Background: The purpose of this study was to compare the microgap size between engaging (E) and non-engaging (NE) abutments and screw morphology changes between E and NE abutments using scanning electron microscopy (SEM) before and after cyclic loading (CL).
Methods: Thirty-six implants were arranged into four groups as follows: Group 1, single units with E abutments; Group 2, single units with NE abutments; Group 3, three-unit fixed partial dentures with a hemi-engaging design; and Group 4, three-unit FPDs with two NE abutments. The microgap was evaluated using a stereomicroscope.
The interdisciplinary treatment provided for a 12-year-old boy with fusion of his left central and lateral incisors and concomitant distal space loss is described. His treatment was initiated with orthodontic therapy followed by endodontic treatment of the fused tooth. A conservative zirconia and porcelain cantilevered bonded fixed dental prosthesis was then completed to replace his left lateral incisor.
View Article and Find Full Text PDFUnlabelled: STATEMENT OF PROBLEM: Achieving and maintaining optimal tissue health and esthetics when immediately placing maxillary anterior implants with interim restorations has been challenging and the clinical outcomes heterogenous.
Purpose: The purpose of this retrospective study was to evaluate the clinical outcomes of immediate placement of maxillary anterior implants with interim restorations and compare the tomographic and clinical results before and after implant placement in participants followed for 1 to 14 years.
Material And Methods: Twenty participants receiving 25 postextraction single implants in the anterior maxilla were studied.
Purpose: To compare screw surface characteristics between hemi-engaging and non-engaging implant-supported fixed partial denture (FPD) designs after cyclic loading.
Materials And Methods: Twenty-four implants measuring 4.3 × 10 mm were mounted on acrylic resin blocks.
J Prosthet Dent
December 2024
Statement Of Problem: The high prevalence of peri-implantitis (PI) continues to plague patients and the disease is resistant to present treatment regimens. An analysis of the available research is lacking.
Purpose: Given the abundance and diversity of research on the topic of PI, the purpose of this mapping review was to synthesize the literature on the prevention of PI, the histopathology of the disease, the state of present therapeutics, and any emerging treatments.
Statement Of Problem: A hemi-engaging abutment design has been suggested to improve the stability of the implant-to-abutment interface compared with that of a fully nonengaging design to restore implant-supported fixed partial denture. However, controversy persists regarding the benefit of using a hemi-engaging abutment design and prompts the need for specific mechanical testing on the effect of these designs on screw preload under simulated clinical conditions.
Purpose: The purpose of this in vitro study was to determine whether significant differences in preload values of the screw before and after cyclic loading exist between hemi-engaging and nonengaging abutment fixed partial denture designs.
Objectives: Teeth connect to bone via a periodontal ligament, whereas implants connect to bone directly. Consequently, masticatory loads are distributed differently to periodontal versus peri-implant bone. Our objective was to determine how masticatory loading of an implant versus a tooth affected peri-implant versus periodontal bone remodeling.
View Article and Find Full Text PDFBackground: Advancements in strategies to maintain compromised teeth combined with a greater understanding of risks associated with dental implants invite a reassessment of the benefits of strategic extraction of a tooth with a questionable prognosis or of limited strategic value.
Methods: Evidence of the management of compromised teeth and decision making for strategic extraction was reviewed. Additionally, the risks for peri-implantitis were evaluated from the perspective of patient centric, biologic, and biomechanical complications.
This clinical report with an 8-year follow-up describes the multidisciplinary management of a patient diagnosed with amelogenesis imperfecta. The rehabilitation included horizontal-guided bone regeneration, implant placement, use of a fixed interim prosthesis to preview the correction of occlusal disharmonies, and placement of a custom screw-retained definitive implant-supported restoration with a design that was retrievable and minimized maintenance problems.
View Article and Find Full Text PDFClin Oral Implants Res
December 2020
Objectives: Oral implants transmit biting forces to peri-implant bone. In turn, those forces subject peri-implant bone to mechanical stresses and strains. Here, our objective was to understand how peri-implant bone responded to conditions of normal versus hyper-loading in a mouse model.
View Article and Find Full Text PDFStatement Of Problem: There is a long-held assumption that teeth are superior to implants because the periodontal ligament (PDL) confers a preeminent defense against biologic and mechanical challenges. However, adequate analysis of the literature is lacking. As a result, differential treatment planning of tooth- and implant-supported restorations has been compromised.
View Article and Find Full Text PDFAn ideal occlusal scheme plays an important role in a good prognosis of All-on-Four applications, as it does for other implant therapies, because of the potential impact of occlusal loads on implant prosthetic components. The aim of the present 3D finite element analysis (FEA) study was to investigate the stresses on abutments, screws, and prostheses that are generated by occlusal loads via different occlusal schemes in the All-on-Four concept. 3D models of the maxilla, mandible, implants, implant substructures, and prostheses were designed according to the All-on-Four concept.
View Article and Find Full Text PDFDent Mater
January 2020
Objective: The main goal of this review is to provide an in-depth description of published work on the application of zirconia for dental implansts and restorations on titanium implants, with an emphasis on clinical studies from the past dozen years with at least 1-year follow-up.
Methods: Online databases (Pubmed, Science Direct, Web of Science) were consulted on this topic. Published work from 2007 to 2019 was collected, analyzed and pertinent articles were selected for inclusion on this review.