ABSTRACT
Abstract The aim was of this study was to determine the current weight of evidence for the existence of specific differences between the microbiota of healthy teeth and healthy implants, or of teeth with periodontitis and implants with peri-implantitis. A systematic review was conducted according to the PRISMA statement. The MEDLINE, EMBASE and Cochrane databases were searched up to February 2018 for studies comparing microbiological data of biofilm samples collected from healthy teeth and implants or from teeth with periodontitis and implants with peri-implantitis. The weight of evidence was defined in three categories (strong, moderate and mild/some), according to the difference in number of studies showing statistically significantly higher counts and/or proportions and/or abundance and/or prevalence of microorganisms in health or in disease. Of the 132 articles identified, 8 were included. A wide range of microorganisms were present in different conditions but no microorganisms showed strong, moderate or mild/some evidence for a specific association with either teeth or implants. The results of this systematic review indicated that there is insufficient evidence in the literature to support specific differences between microorganisms colonizing teeth and implants, either in health or in disease.
Subject(s)
Humans , Periodontitis/microbiology , Dental Implants/microbiology , Peri-Implantitis/microbiology , Gingiva/microbiology , Bacteria/isolation & purification , Case-Control Studies , Biofilms/growth & development , Dental Plaque/microbiology , MicrobiotaABSTRACT
Este artigo teve por objetivo apresentar um caso clínico cuja prótese provisória utilizou um componente protético multifuncional de PEEK. Este é um polímero biocompatível personalizável e de boa aderência às resinas. O caso descrito é um implante imediato com carga imediata na região do 21. Foi realizado um approach palatino do implante, preenchimento do gap vestibular com um enxerto aloplástico (Nanosynt), um provisório imediato utilizando um componente provisório multifuncional de PEEK e um dente de estoque. O caso foi acompanhado até a fase de confecção da prótese defi nitiva, na qual foi verifi cada a arquitetura dos tecidos peri-implantares quanto à saúde e manutenção. Na Implantodontia contemporânea, o PEEK é a opção biológico-funcional com melhor custo-benefício nos casos de implantes colocados e carregados imediatamente.
The aim of this article was to present a clinical case where the provisional restoration was fabricated over a multifunctional PEEK healing abutment. This biocompatible polymer can be customized and has excellent bond strength to resin composites. A dental implant was loaded at the region of tooth 21. After a palatal approach for implant placement, the buccal gap was fi lled with an alloplastic graft (Nanosynt). Then, the immediate restoration was fabricated with the multifunctional PEEK and an acrylic tooth form. At the delivery of the defi nitive restoration, the peri-implant soft tissue health and architecture were preserved. In the contemporary implant dentistry, PEEK abutments provide the best biological and functional option with a signifi cant cost-benefi t ratio for cases of immediate implant loading
Subject(s)
Humans , Female , Adult , Biocompatible Materials , Dental Implantation , Dental Implants, Single-Tooth , Denture, Partial, Temporary , Immediate Dental Implant Loading , Tooth Socket/surgeryABSTRACT
Objetivo: comparar a distribuição de tensões em sistemas de implantes com diferentes tipos de conexões (hexágono externo, hexágono interno e Cone Morse), pelo Método de Elementos Finitos Bidimensional. Métodos: uma força de 100N foi aplicada na cúspide vestibular de um segundo pré-molar inferior, no sentido axial, e, posteriormente, com inclinação de 45o em cada sistema. As análises foram realizadas pelos critérios das tensões de von Mises. Resultados: os resultados apontaram que, em todos os três sistemas, a maior concentração de tensões deu-se na região do pescoço do implante em contato com o osso cortical, com exceção do sistema Cone Morse, onde a tensão se concentrou na porção interna do implante em contato com o pilar. Também foi observado que cargas inclinadas sempre geraram valores superiores aos obtidos com as cargas axiais. Conclusão: pode-se concluir, então, que os parafusos dos pilares são a porção mais frágil dos sistemas. Nos implantes, os sistemas com conexão interna têm distribuição mais uniforme das tensões que o de conexão externa.
Objective: The aim of this study was to compare the stress distribution between implant systems with differenttypes of connections, i.e., external hexagon, internal hexagon and morse taper, by applying the Two-DimensionalFinite Element Method. Methods: A 100-N load was applied to the buccal cusp of an inferior second premolar inthe axial direction and thereafter at an inclination of 45o on each system. Analysis was performed by means ofthe von Mises stresses criteria. Results: The results showed that in, all systems, the highest stress concentrationoccurred in the neck of the implant in contact with the cortical bone, except for the morse taper models, where thestress was concentrated in the inner portion of the implant in contact with the abutment. It also became apparentthat oblique forces resulted in higher stress values than those obtained with axial loads. Conclusion: It could beconcluded that abutment screws are the most fragile portion of the systems. Internal connection implant systemsexhibited a more uniform distribution of stresses than external connection implant systems.