Finite element stress analysis on the influence of cuspal angle and superstructure materials in an implant-supported prosthesis.

Purpose: To investigate the effect of superstructure materials and cuspal angle in an implant-supported fixed partial denture. Materials and Methods: This finite element analysis study was carried out with varying cuspal angulations of 0°, 20° and 33° and superstructure materials. The simulated models were loaded with 300N forces under different axial and non-axial angulations. The graphical and numerical stresses were investigated. Results: The results demonstrated that the maximum stress occurred in the metal framework in all the materials except acrylic, for which it occurred in the coronal part of the implant. In the acrylic, the maximum stress recorded was 78 MPa with the 20° angulation. Ni Cr recorded a maximum stress of 111 MPa with the 33° angulation. Conclusion: The cuspal morphology and type of superstructure material plays a pivotal role in controlling the stress transferred to the implant and the supporting bone.

Four novel prosthodontic methods for managing upper airway resistance syndrome: An investigative analysis revealing the efficacy of the new nasopharyngeal aperture guard appliance.

Statement of Problem: Obstructive sleep apnea is the most frequent cause for insomnia in the populace. Snoring is mulled over as the potential factor that can lead the sequel to obstructive sleep apnea. Although the etiology and deterrence measures for snoring are yet to be undoubtedly clarified by our scientific sorority, various means of surgical corrections have been affirmed and put into practice, with a substantial degree of success. Despite this, it is implicit that a noninvasive method of managing obstructive sleep apnea is more relevant for overcoming this condition. Purpose: This manuscript intends to establish how snoring can be controlled prosthodontically by different modalities of scientifically defensible approaches. The most effective among the modalities was affirmed as the investigative analyses of the treatment outcomes with each modality. Novel Methods: Four new methods of managing obstructive sleep apnea - uvula lift appliance, uvula and velopharynx lift appliance, nasopharyngeal aperture guard, and soft palate lift appliance were demonstrated through this article. Clinical Reports: The four new modalities stated and one conventional modality of mandibular advancement appliance for managing obstructive sleep apnea, a total of five types of appliance therapies, were described with case reports for each. Investigation: Five individuals undergoing the appliance therapy were chosen for each modality. The treatment outcome with each modality was examined by analysis of clinical predictors and also by means of standard investigation, with nasal and oral endoscopic analyses. Result: Among the five types of appliance therapies, the nasopharyngeal aperture guard provided the best treatment outcome in terms of clinical predictors and endoscopic analyses. Conclusion: Nasopharyngeal aperture guard, the novel method stated in this article is the better modality for managing obstructive sleep apnea, among the five different appliance therapies.