Influence Of Abutment Type And Esthetic Veneering On Preload Maintenance Of Abutment Screw Of Implant-supported Crowns

Purpose: The effect of veneering materials on screw joint stability remains inconclusive. Thus, this study evaluated the preload maintenance of abutment screws of single crowns fabricated with different abutments and veneering materials. Materials and Methods: Sixty crowns were divided into five groups (n = 12): UCLA abutment in gold alloy with ceramic (group GC) and resin (group GR) veneering, UCLA abutment in titanium with ceramic (group TiC) and resin (group TiR) veneering, and zirconia abutment with ceramic veneering (group ZiC). Abutment screws made of gold were used with a 35 Ncm insertion torque. Detorque measurements were obtained initially and after mechanical cycling. Data were analyzed by ANOVA and Fisher's exact test at a significance level of 5%. Results: For the initial detorque means (in Ncm), group TiC (21.4 ± 1.78) exhibited statistically lower torque maintenance than groups GC (23.9 ± 0.91), GR (24.1 ± 1.34), and TiR (23.2 ± 1.33) (p < 0.05, Fisher's exact test). Group ZiC (21.9 ± 2.68) exhibited significantly lower torque maintenance than groups GC, GR, and TiR (p < 0.05, Fisher's exact test). After mechanical cycling, there was a statistically significant difference between groups TiC (22.1 ± 1.86) and GR (23.8 ± 1.56); between groups ZiC (21.7 ± 2.02) and GR; and also between groups ZiC and TiR (23.6 ± 1.30) (p < 0.05, Fisher's exact test). Conclusions: Detorque reduction occurred regardless of abutment type and veneering material. More irregular surfaces in the hexagon area of the castable abutments were observed. The superiority of any veneering material concerning preload maintenance was not established. © 2013 by the American College of Prosthodontists.232134139Branemark, P.I., Zarb, G., Albrektsson, T., (1987) Tissue-Integrated Prostheses: Osseointegration in Clinical Dentistry. 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The Role Of Superstructure Material On The Stress Distribution In Mandibular Full-arch Implant-supported Fixed Dentures. A Ct-based 3d-fea

This study evaluated the stress distribution in mandibular full-arch implant-supported fixed dentures with different veneering and metallic infrastructure materials, using three-dimensional finite element analysis. Ten models were obtained from an edentulous human mandible with a complete denture fixed by four implants. Acrylic resin (RES) and porcelain (POR) teeth were associated with infrastructures of titanium (Ti), gold (Au), silver-palladium (AgPd), chrome-cobalt (CoCr) and nickel-chrome (NiCr). A 100-N oblique was applied. The von Mises (σvM) and maximum (σmax) and minimum (σmin) principal stresses were obtained. The RES-AgPd group showed the lowest σvM values, while the RES-Ni-Cr group showed the highest. In the bone tissue, the RES-Au group was the only one that showed different σmax values with a 12% increase in comparison to the other groups which had similar stress values. In the implants, the groups with Ti, Au and AgPd infrastructures, either with porcelain or resin teeth, showed σvM values similar and lower in comparison to the groups with CoCr and NiCr infrastructures. The tooth veneering material influenced the stress values in metallic infrastructures, in which the acrylic resin had the highest values. The veneering and infrastructure materials have influence on stress values of implant-supported dentures, except for the peri-implant bone tissue. © 2013 Elsevier B.V.3519299Brånemark, P.I., (1983) J. Prosthet. Dent., 50, p. 399Snauwaert, K., Duyck, D., Van Steenberghe, D., Quirynen, M., Naert, I., (2000) Clin. Oral Invest., 4, p. 13Attard, N.J., Zarb, G.A., (2004) Int. J. Prosthodont., 17, p. 417Kregzde, M., (1993) Int. J. Oral Maxillofac. Implants, 8, p. 662Ciftci, Y., Canay, S., (2000) Int. J. Oral Maxillofac. Implants, 15, p. 571Van Rossen, I.P., Braak, L.H., De Putter, C., De Groot, K., (1990) J. Prosthet. 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Non-linear 3d Finite Element Analysis Of Full-arch Implant-supported Fixed Dentures

Despite the necessity for faster clinical protocols for immediate loading of implant-supported dentures, there is a lack of biomechanical studies to confirm the rigid splinting effectiveness. We compared the stress in mandibular full-arch implant-supported fixed dentures under immediate loading through three-dimensional finite element analysis. Edentulous human mandible models were restored with a 4-implant fixed denture. Implants were splinted with a metallic framework and submitted to conventional loading (group A - control), with acrylic resin and submitted to immediate loading (group B), with a metallic framework and submitted to immediate loading (group C), and with acrylic resin and a prefabricated distal bar and submitted to immediate loading (group D). Models were supported by masticatory muscles. A 100-N oblique load was applied on the first molar. Group A presented the lowest stress and implant displacement values, whereas group D showed the highest values. 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Effect Of Bleaching Agents And Soft Drink On Titanium Surface Topography

The effects of carbamide peroxide, hydrogen peroxide and cola soft drink on the topographic modifications of commercially-pure titanium (CP-Ti) and Ti-6Al-4V were investigated. Ti discs were divided into 18 groups (n = 4) based on the solution treatment and Ti type. Specimens were immersed in 3 mL of each solution for 4 h per day (for the remaining 20 h, discs were left dry or immersed in artificial saliva) for 15 days. For control, specimens were immersed in only artificial saliva. Ti surfaces were examined using scanning electron (SEM) and atomic force (AFM) microscopes and their surface roughness (in μm) and surface chemical modifications were investigated. Data were analyzed by ANOVA and Tukey's test (α = 0.05). Groups immersed in 35% hydrogen peroxide showed the highest roughness (Ra) (171.65 ± 4.04 for CP-Ti and 145.91 ± 14.71 for Ti-6Al-4V) (p 0.05). SEM and AFM revealed dramatic changes in the specimens surfaces immersed in the 35% hydrogen peroxide, mainly for CP-Ti. No detectable chemical modifications on the Ti surface were observed. 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Effects Of Dextrose And Lipopolysaccharide On The Corrosion Behavior Of A Ti-6al-4v Alloy With A Smooth Surface Or Treated With Double-acid-etching

Diabetes and infections are associated with a high risk of implant failure. However, the effects of such conditions on the electrochemical stability of titanium materials remain unclear. This study evaluated the corrosion behavior of a Ti-6Al-4V alloy, with a smooth surface or conditioned by double-acid-etching, in simulated body fluid with different concentrations of dextrose and lipopolysaccharide. For the electrochemical assay, the open-circuit-potential, electrochemical impedance spectroscopy, and potentiodynamic test were used. The disc surfaces were characterized by scanning electron microscopy and atomic force microscopy. Their surface roughness and Vickers microhardness were also tested. The quantitative data were analyzed by Pearson's correlation and independent t-tests (α = 0.05). In the corrosion parameters, there was a strong lipopolysaccharide correlation with the I pass (passivation current density), Cdl (double-layer capacitance), and Rp (polarization resistance) values (p&lt;0.05) for the Ti-6Al-4V alloy with surface treatment by double-acid-etching. The combination of dextrose and lipopolysaccharide was correlated with the I corr (corrosion current density) and Ipass (p&lt;0.05). The acid-treated groups showed a significant increase in Cdl values and reduced Rp values (p&lt;0.05, t-test). According to the topography, there was an increase in surface roughness (R2 = 0.726, p&lt;0.0001 for the smooth surface; R2 = 0.405, p = 0.036 for the double-acid-etching-treated surface). The microhardness of the smooth Ti-6Al-4V alloy decreased (p&lt;0.05) and that of the treated Ti-6Al-4V alloy increased (p&lt;0.0001). Atomic force microscopy showed changes in the microstructure of the Ti-6Al-4V alloy by increasing the surface thickness mainly in the group associated with dextrose and lipopolysaccharide. The combination of dextrose and lipopolysaccharide affected the corrosion behavior of the Ti-6Al-4V alloy surface treated with double-acid-etching. However, no dose-response corrosion behavior could be observed. 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Corrosion Kinetics And Topography Analysis Of Ti-6al-4v Alloy Subjected To Different Mouthwash Solutions

This study evaluated the corrosion kinetics and surface topography of Ti-6Al-4V alloy exposed to mouthwash solutions (0.12% chlorhexidine digluconate, 0.053% cetylpyridinium chloride and 3% hydrogen peroxide) compared to artificial saliva (pH 6.5) (control). Twenty Ti-6Al-4V alloy disks were used and divided into 4 groups (n = 5). For the electrochemical assay, standard tests as open circuit potential and electrochemical impedance spectroscopy (EIS) were applied at baseline, 7 and 14 days after immersion in the solutions. Scanning electron microscopy, atomic force microscopy and profilometry (average roughness - Ra) were used for surface characterization. Total weight loss of disks was calculated. Data were analyzed by ANOVA and Bonferroni's test (α = 0.05). Hydrogen peroxide generated the lowest polarization resistance (R p) values for all periods (P &lt; 0.05). For the capacitance (C dl), similar results were observed among groups at baseline (P = 0.098). For the 7 and 14-day periods, hydrogen peroxide promoted the highest Cdl values (P &lt; 0.0001). Hydrogen peroxide promoted expressive superficial changes and greater Ra values than the others (P &lt; 0.0001). It could be concluded that solutions containing cetylpyridinium chloride and chlorhexidine digluconate might be the mouthwashes of choice during the post-operatory period of dental implants. However, hydrogen peroxide is counter-indicated in these situations. Further studies evaluating the dynamics of these solutions (tribocorrosion) and immersing the disks in daily cycles (two or three times a day) to mimic a clinical situation closest to the application of mouthwashes in the oral cavity are warranted to prove our results. © 2014 Elsevier B.V.43110Ivanoff, C.J., Hallgren, C., Widmark, G., Sennerby, L., Wennerberg, A., (2001) Clin. Oral Implants Res., 12, pp. 128-134Barao, V.A., Mathew, M.T., Assuncao, W.G., Yuan, J.C., Wimmer, M.A., Sukotjo, C., (2012) Clin. 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Influence Of Corrosion On Lipopolysaccharide Affinity For Two Different Titanium Materials

Statement of problem Titanium is subject to corrosion in the oral cavity, which could contribute to periimplantitis. However, the effect of corrosion on the lipopolysaccharide affinity for titanium remains unknown. Purpose This study evaluated the role of corrosion (in artificial saliva at pHs 3, 6.5, and 9) on the lipopolysaccharide (LPS) affinity for commercially pure titanium (cp-Ti) and Ti-6Al-4V alloy. Material and methods Seventy-two titanium disks were anodically polarized in a controlled environment (n=9). Control specimens were not corroded. Deionized water with different concentrations of LPS (1.5, 15, and 150 μg/mL) were used to treat the disks for 24 hours to investigate LPS adherence (n=3). Then specimens were immersed in LPS-free water to evaluate LPS elution at 24, 48, and 72 hours. Data were analyzed by the 2-way, 3-way, and 3-way repeated measures ANOVA, t tests, and the Tukey honestly significant difference (HSD) tests (α=.05). Results A greater corrosion rate of cp-Ti and Ti-6Al-4V alloy and a higher LPS adherence to titanium surfaces (P<.05) were noted at acidic pH. The LPS affinity was higher for the Ti-6Al-4V alloy than for cp-Ti (P<.05). More LPS was eluted from titanium surfaces after a 24-hour interval. 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The Influence Of Bone Quality On The Biomechanical Behavior Of Full-arch Implant-supported Fixed Prostheses

We evaluated the influence of bone tissue type on stress distribution in full-arch implant-supported fixed prostheses using a three-dimensional finite element analysis. Stresses in cortical and trabecular bones were also investigated. Edentulous mandible models with four implants inserted into the interforaminal region were constructed from different bone types: type 1 - compact bone; type 2 - compact bone surrounding dense trabecular bone; type 3 - a thin layer of compact bone surrounding trabecular bone; and type 4 - low-quality trabecular bone. The mandible was restored with a full-arch implant-supported fixed prosthesis. A 100-N oblique load was applied to the left lower first molar of the prosthesis. The maximum (σmax) and minimum (σmin) principal stress values were determined. The σmax in the type 4 cortical bone was 22.56% higher than that in the type 1 bone. The σmin values in the cortical bone were similar among all the bone types. For the superstructure, increases of 9.04% in the σmax and 11.74% in the σmin in G4 (type 4 bone) compared with G1 (type 1 bone) were observed. For the implants, the highest stress values were located in G4, and the lowest values were observed in G1. In the trabecular bone, the highest stress was generated in G1 and G2. In conclusion, the more compact bones (types 1 and 2) are the most suitable for supporting full-arch implant-supported fixed prostheses, and poor bone quality may increase the risk of biological and mechanical failure. © 2014 Elsevier B.V. All rights reserved.371164170Karthik, K., Sivakumar, Sivaraj, Thangaswamy, V., Evaluation of implant success: A review of past and present concepts (2013) J. Pharm. Bioallied. 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