J Prosthet Dent
Honorary Research Associate, Faculty of Dentistry, University of Hong Kong, Hong Kong.
Published: May 2010
Statement Of Problem: The fracture of maxillary complete dentures has been reported as the most common prosthesis failure.
Purpose: The purpose of this study was to evaluate strain distribution in dentures during application of occlusal load with 3-dimensional (3-D) finite element analysis (FEA).
Material And Methods: A maxillary complete denture was converted into a 3-D numerical model by an advanced topometric sensor digitizer (ATOS). The denture surfaces were scanned with fringes. Ten measurements were made for each scan of the denture in top, left, right, back, and front orientations by tilting the scanning table. The individual scans were merged by the digitizing software into a single image. A haptic device with a freeform system (PHANTOM) was used to create the mucosa in contact with the intaglio surface of the denture model. Supporting bone was then constructed from the mucosa model. The posterior teeth were loaded with an occlusal force of 230 N, and the basal bone was constrained for performing FEA.
Results: The highest tensile and compressive strains were found at the incisal and labial frenal notches, respectively. Strains on the intaglio surface of the denture were primarily compressive. The buccal flange exhibited tensile strains in the horizontal direction but compressive strains in the vertical direction. The labial flange showed compressive strains in both directions. The posterior border of the denture flexed away from the mucosa during occlusal loading.
Conclusions: Three-dimensional FEA provided different views of strain distribution in the denture and indicated that denture failure was unlikely to occur at the shallow labial frenal notch because the strain is compressive. The high tensile strain concentration at the incisal notch is likely to be the cause of denture fracture during clinical service.
Download full-text PDF |
Source |
---|---|
http://dx.doi.org/10.1016/S0022-3913(10)60064-9 | DOI Listing |
J Med Case Rep
January 2025
Department of Oral and Maxillofacial Pathology, School of Dentistry, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Background: Undifferentiated pleomorphic sarcoma, previously called malignant fibrous histiocytoma, is a type of malignant mesenchymal tumor (sarcoma) of soft tissue and sometimes bone. It is uncommon in the oral cavity and very sporadic in the maxillary sinus. Microscopic diagnosis of this malignancy in the maxillary sinus can be very challenging, because there is a range of features that may overlap with other benign and malignant tumors.
View Article and Find Full Text PDFJ Prosthet Dent
January 2025
Associate Professor, Department of Dental Medicine, Faculty of Medicine and Dentistry, University of Valencia, Valencia, Spain.
Statement Of Problem: Intraoral scans can be articulated in maximum intercuspal position (MIP) by using an artificial intelligence (AI) based program; however, the impact of edentulous areas on the accuracy of the MIP located using this AI-based program is unknown.
Purpose: The purpose of this in vitro study was to assess the impact of edentulous areas (0, 1, 2, 3, and 4 posterior mandibular teeth) on the accuracy of the MIP located using 3 intraoral scanners (IOSs) and an AI-based program.
Material And Methods: Stone casts articulated in MIP in an articulator were digitized (T710).
Cureus
January 2025
Dentistry, King Saud University, Riyadh, SAU.
The window technique is a highly useful clinical procedure for resolving several issues while taking a final impression of a patient with a mobile or displaceable anterior maxillary ridge, also referred to as a flabby ridge. This kind of ridge is particularly problematic due to the underlying tissues lacking strength and resilience, making it challenging to achieve a solid and comfortable denture fit. This typically exacerbates the problem, as conventional pressure during impression-making induces further displacement, which reduces the impression's precision.
View Article and Find Full Text PDFJ Endod
January 2025
Department of Endodontics, Texas A&M College of Dentistry, 3302 Gaston Ave, Dallas, TX 75246. Electronic address:
Introduction: Endodontic access is often one of the most challenging aspects of treatment, particularly in cases involving locating calcified or missed canals, or when performing selective retreatments of a targeted root. Therefore, the purpose of this study is to compare the accuracy of targeted accesses made using prefabricated grid to those made using freehand techniques with CBCT measurements METHODS: Twenty extracted maxillary molars were mounted into the TrueJaw maxillary model (PlanB Dental, CA). To replicate a clinical scenario where the tooth is extensively restored or has a calcified pulp chamber, the build-up material was intentionally placed directly over the canal orifices.
View Article and Find Full Text PDFClin Adv Periodontics
January 2025
Department of Orofacial Sciences, School of Dentistry, University of California San Francisco, San Francisco, California, USA.
Background: Gingival recession has a multifactorial etiology, involving various predisposing and precipitating factors. Non-carious cervical lesions (NCCLs) are often associated with gingival recession and pose challenges due to their complex pathodynamics. There is limited evidence regarding tunnel-based procedures combined with connective tissue grafts (CTGs) for treating recession-associated NCCLs.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!
© LitMetric 2025. All rights reserved.