-page":"5249889","article-title":"Incorporation of the altered cast technique in the fabrication workflow of an implant-assisted removable partial denture (IARPD) for an elderly patient","author":"Papalexopoulos","year":"2023","journal-title":"Case Rep Dent 2023"},{"key":"R11-20260217","first-page":"e63157","article-title":"Prosthodontic rehabilitation of a completely edentulous patient by salvaging ailing implants using a bar retained over denture: A case report","volume":"16","author":"Akhtarkhavari","year":"2024","journal-title":"Cureus"},{"key":"R12-20260217","first-page":"e63863","article-title":"An innovative approach for management of unfavorable bilateral mandibular lingual undercuts with collapsible type complete denture: A case report","volume":"16","author":"Srinivasan","year":"2024","journal-title":"Cureus"}],"container-title":["Journal of Pharmacy and Bioallied Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jpbs.jpbs_718_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:37:12Z","timestamp":1787067432000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jpbs.jpbs_718_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,31]]},"references-count":12,"journal-issue":{"issue":"Suppl 5","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/jpbs.jpbs_718_25","relation":{},"ISSN":["0976-4879","0975-7406"],"issn-type":[{"value":"0976-4879","type":"print"},{"value":"0975-7406","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,31]]},"assertion":[{"value":"2025-03-12","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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