Academic literature on the topic 'Dental prosthesi'
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles
Consult the lists of relevant articles, books, theses, conference reports, and other scholarly sources on the topic 'Dental prosthesi.'
Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.
You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.
Journal articles on the topic "Dental prosthesi"
1
ALMEIDA, Híttalo Carlos Rodrigues de, Ellane Talita Silvano de SANTANA, Nikácio Adnner Tavares dos SANTOS, Patrícia Karla Macedo de MORAES, Yasmin Rafaelle Furtado de ARAÚJO, and Marleny Elizabeth Marquez de Martinez GERBI. "Clinical aspects in the treatment planning for rehabilitation with overdenture and protocol-type prosthesis." RGO - Revista Gaúcha de Odontologia 63, no. 3 (September 2015): 271–76. http://dx.doi.org/10.1590/1981-863720150003000032920.
Full textAbstract:
Objective: The aim of this study was to criticaly review the published literature regarding the clinical aspects involved in the rehabilitation of edentulous patients using Branemark protocol and overdenture prostheses. Methods: An active search was conducted in the LILACS, MEDLINE, PubMed, and SciELO databases using the descriptors: "Coating for dentures" (Overlay Prosthesis and Overdenture) and "Implant-supported fixed dental prosthesis" (Protesis dental de suporte implantado, Dental prosthesis, and Implant Supported Prosthesis) in Portuguese, English, and Spanish between January 2000 and October 2014. Results: The following parameters should be considered when selecting between Branemark protocol and overdenture prostheses: bone support, lip support, lip-line, upper lip length, oral mucosa conditions and size, alveolar ridge contour, crown-bone ratio, interarch space, and speaking space. Overdenture rehabilitation can provide many benefits to patients, such as prosthetic retention, stability, comfort, and improved aesthetics. Conclusions: This study highlights the need for a thorough individualized treatment planning to ensure that fixed prostheses and overdentures have an excellent prognosis when used appropriately in suitable patients at the appropriate time.
2
Abreu, Mauro Henrique Nogueira Guimarães de, Amanda de Lima Franca Neumann Morato, Angélica Maria Cupertino Lopes Marinho, Maria Aparecida Melo Cunha, and Suellen da Rocha Mendes. "What Has Changed in the Dental Prosthesis Procedures in Primary Health Care In Brazil?" Brazilian Dental Journal 30, no. 5 (October 2019): 519–22. http://dx.doi.org/10.1590/0103-6440201902695.
Full textAbstract:
Abstract The study aimed to identify the changes in the provision of dental prosthetics procedures in the Brazilian primary care. Secondary data from the Brazilian “National Programme for Improving Access and Quality of Primary Care” was assessed and three similar questions related to dental prostheses execution that were answered by the same 9,698 oral health teams, in 2011/2012 and 2013/2014, were compared. There was a 4.3% increase in the number of teams that identified individuals with prosthetic needs; a 0.8% increase in the number of teams that performed impression for prosthetic purposes; and the number of teams that reported performing dental prostheses consultations increased by 0.6%. Overall, there was a small modification in the number of teams that provided dental prosthesis procedures in Brazil.
3
Szmidt, Monika, Maciej Górski, Maja Bendyk-Szeffer, Anna Stogiera, and Jadwiga Buczkowska-Radlińska. "An Alternative Prosthodontic Management of Maxillary Dentoalveolar Defect in a Patient With Cleft Palate and Lip: Case Report." Cleft Palate-Craniofacial Journal 56, no. 9 (May 12, 2019): 1256–59. http://dx.doi.org/10.1177/1055665619844440.
Full textAbstract:
Cleft palate/lip is a frequently occurring congenital anomaly; one in every 800 births results in such a problem. Different treatment options are available for replacing missing soft and hard tissues, including removable dental prostheses, fixed dental prostheses (FDPs), and implant prostheses. In the literature, according to different authors, there are different option standard for prosthetic treatment of cleft palate/lip. Some authors report that removable prosthesis is the choice in such cases, some of them regard conventional tooth-supported FDPs as a standard of care. In this case report, the prosthetic treatment of congenital cleft palate/lip was described. Upon the choice of the patient and patient’s agreement, the direct construction Fibre-reinforced composite (FRC) adhesive bridge with pink composite gingival epithesis was performed.
4
Kim, Jaewon, and Du-Hyeong Lee. "Influence of the Postcuring Process on Dimensional Accuracy and Seating of 3D-Printed Polymeric Fixed Prostheses." BioMed Research International 2020 (November 13, 2020): 1–7. http://dx.doi.org/10.1155/2020/2150182.
Full textAbstract:
The postcuring process is essential for 3-dimensional (3D) printing of photopolymer-based dental prostheses. However, the deformation of prostheses resulting from the postcuring process has not been fully investigated. The purpose of this study was to evaluate the effects of different postcuring methods on the fit and dimensional accuracy of 3D-printed full-arch polymeric fixed prostheses. A study stone model with four prosthetic implant abutments was prepared. A full-arch fixed dental prosthesis was designed, and the design was transferred to dental computer-aided manufacturing (CAM) software in which supports were designed to the surface of the prosthesis design for 3D printing. Using a biocompatible photopolymer and a stereolithography apparatus 3D printer, polymeric prostheses were produced ( N = 21 ). In postcuring, the printed prostheses were polymerized in three different ways: the prosthesis alone, the prosthesis with supports, or the prosthesis on a stone model. Geometric accuracy of 3D-printed prostheses, marginal gap, internal gap, and intermolar distance was evaluated using microscopy and digital techniques. Kruskal-Wallis and Mann-Whitney U tests with Bonferroni correction were used for the comparison of results among groups ( α = 0.05 ). In general, the mean marginal and internal gaps of cured prostheses were the smallest when the printed prostheses were cured with seating on the stone model ( P < 0.05 ). With regard to the adaptation accuracy, the presence of supports during the postcuring process did not make a significant difference. Error in the intermolar distance was significantly smaller in the model seating condition than in the other conditions ( P < 0.001 ). Seating 3D-printed prosthesis on the stone model reduces adverse deformation in the postcuring process, thereby enabling the fabrication of prostheses with favorable adaptation.
5
Silenko, B. Y., V. M. Dvornik, and Y. I. Silenko. "CONDITIONAL TISSUE CONDITION IN PATIENTS WITH PROSTHETIC DENTISTS IN THE PROCESS OF ORTHOPEDIC TREATMENT WITH PROSTHESES MODIFIED BY NANOMATER." Ukrainian Dental Almanac, no. 4 (December 8, 2021): 20–25. http://dx.doi.org/10.31718/2409-0255.4.2021.04.
Full textAbstract:
The main cause of prosthetic stomatitis belongs to the chemical and toxic action of the residual monomer of the prosthesis base, which is a protoplasmic poison. Occurrence of prosthetic stomatitis depends not only on quality of production of prosthesis in laboratory though at non-observance of technology indicators of residual monomer can reach 2-5%, but also at individual intolerance at its minimum concentration in a prosthesis after polymerization - 0,2-0 .5%.
The aim of our study was to increase the effectiveness of orthopedic treatment of patients with prosthetic stomatitis by coating the plastic of removable prostheses with nanoscale materials.
Materials and methods. To solve this goal, we studied the condition of the tissues of the prosthetic place of patients with prosthetic stomatitis with prosthetic removable prostheses with modified plastic. Orthopedic dental treatment of 50 people was examined and performed, including 25 people (the second group, prostheses were not covered with nanoparticles) and 25 people (the third group, prostheses were covered with nanoparticles). The first control group consisted of 10 people without signs of pathology.
Prior to treatment, all patients had removable acrylic plastic dentures. The reason for seeking orthopedic care was a violation of masticatory function and the inability to use previously made prostheses due to the development of pain in the soft tissues of the prosthetic place. Complaints of pain were observed in all patients of varying intensity, impaired fixation and stabilization of the prosthesis due to swelling of the mucous membrane of the soft tissues of the prosthetic place, heartburn and dryness were observed in 90% of patients. Complaints were also about speech and aesthetic defects.
Patients of III group after two weeks of using prostheses were coated with the inner surface of the prosthesis, which is in direct contact with the mucous membrane of the prosthetic place with molecules of fullerene C60, by magnetron sputtering. For this purpose, the prostheses were removed from the patients for several days and returned after the coating with the nanomaterial, after which the observation was continued.
The results. After coating the prostheses in patients of group III with Fullerene C60, we observed the disappearance of inflammation of the mucous membrane under the prosthesis and patients noted the absence of discomfort. Рatients in II group had a negative dynamics in 80% and had diffuse inflammation of the mucous membrane under the prosthesis. Within 3 months of use, 18 patients (72%) in II group reported that they stopped using removable dentures during the day, due to unpleasant pain under the prosthesis,
and used only during meals and during conversations. In contrast to II group, patients in III group did not notice discomfort when using plate prostheses.
Conclusions. Obtained in the course of the work convincingly prove the effectiveness of the use of removable plate prostheses with nanocoating for the treatment and prevention of prosthetic stomatitis in patients. This is evidenced by the data of objective examination and the disappearance of complaints from patients.
6
Avetisyan, Anna, Marina Markaryan, Dinesh Rokaya, Marcos Roberto Tovani-Palone, Muhammad Sohail Zafar, Zohaib Khurshid, Anna Vardanyan, and Artak Heboyan. "Characteristics of Periodontal Tissues in Prosthetic Treatment with Fixed Dental Prostheses." Molecules 26, no. 5 (March 2, 2021): 1331. http://dx.doi.org/10.3390/molecules26051331.
Full textAbstract:
The objective of the present study was to investigate the effects of various types of fixed prostheses on periodontal tissues and explore the association of gingival biotype and gum recession in relation to prosthesis types. The study participants (N = 95) were divided into three groups based on the type of dental prosthesis: Group-I: cobalt-chrome (Co-Cr) ceramic prosthesis fabricated by the conventional method (n = 35); Group-II: consisted of patients with Co-Cr ceramic prostheses fabricated by a computer-aided design and computer aided manufacturing (CAD/CAM) technique (n = 30); and Group-III: zirconia-based prostheses fabricated by the CAD/CAM technique (n = 30). Following the use of prostheses, periodontal examinations were performed using the Community Periodontal Index (CPI) and Modified Approximal Plaque Index (MAPI). In addition, the gingival biotype was examined using a probe transparency method. The Statistical Package for the Social Sciences (SPSS), Version 20 (IBM Company, Chicago, IL, USA), was used to analyze the results, and the significance level was set at p = 0.05. It showed the MAPI results after the use of prosthetic rehabilitation for 12 months of periodontitis in 87.9% ± 15.4 of patients in Group-I, in 80.6% ± 17.97 in those in Group-II, and in 62.5% ± 21.4 in those in Group-III (p < 0.01). The CPI index results indicated a high prevalence of periodontal disease in all groups. The number of people with healthy periodontium constituted 17.1% of patients in Group-I, 24.2% in Group-II, and 37.1% in Group-III. Our study concluded that prosthetic treatment with periodontal diseases showed better outcomes while using dental prostheses fabricated by the CAD/CAM technique compared to the conventionally fabricated dental prostheses. The thin gingival biotype is more often associated with gingival recession than the thick biotype.
7
Mai, Hai Yen, Jae-Min Seo, Jae-Kwang Jung, and Du-Hyeong Lee. "Strategic Use of CAD-CAM Interim Restoration for the Recovery of the Vertical Dimension of Occlusion in the Posterior Partially Edentulous Jaw." Applied Sciences 10, no. 21 (October 31, 2020): 7735. http://dx.doi.org/10.3390/app10217735.
Full textAbstract:
Occlusal contact loss occasionally occurs following the placement of implant-supported fixed dental prostheses in the posterior region. This complication is caused by the change in the vertical dimension of occlusion after the recovery of mastication. The change is probably related to the prosthesis sinking phenomenon and previous mandibular dislocation. The use of interim prostheses could help re-establish the vertical dimension of occlusion. The definitive prostheses can then be accurately fabricated using digital techniques in the newly established vertical dimension. In this case report, we introduce a protocol incorporating a computer-aided design and computer-aided manufacturing (CAD-CAM) interim prosthesis and digital techniques to minimize the occurrence of unexpected initial occlusal changes in the prosthetic treatment of implant-supported prostheses in the posterior region.
8
Montero, Javier. "A Review of the Major Prosthetic Factors Influencing the Prognosis of Implant Prosthodontics." Journal of Clinical Medicine 10, no. 4 (February 17, 2021): 816. http://dx.doi.org/10.3390/jcm10040816.
Full textAbstract:
Background: The treatment plan of prosthetic restorations supported by dental implants requires comprehensive scientific knowledge to deliver prostheses with good prognosis, even before the implant insertion. This review aims to analyze the main prosthetic determinants of the prognosis of implant-supported prostheses. Methods: A comprehensive review of the literature was conducted with a PICO (Patient Intervention Comparison Outcomes) question: “For partially or complete edentulous subjects treated with implant-supported prostheses, which prosthetic factors could affect clinical outcomes?”. A literature search was performed electronically in PubMed (MEDLINE), Scopus and Cochrane Library with the following equation [PROGNOS * OR RISK] FACTOR IMPLANT DENTAL, and by hand search in relevant journals and throughout the selected papers. Results: This revision was carried out based on 50 papers focused on several prosthodontics-related risk factors that were grouped as follows: implant-connection, loading protocol, transmucosal abutments, prosthetic fit, provisionalization, type of retention, impression technique, fabrication technique, and occlusion. More than a half of the studies were systematic reviews (30%), meta-analysis (16%), or prospective evaluations of prosthesis with various kinds of events (18%). However, narrative reviews of literature (14%) and in vitro/animal studies (16%) were also found. Conclusions: The current literature provides insufficient evidence for most of the investigated topics. However, based on the accumulated data, it seems reasonable to defend that the best treatment approach is the use of morse taper implants with transmucosal abutments, recorded by means of rigidly splinted copings through the pick-up technique, and screwed by milled prosthesis occlusally adjusted to minimize functional overloading.
9
Saeed, Mostafa, Mahmoud Mokhtar El-Far, and Amr Hosny Elkhadem. "Prosthetic Complications of Screw-Retained Restoration Using Multiunit Abutments Versus Intraoral Luting on Titanium Base in Implant-Supported Complete Overdentures Randomized Clinical Trial." Open Access Macedonian Journal of Medical Sciences 10, no. D (January 3, 2022): 14–27. http://dx.doi.org/10.3889/oamjms.2022.7662.
Full textAbstract:
BACKGROUND: This trial aims to study the difference between prostheses screwmented on full-arch implants using the intraoral luting cement technique on titanium bases versus transmucosal abutments in terms of prosthetic complications. MATERIALS AND METHODS: Twenty patients were recruited in this trial, there were mainly two groups. A screw-retained full-arch implant-supported prosthesis was constructed over four dental implants on upper or lower jaws. For the control group, multiunit abutments were used to construct a screw-retained prosthesis. As for the experimental group, Ti-base abutments were used over the dental implants to construct a screw-retained prosthesis. In both groups, the prosthetic framework was made using polyether ether ketone (PEEK) material and luted intraorally over the titanium sleeve using resin cement. A binary outcome of prosthetic complication was taken in 6 and 12 months. Abutment screw loosening, prosthetic screw loosening, prosthetic screw fracture, abutment screw fracture, veneer fracture, framework fracture, Ti-base decementation, and overall prosthetic loosening were the prosthetic complications included in the trial. RESULTS: At the end of the study, a total of 19 patients adhered to the trial. Throughout the exposure process of implants, two implants failed in one patient from the Ti-base group. This patient was excluded from the study on his request. There was no statistically significant difference present between Ti-base and multiunit abutment groups in terms of abutment and prosthetic screw loosening, abutment and prosthetic screw fracture, veneer and framework fracture, Ti-base decementation, and overall prosthesis loosening for 6 and 12 months. Data were explored for normality using Kolmogorov–Smirnov and Shapiro–Wilk tests, data showed non-parametric (not-normal) distribution. Qualitative data were presented as frequencies and percentages. Wilcoxon and Mann–Whitney tests were used to compare the qualitative outcomes in this study. CONCLUSION: Both multiunit and Ti-base are considered a viable line of treatment to construct a screw-retained full arch implant-supported prosthesis.
10
Venezia, Pietro, Ferruccio Torsello, Vincenzo Santomauro, Vittorio Dibello, and Raffaele Cavalcanti. "Full Digital Workflow for the Treatment of an Edentulous Patient with Guided Surgery, Immediate Loading and 3D-Printed Hybrid Prosthesis: The BARI Technique 2.0. A Case Report." International Journal of Environmental Research and Public Health 16, no. 24 (December 17, 2019): 5160. http://dx.doi.org/10.3390/ijerph16245160.
Full textAbstract:
Purpose: To describe a technique intended to transfer of the intermaxillary and occlusal relationships in a fully digital environment from a complete denture to an implant-supported 3D-printed hybrid prosthesis (an acrylic resin complete fixed dental prosthesis supported by implants). Methods: In edentulous cases, the physiological mandibular position should be determined before the immediate loading procedures. In some cases, the use of interim removable prostheses for a few weeks could be useful to test the new occlusion in centric relation and to verify the prosthetic project. When the correct intermaxillary relationships are achieved, it is difficult to transfer them from the provisional to the final prostheses, as impressions or scans of edentulous arches do not have reference points for intermaxillary records. This paper presents a complex case and the technique used to transfer information from a complete denture to an implant-supported prosthesis with a digital workflow. A prosthetic stent has been used to scan the edentulous mandibular arch and to record the intermaxillary relation. Results: The delivery of the hybrid implant-supported prostheses was carried out with no problems and minimal occlusal adjustments. The patient was extremely satisfied with the treatment and the situation remained stable at the 1-year follow up. Conclusions: The approach described in the present article predictably maintains prosthetic information and allows the delivery of a final implant-supported restoration with the same occlusal relationship as the one tested with the provisional diagnostic dentures.
Dissertations / Theses on the topic "Dental prosthesi"
1
TOMMASATO, GRAZIA. "THE REGENERATION OF EDENTULOUS ATROPHIC RIDGES: PROS, CONS, AND EFFECTIVENESS OF THREE DIFFERENT SURGICAL OPTIONS." Doctoral thesis, Università degli Studi di Milano, 2021. http://hdl.handle.net/2434/804105.
Full textAbstract:
INTRODUCTION
During the three-year doctoral period, the candidate developed 3 research projects which, although different, are all related to one of the most controversial topics of advanced implant dentistry which include procedures to make it possible the use of dental implants also in case of severely atrophic edentulous ridges.
During the last decade, a variety of surgical procedures have been proposed, each of them with specific indications, contraindications, advantages and disadvantages. Despite the publication of numerous systematic reviews and meta-analyses focused on this fascinating topic, much controversy is still present between clinicians and researches.
The aims of the PhD candidate have been to focus on three main areas related to the correction of severely atrophic edentulous ridges in order to: 1) update the present knowledge on this particular field thank to a systematic analysis of the available literature; and 2) develop three different research projects specifically dedicated to regeneration/reconstruction procedures.
More in detail, one line of research was focused on the evaluation of medium to long-term results of dental implants placed in severely atrophic jaws reconstructed with autogenous calvarial bone blocks covered with bovine bone mineral and collagen membranes. Seventy-two patients and 330 implants were involved in this retrospective study with a mean follow-up after implant loading of 8 years, ranging from 3 to 19 years.
The second project, similar in structure to the previous one, was designed to evaluate retrospectively the medium and long-term results (with a mean follow-up of 10 years) of implants placed in atrophic edentulous ridges grafted with autogenous mandibular blocks covered with bovine bone mineral and collagen membranes. Seventy-five patients, 82 sites, and 182 implants were involved in this study.
The third line of research allowed the candidate to design a prospective study which involved edentulous and atrophic patients treated with guided bone regeneration using CAD-CAM customized titanium meshes. The effectiveness of digitally customized titanium meshes in association with autologous bone particles and bovine bone mineral for the regeneration of atrophic edentulous sites, and the survival rate of implants placed in the reconstructed areas were evaluated. A histomorphometric analysis of mandibular regenerated bone were also performed.
Forty-one patients, 53 sites, and 106 implants were involved in this study and the follow-up of implants before and after loading ranged from 2 to 23 months (mean: 11 months), and from 1 to 15 months (mean: 6 months), respectively.
This latter research is of particular interest, as the literature supporting this particular technique is scarce, and available data are difficult to be compared, because they have been collected in a non- systematic way and mainly retrospectively.
In all these studies, a dedicated questionnaire, adapted from the OHIP-14 survey, was performed to evaluate patients’ satisfaction (patient reported outcome measurements – PROMs) as regards the treatment received.
It was therefore possible to elaborate a discussion of the results on two different levels: the first associated to the specific regenerative / reconstructive technique; the second allowed a comparison among the different treatment solutions.
AIMS
The aim of the first and second project, two retrospective longitudinal cohort studies, is to present the medium to long-term outcome of bone reconstructions with calvarium or mandibular grafts , respectively by evaluating: a) complication rate of the reconstructive procedure; b) bone resorption before implant placement; c) peri-implant bone resorption; d) implant-related complications; e) implant survival rate; and, f) patient’s satisfaction inquired with a dedicated questionnaire.
The aims of the third project, a prospective, single-arm clinical study, are to evaluate: a) the effectiveness of digitally customized titanium meshes in association with autologous bone particles and BBM and covered with collagen membranes for the regeneration of atrophic edentulous sites; b) the survival rate of implants placed in the regenerated areas and, c) PROMs inquired with a dedicated questionnaire.
MATERIALS & METHODS
Project 1 – calvarium
From 1998 to 2014, 72 patients presenting with severe bone defects were reconstructed with autogenous calvarial bone blocks covered with bovine bone mineral granules and collagen membranes. Four to 9 months later, 330 implants were placed and loaded 3 to 9 months later. The follow-up ranged from 3 to 19 years (mean: 8.1 years).
Project 2 – ramus
from 1997 to 2015, 75 patients presenting with bone defects of the jaws were grafted with autogenous mandibular bone blocks. One-hundred-eighty-two implants were placed 4 to 12 months later and loaded 3 to 10 months later: the mean follow-up was 10 years (range: 3-16 years).
Project 3 – GBR with Ti-mesh
41 patients, presenting with 53 atrophic sites were enrolled between 2018 and 2019. GBR was obtained with titanium meshes filled with autogenous bone chips and bovine bone mineral (BBM). After a mean of 7 months (range: 5-12 months), meshes were removed and 106 implants placed. After a mean of 3.5 months (range: 2-5 months), implants were uncovered and prosthetic restorations started.
RESULTS
Project 1 – calvarium
No patients developed severe complications, such as complete loss or resorption of the grafts. A dehiscence occurred in 6 patients, which developed a mild graft resorption. The mean peri-implant bone resorption before implant placement was 0.13 mm (SD ± 0.71). All patients received the planned number of implants. Three patients were lost during the follow-up. The survival rate of implants at the end of the observation period was 98.5%. The mean peri-implant bone resorption ranged from 0.00 mm to 4.87 mm (mean: 1.11 mm). Finally, 90% of the patients were very satisfied as regards the treatment received.
Project 2 – ramus
Post-operative recovery was uneventful in the majority of patients. An early dehiscence occurred in three patients, but with no significant bone loss, while 3 experienced temporary paresthesia. The mean vertical and horizontal bone resorption before implant placement was 0.18 mm (standard deviation (SD)=0.43) and 0.15 mm (SD=0.42), respectively.
The mean peri-implant bone loss ± standard deviation was 1.06±1.19 (range 0.00 to 5.05) at patient level, and 1.11±1.26 (range 0.00 to 5.20) at implant level.
Two implants in 2 patients lost integration and were removed; 10 implants in 7 patients developed peri-implantitis, but healed after surgical treatment.
The cumulative implant survival and success rates were 98.11% and 85.16%, respectively. PROMs were very positive: 95.5% of patients would have undergone the procedure again.
Project 3 – GBR with Ti-mesh
out of 53 sites, 11 underwent mesh exposure: 8 of them were followed by uneventful integration of the graft, while 3 by partial bone loss. The mean vertical and horizontal bone gain after reconstruction was 4.78±1.88mm (range 1.00 to 8.90mm), and 6.35±2.10mm (range 2.14 to 11.48 mm), respectively. At the time of implant placement, mean changes of initial bone gain were -0.39±0.64mm (range -3.1 to +0.80mm), and -0.49±0.83mm (range –3.7 to +0.4mm), in the vertical and horizontal dimensions, respectively. Reduction of bone volume was significantly higher (P<0.001 for both dimensions) in the exposed sites.
At histologic analysis, mesh appeared well osseointegrated, except that in sites where membrane exposure occurred. In all sites, newly formed tissue resulted highly mineralized, well-organized and formed by 35.88% of new lamellar bone, 16.42% of woven bone, 10.88% of osteoid matrix, 14.10% of grafted remnants and 22.72% of medullary spaces. Blood vessels were the 4 % of the tissue.The mean follow-up of implants after loading was 10.6±6.5months (range: 2 to 26months). The survival rate of implants was 100%. PROMs were very positive: 92.5% of patients would have undergone the procedure again.
DISCUSSION
These three projects have offered, on one side, a relevant opportunity to evaluate the short, medium, and long-term outcomes of both reconstructions with autogenous bone blocks and guided bone regeneration with an innovative, customized, titanium mesh.
On the other side, “intrinsic” methodologic limits have appeared during the development of this PhD thesis, such as:
o heterogeneity of patient samples and type of defects;
o retrospective and prospective type of study;
o duration of the observation period;
o presence/absence of evaluation of bone gain and with different methods;
o different methods used to evaluate bone resorption before implant placement.
Despite these limits, results from these three researches offered relevant information as regards the behaviour of the transplanted /regenerated bone as well as the behaviour of peri-implant bone over time.
Although the three projects significantly differ among them as regards details in the reconstructive procedures, it must be underlined that many aspects are in common.
Therefore, to reduce redundancies it has been decided to write a “unified” discussion which will make it possible a direct comparison of pros, cons, indications and contra-indications of each of them.
More in detail, each of the following issues will be discussed reporting and comparing obtained from each study:
1. bone gain;
2. complication rate of the reconstructive procedure;
3. bone resorption before implant placement;
4. peri-implant bone resorption;
5. survival rate of implants and implant-related complications;
6. patient’s satisfaction inquired with a dedicated questionnaire.
CONCLUSION
Despite the descriptive nature of the first two retrospective longitudinal cohort studies and the variability of the selected patients (including different patients anamnesis, defects locations, defect morphologies, and prosthetic rehabilitations), medium- to long-term results seem to confirm the efficacy of reconstruction of atrophic ridges using autogenous bone blocks taken from both the calvarium and the mandibular ramus covered by a protective layer of bovine bone mineral and stabilized by a collagen membrane. The use of autogenous calvarial grafts may be prefer in case of severely deficient edentulous ridges, when the ramus can offer an insufficient quantity of bone. The low postoperative morbidity, the stability over time of the augmented bone, the high survival rate of implants placed in a prosthetically driven way, leading to very satisfactory prosthetic restorations, confirmed the long-term reliability of these procedures.
Preliminary results of the third prospective study, on the other hand, despite the limited number of patients, implants, short follow-up, and the non-negligible incidence of Ti-mesh exposures, seem to demonstrate that CAD-CAM customized Ti-meshes may represent a reliable GBR option for the correction severely atrophic edentulous ridges in terms of vertical bone gain, limited peri-implant bone resorption and survival rate of implants. It is however worth noting that if on one hand it is possible to simplify the reconstructive procedure thanks to the customization of Ti-meshes, on the other hand surgeons have to face the non-negligible incidence of Ti-mesh exposures and the higher complexity of their removal at the time of implant placement. Therefore, studies involving a higher sample of patients and with longer follow-ups are necessary.
PROMs seem to validate the use of all the regenerative and reconstructive procedures, with high value of patient’ satisfaction.
2
Zhang, Shanshan. "Discrete choice analysis of preferences for dental prostheses." Thesis, University of Edinburgh, 2014. http://hdl.handle.net/1842/18747.
Full textAbstract:
Background: Tooth loss has a negative impact on patients’ general health and wellbeing. Dental prostheses can restore oral function, aesthetics and improve oral health related quality of life. Preferences for dental prostheses cannot be fully captured using existing clinical studies and questionnaires. Discrete choice experiment (DCE) is a novel method in health economics to elicit people’s preference for treatments and it allows the researcher to integrate all aspects relevant to treatment into evaluation and measurement of interrelationship between factors. The aim of this PhD thesis is to use a mixed method of DCE and qualitative interviews to analyse dentists and patient’s preferences for dental prosthesis choices in replacing missing teeth. Methods: Discrete choice experiment questionnaires were developed, describing dental prosthdontic treatments in multi-dimensions, including outcome, process and economic factors. Survey and analysis using the questionnaires were conducted with dentists and patients in Edinburgh. Qualitative interviews with Edinburgh dentists and patients were carried out to derive factors to aid the DCE questionnaire design and provide in-depth understanding of DCE results. Systematic reviews were performed to summarise existing evidence on prosthesis evaluation in traditional quantitative studies and perception of prostheses in qualitative interviews. The current application of DCEs in dentistry was also systematically reviewed. Results: Treatment longevity was identified as the most important factor for dentists and patients’ treatment decisions of anterior missing tooth replacements, followed by appearance and chewing function. Dentists put more value on fixation/comfort and treatment procedure than patients. Patients cared about cost of treatment whereas dentists were relatively insensitive. Gender, age and treatment experience significantly influenced patients’ preference for treatment characteristics. Dental implant supported crown was preferred by dentists, whereas patients gave higher utility to traditional prosthodontic treatments. The monetary benefit of fixed dental prostheses ranged from £1856 -£3848 for patients, far exceeding their willingness-to-pay (WTP), which was £120 - £240. Dentists were willing to pay £600-£3000, more than the perceived benefit £503 to £1649. Qualitative study identified the above factors and provided interpretation of DCE results. Problems in the dental care system related to referral and training for dental implant treatments were raised. Discussion: This thesis is the first DCE application in dentistry evaluating and comparing dentists and patients preferences for missing tooth replacements. Dentists and patients’ preferences were elicited qualitatively and qualitatively integrating multidimensional factors. Patients’ preference for treatments, monetary benefit and WTP were demonstrated to be different from dentists’. Treatment benefits exceeded patients WTP for fixed dental prostheses.
3
Yassin, Sufian Ahmeed. "A fluoride releasing dental prosthesis copolymer for oral biofilm control." Thesis, University of Newcastle upon Tyne, 2015. http://hdl.handle.net/10443/2810.
Full textAbstract:
Microbial biofilms on removable oral appliances can act as reservoirs for pathogens that contribute to oral diseases such as candidiasis and root caries. In this study, we evaluated the efficacy of a new fluoride-releasing copolymer on biofilms formed by three acidogenic microorganisms, C. albicans, S. mutans and L. casei. In all experiments, two materials were studied: chemically-activated copolymers of methyl methacrylate and 2-hydroxyethyl methacrylate with polymethyl methacrylate powder. For one group, 30% NaF was added at the expense of some of the PMMA. The effect that autoclaving had on important parameters such as chemical composition, roughness and fluoride release was analysed. Samples were fitted into two polysulfone Modified Robbins Devices. Single- and mixed-species biofilms were cultured for 48 h, harvested, and microorganisms were quantified by total viable counts and quantitative PCR. The pH was monitored during mixed species biofilm formation. Autoclaving did not alter the chemical composition of either material, as measured by infra-red spectroscopy. However, it did cause a significant increase in roughness of the fluoridated materials (T-test, p < 0.05). Fluoride release was unaffected by autoclaving, and high rates of fluoride ( > 300 μg/cm2.day) were released from fluoridated samples for up to 6 days, followed by low levels of release for 6 months. The inclusion of fluoride within the copolymer significantly reduced colonisation by C. albicans, S. mutans and L. casei in mixed-species biofilms (T-test, p < 0.05). However, when microorganisms were grown in single-species biofilms, all the three organisms were not significantly (T-test, p > 0.05) reduced. Fluoride suppressed the acidogenicity of biofilms for up to 24 h. In conclusion, a fluoride-releasing copolymer has been developed to inhibit the growth of acidogenic oral biofilms in vitro. The copolymer potentially has major benefits for oral healthcare in wearers of removable oral appliances.
4
Miyamoto, Ikuya. "Rehabilitation with dental prosthesis can increase cerebral regional blood flow." Kyoto University, 2005. http://hdl.handle.net/2433/144467.
Full text
5
Smith, Christopher David. "Prosthodontic maintenance of implant-supported prostheses." Master's thesis, Faculty of Dentistry, 2001. http://hdl.handle.net/2123/4667.
Full textAbstract:
This work was digitised and made available on open access by the University of Sydney, Faculty of Dentistry and Sydney eScholarship . It may only be used for the purposes of research and study. Where possible, the Faculty will try to notify the author of this work. If you have any inquiries or issues regarding this work being made available please contact the Sydney eScholarship Repository Coordinator - ses@library.usyd.edu.au
6
Silva, Ebele Adaobi [UNESP]. "Influência do torque e da ciclagem mecânica na manutenção da pré-carga e resistência à fratura de parafusos de retenção em diferentes junções parafusadas." Universidade Estadual Paulista (UNESP), 2016. http://hdl.handle.net/11449/142863.
Full textAbstract:
Submitted by Ebele Adaobi Silva (silva.ebele@gmail.com) on 2016-08-11T15:23:23Z
No. of bitstreams: 1
Dissertação_EbeleAdaobiSilva_Prótese.pdf: 1233295 bytes, checksum: 6ef711a36dbbc6aaf483494459874418 (MD5)Approved for entry into archive by Ana Paula Grisoto (grisotoana@reitoria.unesp.br) on 2016-08-11T18:16:49Z (GMT) No. of bitstreams: 1 silva_ea_me_araca.pdf: 1233295 bytes, checksum: 6ef711a36dbbc6aaf483494459874418 (MD5)
Made available in DSpace on 2016-08-11T18:16:49Z (GMT). No. of bitstreams: 1 silva_ea_me_araca.pdf: 1233295 bytes, checksum: 6ef711a36dbbc6aaf483494459874418 (MD5) Previous issue date: 2016-06-17
Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
Sendo o afrouxamento e fratura dos parafusos de retenção as principais complicações em próteses implantossuportadas, este estudo teve como objetivo avaliar a manutenção do torque remanescente e ocorrência de fraturas em parafusos de retenção de pilares UCLA, para implantes de conexão hexagonal externa e cone Morse, em função do torque aplicado (recomendado pelo fabricante, torque obtido através de aperto manual e sem torque), submetidos à ciclagem mecânica. Sequencialmente, investigou-se a resistência à fratura desses parafusos por meio do teste de compressão em uma máquina de ensaio universal. Foram utilizados 36 implantes embutidos em poliuretano com uma inclinação de 30°, divididos em 6 grupos em função do tipo de conexão e do torque aplicado. De forma randomizada, os espécimes pertencentes ao grupo sem torque foram submetidos a ciclagem mecânica e os dos grupos torque recomendado pelo fabricante e torque manual foram submetidos a aplicação do torque e mensuração da pré-carga remanescente, antes (3 minutos após o aperto) e após a ciclagem mecânica (após 1x106 de ciclos). Ao fim da ciclagem, os parafusos foram submetidos ao teste de resistência a fratura por meio do ensaio de compressão, no qual foi aplicado uma carga de 5000N sob a velocidade de 0,5mm/min. Os resultados mostraram que em uma análise geral, o torque remanesce foi significantemente menor (p<0,05) após a ciclagem mecânica. Ao se comparar os dois tipos de conexão, não houve diferença em relação o torque remanescente (p>0,05). Para os diferentes tipos de torque, observou-se que quando se aplicou o torque recomendado pelo fabricante o torque remanescente foi significativamente maior (p<0,05) quando comparada ao grupo que recebeu o torque manual. Dos 36 parafusos de retenção dos pilares UCLA submetidos à ciclagem mecânica, 3 fraturaram, equivalendo a 8,33%. Submeteu-se ao teste de resistência a compressão 33 parafusos de retenção ciclados e 12 novos, sendo 6 para a conexão CM e 6 para a HE. Os parafusos novos apresentaram as maiores médias para a força máxima (116,80 Kgf) e também para deformação na força máxima (2,18 mm), havendo diferença estatisticamente significativa (p<0,05) ao se comparar com os parafusos ciclados. Comparando-se os tipos de conexão, os parafusos dos grupos de conexão Hexágono externo apresentaram a maior média de força máxima (FM). Dos 12 parafusos novos, 6 fraturaram durante o teste, sendo 3 de cada tipo de conexão. Já para os parafusos ciclados, houve a mesma quantidade de fratura, sendo 3 para a conexão cone Morse e 3 para a Hexágono externo. A maior média para força de ruptura (FR) ocorreu também nos parafusos novos. Conclui-se então que a ciclagem mecânica e os diferentes valores de torque de inserção, sendo estes abaixo do que se recomenda o fabricante, interferiram negativamente nos valores de torque remanescente dos parafusos de retenção das junções parafusadas nas condições avaliadas e embora os parafusos submetidos a ciclagem tenham apresentado uma menor média de força de ruptura, a diferença encontrada não apresentou poder estatístico que comprovasse sua influência na fratura dos parafusos de retenção testados.
Being loosening and fracture of retention screws the main complications in implant-supported prostheses, this study aimed to evaluate the preload maintenance and the occurrence of fractures at retention screws of UCLA-type abutment for implants with external hexagon connection and Morse Taper, due to the applied torque (recommended by the manufacturer, torque obtained by manual tightening and no torque), submitted to mechanical cycling. Sequentially, the fracture resistance of these screws was investigated by the compression test on a universal testing machine. Thirty-six implants embedded in polyurethane with an inclination of 30° were used and divided into 6 groups according to the type of connection and the applied torque. Randomly, the specimens belonging to the group without torque underwent mechanical cycling and groups of recommended by the manufacturer torque and manual torque underwent torque application and measurement of the remaining preload, before (three minutes after tightening) and after mechanical cycling (after 1x106 cycles). After cycling, the screws were submitted to the fracture resistance test by the compression test, which was applied a 5000N load under 0,5 mm/min speed. The results showed that in a general analysis, preload maintenance was significantly lower (p <0,05) after mechanical cycling. When comparing the two types of connection, there was no difference regarding to preload maintenance (p>0,05). For different types of torque, it was observed that, when it was applied the recommended by the manufacturer torque, the preload maintenance was significantly higher (p <0,05) compared to the group that received the manual torque. Of the 36 retention screws of UCLA-type abutments submitted to mechanical cycling, three fractured, being equivalent to 8,33%. Thirty three cycled retention screws, 12 new screw, being 6 for the CM connection and 6 for EH, were submitted to the compression strength test. The new screws showed the highest average for maximum strength (116,80 kgf) and deformation at full strength (2,18 mm), with a statistically significant difference (p <0.05) when compared with the cycled screws. Comparing the types of connection, the screws of the external hexagon connection groups had the highest mean maximum force (MF). Of the 12 new screws, 6 fractured during the test, being 3 of each type of connection. As for the cycled screws, there was the same amount of fracture, being 3 for the Morse Taper connection and 3 for the external hexagon. The highest average for fracture strength (FS) also occurred on the new screws. It was concluded that the mechanical cycling and different insertion torque values, which are lower than recommended by the manufacturer, negatively interfered on the preload maintenance of the retention screws of bolted joints in the evaluated conditions and although the screws submitted to cycling have presented a lower tensile strength average, the difference found did not present statistical power that would prove their influence on fracture of the tested retention screws.
CNPq: 130646/2014-8
7
GALIZA, JOSE ALEX GONCALVES DE. "RESISTANCE ANALYSIS OF FIXED ZIRCONIA BRIDGES APPLIED IN SCREWED DENTAL PROSTHESIS." PONTIFÍCIA UNIVERSIDADE CATÓLICA DO RIO DE JANEIRO, 2014. http://www.maxwell.vrac.puc-rio.br/Busca_etds.php?strSecao=resultado&nrSeq=24242@1.
Full textAbstract:
PONTIFÍCIA UNIVERSIDADE CATÓLICA DO RIO DE JANEIROCOORDENAÇÃO DE APERFEIÇOAMENTO DO PESSOAL DE ENSINO SUPERIOR
PROGRAMA DE SUPORTE À PÓS-GRADUAÇÃO DE INSTS. DE ENSINO
Esse trabalho teve como objetivo principal avaliar a resistência à falha da infraestrutura de uma prótese parcial fixa em zircônia de três elementos e aparafusada sobre implantes, através de análise de tensões por elementos finitos e determinação da resistência à fadiga da estrutura. Como objetivo secundário, foram avaliadas as distribuições das tensões nos demais componentes da prótese. Na análise de tensões, dois modelos distintos foram gerados, sendo o primeiro com prótese, implantes e parafusos similares àqueles adotados na clínica odontológica. Um segundo modelo, usado como controle, adotou uma geometria simplificada. As cargas mastigatórias foram aquelas usuais da literatura especializada e a análise por elementos finitos foi realizada através do programa Ansys Workbench 14.5. Os resultados das distribuições de tensões mostraram semelhanças entre os dois modelos, com pequenas variações relacionadas às geometrias empregadas. As tensões calculadas ficaram abaixo dos limites de resistência mecânica da zircônia e das ligas de titânio. No cálculo da vida em fadiga da prótese de zircônia um modelo analítico foi adotado prevendo uma vida infinita para o componente.
The main goal of this work was to evaluate the failure resistance of a zirconia fixed partial denture of three elements screwed on implants by means of a finite element stress analysis and the determination of the fatigue strength of the structure. As a secondary objective, the stress distributions in the other components of the prosthesis were evaluated. In order to promote the stress analysis, two different models were generated, the first making use of prosthesis, implants and screws similar to those adopted in the dental clinic. A second model, used as control, adopted a simplified geometry. The masticatory loads were those presented usually in the literature and finite element analysis was performed making use of Ansys Workbench 14.5 program. The stress distribution results showed similarity in both models, with small variations related to the adopted geometries. The calculated stresses were smaller than the ultimate strength of the zirconia and titanium alloys. Concerning the fatigue life of the zirconia prosthesis an analytical model was adopted and estimated an infinite life for the component.
8
Spazzin, Aloísio Oro 1984. "Torque de afrouxamento dos parafusos proteticos em proteses implanto-suportadas com diferentes niveis de desajuste." [s.n.], 2009. http://repositorio.unicamp.br/jspui/handle/REPOSIP/289905.
Full textAbstract:
Orientador: Marcelo Ferraz MesquitaDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Odontologia de Campinas
Made available in DSpace on 2018-08-12T19:41:12Z (GMT). No. of bitstreams: 1 Spazzin_AloisioOro_M.pdf: 136206020 bytes, checksum: 3bd1b222bdf09c7c84975da4fc525ca7 (MD5) Previous issue date: 2009
Resumo: O objetivo neste estudo foi verificar a influência da composição da liga (titânio ou ouro) e do re-aperto no torque de afrouxamento dos parafusos protéticos, sob diferentes níveis de desajustes (adaptação passiva e desajuste) de próteses mandibulares implantosuportadas. Foram confeccionadas 10 próteses totais mandibulares implanto-suportadas e criados dois níveis de desajustes, confeccionando 20 modelos de gesso (n = 10): próteses com adaptação passiva (G1_controle); e próteses com desajuste (G2). Para G1, as estruturas protéticas foram parafusadas diretamente aos análogos de mini-pilares cônicos. Para G2, os desajustes foram simulados utilizando anéis interpostos entre os cilindros da infra-estrutura e os análogos. O objetivo da interposição dos anéis foi obter média de 250 µm de desajuste no teste do parafuso único. Os análogos de todos os conjuntos montados foram incluídos em gesso utilizando delineador. Um microscópio óptico comparador (120x) foi usado para quantificar os valores de desajuste vertical no teste do parafuso único. As estruturas protéticas foram utilizadas para os dois níveis de desajustes. O torque de afrouxamento (TA) foi avaliado utilizando parafusos fabricados em liga de titânio (Ti) ou ouro (Au), sendo avaliadas também duas técnicas de aplicação de torque (10 Ncm): 1) torque e destorque após 24 horas (SR); e 2) torque, retorque após 10 minutos e destorque após 24 horas (CR). Foi utilizado torquímetro digital (TQ8800; Lutron) para aplicação do torque e leitura do TA. Os resultados foram submetidos à análise de variância de dois fatores (ANOVA) seguida do teste de Tukey (a=0,05). Os valores médios de TA (Ncm) para parafusos de Ti foram: G1/SR=6,99(±1,03); G1/CR=7,33(±0,79); G2/SR=5,65(±1,18); G2/CR=7,24(±1,00). Para parafusos de Au foram: G1/SR=5,42(±0,99);G1/CR=5,97(±1,00); G2/SR=5,03(±1,33); G2/CR=5,71(±1,02). No Capítulo-1, os materiais dos parafusos foram comparados sem aplicação do retorque (SR): Ti apresentou valor médio de TA mais elevado, diferindo estatisticamente do de Au no G1; o G2 apresentou menor valor médio de TA, diferindo estatisticamente do G1 para Ti. Não foi encontrada diferença estatística significante entre Ti e Au no G2, ou entre G1 e G2 para Au. No Capítulo-2, o retorque foi avaliado separadamente para Ti e Au. Para parafusos de Ti: o G2/SR apresentou menor valor médio de TA, diferindo estatisticamente do G1/SR; o G2/CR apresentou valor médio de TA mais elevado, diferindo estatisticamente de G2/SR; não foi encontrada diferença no valor médio de TA entre G1/CR e G2/CR, ou entre G1/SR e G1/CR. Para parafusos de Au, os grupos não apresentaram valores médios com diferença estatística entre si. Os materiais dos parafusos protéticos apresentaram comportamento diferente frente aos desajustes e retorque. A estabilidade da conexão dos parafusos de ouro não foi influenciada pelas variáveis avaliadas, enquanto os parafusos de titânio foram mais suscetíveis ao afrouxamento com aumento do desajuste, uma vez que o torque de afrouxamento diminuiu para valores semelhantes aos encontrados para os parafusos de ouro independentemente do nível de desajuste das próteses. Porém, a aplicação do retorque aumentou o torque necessário para afrouxar os parafusos de titânio para valores similares àqueles encontrados em próteses com adaptação passiva.
Resumo: O objetivo neste estudo foi verificar a influência da composição da liga (titânio ou ouro) e do re-aperto no torque de afrouxamento dos parafusos protéticos, sob diferentes níveis de desajustes (adaptação passiva e desajuste) de próteses mandibulares implantosuportadas. Foram confeccionadas 10 próteses totais mandibulares implanto-suportadas e criados dois níveis de desajustes, confeccionando 20 modelos de gesso (n = 10): próteses com adaptação passiva (G1_controle); e próteses com desajuste (G2). Para G1, as estruturas protéticas foram parafusadas diretamente aos análogos de mini-pilares cônicos. Para G2, os desajustes foram simulados utilizando anéis interpostos entre os cilindros da infra-estrutura e os análogos. O objetivo da interposição dos anéis foi obter média de 250 µm de desajuste no teste do parafuso único. Os análogos de todos os conjuntos montados foram incluídos em gesso utilizando delineador. Um microscópio óptico comparador (120x) foi usado para quantificar os valores de desajuste vertical no teste do parafuso único. As estruturas protéticas foram utilizadas para os dois níveis de desajustes. O torque de afrouxamento (TA) foi avaliado utilizando parafusos fabricados em liga de titânio (Ti) ou ouro (Au), sendo avaliadas também duas técnicas de aplicação de torque (10 Ncm): 1) torque e destorque após 24 horas (SR); e 2) torque, retorque após 10 minutos e destorque após 24 horas (CR). Foi utilizado torquímetro digital (TQ8800; Lutron) para aplicação do torque e leitura do TA. Os resultados foram submetidos à análise de variância de dois fatores (ANOVA) seguida do teste de Tukey (a=0,05). Os valores médios de TA (Ncm) para parafusos de Ti foram: G1/SR=6,99(±1,03); G1/CR=7,33(±0,79); G2/SR=5,65(±1,18); G2/CR=7,24(±1,00). Para parafusos de Au foram: G1/SR=5,42(±0,99);G1/CR=5,97(±1,00); G2/SR=5,03(±1,33); G2/CR=5,71(±1,02). No Capítulo-1, os materiais dos parafusos foram comparados sem aplicação do retorque (SR): Ti apresentou valor médio de TA mais elevado, diferindo estatisticamente do de Au no G1; o G2 apresentou menor valor médio de TA, diferindo estatisticamente do G1 para Ti. Não foi encontrada diferença estatística significante entre Ti e Au no G2, ou entre G1 e G2 para Au. No Capítulo-2, o retorque foi avaliado separadamente para Ti e Au. Para parafusos de Ti: o G2/SR apresentou menor valor médio de TA, diferindo estatisticamente do G1/SR; o G2/CR apresentou valor médio de TA mais elevado, diferindo estatisticamente de G2/SR; não foi encontrada diferença no valor médio de TA entre G1/CR e G2/CR, ou entre G1/SR e G1/CR. Para parafusos de Au, os grupos não apresentaram valores médios com diferença estatística entre si. Os materiais dos parafusos protéticos apresentaram comportamento diferente frente aos desajustes e retorque. A estabilidade da conexão dos parafusos de ouro não foi influenciada pelas variáveis avaliadas, enquanto os parafusos de titânio foram mais suscetíveis ao afrouxamento com aumento do desajuste, uma vez que o torque de afrouxamento diminuiu para valores semelhantes aos encontrados para os parafusos de ouro independentemente do nível de desajuste das próteses. Porém, a aplicação do retorque aumentou o torque necessário para afrouxar os parafusos de titânio para valores similares àqueles encontrados em próteses com adaptação passiva.
Abstract: The aim of this study was to verify the influence of alloy composition (titanium or gold) and retightening of the prosthetic screws on the loosening torque of these screws under different misfit levels (passive fit and misfit) of mandibular implant-supported prostheses. Ten mandibular implant-supported prostheses were fabricated. Two misfit levels of the prostheses were obtained fabricating twenty cast models using the prosthetic structures (n=10): prostheses with passive fit (G1_control); and prostheses with misfit (G2). For G1, the prosthetic structures were screwed directly to the analogs. For G2, the misfits were simulated using rings placed between the framework cylinders and the analogs. The analogs of all assembled sets were casted using delineator. The goal of the rings was to obtain mean of 250-µm misfit at one-screw test. An optic microscopic (120x) were used to quantifier the vertical misfit values at the one-screw test. The prosthetic frameworks were used in two misfit levels. The loosening torque (LT) was evaluated using screws made of titanium (Ti) or gold (Au) alloy, two techniques of torque application (10 Ncm) were also evaluated: 1) torque and loosening torque after 24 hours (wR); and 2) torque, retorque after 10 minutes and torque loosening after 24 hours (R). A digital torque meter (TQ8800; Lutron) was used to torque application and to measure the LT. Data were separately analyzed by two-away ANOVA followed by Tukey's test (a=0,05). The LT mean values (Ncm) for titanium screws were: G1/wR=6.99 (±1.03); G1/R=7.33(±0.79); G2/wR=5.65(±1.18); and G2/R=7.24(±1.00). For gold screws were: G1/wR=5.42(±0.99); G1/R=5.97(±1.00); G2/wR=5.03(±1.33); and G2/R=5.71(±1.02). In the Chapter-1, the screw materials were compared without retorque application (wR): Ti showed significant higher LT than Au in the G1; and G2 presented significant lower LT than G1 for Ti. No significant statistic difference was found between Ti and Au in the G2, or between G1 and G2 for Au screws. In the Chapter-2, the retorque was evaluated separately to Ti and Au. For titanium screws: the G2/wR showed lower LT than G1/wR; the G2/R presented higher LT than G2/wR; no significant difference on the LT between G1/R and G2/R; or between G1/wR and G1/R. For gold screws, the groups did not show mean values with statistic difference between each other. The prosthetic screw materials presented different behavior for the misfits and the retorque. The joint stability of the gold screw was not influenced by variables tested. While the titanium screws were more susceptible to the loosening with the misfit increase, once the loosening torque decreased to similar values those found for the gold screws regardless of the prosthetic fit level. However, the torque application increased the loosening torque of the titanium screws to similar values those found to the prostheses with passive fit.
Abstract: The aim of this study was to verify the influence of alloy composition (titanium or gold) and retightening of the prosthetic screws on the loosening torque of these screws under different misfit levels (passive fit and misfit) of mandibular implant-supported prostheses. Ten mandibular implant-supported prostheses were fabricated. Two misfit levels of the prostheses were obtained fabricating twenty cast models using the prosthetic structures (n=10): prostheses with passive fit (G1_control); and prostheses with misfit (G2). For G1, the prosthetic structures were screwed directly to the analogs. For G2, the misfits were simulated using rings placed between the framework cylinders and the analogs. The analogs of all assembled sets were casted using delineator. The goal of the rings was to obtain mean of 250-µm misfit at one-screw test. An optic microscopic (120x) were used to quantifier the vertical misfit values at the one-screw test. The prosthetic frameworks were used in two misfit levels. The loosening torque (LT) was evaluated using screws made of titanium (Ti) or gold (Au) alloy, two techniques of torque application (10 Ncm) were also evaluated: 1) torque and loosening torque after 24 hours (wR); and 2) torque, retorque after 10 minutes and torque loosening after 24 hours (R). A digital torque meter (TQ8800; Lutron) was used to torque application and to measure the LT. Data were separately analyzed by two-away ANOVA followed by Tukey's test (a=0,05). The LT mean values (Ncm) for titanium screws were: G1/wR=6.99 (±1.03); G1/R=7.33(±0.79); G2/wR=5.65(±1.18); and G2/R=7.24(±1.00). For gold screws were: G1/wR=5.42(±0.99); G1/R=5.97(±1.00); G2/wR=5.03(±1.33); and G2/R=5.71(±1.02). In the Chapter-1, the screw materials were compared without retorque application (wR): Ti showed significant higher LT than Au in the G1; and G2 presented significant lower LT than G1 for Ti. No significant statistic difference was found between Ti and Au in the G2, or between G1 and G2 for Au screws. In the Chapter-2, the retorque was evaluated separately to Ti and Au. For titanium screws: the G2/wR showed lower LT than G1/wR; the G2/R presented higher LT than G2/wR; no significant difference on the LT between G1/R and G2/R; or between G1/wR and G1/R. For gold screws, the groups did not show mean values with statistic difference between each other. The prosthetic screw materials presented different behavior for the misfits and the retorque. The joint stability of the gold screw was not influenced by variables tested. While the titanium screws were more susceptible to the loosening with the misfit increase, once the loosening torque decreased to similar values those found for the gold screws regardless of the prosthetic fit level. However, the torque application increased the loosening torque of the titanium screws to similar values those found to the prostheses with passive fit.
Mestrado
Protese Dental
Mestre em Clínica Odontológica
9
Farina, Ana Paula. "Efeito da ciclagem mecânica, material e retorque de parafusos, na estabilidade de próteses múltiplas sobre implantes com dois níveis de desajuste." [s.n.], 2011. http://repositorio.unicamp.br/jspui/handle/REPOSIP/289899.
Full textAbstract:
Orientador: Marcelo Ferraz MesquitaTese (doutorado) - Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba
Made available in DSpace on 2018-08-18T03:20:12Z (GMT). No. of bitstreams: 1 Farina_AnaPaula_D.pdf: 1605705 bytes, checksum: 829e909eecce5995165949e1b708c7d8 (MD5) Previous issue date: 2011
Resumo: O afrouxamento dos parafusos protéticos é frequentemente encontrado nos exames de rotina e pode causar complicações. Assim, métodos para sua prevenção devem ser desenvolvidos. O objetivo neste estudo foi avaliar a influência do retorque de parafusos protéticos (titânio ou ouro) na estabilidade de próteses totais implantossuportadas com diferentes níveis de adaptação (passiva ou desadaptada), após simulação da função mastigatória por meio de ciclagem mecânica (6 meses, torque de afrouxamento, reaperto dos parafusos + 6 meses de simulação; ou 1 ano de simulação e torque de afrouxamento). No capítulo 1, 10 próteses mandibulares implantossuportadas e 20 modelos foram confeccionados para duas condições de adaptação: passiva (adaptada) e não-passiva (desadaptada). Também foram avaliadas duas técnicas de aperto em função da aplicação de retorque e materiais do parafuso: 1) sem retorque + parafusos de titânio; 2) sem retorque + parafusos de ouro; 3) com retorque + parafusos de titânio; e, 4) com retorque + parafusos de ouro. Para a técnica de aplicação de retorque, os parafusos foram apertados (10 Ncm) e após 10 minutos, reapertados (10 Ncm). O torque de afrouxamento dos parafusos foi mensurado por meio de torquímetro digital de precisão após simulação de 1 ano da função mastigatória. Os dados foram submetidos à análise de variância (ANOVA) em 2 fatores seguido pelo teste complementar de Tukey em (?=0,05). Os fatores adaptação e técnica de aperto (retorque e tipo de parafuso), e a interação entre os fatores foram estatisticamente significantes. O desajuste diminui o torque de afrouxamento. A aplicação do retorque aumentou a estabilidade da conexão dos parafusos, independente da adaptação ou material dos parafusos. No capítulo 2, próteses passivas e não-passivas foram fabricadas de modo semelhante ao capítulo 1. O torque de afrouxamento foi mensurado após 2 condições de simulação de uso clínico: 1) 6 meses / torque de afrouxamento / reaperto / mais 6 meses / torque de afrouxamento; 2) 1 ano de simulação / torque de afrouxamento. Foram utilizados parafusos de titânio e ouro. O teste estatístico foi similar ao capítulo 1. O fator tempo de ciclagem e condição de uso (nível de ajuste e tipo de parafuso), bem como a interação desses fatores influenciaram os valores de torque de afrouxamento (p<0,05). Após 6 meses + 6 meses de simulação de uso clínico, os parafusos de titânio apresentaram maiores valores de torque de afrouxamento quando comparados aos parafusos de ouro, para o mesmo nível de adaptação. Após 1 ano de simulação de uso clínico, ambos materiais dos parafusos em próteses passivas apresentaram valores mais elevados que em próteses não-passivas. Dessa forma podemos concluir que a desadaptação reduz o torque de afrouxamento dos parafusos e que o retorque após 10 minutos consegue estabilizá-los. Parafusos de titânio apresentaram maior estabilidade que parafusos de ouro após 6 meses de simulação devido a sua menor deformação plástica. Quando o tempo de ciclagem foi analisado, parafusos de titânio apresentaram menor estabilidade após 1 ano de simulação devido à perda de torque frente à desadaptação, necessitando acompanhamento mais criterioso para que mantenham sua estabilidade
Abstract: The prosthesis screw loosening is often found at routine examinations and may cause complications. Therefore, methods to prevent them must be developed. The objective of this study was to evaluate the influence of retorque application on joint stability of prosthetic screws (titanium or gold) in implant-supported dentures under different fit levels (passive or misfit), after masticatory function simulated by means of mechanical cycling (6 months, loosening torque, screws retightening and another 6 months of simulation; or 1 year of simulation). In the first chapter, 10 mandibular implant-supported dentures and 20 cast models were fabricated to two fit levels: passive fit and misfit. Two tightening techniques were also evaluated according to the retorque application and screws material: 1) without retorque + titanium screws; 2) without retorque + gold screws; 3) retorque + titanium screws; and 4) retorque + gold screws. The screws were tightened 10 Ncm and retightened to 10 Ncm after 10 min. The screw joint stability was measured after a one-year clinical function simulation using a digital torque meter. Data were analyzed statistically by ANOVA/Tukey's test (?=0.05). The factors of fit level and tightening technique and the interaction between the factors were statistically significant. The misfit decreases the loosening torque. The retorque application increased joint stability independent of fit level or screw material. In the chapter 2, passive and misfit dentures were fabricated as in chapter 1. The loosening torque was measured after two conditions of clinical use simulating: six months / torque loosening / retightening / further six months / loosening torque; and one year of simulation / loosening torque. Titanium and gold screws were used. The statistical analysis was similar to the first chapter. Therefore, the factor cycling time and condition use (fit level and screw type) as well the interaction between the factors influenced the loosening torque values (p<0.05). After six months another six months of masticatory function simulated, the titanium screws showed higher loosening torque than did gold screws for the same fit level. After one year of clinical use simulation, both material screws in passive dentures showed higher loosening torque values than did misfit dentures. Thus we can conclude that the misfit decreases the loosening torque and retorque application increased joint stability. The stability of titanium screws was higher than gold screws after 6 months of simulation, due to its lower plastic deformation. When the cycling time was analyzed, titanium screws were less stable after 1 year of simulation due to loss of torque in misfit presence, requiring more careful monitoring to maintain stability
Doutorado
Protese Dental
Doutor em Clínica Odontológica
10
Damaceno, Alessandra Regina Derogis. "Analise fotoelastica da influencia de intermediarios proteticos na distribuição de tensões induzidas por infra-estruturas implanto-suportadas submetidas a soldagem a laser." [s.n.], 2007. http://repositorio.unicamp.br/jspui/handle/REPOSIP/288264.
Full textAbstract:
Orientador: Mauro Antonio de Arruda NobiloTese (doutorado) - Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba
Made available in DSpace on 2018-08-09T22:47:57Z (GMT). No. of bitstreams: 1 Damaceno_AlessandraReginaDerogis_D.pdf: 2207812 bytes, checksum: bee72ab72dd5b1ab3d0126a21f181256 (MD5) Previous issue date: 2007
Resumo: Este estudo avaliou comparativamente a influência de diferentes intermediários protéticos na indução de tensões em infra-estruturas implanto-suportadas soldadas a laser através da análise fotoelástica. Para isso, foram confeccionadas três infra-estruturas metálicas em monobloco, fundidas em titânio, sobre uma matriz metálica com forma e dimensões similares ao arco mandibular, sendo: 1- infra-estrutura confeccionada com pilares Ucla; 2- infra-estrutura confeccionada sobre pilares Esteticone e 3- infra-estrutura confeccionada sobre pilares Microunit. Após avaliação da interface de adaptação em microscopia óptica e análise de passividade em polariscópio circular, as peças foram seccionadas e submetidas à soldagem vertical a laser. As peças foram novamente avaliadas em relação à adaptação e posteriormente submetidas à análise fotoelástica para comparação do padrão de tensões. Os resultados mostraram a eficiência da soldagem a laser na redução de tensões induzidas pelas infra-estruturas. O método ainda permitiu formação de diferentes padrões de comportamento para os diferentes pilares. Os maiores valores de ordem de franja foram encontrados para a infra-estrutura confeccionada sobre pilares Ucla, seguida daquela sobre pilares Esteticone e por último daquela sobre pilares Microunit. No entanto, a distribuição de tensões ao redor dos implantes foi mais homogênea quando os pilares Esteticone e Microunit foram utilizados. Os valores de desadaptação vertical após soldagem laser encontrados para os diferentes pilares foram de 147.9µm, 389µm e 179.4µm respectivamente para os pilares Ucla, Esteticone e Microunit. Concluiu-se que a técnica de soldagem a laser de infra-estruturas implanto-suportadas reduz significativamente a indução de tensões aos implantes, e que a utilização de pilares intermediários, apesar de permitir maior desajuste marginal das peças, distribui melhor o padrão de formação destas tensões geradas ao redor dos mesmos, com maiores (Esteticone) ou menores (Microunit) valores de ordem de franja
Abstract: This study evaluated the influence of different abutments on stress formation by implant-supported frameworks submitted to laser welding through photoelastic analysis. Three titanium frameworks were cast in-one-piece in a metallic master cast with shape and dimension of mandibular arch: I ¿framework fabricated with Ucla abutments, II ¿framework fabricated over Esteticone abutment and III- framework cast over Microunit abutment. After fit optical microscopy evaluation and non passive analysis in circular polariscopy, the frameworks were sectioned and submitted to vertical laser welded to posterior optical and stress formations analysis to compares the abutments tested. Results showed the laser weld efficiency in the implanted-supported framework stress reduction although had allowed different stress formation patterns among the abutments. The higher franje order number was attributed to the framework cast with Ucla abutments, followed by that cast over Esteticone and Microunit abutments respectively. However the distribution of stress pattern around implants was better with esteticone and microunit abutments utilization. After laser welding the vertical marginal fit found were 147.9µm, 389µm and 179.4µm to Ucla, Esteticone and Microunit abutments, respectively. This study concluded that the laser welding technique reduced significantly the stress formation in the implanted-supported frameworks and although the use of abutments increase the marginal fit of frameworks it allowed the better stress pattern distribution around the implants with higher (Esteticone) and lower (Microunit) franje order number values. Keywords: fixed implant prosthesis, passivity, photoelastic analysis
Doutorado
Protese Dental
Doutor em Clínica Odontológica
Books on the topic "Dental prosthesi"
1
Lindquist, Lars W. On prosthetic rehabilitation of the edentulous mandible: A longitudinal study of treatment with tissue-integrated fixed prostheses. Göteborg: [publisher not identified], 1987.
Find full text
2
Giulio, Preti. Prosthetic rehabilitation. London: Quintessence Pub., 2008.
Find full text
3
1928-, Laney William R., and Tolman Dan E, eds. Tissue integration in oral, orthopedic, and maxillofacial reconstruction: Proceedings of the Second International Congress on Tissue Integration in Oral, Orthopedic, and Maxillofacial Reconstruction, Mayo Medical Center, Rochester, Minnesota, September 23-27, 1990. Chicago: Quintessence Pub. Co., 1992.
Find full text
4
Massironi, Domenico. Precision in dental esthetics: Clinical and laboratory procedures. Milan: Quintessenza Edizioni, 2007.
Find full text
5
S, Block Michael, and Kent John S, eds. Endosseous implants for maxillofacial reconstruction. Philadelphia: W.B. Saunders, 1995.
Find full text
6
International, Congress on Tissue Integration in Oral and Maxillofacial Reconstruction (3rd 1996 Tokyo Japan). Third International Congress on Tissue Integration in Oral and Maxillofacial Reconstruction: Proceedings of the Third International Congress on Tissue Integration in Oral and Maxillofacial Reconstruction, November 1996, Tokyo. Tokyo: Quintessence Pub. Co., 1999.
Find full text
7
Pedro, Torroba Laviña, ed. Implant-supported prostheses: Occlusion, clinical cases, and laboratory procedures. Chicago: Quintessence Pub., 1995.
Find full text
8
1943-, Ogden Alan, and British Society for the Study of Prosthetic Dentistry., eds. Guidelines in prosthetic and implant dentistry. London: Quintessence Publishing for British Society for the Study of Prosthetic Dentistry, 1996.
Find full text
9
Roy, MacGregor A., and Fenn H. R. B, eds. Fenn, Liddelow, and Gimsons' clinical dental prosthetics. 3rd ed. London: Wright, 1989.
Find full text
10
Dirtoft, Ingegerd. Holography, a new method for deformation analysis of upper complete dentures in vitro and in vivo. Stockholm, Sweden: Almqvist & Wiksell International, 1985.
Find full textBook chapters on the topic "Dental prosthesi"
1
Wu, Xixi, and Faleh Tamimi. "Pharmacological Risk Assessment for Dental Implants." In Mandibular Implant Prostheses, 37–65. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-71181-2_4.
Full text
2
Gotman, Irena. "Biomechanical and Tribological Aspects of Orthopaedic Implants." In Springer Tracts in Mechanical Engineering, 25–44. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-60124-9_2.
Full textAbstract:
AbstractOrthopaedic and dental implant treatments have allowed to enhance the quality of life of millions of patients. Total hip/knee arthroplasty is a surgical replacement of the hip/knee joint with an artificial prosthesis. The aim of joint replacement surgery is to relieve pain improve function, often for sufferers of osteoarthritis, which affects around a third of people aged over fifty. Nowadays, total hip and knee replacement (THR) surgeries are considered routine procedures with generally excellent outcomes. Given the increasing life expectancy of the world population, however, many patients will require revision or removal of the artificial joint during their lifetime. The most common cause of failure of hip and knee replacements is mechanical instability secondary to wear of the articulating components. Thus, tribological and biomechanical aspects of joint arthroplasty are of specific interest in addressing the needs of younger, more active patients. The most significant improvements in the longevity of artificial joints have been achieved through the introduction of more wear resistant bearing surfaces. These innovations, however, brought about new tribocorrosion phenomena, such as fretting corrosion at the modular junctions of hip implants. Stiffness mismatch between the prosthesis components, non-physiological stress transfer and uneven implant-bone stress distribution are all involved in premature failure of hip arthroplasty. The development of more durable hip and knee prostheses requires a comprehensive understanding of biomechanics and tribocorrosion of implant materials. Some of these insights can also be applied to the design and development of dental implants.
3
MacIntosh Turfa, Jean, and Marshall Joseph Becker. "A very distinctive smile: Etruscan dental appliances." In Prostheses in Antiquity, 49–70. Abingdon, Oxon ; New York, NY : Routledge, 2018. | Series: Medicine and the body in antiquity: Routledge, 2018. http://dx.doi.org/10.4324/9781351232395-3.
Full text
4
Miculescu, Florin, Lucian Toma Ciocan, Marian Miculescu, Andrei Berbecaru, Josep Oliva, and Raluca Monica Comăneanu. "Failure Analysis of Dental Prosthesis." In Handbook of Bioceramics and Biocomposites, 1217–46. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-12460-5_56.
Full text
5
Miculescu, Florin, Lucian Toma Ciocan, Marian Miculescu, Andrei Berbecaru, Josep Oliva, and Raluca Monica Comăneanu. "Failure Analysis of Dental Prosthesis." In Handbook of Bioceramics and Biocomposites, 1–30. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-09230-0_56-1.
Full text
6
Miculescu, Florin, Lucian Toma Ciocan, Marian Miculescu, Andrei Berbecaru, Josep Oliva, and Raluca Monica Comăneanu. "Failure Analysis of Dental Prosthesis." In Handbook of Bioceramics and Biocomposites, 1–30. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-09230-0_56-2.
Full text
7
Bergmann, Carlos P., and Aisha Stumpf. "Ceramic Materials for Prosthetic and Restoration Use." In Dental Ceramics, 15–22. Berlin, Heidelberg: Springer Berlin Heidelberg, 2013. http://dx.doi.org/10.1007/978-3-642-38224-6_3.
Full text
8
Freest, Charles F., and Daniel A. Savett. "Longevity of Osseointegrated Dental Implants†." In Clinical Perfomance of Skeletal Prostheses, 237–54. Dordrecht: Springer Netherlands, 2004. http://dx.doi.org/10.1007/978-94-011-0541-5_14.
Full text
9
Mainjot, Amélie. "Ceramic Materials for Dental Prostheses." In Biomaterials, 181–97. Hoboken, NJ, USA: John Wiley & Sons, Inc., 2014. http://dx.doi.org/10.1002/9781119043553.ch9.
Full text
10
Solaberrieta, E., L. Barrenetxea, E. Bilbao, O. Etxaniz, N. Goikoetxea, R. Minguez, E. Sierra, and A. Uribarri. "Collision Free Design of Dental Prosthesis." In New Advances in Mechanisms, Transmissions and Applications, 131–38. Dordrecht: Springer Netherlands, 2014. http://dx.doi.org/10.1007/978-94-007-7485-8_17.
Full textConference papers on the topic "Dental prosthesi"
1
Tallita Passos, Bianka, Moira Cristina Cubas Fatiga Tillmann, and Anita Maria da Rocha Fernandes. "Plataforma para apoio a modelagem de próteses com base em Processamento Digital de Imagens e Deep Learning." In Computer on the Beach. São José: Universidade do Vale do Itajaí, 2021. http://dx.doi.org/10.14210/cotb.v12.p525-527.
Full textAbstract:
Medical practice in general, and dentistry in particular, generatesdata sources, such as high-resolution medical images and electronicmedical records. Digital image processing algorithms takeadvantage of the datasets, enabling the development of dental applicationssuch as tooth, caries, crown, prosthetic, dental implant, andendodontic treatment detection, as well as image classification. Thegoal of image classification is to comprehend it as a whole and classifythe image by assigning it to a specific label. This work presentsthe proposal of a tool that helps the dental prosthesis specialist toexchange information with the laboratory. The proposed solutionuses deep learning to classify image, in order to improve the understandingof the structure required for modeling the prosthesis. Theimage database used has a total of 1215 images. Of these, 60 wereseparated for testing. The prototype achieved 98.33% accuracy.
2
Agostinho Hernandez, Bruno, Alexander Paterno, Edson Antonio Capello Sousa, João Paulo de Oliveira Freitas, and Cesar Renato Foschini. "Fatigue Analysis of Dental Prostheses by Finite Element Method (FEM)." In ASME 2015 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2015. http://dx.doi.org/10.1115/imece2015-51911.
Full textAbstract:
Introduction and Objectives: The dental prostheses are typical biomechanical structures because they have the objective to restore the mastication functions and are responsible for replacing the original tooth that was damaged. In the last few years, many studies have been done and big achievements have been noticed in this area. However, clinical studies and experimental procedures for these conditions are sometimes impractical, due to the biological nature of these components and the difficult to reproduce and to analyze such conditions. Moreover, it involves complex geometries, loads and mechanical behaviors, which analytical solution is very difficult to achieve. For these reasons, many researchers have applied the Finite Element Method (FEM). This method allows the evaluation of non-linear situations (e.g. biomechanical interactions) with complex geometries where experimental tests are usually difficult to be conducted. Furthermore, the uses of this method allow failure evaluation and it forecast occurrence. Like any mechanical structure, prostheses are sensible to failures. The cyclic nature of the loading that components are exposed means that fatigue failures are the type of failure which needs more attention in these kinds of structures. Therefore, this project aims to develop a tridimensional finite element model of dental prosthesis in order to evaluate the fatigue problem. Methods: A geometric model from a single dental prosthesis compounded by an implant, an abutment screw, an abutment, a fixation’s screw and a crown will be generated from Micro CT and scanning data. Then, the geometry will be exported to finite element software where a finite element model will be created. After these steps, boundaries conditions will be applied and simulations will be done. Finally, the simulation results will be analyzed. Results: The results from fatigue simulations and analysis demonstrated that abutment screw will have a finite life in most of the analyzed cases, and the fixation screw will be an infinite life. Conclusion: The results obtained illustrate the efficiency of Finite Element Method on simulating the biomechanical conditions, mainly in dental prostheses. In this study, the fatigue conditions were explored and analyzed. Finally, the knowledge about this problem could be improved.
3
da Silva, Jose Machado, Ilaria Cerrone, Daniel Malagon, Jorge Marinho, Stephen Mundy, Joao Gaspar, and Joaquim Gabriel Mendes. "A Smart Dental Prosthesis to Restore Dental Proprioceptivity." In 2020 XXXV Conference on Design of Circuits and Integrated Systems (DCIS). IEEE, 2020. http://dx.doi.org/10.1109/dcis51330.2020.9268653.
Full text
4
Faegh, Samira, and Sinan Müftü. "Load Transfer Along the Bone-Dental Implant Interface." In ASME 2009 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2009. http://dx.doi.org/10.1115/sbc2009-206815.
Full textAbstract:
Endosseous dental implants are used as prosthetic treatment alternatives for treating partial edentulism [1]. Excellent long term results and high success rates have been achieved using dental implants during the past decades. Further improvements in implant protocols will include immediate loading, patient specific implants, applications for patients with extreme bone loss and extreme biting habits such as bruxism. The implant designs available in the market vary in size, shape, materials and surface characteristics [2], and address some of these concerns. An important factor in the implant design is the load transfer from the implant to bone during occlusal loading.[2,3] Load transfer starts along the bone-implant interface, and is affected by the loading type, material properties of the implant and prosthesis, implant geometry, surface structure, quality and quantity of the surrounding bone, and nature of the bone-implant interface [4]. While many studies using the finite element method (FEM) have been carried out [2–5], a systematic investigation of the load transfer at the bone implant interface, and the effects of various parameters that make the implant contour is lacking. The goal of this paper is to investigate one aspect of this multivariable problem, namely the effect of external implant threads on the load transfer along the bone-implant interface.
5
Han, Jingyun, Yubo Fan, and Yuchun Sun. "Digitized occlusal reconstruction for dental prostheses." In 2011 Second International Conference on Mechanic Automation and Control Engineering (MACE). IEEE, 2011. http://dx.doi.org/10.1109/mace.2011.5988736.
Full text
6
Kasra, Mehran, and James D. Anderson. "Framework Design for an Orofacial Implant-Supported Prosthesis." In ASME 1997 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 1997. http://dx.doi.org/10.1115/imece1997-0335.
Full textAbstract:
Abstract Loss of the entire midface leaves few options available for support of the dentition. Total loss of the maxilla bilaterally means that none of the traditional support areas are even partially useful. Surgical reconstruction of the midface is aggressive, and yet problems of support and retention for a dental prosthesis, as well as the facial prosthesis, remain. Osseointegrated implants can provide support and retention utilizing the remaining bones, but the distribution of occlusal forces becomes a concern, given their unfavourable location relative to the opposing dentition. Considerable attention has been given to framework design for intraoral implant-supported prostheses (1) but designs for extraoral framework typically have not been engineered with a view to controlling forces on the individual implants. This work describes the design procedure of such an extraoral framework which was fabricated for an individual. To minimize the possibility of unintentional overloads, consideration of the forces on each of the implants was prominent in design planning.
7
Starkov, Vitaly, Ekaterina Gosteva, and Yankin Vladislav. "Surface Nanostructuring of Dental Prosthesis Based on Titanium." In 2019 IEEE International Conference on Manipulation, Manufacturing and Measurement on the Nanoscale (3M-NANO). IEEE, 2019. http://dx.doi.org/10.1109/3m-nano46308.2019.8947380.
Full text
8
Roatesi, Iulia, Simona Roatesi, and Constantin Rotaru. "FEM analysis of one element prosthesis on dental implant." In 2015 E-Health and Bioengineering Conference (EHB). IEEE, 2015. http://dx.doi.org/10.1109/ehb.2015.7391353.
Full text
9
Ueki, Kazuya, Hayata Wakamatsu, and Yasuaki Hagiwara. "Evaluation of Dental Prosthesis Colors Using a Neural Network." In 2020 IEEE 5th International Conference on Signal and Image Processing (ICSIP). IEEE, 2020. http://dx.doi.org/10.1109/icsip49896.2020.9339381.
Full text
10
Wang, Shuli, Weiting Wang, and Fan Wu. "A computer-aided analysis on dental prosthesis shade matching." In 2011 4th International Conference on Biomedical Engineering and Informatics (BMEI). IEEE, 2011. http://dx.doi.org/10.1109/bmei.2011.6098746.
Full textReports on the topic "Dental prosthesi"
1
Vélez, Rómulo Andrés, Alejandro Fereño Caceres, Wilson Daniel Bravo Torres, Daniela Astudillo Rubio, and Jacinto José Alvarado Cordero. Primary stability with the osseodensification drilling technique for dental implants in low density bone in humans: a systematic review. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, September 2022. http://dx.doi.org/10.37766/inplasy2022.9.0066.
Full textAbstract:
Review question / Objective: - Does the osseodensification drilling technique increase primary stability in low-density bone? - The aim of the present investigation was to evaluate primary stability in dental implants in people with low density bone using the osseodensification technique. Condition being studied: The replacement of missing teeth through dental implants is currently the most practiced in dental clinics. The main criterion for determining the success of an implant is osseointegration, which is a direct structural and functional connection between vital bone and the prosthetic load-bearing surface of an implant. In the same way, primary stability must be obtained for a good lasting clinical result of the implant and to achieve this purpose, the bone density must be evaluated where the dental implant is to be placed. Salah Huwais in 2013 introduced a new osteotomy procedure (Oseodensification) for site preparation without removal and bone preservation. The Osseodensification process produces an autograft layer around the implant with the osteotomy surface, the autologous bone comes into contact through an endosteal device that accelerates osseointegration due to the nucleation of osteoblasts in the instrumented bone adjacent to the implant and has a greater primary stability due to contact between the device and the bone.