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To evaluate the factors that could influence the fracture resistance of implant-supported posterior monolithic zirconia crowns.
Sixty zirconia molar crowns with three different occlusal thicknesses of 0.5, 1.0, and 1.5 mm (20 samples per group) were prepared for implant abutments using a CAD/CAM system. In each group, 10 crowns were luted on the abutment with resin cement (Panavia F), and the other 10 crowns were luted with resin-modified glass-ionomer cement (Ketac Cem Plus). Dynamic loading (1.2 × 10
cycles; 70 N) and thermal cycling were applied to the samples using a chewing simulator before evaluating their fracture resistance with a universal testing machine and examining their fracture type using a stereomicroscope. One-way analysis of variance (ANOVA), the Duncan test, and two-way ANOVA were used for data evaluation (α = .05).
The occlusal thickness (P < .001) and cement type (P < .01) affected the fracture load of the monolithic zirconia crowns. The highest fracture resistance was foundthickness as low as 0.5 mm. Resin luting cement is recommended for implant-supported posterior zirconia crowns with reduced occlusal thickness.
To compare the amount of bone expansion, bone density change, and implant primary stability with an osseodensification technique to a conventional drilling protocol.
Twenty-four bovine rib segments (20 × 25 × 4 mm) with a 1-mm outer layer of cortical bone were randomly divided into two groups an osseodensification group and a conventional drilling group. Each bone sample received one 4.1 × 10-mm implant. The density of the peri-implant bone before and after osteotomy was measured. After implant placement, primary stability was assessed. A laser surface scanner was used before and after implant placement to compare the dimension of crestal bone width and volumetric expansion. Histomorphometric analysis was performed to compare the bone-to-implant contact percentage (BIC%) of the two groups.
The peripheral and apical bone mineral density around the implants was significantly increased, and a statistically significantly higher peripheral BIC% was found in the osseodensification group. Z-LEHD-FMK Caspase inhibitor A significant increase in volume and bone width after implant placement was found in both groups. However, there were no significant differences in volume and bone width change at all three locations and in implant stability between the osseodensification and conventional drilling protocols.
Within the limitations of this study, the osseodensification protocol increased the bone mineral density and primary bone-to-implant contact. Also, this study suggests that implant placement by osseodensification or conventional drilling can increase ridge dimensions in narrow alveolar ridges.
Within the limitations of this study, the osseodensification protocol increased the bone mineral density and primary bone-to-implant contact. Also, this study suggests that implant placement by osseodensification or conventional drilling can increase ridge dimensions in narrow alveolar ridges.
The aim of this study was to compare the bone collection capacity of bur drill systems used in implant surgery with different diameters, lengths, and drilling speeds.
This study was performed on bovine ribs. Two bur drill systems were studied Implantium (Dentium) and Straumann (Institut Straumann). The groups were divided into subgroups according to the bur diameter. As a result, there were four Implantium subgroups (3.3, 3.8, 4.3, and 4.8 mm) and three Straumann subgroups (3.3, 4.1, and 4.8 mm). In addition, for each bur diameter, the bone collection capacities of the drill systems were evaluated at three different drilling speeds (150, 250, and 400 rpm) and two bur lengths (10 and 12 mm). The diameter, length, and speed changes were performed, and the results were compared between the two drill systems.
The mean bone weight collected by using the Straumann burs was higher than that of the Implantium burs at each drilling speed and bur length. Using the Straumann system, the different drilling speeds/lengths of the burs had no impact on the bone collection capacity, irrespective of the bur diameter (P > .05). link2 However, the drilling speeds/lengths of the Implantium system resulted in a statistically significant difference in the same diameters (P < .05).
Both bur systems were suitable for autogenous graft collection for bone grafting in implant surgery, but the Straumann burs were more successful than the Implantium burs.
Both bur systems were suitable for autogenous graft collection for bone grafting in implant surgery, but the Straumann burs were more successful than the Implantium burs.
To evaluate the insertion torque at the equicrestal and subcrestal positions of three implant designs in synthetic polyurethane blocks simulating different bone conditions.
Overall, 72 implants with three different designs (two conical and one cylindrical) were inserted at equicrestal and subcrestal positions (-2 mm) into polyurethane blocks simulating the anterior (0.32 g/cm
) and posterior (0.48 g/cm
) regions of the maxilla. The final insertion torque of all implants was measured using a digital torque meter, and the results were evaluated and statistically analyzed.
For all implant systems, insertion torque decreased significantly when placed at the subcrestal position (P < .05), except for cylindrical implants placed in the bone blocks with high cancellous density. The implants with higher body conicity and square threads had higher insertion torque values than the cylindrical and conical implants with a lower body conical angle and trapezoidal threads. The implants inserted into higher-density blocks showed greater stability.
The different implant systems lost insertion torque in a nonuniform manner at the subcrestal position and varied according to bone density. Implant design significantly influenced the initial stability at the equicrestal and subcrestal positions, especially in lower-density bone.
The different implant systems lost insertion torque in a nonuniform manner at the subcrestal position and varied according to bone density. Implant design significantly influenced the initial stability at the equicrestal and subcrestal positions, especially in lower-density bone.
Microcomputed tomography (micro-CT) is a relatively new modality to investigate mechanical deformations. The purpose of this study was to assess the microgap at the implant-sleeve connection of a new two-piece dental implant with a replaceable sleeve.
Implants were assembled with 25-degree angulated abutments. link3 Micro-CT was used to assess implant-sleeve connection gaps under the following mechanical conditions (1) unloading; (2) compressive 10,000 cyclic loading with 400 N; (3) static compressive load of 200 N or 400 N for 24 hours.
The mean gap in the unloaded sample was 2.9 ± 0.9 μm. The mean gap difference after cyclic compressive load was 0.3 ± 0.15 μm, demonstrating a negligible effect for the cyclic loading. Under static compressive load, there was no increase in microgap size at 200 N. At 400 N, a significant (P < .05) increase was noted. While the mean values increased by 1.9 μm, the most pronounced significant increase in mean microgap was noted in the direction of force application (5.1 ± 2.14 μm), while a significant decrease in mean microgap (1.2 ± 1.47 μm) was noted on the opposite side.
The mechanical behavior of the implant-sleeve connection under static and dynamic loads was found to be within the previously reported range of implant dentistry.
The mechanical behavior of the implant-sleeve connection under static and dynamic loads was found to be within the previously reported range of implant dentistry.
The aim of this in vitro study was to evaluate the temperature development of a novel, electropolished drill design during conventional and guided implant osteotomy in comparison to conventional drills under standardized conditions.
Single and sequential 12-mm-deep drilling protocols (guided and unguided) with a conventional (control groups) and novel drill (test groups) were performed in artificial bone blocks under external irrigation. Each drilling protocol was repeated 30 times with drill diameters of 2.2, 2.8, 3.5, and 4.2 mm. Temperature changes were recorded by an infrared camera, and the accumulated thermal energy was calculated. For group comparison, a one-way analysis of variance (ANOVA) and Tukey post hoc test were used with a level of significance set to = .05.
The highest temperatures were measured up to 77.9°C for small-diameter drills in the control and test groups. The 3.5-mm and 4.2-mm novel drills showed significantly lower heat generation during guided and unguided osteotomy preparation for single and sequential drilling. The accumulated thermal energy during guided osteotomy preparation was significantly lower with the electropolished drills.
The drill design has an important impact on heat development during osteotomy, which was most pronounced for guided osteotomy with conventional drills and for small-diameter osteotomies.
The drill design has an important impact on heat development during osteotomy, which was most pronounced for guided osteotomy with conventional drills and for small-diameter osteotomies.
To investigate the effect of implant angulation, non-free-end partial edentulism, and number of scan bodies on the accuracy of digital impressions of multiple implants in partially edentulous arches.
Four reference models of partially edentulous mandibles with implants (RM1, RM2, RM3, and RM4) representing different intraoral situations were each scanned 10 times by an intraoral scanner. Reference scans were obtained by a laboratory scanner. Test scans were compared with reference scans to obtain the distance deviations (Δd) and angular deviations (Δθ) between scan bodies for trueness assessment. Differences among the repeated test scans of each model were measured and recorded as Δdp and Δθp for precision assessment. The Student t test (α = .05) was used to compare Δd, Δθ, Δdp, and Δθp of different reference models, including RM2 vs RM1 (effect of non-free-end partial edentulism), RM3 vs RM1 (effect of implant angulation), and RM4 vs RM1 (effect of number of scan bodies).
The implant with 17-degree angulation in RM3 showed significantly lower Δd, Δθ, and Δθp compared with the parallel implant in RM1 (Δd P = .0382, Δθ P = .0267, Δθp P = .0417). The RM2 of non-free-end partial edentulism had lower distance and angular deviations than RM1, but without a significant difference. The number of scan bodies had no significant effect on the Δd, Δθ, Δdp, and Δθp of RM4 and RM1.
Angulated implants showed better accuracy of digital impressions in partially edentulous arches compared with parallel implants. Non-free-end partial edentulism was attributed to improved accuracy, while the number of scan bodies showed no effect.
Angulated implants showed better accuracy of digital impressions in partially edentulous arches compared with parallel implants. Non-free-end partial edentulism was attributed to improved accuracy, while the number of scan bodies showed no effect.
To undertake a systematic literature review of magnetic resonance imaging (MRI) employed in the three phases of implant-based oral rehabilitation planning, execution, and follow-up.
MEDLINE (PubMed) and EMBASE bibliographic databases were searched up to January 2020 for studies assessing the use of MRI alone or in connection with CT and/or CBCT in the planning, execution, or follow-up of dental implant placement and/or bone grafting procedures in the maxilla or the mandible. Included studies were also assessed according to the diagnostic imaging efficacy scale presented by Fryback and Thornbury (F&T).
The search strategy yielded 10 studies, which were included in the systematic review. Six studies focused on the implant planning phase, one on the immediate follow-up phase, and three on both planning and follow-up. No studies acquired signal from the bone. There was no consensus on the gold standard, MRI sequence, or field strength (T). One study reached F&T level 1, eight reached level 2, and one reached level 3.
Homepage: https://www.selleckchem.com/products/z-lehd-fmk-s7313.html
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