Influence of torque and bone type on stability quotient of two implant platforms: a clinical trial.

The objective of this study was to analyze the influence of insertion torque, bone type, and peri-implant bone loss on implant stability quotient (ISQ) of cylindrical external hexagon (EH) and Morse Taper (MT) implants. Forty-four single implants were placed in the edentulous areas of 20 patients who met the inclusion and exclusion criteria. Immediately after implant placement (t1) and after osseointegration (four and six months for mandible and maxilla, respectively) (t2), insertion torque, resonance frequency, and peri-implant bone loss were measured using probing depths and digital periapical radiography. A significant difference was noted in the ISQ values between t1 and t2 in type III bone for EH and MT implants. No significant difference in bone loss values was observed when comparing bone types for EH or MT in all evaluated sites. Based on marginal bone loss assessed using radiography, there was no significant difference between the MT and EH groups. A positive correlation between torque and ISQ t1 value was observed for MT (correlation: 0.439; p = 0.041) and EH (correlation: 0.461; p = 0.031) implants. For EH and MT implants, the greater the insertion torque, the greater was the ISQ value (moderately positive correlation). A weak negative correlation was found between bone type and ISQ t1 for MT implants. Contrarily, no correlation was observed between bone type and ISQ t1 for EH implants. In all cases, bone loss around the implants was clinically normal.

Influence of torque and bone type on stability quotient of two implant platforms: a clinical trial

Abstract The objective of this study was to analyze the influence of insertion torque, bone type, and peri-implant bone loss on implant stability quotient (ISQ) of cylindrical external hexagon (EH) and Morse Taper (MT) implants. Forty-four single implants were placed in the edentulous areas of 20 patients who met the inclusion and exclusion criteria. Immediately after implant placement (t1) and after osseointegration (four and six months for mandible and maxilla, respectively) (t2), insertion torque, resonance frequency, and peri-implant bone loss were measured using probing depths and digital periapical radiography. A significant difference was noted in the ISQ values between t1 and t2 in type III bone for EH and MT implants. No significant difference in bone loss values was observed when comparing bone types for EH or MT in all evaluated sites. Based on marginal bone loss assessed using radiography, there was no significant difference between the MT and EH groups. A positive correlation between torque and ISQ t1 value was observed for MT (correlation: 0.439; p = 0.041) and EH (correlation: 0.461; p = 0.031) implants. For EH and MT implants, the greater the insertion torque, the greater was the ISQ value (moderately positive correlation). A weak negative correlation was found between bone type and ISQ t1 for MT implants. Contrarily, no correlation was observed between bone type and ISQ t1 for EH implants. In all cases, bone loss around the implants was clinically normal.

Dentistry and Intensive Care Unit: A Brief Report.

OBJECTIVE: The aim of this study is to verify whether removable dentures of patients admitted to an intensive care unit (ICU) are niches of microorganisms that can cause pathologies (Staphylococcus aureus, Candida spp., and enterobacteria). MATERIALS AND METHODS: Fifteen patients who were denture wearers (removable partial denture and complete denture) were included in this study. Patients must wear their dentures daily, and these dentures must have acrylic parts. Microbial biofilm was collected from the acrylic part of one denture of each patient. Then, the biofilm was seeded on different culture media: Sabouraud agar, blood agar, MacConkey agar, and mannitol salt agar. In this study, biochemical evaluations of microorganisms were performed. STATISTICAL ANALYSIS: The percentage of dentures with the microorganism identified by each culture medium was calculated. RESULTS: In total, 100% of the dentures were positive for Staphylococcus spp. (blood agar) and Candida spp. (Sabouraud agar); 33.3% of the dentures were positive for S. aureus (Mannitol salt agar); and 13.3% of the dentures were positive for Shigella spp. (MacConkey agar). CONCLUSION: Removable dentures of patients (removable partial dentures and complete dentures) admitted to an ICU are niches of microorganisms that can cause pathologies.

Oral Health-Related Quality of Life, Dry Mouth Sensation, and Level of Anxiety in Elderly Patients Rehabilitated with New Removable Dentures.

OBJECTIVE: This study aimed to evaluate the influence of new complete dentures (CDs) and new removable partial dentures (RPDs) on oral health-related quality of life, dry mouth sensation, and anxiety level of their wearers. MATERIALS AND METHODS: In total, 20 complete edentulous patients (in both arches) that needed to be rehabilitated with new CDs, and 20 partial edentulous patients (in both arches) that needed to be rehabilitated with new RPDs, were included in this study. Each patient must wear the same pair of CDs or RPDs for more than 5 years. Oral health-related quality of life, dry mouth sensation, and level of anxiety were assessed by using the following questionnaires: Geriatric Oral Health Assessment Index (GOHAI), VAS (Visual Analog Scale) Xerostomia Questionnaire, and State-Trait Anxiety Inventory (STAI). These questionnaires were applied before oral rehabilitation (initially initial time point) and 3 months after insertion of new dentures (end time point). STATISTICAL ANALYSIS: For the results of STAI-State, STAI-Trait, and GOHAI, the Wilcoxon test was applied to compare the time points. For the results of the VAS xerostomia questionnaire, two-way repeated measures ANOVA (analysis of variance) was applied, followed by the Tukey test. The p-values lower than 0.05 were considered statistically significant. RESULTS: /CONCLUSION: For both groups, it was observed that 3 months after the insertion of new removable dentures: (1) there was an increase in oral health-related quality of life; (2) there was a reduction in anxiety (trait anxiety and state anxiety); and (3) there was a perception of greater salivation.

Influence of Different Pigmentations and Accelerated Aging on the Hardness and Tear Strength of the A-2186 and MDX4-4210 Silicones.

OBJECTIVE: To evaluate the influence of different pigmentations and accelerated aging on the hardness and tear strength of the A-2186 and MDX4-4210 silicones. MATERIALS AND METHODS: The samples A-2186 and MDX4-4210 were manufactured without and with pigmentations (black, bronze, and pink). For the Shore A hardness test, 80 samples of each silicone were fabricated, and for the tear strength test, 320 samples of each silicone were fabricated. Eight groups were created for each test (n = 10). These tests were performed before and after 252, 504, and 1008 hours of aging. Three-way repeated-measures analysis of variance and the Tukey test were performed (α = 0.05). RESULTS: The A-2186 silicone showed higher hardness and tear strength when compared with the MDX4-4210 silicone (p < 0.05), except in the hardness of the A-2186 and MDX4-4210 groups without pigmentation after 1008 hours (p > 0.05). All hardness values were between 25 and 35 units, regardless of the silicone type, period, and pigmentation (or no pigmentation). In most situations, the hardness of silicones used increased after 252 hours (p < 0.05). The nonpigmented MDX4-4210 group and all A-2186 groups showed an increase in tear strength after 252 hours (p < 0.05). For the nonpigmented MDX4-4210 group, from 252 to 1008 hours, there was no change in tear strength (p > 0.05). All pigmented MDX4-4210 groups showed no change in tear strength from 0 (initial) to 1008 hours of aging (p > 0.05). In all A-2186 groups, from 252 to 504 hours, there was a reduction in tear strength (p < 0.05), and from 504 to 1008 hours, there was an increase in tear strength (p < 0.05), except in the bronze A-2186 group (p > 0.05). CONCLUSION: In most situations, the A-2186 silicone showed significantly higher values of hardness and tear strength than the MDX4-4210 silicone. All hardness values were considered clinically acceptable. Accelerated aging could increase, decrease, or not significantly change the hardness and tear strength of the silicones used. The results of hardness and tear strength suggest that MDX4-4210 was more influenced by the presence of pigmentation after aging.

SARS-CoV-2 and Dentistry-Review.

SARS-CoV-2 (or 2019-nCoV) is the novel Coronavirus that affects humans. It originated in China at the end of 2019 due to the consumption of animals contaminated with this pathogen. SARS-CoV-2 causes the disease known as COVID-19 (coronavirus disease - 2019), and until May 21, 2020, approximately 213 countries and territories had been affected by SARS-CoV-2. The objective of this study was to review the origin and characteristics of this virus (SARS-CoV-2), symptoms and diagnosis of COVID-19, treatment of people with COVID-19, forms of transmission of the SARS-CoV-2, and precautions in dentistry. A literature search on PubMed/Medline was performed on the May 21, 2020, using the keywords (Mesh terms) "COVID-19" or "SARS-CoV-2" or "Coronavirus" associated with "dentistry" or "dental care" or "oral medicine." SARS-CoV-2 articles about the origin and characteristics of this virus (SARS-CoV-2), symptoms and diagnosis of COVID-19, treatment of people with COVID-19, forms of transmission of the SARS-CoV-2, and precautions in dentistry were included. The search was expanded according to necessity. Articles related to precautions in dentistry and SARS-CoV-1 or MERS-CoV were also selected, since precautions used in the dental clinic to avoid these viruses also apply to SARS-CoV-2. In addition, the references cited in the publications of articles included were also considered when appropriate. There was no limit in relation to the year of publication, and only articles written in English were included. In this study, suggestions for the safety of dental professionals were also included. Forty-seven articles and nine websites were included in this review.

Influência do torque de inserção, tipo ósseo receptor e perda óssea peri-implantar na estabilidade primária e secundária de implantes cilíndricos hexágono externo e cone morse / Influence of insertion torque, receptor bone type and peri-implant bone loss on the primary and secondary stability of cylindrical external hexagon and morse cone implants

A osseointegração está relacionada à estabilidade do parafuso e influencia a taxa de sucesso de uma reabilitação com próteses implanto-suportadas, pois promove cicatrização natural e formação óssea efetiva, facilitando a preservação do implante no leito receptor. Fatores como a técnica cirúrgica, o torque de inserção, o tipo de osso receptor, e a macro e microestrutura do implante podem influenciar a estabilidade do parafuso. O objetivo deste estudo foi analisar in vivo a influência do torque de inserção, tipo ósseo receptor e perda óssea peri-implantar nos valores do coeficiente de estabilidade do implante (ISQ) de implantes cilíndricos hexágono externo (HE) e cone morse (CM). Foram instalados 43 implantes em áreas edêntulas de 20 pacientes selecionados seguindo critérios de inclusão e exclusão predefinidos. Imediatamente após a instalação dos implantes (t1) foi mensurado o torque de inserção, e foi realizado a análise de frequência de ressonância, a análise radiográfica e a análise peri-implantar. Estas análises foram realizadas novamente após a osseointegração (t2), e os dados obtidos foram analisados estatisticamente, com testes específicos para cada tipo de análise e nível de significância de 5%. Os resultados demonstraram que os valores de ISQ quando mensuradas por meio da análise de frequência de ressonância (AFR) foram similares para implantes cilíndricos HE e CM. A estabilidade destes implantes foi influenciada pelo torque de inserção (torques mais baixos proporcionaram aumento da estabilidade secundária) e tipo ósseo receptor (implantes HE instalados em osso do tipo II e IV e os implantes CM instalados em ossos do tipo II e III apresentaram aumento da estabilidade secundária). Já a perda óssea periimplantar, desde que dentro dos padrões de normalidade, não influenciou na estabilidade primária e secundária destes implantes. Assim, os resultados obtidos neste estudo recomendam que explorar e desenvolver a AFR como método de avaliação da estabilidade implantar deve ser uma busca ainda necessária das pesquisas científicas para melhor compreensão do comportamento dos implantes dentários, nos seus diversos momentos e situações na cavidade oral, bem como determinar um bom nível de estabilidade que consequentemente determinaria uma maior longevidade e funcionalidade dos implantes dentários(AU)

Osseointegration is related to the stability of the screw and influences the success rate of a rehabilitation with implant-supported prostheses, as it promotes natural healing and effective bone formation, facilitating the preservation of the implant in the recipient bed. Factors such as the surgical technique, the insertion torque, the type of recipient bone, and the macro and microstructure of the implant can influence the stability of the screw. The aim of this study was to analyze in vivo the influence of insertion torque, receptor bone type and peri-implant bone loss on the values of the implant stability coefficient (ISQ) of cylindrical external hexagon (HE) and morse cone (CM) implants. 43 implants were installed in edentulous areas of 20 selected patients following predefined inclusion and exclusion criteria. Immediately after installing the implants (t1), insertion torque, resonance frequency, digital periapical radiograph and peri-implant evaluation were measured. These measurements were performed again after osseointegration (t2), and the data obtained were analyzed statistically, with specific tests for each type of analysis and a significance level of 5%. The results showed that the ISQ values when measured using the resonance frequency analysis (AFR) were similar for cylindrical HE and CM implants. The stability of these implants was influenced by the insertion torque (lower torques provided an increase in secondary stability) and bone recipient type (HE implants installed in type II and IV bone and CM implants installed in type II and III bones showed an increase in secondary stability). Peri-implant bone loss, provided that within normal standards, did not influence the primary and secondary stability of these implants. Thus, our studies recommend that exploring and developing AFR as a method of assessing implant stability should be a still necessary search for scientific research to better understand the behavior of dental implants, in their different moments and situations in the oral cavity, as well as determine a good level of stability that consequently would determine greater longevity and functionality of dental implants(AU)

Influence of Different Pigment Incorporation Methods on Color, Dimensional Stability, and Detail Reproduction of Silicones.

OBJECTIVE: To analyze the influence of three pigment incorporation methods on color change, dimensional stability, and detail reproduction of the MDX4-4210 and A-2186 silicones. MATERIALS AND METHODS: The A-2186 and MDX4-4210 silicones were used for preparation of samples, with the incorporation of bronze, black and pink pigments, usingconventional, mechanical, and industrial incorporation methods. Samples were submitted to the initial readings of color (n = 10; 22-mm diameter × 2-mm thickness), detail reproduction, and dimensional stability (n = 10; 30-mm diameter × 3-mm thickness). Readings were also taken at the end of 252, 504 and 1,008 hours of aging cycles. RESULTS: Quantitative data were evaluated by ANOVA and Tukey test, with a level of significance of 5%. The mechanical and industrial methods caused smaller color changes of all samples compared with the conventional method (p < 0.05). In most cases, the mechanical and industrial methods caused less samples' contraction than the conventional method after aging (p < 0.05). The color change values increased progressively in each aging period for all samples (p < 0.05). The contraction values increased progressively in each aging period for all samples (p < 0.05). In the qualitative analysis of detail reproduction, all samples presented full reproduction of the three grooves, with accurate angles, initially and after the aging periods. CONCLUSIONS: The industrial and mechanical methods showed the best results for color and dimensional stability. Despite the statistical differences, all pigment incorporation methods generated acceptable dimensional and color changes of the MDX4-4210 and A-2186 silicones, regardless of the pigment and aging. In addition, the detail reproduction was satisfactory after aging periods in all cases of this study, showing the excellent quality of the A-2186 and MDX4-4210 silicones.

Influence of length, diameter and position of the implant in its fracture incidence: A Systematic Review.

Background. Implant fractures can cause difficult problems for patients and dentists. This systematic review aimed to determine the influence of some implant parameters on the occurrence of their fracture and to determine the incidence of fractures reported in recent years. Methods. A search was conducted in Pubmed database, from which 12 studies published in the last 12 years were selected. Results. This review reported a 2% incidence of implant fracture. Most implants had been in function between 3 and 4 years until fracture. The studies did not provide necessary information to establish a relationship between the different parameters of implants and the incidence of fractures. Conclusion. Thus, the indication of type, diameter and length of an implant and the bone quality in the region receiving it should be studied and accurately examined for each individual case in order to avoid future failures.

Classification, History, and Future Prospects of Maxillofacial Prosthesis.

This review presents a classification system for maxillofacial prostheses, while explaining its types. It also aims to describe their origin and development, currently available materials, and techniques, predicts the future requirements, and subsequently discusses its avenues for improvement as a restorative modality. A literature search of the PubMed/Medline database was performed. Articles that discussed the history, types, materials, fabrication techniques, clinical implications, and future expectations related to maxillofacial prostheses and reconstruction were included. Fifty-nine articles were included in this review. Maxillofacial prostheses were classified as restorative or complementary with subclassifications based on the prostheses finality. The origin of maxillofacial prostheses is unclear; however, fabrication techniques and materials have undergone several changes throughout history. Currently, silicones and acrylic resins are the most commonly used materials to fabricate customized prostheses. Maxillofacial prostheses not only restore several types of orofacial defects but also improve the patients' quality of life. Although the current clinical scenario concerning the field of maxillofacial prostheses is promising, improvements in material quality and techniques for maxillofacial prostheses may be expected in the future, to produce better results in the treatment of patients.

Fabrication techniques for ocular prostheses--an overview.

The goals of treatment with ocular prostheses are to restore facial aesthetics and self-esteem to anophthalmic patients. Fabricated in acrylic resin, artificial eyes should be aesthetically pleasing, scratch-resistant, and adequately polished. Use of a prosthesis without such characteristics can lead to psychological damage, as well as infection and inflammation due to the accumulation of microorganisms and other substances on an irregularly shaped prosthesis. The present literature review describes the different techniques for fabricating ocular prostheses. Reproduction of the iris color and color stability are important factors that promote adequate aesthetics. The fabrication of an individual ocular prosthesis in acrylic resin provides satisfactory aesthetic results because the impression process establishes the defect contour. Additionally, the iris and sclera can be individually characterized. As the techniques, materials, and manufacturing methods for ocular prostheses continue to evolve, the aesthetics and functionality of prostheses will also improve.

Immediate loading of overdentures: systematic review.

INTRODUCTION: The goal of implant treatment is the formation of a direct bone-implant interface contact. PURPOSE: This study aimed to evaluate the possibilities of immediate loading treatment for edentulous patients rehabilitated with mandibular and maxillary overdentures. MATERIAL AND METHODS: A literature review using the PubMed and BIREME databases between the periods of 1977 and 2011 was performed. RESULTS: From an initial yield of 218 titles, 78 articles were selected for text analysis, finally resulting in 23 studies (16 prospective, 6 prospective randomized, and 1 prospective multicenter) that met the inclusion criteria. CONCLUSION: The immediate loading protocol through which the implants are subjected to occlusal function immediately after their placement was introduced to overcome this limitation.

Surgical-allogeneic facial reconstruction: facial transplants.

Several factors including cancer, malformations and traumas may cause large facial mutilation. These functional and aesthetic deformities negatively affect the psychological perspectives and quality of life of the mutilated patient. Conventional treatments are prone to fail aesthetically and functionally. The recent introduction of the composite tissue allotransplantation (CTA), which uses transplanted facial tissues of healthy donors to recover the damaged or non-existent facial tissue of mutilated patients, resulted in greater clinical results. Therefore, the present study aims to conduct a literature review on the relevance and effectiveness of facial transplants in mutilated subjects. It was observed that the facial transplants recovered both the aesthetics and function of these patients and consequently improved their quality of life.

Uso de implantes zigomáticos na fixação de próteses bucomaxilofaciais / Use of zygomatic implants in the fixacion of maxillofacial prothesis

A prótese bucomaxilofacial tem como objetivo a reabilitação de indivíduos com deformidades craniofaciais, decorrentes de traumatismos, más formações congênitas ou tumores. Muitas pesquisas foram realizadas para melhorar a estabilidade e retenção das próteses em pacientes mutilados. Com o advento da osseointegração, a prótese bucomaxilofacial sofreu um grande avanço tornando possível a realização de trabalhos protéticos com estabilidade, qualidade estética e resultados previsíveis. Esse trabalho faz uma revisão de literatura a respeito do uso de implantes zigomáticos na fixação de próteses bucomaxilofaciais...

The maxillofacial prosthetic rehabilitation aims of individuals with craniofacial deformities resulting from trauma, congenital malformations or tumors. Many researches have been done to improve the stability and retention of dentures in patients. With the advent of osseointegration, the maxillofacial prosthesis suffered a major advance making possible the realization of prosthetic works with stability, aesthetic quality and predictable results. This paper reviews the literature regarding the use of zygomatic implants in the fixation of maxillofacial prostheses...

Chromatic changes to artificial irises produced using different techniques.

Ocular prostheses are important determinants of their users' aesthetic recovery and self-esteem. Because of use, ocular prostheses longevity is strongly affected by instability of the iris color due to polymerization. The goal of this study is to examine how the color of the artificial iris button is affected by different techniques of artificial wear and by the application of varnish following polymerization of the colorless acrylic resin that covers the colored paint. We produce 60 samples (n = 10) according to the wear technique applied: conventional technique without varnish (PE); conventional technique with varnish (PEV); technique involving a prefabricated cap without varnish (CA); technique involving a prefabricated cap with varnish (CAV); technique involving inverted painting without varnish (PI); and technique involving inverted painting with varnish (PIV). Color readings using a spectrophotometer are taken before and after polymerization. We submitted the data obtained to analyses of variance and Tukey's test (P < 0.05). The color test shows significant changes after polymerization in all groups. The PE and PI techniques have clinically acceptable values of ΔE, independent of whether we apply varnish to protect the paint. The PI technique produces the least color change, whereas the PE and CA techniques significantly improve color stability.

Patients from the Oral Oncology Center, UNESP, Araçatuba with an indication for prosthesis.

Head and neck tumors are a major health concern worldwide, due to their high incidence and mortality rates, particularly in developing countries. In Brazil, this type of cancer is commonly diagnosed and studies suggested that it may be the leading cause of mortality in the country. The increase in life expectancy worldwide, as well as environmental and behavioral factors, are related to carcinogenesis. Therefore, an understanding of basic epidemiology and statistical methods is critical, in order to promote early diagnosis and cancer prevention. Cancer patients with an indication for prosthesis were selected from the medical records of the Oral Oncology Center, School of Dentistry, São Paulo State University (UNESP), Araçatuba, between 1991 and 2010. The following variables were recorded: gender, age, type and location of the lesion, radiation dose and dental prosthesis. The majority of the patients were male (74.15%) and >60 years of age (53.37%). Tumors were most commonly located in the floor of the mouth (11.1%) and squamous cell carcinoma was the most prevalent type (72.8%). This study provides the profiles of patients who attended the Oral Oncology Center and the results may aid in the creation of cancer prevention programs.

Stress distribution in implant-supported prosthesis with external and internal implant-abutment connections.

OBJECTIVE: This study aimed to investigate the stress distribution in screwed implant-supported prostheses with different implant-abutment connections by using a photoelastic analysis. MATERIALS AND METHODS: Four photoelastic models were fabricated in PL-2 resin and divided according to the implant-abutment connection (external hexagon (EH) and Morse taper (MT) implants (3.75 × 11.5 mm)) and the number crowns (single and 3-unit piece). Models were positioned in a circular polariscope and 100-N axial and oblique (45) loading were applied in the occlusal surface of the crowns by using a universal testing machine. The stresses were photographically recorded and qualitatively analyzed using software (Adobe Photoshop). RESULTS: Under axial loading, the MT implants exhibited a lower number of fringes for single-unit crowns than EH implants, whereas for a 3-unit piece the MT implants showed a higher number of fringes vs EH implants. The oblique loading increased the number of fringes for all groups. CONCLUSION: In conclusion, the MT implant-abutment connection reduced the amount of stress in single-unit crowns, for 3-unit piece crowns the amount of stress was lower using an external hexagon connection. The stress pattern was similar for all groups. Oblique loading promoted a higher stress concentration than axial loading.

Bond strength between acrylic resin and maxillofacial silicone

The development of implant dentistry improved the possibilities of rehabilitation with maxillofacial prosthesis. However, clinically it is difficult to bond the silicone to the attachment system. OBJECTIVES: This study aimed to evaluate the effect of an adhesive system on the bond strength between acrylic resin and facial silicone. MATERIAL AND METHODS: A total of 120 samples were fabricated with auto-polymerized acrylic resin and MDX 4-4210 facial silicone. Both materials were bonded through mechanical retentions and/or application of primers (DC 1205 primer and Sofreliner primer S) and adhesive (Silastic Medical Adhesive Type A) or not (control group). Samples were divided into 12 groups according to the method used to attach the silicone to the acrylic resin. All samples were subjected to a T-peel test in a universal testing machine. Failures were classified as adhesive, cohesive or mixed. The data were evaluated by the analysis of variance (ANOVA) and the Tukey's HSD test (α=.05). RESULTS: The highest bond strength values (5.95 N/mm; 3.07 N/mm; 4.75 N/mm) were recorded for the samples that received a Sofreliner primer application. These values were significantly higher when the samples had no scratches and did not receive the application of Silastic Medical Adhesive Type A. CONCLUSIONS: The most common type of failure was adhesive. The use of Sofreliner primer increased the bond strength between the auto-polymerized acrylic resin and the Silastic MDX 4-4210 facial silicone.

Use of facial protection to prevent reinjury during sports practice.

The objective of the study was to report the prevention of facial reinjury of a volleyball player using a custom-made protective facial shield. A custom-made protective partial facial shield was fabricated using polymethylmethacrylate and was fitted with a soft lining material to provide additional comfort and protection to the injured area. Facial protection provides greater security against possible facial injuries and allows injured areas to recover during sports practice.

Higienização em prótese sobre implante / Hygiene in implant denture

Com a evolução dos princípios da osseointegração as próteses implantossuportadas estão se transformando em uma opção rotineira de tratamento. O sucesso de um implante está associado inicialmente à técnica cirúrgica, a estabilidade primária e a ausência de contaminação bacteriana do implante. Posteriormente, a ausência de trauma mecânico ou sobrecarga e periimplantite são fundamentais para esse sucesso. Portanto, para que a reabilitação com próteses implantossuportadas seja adequada, a manutenção rigorosa de higiene oral é necessária para evitar o acumulo de placa bacteriana ao redor do implante. A principal responsabilidade do cirurgião em relação aos pacientes que serão reabilitados é fornecer um prognóstico favorável a longo prazo. Para isso, durante a confecção da prótese o protesista deve observar o design e o perfil de emergência da prótese, a profundidade do sulco periimplantar e também ocorrência de distúrbio motor ou psicológico por parte do paciente. Os indivíduos que perderam dentes e serão submetidos à esse tipo de reabilitação necessitam de motivação e instrução adequada em relação à higienização e sua importância, pois a melhor maneira de se obter longevidade da prótese e consequentemente a satisfação do paciente em relação ao tratamento é a prevenção. Diante do exposto, o objetivo do presente trabalho foi realizar uma revisão de literatura sobre higienização em prótese sobre implante

With the advances of osseointegration principles, the use of implant-supported prosthesis has become a routine treatment option. The success of an implant is initially associated to the surgical technique, primary stability and absence of bacterial contamination on the implant site. Subsequently, the absence of mechanical trauma (overload) and peri-implantitis are sine qua non conditions to the longitudinal success of implant treatment. Therefore, the strict maintenance of oral hygiene is highly important to avoid biofilm accumulation around the implant and consequently to provide last-long implant-supported dentures. The clinician has the responsibility to supply a favorable prognosis to the patient so that the rehabilitation succeed. For this reason, during prosthesis fabrication the clinician should observe the design and emergency profile of the prosthesis, the peri-implant sulcus depth as well as the presence of motor or psychological impairment by the patient. Subjects with missing teeth and that will be submitted to the implant treatment should be motivated and adequate instructed regarding oral hygiene and its importance since the best option to obtain treatment longevity and consequently patient’s satisfaction is the prevention. Therefore, this study aimed to perform a literature review about the hygiene of implant-supported prosthesis