The present study evaluated the effect of the taper angle of different internal conical connection implants and cyclic loading on the implant-abutment bacterial seal. A total of 96 implant-abutment sets were divided into eight groups. Four groups of different taper degrees with cyclic mechanical loading of 500,000 cycles per sample, with a 120-N load at 2 Hz before analysis [16DC (16-degree, cycled), 11.
View Article and Find Full Text PDFRegenerative and reconstructive periodontal plastic surgery are important options for treating marginal tissue recession and can be indicated for root coverage or periodontal procedures prior to implant placement. Among the available procedures, periodontal flaps with subepithelial connective tissue graft (CTG) is the most common treatment option to achieve proper tissue manipulation. The present study proposes a modification of a previous technique for inducing spontaneous gingival growth around teeth that will be extracted prior to implant placement, through successive reduction of the buccal root surface.
View Article and Find Full Text PDFEvid Based Complement Alternat Med
June 2022
Introduction: Considering oral rehabilitation with dental implants, many studies have aimed at improving bone regeneration through the use of biomaterials.
Objective: This study aimed at comparing bone neoformation in patients undergoing bilateral maxillary sinus surgery with two bovine biomaterials.
Materials And Methods: This is a randomized, blinded, clinical crossover, and divided mouth study.
J Dent Res Dent Clin Dent Prospects
May 2021
Maxillary bone atrophy with a considerable amount of pneumatization and anterior expansion of the maxillary sinus might be a situation limiting oral rehabilitation with osseointegrated implants. Therefore, the present study aimed to biomechanically evaluate two rehabilitation techniques for maxillary bone atrophy: all-on-four and long trans-sinus implants. Two three-dimensional models consisting of atrophic maxilla with four implants were simulated.
View Article and Find Full Text PDFThe aim of this study was to clinically and radiographically compare extra short and standards implants. Forty-two implants were installed in 10 selected patients. They received prosthetic loading only after the conventional waiting time for osseointegration and the prostheses were made ferulized.
View Article and Find Full Text PDFStatement Of Problem: Although the concept of angulated dental implants has been used for the rehabilitation of the completely edentulous maxilla, its use has yet to be validated with narrow-diameter implants. Proper estimation of narrow-diameter implant dimensions and angulations is essential for the correct use of these implants.
Purpose: The purpose of this 3D finite element analysis study was to compare the stress levels and distributions of 2 narrow-diameter angled implant arrangements supporting a maxillary fixed complete prosthesis.
Int J Oral Maxillofac Implants
December 2019
Purpose: This prospective clinical study evaluated the influence of an interposed bone graft with inferior alveolar nerve lateralization in terms of rates of sensory disturbance, mean sensation recovery time, and survival rates for placement of osseointegrated implants.
Materials And Methods: Patients with an atrophic posterior mandible were enrolled in this study and randomized into two groups: bone graft group (a bone graft was placed between the implant and inferior alveolar nerve after lateralization) and control group (implants were placed in direct contact with the inferior alveolar nerve after lateralization). Neurosensory disturbances were evaluated via questionnaire 1 week after surgery and at the end of each month during the first year after surgery.
Int J Periodontics Restorative Dent
October 2019
Peri-implant bone remodeling occurs in all osseointegrated implants and can be defined as an adaptive process of bone around the implant in response to functional loading. This retrospective study evaluated the marginal bone remodeling around dental implants with external hexagonal connections in function for more than 10 years. The sample consisted of 17 implants placed in the posterior region of the mandible to replace one or several teeth.
View Article and Find Full Text PDFInt J Oral Maxillofac Implants
October 2018
Purpose: The aim of this study was to evaluate volumetric stability of autologous and xenogeneic block grafts and primary stability of implants in maxillary grafted areas.
Materials And Methods: Each patient received one autologous block and xenogeneic block, both covered with a membrane. Bone thickness measurements clinically and tomographically were made before, immediately, and 6 months postoperatively.
Purpose: To evaluate the fracture resistance after the thermal and mechanical fatigue of feldspathic, lithium disilicate, and resin-modified CAD/CAM monolithic crowns cemented onto a universal post abutment.
Materials And Methods: A right second mandibular molar was designed in CAD/CAM software, and 30 crowns were machined using three different materials (n = 10): feldspathic ceramic, finished only with a glaze cycle (G1); lithium disilicate, sintered and finished with a glaze cycle (G2); and resin, modified by nanoceramic and finished with rubber (G3). All crowns were cemented under a constant 50 N load, the excess cement was removed, and the crowns were light-cured for 30 seconds.
Purpose: The aim of this study was to evaluate the influence of the implant diameter on marginal bone remodeling around dental implants replacing single molars after a follow-up period of 3 to 6 years.
Materials And Methods: Patients who received dental implants with an external hexagon platform in healed sites to support a single metal-ceramic crown in the molar region were recalled to the office. The implantation sites and implant length information were recorded, and the implants were divided according to the implant diameter: regular (RP) or wide (WP).
Purpose: To evaluate the influence of the collar surface topography on peri-implant marginal bone preservation.
Materials And Methods: A total of 156 patients who received at least one cylindrical implant of regular diameter with an external-hexagon platform in the posterior region of the maxilla or mandible were recalled to the office for a retrospective evaluation. Implantation sites and implant length information were recorded, and implants were divided according to the collar surface topography: machined (M) or rough (R) surface.
Introduction: This study evaluated the cervical fit of cemented metal-ceramic and In-Ceram implant-supported crowns, before and after the cementing procedure.
Materials And Methods: Twenty crowns cemented on implant abutments are divided into two groups (n = 10): Group 1 -cemented metal-ceramic crowns and group 2 - cemented In-Ceram crowns. The marginal adaptations before and after cementation were evaluated in a comparison microscope with an error of 1 μm.
This prospective case series proposes a method for selecting the diameter of immediate postextraction anterior implants and guiding the placement position of the implant based on the buccolingual dimension with the goal of preserving the buccal bone wall. The socket buccolingual distance was measured to determine the appropriate implant diameter, considering a 3-mm gap to the buccal wall. Pre- and postoperative cone-beam computed tomography images were compared to evaluate the buccal bone.
View Article and Find Full Text PDFObjectives: The aim of this study was to evaluate the 12-year clinical performance of sintered (Duceram, Dentsply-Degussa, Dentsply International Inc., PA, USA)-D and pressable (IPS Empress, Ivoclar-Vivadent, Schaan, Leichtenstein)-IPS ceramic inlay and onlay restorations.
Methods: Eighty-six restorations were placed in 35 patients with a median age of 33 years by a single operator.
Comput Methods Biomech Biomed Engin
October 2016
Algorithmic models have been proposed to explain adaptive behavior of bone to loading; however, these models have not been applied to explain the biomechanics of short dental implants. Purpose of present study was to simulate bone remodeling around single implants of different lengths using mechanoregulatory tissue differentiation model derived from the Stanford theory, using finite elements analysis (FEA) and to validate the theoretical prediction with the clinical findings of crestal bone loss. Loading cycles were applied on 7-, 10-, or 13-mm-long dental implants to simulate daily mastication and bone remodeling was assessed by changes in the strain energy density of bone after a 3, 6, and 12 months of function.
View Article and Find Full Text PDFReplacing both missing maxillary anterior teeth is particularly challenging, especially in compromised sockets. This case report describes the management of an 18-year-old female patient, who suffered avulsion of both maxillary central incisors at 7 years of age. This multidisciplinary implant technique, called Immediate Dentoalveolar Restoration (IDR), included extraction of the injured teeth and a single procedure for immediate implant placement and restoration of the compromised sockets after root fracture and periapical lesion development were detected during orthodontic treatment.
View Article and Find Full Text PDFJ Prosthodont
January 2016
Purpose: To compare the fracture resistance before and after cyclic fatigue assays of ceramic crowns with customized zirconia abutments when screw retained and cemented onto implants.
Materials And Methods: The sample of this study consisted of 40 ceramic crowns with zirconia infrastructure fixed onto external hexagonal implants. The crowns were distributed into two groups (n = 20): Screw-retained and cemented crowns.
The evolution of adhesive procedures and ceramic systems has allowed for the placement of minimum thickness laminate veneers on unprepared teeth. A 20-year-old post-orthodontics male patient with multiple diastemas required restorative procedures. A multidisciplinary approach was performed, involving gingivectomy, in-office bleaching, and application of minimum thickness veneers.
View Article and Find Full Text PDFMaxillary sinus pneumatization may significantly reduce the alveolar bone height. As a result, the sinus membrane may need to be apically repositioned, with or without grafts, before or at the time of implant placement. The sinus lift, however, is a relatively invasive surgical procedure that can lead to complications and sometimes unsuccessful results.
View Article and Find Full Text PDFInt J Periodontics Restorative Dent
February 2016
The aim of this prospective case series was to evaluate the stability of esthetic treatment after single tooth replacement in compromised sockets using the immediate dentoalveolar restoration (IDR) concept. Eighteen patients underwent immediate implant placement and IDR of bone defects. Clinical photographs were used to evaluate the gingival contour and papillae.
View Article and Find Full Text PDFBackground: The aim of the present study is to evaluate the survival rate and bone loss around short implants (≤10 mm) supporting splinted or non-splinted posterior prostheses during a follow-up period of 3 to 16 years.
Methods: A total of 453 implants from 198 patients was divided into splinted or non-splinted groups. Implant survival rate was calculated for each group, and potential risk was represented as odds ratio (OR).
Purpose: Although flapless computer-guided implant placement provides important benefits, deviations from the planned implant placement in the edentulous arch may pose significant risks. This study evaluated the reliability and accuracy of a flapless computer-guided surgical approach.
Materials And Methods: Computer-generated preoperative implant planning was compared to actual placement by cone-beam computerized tomography (CBCT) scanning of patients before and after surgery.
Purpose: To characterize the surface of implants from Brazilian companies by light interferometry and evaluate the level of control of the surface treatment process.
Materials And Methods: Oral implants from the five largest Brazilian companies were evaluated topographically. The surfaces of the implants were analyzed on the tops, valleys, and flanks of the threads, totaling nine measurements for each unit.