Effect of prosthetic framework material, cantilever length and opposing arch on peri-implant strain in an all-on-four implant prostheses.

AIM: To evaluate the effect of prosthetic framework material and cantilever length on peri-implant strain in mandibular all-on-four implant-supported prostheses with different types of arch antagonist forces. MATERIALS AND METHODS: Models simulating a completely edentulous mandibular arch fabricated in heat-cured acrylic resin were used. On the acrylic models, four implants were placed at regions 34, 32, 42, and 44 simulating all-on-four implant placements. Implant-supported screw-retained fixed prosthesis frameworks were fabricated using three different materials (cobalt-chromium, zirconia, and polyetheretherketone) and with three different cantilever lengths (zero mm, 15 mm, and 25 mm). Strain gauges were attached on the model at the buccal and lingual positions of each implant. Forces simulating opposing natural dentition, conventional complete denture, and the parafunctional habit were applied to the models. The peri-implant strain in each strain gauge was recorded. RESULTS: Least peri-implant strains (67 microstrains) were observed when forces simulating conventional complete dentures were applied on the models and the highest peri-implant strains (9091 microstrains) were observed when forces simulating parafunctional habit were applied. One-way ANOVA test followed by Tukey's post hoc analysis was performed to compare the mean deformation scores between different materials at 50 N load. The level of significance [P-value] was set at P < 0.05. Tests showed significant differences between zero mm and the other types in all the different materials, and also between 1.5 x AP and 2.5 x AP for Zirconia and Peek material at P = 0.02 & P = .008, respectively. The results showed that the type of framework material, cantilever length, and occlusal forces from the opposing arch influence the peri-implant strain in the bone in all-on-four implant-supported prostheses. CONCLUSION: Rehabilitation of a single, completely edentulous arch with implant-supported prostheses should consider the situation of the opposing arch. The choice of framework material, as well as the cantilever length, should be altered based on the forces from the opposing arch.

Chronic Inflammation and Cancer: Paradigm on Tumor Progression, Metastasis and Therapeutic Intervention.

As early as the 19th century, inflammation has been perceived to have a link with cancer but this perception has waned through the passing of time. In recent years however a renewed interest on inflammation and cancer connection stemming from different lines of work has been evolved that leads to a generally-accepted paradigm. In the tumor microenvironment, smouldering inflammation contributes to the proliferation and survival of malignant cells, angiogenesis, metastasis, subversion of adaptive immunity, reduced response to hormones and chemotherapeutic agents. Thus, this review will try to unravel and explain molecular events, mediators and regulators linking inflammation to cancer.

Evaluation and comparison of dimensional accuracy of newly introduced elastomeric impression material using 3D laser scanners: an in vitro study.

AIM: Aim of the present study was to comparatively evaluate dimensional accuracy of newely introduced elastomeric impression material after repeated pours at different time intervals. MATERIALS AND METHODS: In the present study a total of 20 (10 + 10) impressions of master model were made from vinyl polyether silicone and vinyl polysiloxane impression material. Each impression was repeatedly poured at 1, 24 hours and 14 days. Therefore, a total of 60 casts were obtained. Casts obtained were scanned with three-dimensional (3D) laser scanner and measurements were done. RESULTS: Vinyl polyether silicone produced overall undersized dies, with greatest change being 0.14% only after 14 days. Vinyl polysiloxane produced smaller dies after 1 and 24 hours and larger dies after 14 days, differing from master model by only 0.07% for the smallest die and to 0.02% for the largest die. CONCLUSION: All the deviations measured from the master model with both the impression materials were within a clinically acceptable range. CLINICAL SIGNIFICANCE: In a typical fixed prosthodontic treatment accuracy of prosthesis is critical as it determines the success, failure and the prognosis of treatment including abutments. This is mainly dependent upon fit of prosthesis which in turn is dependent on dimensional accuracy of dies, poured from elastomeric impressions.

A comparative evaluation of flexural strength of commercially available acrylic and modified polymethylmethacrylate: an in vitro study.

AIM: The purpose of this study was to evaluate and compare the flexural strength of commercially available acrylic (trevalone) and modified polymethylmethacrylate (PMMA). MATERIALS AND METHODS: Four groups were tested; Group 1- control group regular MMA, group 2-2% methacrylic acid, 88% MMA, group 3-16% methacrylic acid, 84% MMA group 4- 20% methacrylic acid, 80% MMA 15 resin specimens of each group were polymerized. After processing, the specimens were subjected for flexural strength testing using three point bending test in a Universal Testing Machine. All data was statistically analyzed with one-way ANOVA, differences within the groups were analyzed by Scheffe's analysis. RESULTS: As the ratio of incorporated methacrylic acid to PMMA increased, the flexural strength decreased. Analysis of data revealed a significant decrease in flexural strength of specimens (p < 0.000) after incorporation of 12%, 16%, 20% methacrylic acid to heat polymerized acrylic resin, when compared with the control group. Lowest flexural strength was observed with specimens containing 20% methacrylic acid and highest flexural strength was observed with specimens containing conventional monomer without methacrylic acid. CONCLUSION: It was observed that as the concentration of methacrylic acid in heat polymerized acrylic resin increases, the flexural strength decreases. Lowest flexural strength was observed with specimens containing 20% methacrylic acid and highest flexural strength was observed with specimens containing conventional monomer without methacrylic acid. CLINICAL SIGNIFICANCE: The major advantages of addition of methacrylic acid to polymethylmethacrylate could be for the elderly people with restricted manual dexterity or cognitive disturbances, especially for patients who do not follow an adequate denture cleansing protocol and diabetic patients who are more susceptible for denture stomatitis.

Stand stratification and woody species diversity of a subtropical forest in limestone habitat in the northern part of Okinawa Island.

Stand stratification and woody species diversity were studied in a subtropical forest in limestone habitat in the northern part of Okinawa Island, Japan. The forest stand consisted of four architectural layers. Cinnamomum japonicum Sieb. was the most dominant species as it had the highest importance value in all layers, especially in the lower three layers. Although Rhus succedanea L. was a major top-layer species, it might disappear because of its absence in the lower two layers. The lower two layers had similar floristic composition, while the composition of the top layer differed greatly from that of the lower two layers. The value of H' in each layer increased from the bottom to the second layer and then decreased, and the value of J' in each layer consistently increased from the bottom layer upward. The values of Shannon's index H' and Pielou's index J' were 4.27 bit and 0.74, respectively, at the stand level. The trends of H' and J' based on the cumulative height range from the top layer downward were, respectively, the same as those in each layer for the present forest in limestone habitat. However, these trends were opposite from those of a nearby subtropical forest in silicate habitat, where the values of H' and J' based on the cumulative height range decreased steadily from the bottom layer upward.

Stand structure and woody species diversity in relation to stand stratification in a subtropical evergreen broadleaf forest, Okinawa Island.

Stand structure and woody species diversity in a subtropical evergreen broadleaf forest grown in a silicate habitat, Okinawa Island, have been investigated on the basis of stand stratification. The forest stand consisted of four layers. The floristic composition of the top and the lower three layers was only slightly similar, although approximately one-third of the species were common to them. Mean tree weight decreased from the top toward the bottom layer whereas tree density increased from the top downward. This trend resembled the mean weight-density trajectory of self-thinning plant populations. The relationship between mean tree height and tree density for the upper two layers supported Yamakura's quasi -1/2 power law of tree height. The values of the Shannon-Wiener index, H', and the equitability index, J', tended to increase from the top layer downward except for the bottom layer. The values of H' and J' were, respectively, 4.83 bit and 0.82 for trees taller than 0.10 m. The lower layers contained many species of smaller height. High species diversity of the forest depended on small trees in the lower layers. Conservation of small trees in the lower layers, especially the bottom layer, is indispensable for sound maintenance of Okinawan evergreen broadleaf forests.