Use of scanning electron microscope to evaluate the marginal fit of protocol bars obtained through benchtop or intraoral digital scanners

Aim: To evaluate the marginal fit of protocol bars milled from digital models obtained by conventional molding followed by bench scanning or digital molding with an intraoral scanner. Methods: Four morse-cone implants and the mini-pillars were installed in a 3D printed mandible model (master model). Digital models of the master model were obtained by (n=10): (Group A - Conventional) conventional (analog) molding of the master model followed by bench scanning or (Group B - Digital) molding of the master model with an intraoral scanner. All-on-four protocol bars were designed and milled from the digital models for both groups and screwed into the master model. Scanning electron microscopy (SEM) images from the distal, central, and mesial regions of each implant were obtained and the implant-protocol bar marginal fit was measured in an image software (Image J). The mean misfit of each region was analyzed by two-factor ANOVA, Tukey test, and Student's t-test (0,05 = 0.05). Results: The digital approach (B) showed higher misadaptation than the conventional approach (A, p < 0.05), regardless of the region evaluated. In group A, the central region showed higher maladjustment than the mesial region (p<0.05), however, there were no differences among regions of group B (p>0.05). Conclusion: The conventional method of acquiring digital models using the bench scanner produced bars for the All-On-Four protocol with better marginal fit than the digital models obtained with an intraoral scanner

Influence of conservative endodontic access and the osteoporotic bone on the restoration material adhesive behavior through finite element analysis.

Assess, using finite element analysis, the adhesive behavior of Class I restorations under physiological occlusal loads on an endodontically treated first upper premolar with conventional and conservative crown opening surrounded by alveolar bone in normal and osteoporotic conditions. For this, four virtual models were used: M1-conservative access/normal bone; M2-conventional access/normal bone; M3-conservative access/osteoporotic bone; M4-conventional access/osteoporotic bone. On enamel, under axial load, the highest peaks occurred on conventional models and, under oblique load, the highest peaks occurred on conservative opening models. The bone condition showed no influence on the adhesive behavior. On dentin, under axial load, the models showed similar behaviors, regardless of the bone condition; under oblique load, the highest incidence of forces occurred on the distal region of the palatal root canal entrance and the highest peak was observed in the conventional opening model with normal bone. Also, under oblique load, conventional opening models showed larger values on dentin for the normal bone and similar for the osteoporotic. The conclusions shows higher displacement tensile strength peaks were observed in the conventional models, which can lead to a greater risk of adhesive failure on class I restorations with this opening. Therefore, a conservative opening would be recommended to avoid opening clinical complications. The bone condition showed no significant influence on adhesive behavior, except for dentin under oblique load, where conventional models showed larger values relative to normal bone and similar to the osteoporotic bone.

Reverse torque evaluation in indexed and nonindexed abutments of Morse Taper implants in a mechanical fatigue test.

BACKGROUND: This experimental study assessed reverse torque of indexed and nonindexed (NI) abutments in Morse Taper (MT) implants in a mechanical fatigue test. MATERIALS AND METHODS: In this experimental study It was used 37 implants MT and over them installed Pilar Flex abutments (4.8 mm × 6 mm × 1.5 mm). The groups were as follows: Group A used 19 MT implants with a NI Pilar Flex abutment loaded with 32 N/cm and Group B used 18 MT implants with an indexed (IN) Pilar Flex abutment loaded with 20 N/cm. The abutments were tested according to ISO standard 14801/2007. The specimens were installed at 30° from the axial axis and underwent a 133 N load, 4 Hz frequency, and 1,000,000 cycles. Once the test was completed, the reverse torque was provided by an electronic torque meter. Data were submitted to statistical analysis using the t-test for independent samples and paired t-test. The significance level was considered P < 0.05. RESULTS: Results obtained showed that the indexed Pilar Flex abutment had a percentage of torque loss from the initial torque of 49% and the NI Pilar Flex abutment lost 14%. Paired Student's t-tests revealed that for both NI (P < 0.001) and indexed (P < 0.001) abutments, the counter torque values were significantly lower than those applied at the initial torque. CONCLUSION: According on the methodology used, the NI Pilar Flex abutment was more effective regarding the reverse torque in single-unit implant prostheses versus the indexed Pilar Flex abutment. A greater loosening in the indexed Pilar Flex abutment retaining screw was noted in the reverse torque test, and the Pilar Flex abutment failed to show good outcomes related to the cold welding effect.

Biomechanical Behavior of an Implant System Using Polyether Ether Ketone Bar: Finite Element Analysis.

AIM AND OBJECTIVES: This study assessed, through finite element analysis, the biomechanical behavior of an implant system using the All-on-Four® technique with nickel-chromium (M1) and polyether ether ketone (PEEK) bars (M2). MATERIALS AND METHODS: Implants and components were represented in three-dimensional (3D) geometric models and submitted to three types of load: axial, oblique, and load on all teeth. The 3D models were exported to a computer-aided design-like software such as Solidworks 2016 (Dassault Systemes, Solidworks Corps, USA) for editing and Nonuniform Rational Basis Splines parametrization. RESULTS: Data were analyzed according to system's areas of action: peri-implant bone, implant, intermediates, intermediates' screws, prostheses' screws, and bars. Largest peak stress was shown in M2. CONCLUSION: PEEK is a promising material for use in dentistry; however, further studies are necessary to evaluate its performance.

Influência dos diferentes tempos de vazamento na variação dimensional de modelos de gesso / Influence of different leakage times in dimensional variation of plaster models

A variedade de materiais de moldagem, bem como o tempo decorrido entre o ato da moldagem e o vazamento do molde podem ser causas de alterações dimensionais nos modelos de trabalho e também falhas na fidelidade de cópia dos preparos protéticos. Objetivo: avaliar in vitro a variação dimensional de modelos de gesso vazados em diferentes tempos, produzidos por 4 materiais de moldagem. Materiais e métodos: os materiais de moldagem foram divididos em 4 grupos: (A) experimentais, sendo A1 e A2 Silicones de Condensação, A3 e A4 Silicones de Adição, os quais reproduziram uma matriz multifuncional. foram obtidos 48 modelos (n=192) pela técnica de moldagem única e vazados nos seguintes tempos 1, 4, 24 e 72 horas com gesso tipo IV. As medidas dos modelos de gesso foram obtidas utilizando-se scanner digital (3Shape, Compass, Brasil). Resultados: Nenhum dos materiais utilizados apresentou variação dimensional estatisticamente significativa (p>0,005) em quaisquer um dos tempos de vazamento. Conclusão: De acordo com a metodologia empregada, o tempo de vazamento não teve influência na variação dimensional observada, nem nos Silicones de Condensação, nem nos Silicones de Adição.

The variety of materials that can be used for dental impression, as well as the time spent between the dental impressions molding and pouring may be responsible for defects such as dimensional discrepancies observed on master casts and also lack of fidelity on the prosthetic work copies. Aim: Evaluate, in vitro, dimensional variation of cast models at different pouring times, considering (4) different impression materials. Materials and methods: The impression materials were divided into 4 groups; (A) experimental, with A1 and A2 condensation silicones, A3 and A4 addition silicones which reproduced a multifunctional matrix. forty-eight models were obtained (n=192) by one step impression technique and poured at the following times 1, 4, 24 and 72 hours with plaster type IV. The plaster models measurements were obtained using digital scanner (3Shape, Compass, Belo horizonte, Minas Gerais, Brazil). Conclusion: According to the used methodology, the molding OU pouring time did not have influence in the dimensional variation observed, neither on condensation silicones nor in addition silicones.

Avaliação da resistência flexural em diferentes métodos de soldagem / Evaluation of flexural resistance in different welding methods

O objetivo do presente estudo foi avaliar três diferentes tipos de soldagem: Chama Direta a maçarico (convencional\brasagem), Solda Mista representada por fixação de dois pontos (Solda Elétrica Fixator - Kernit, Brasil), e completada com solda convencional, e o método de Solda a Laser (Soldadora Desktop - Sisma LM 500, Itália). Dois implantes plataforma Bränemark 4.1 mm (Neodent, Curitiba/Brasil) foram fixados em uma matriz de alumínio para simular uma ponte fixa implanto-suportada de três elementos. Os espécimes foram obtidos a partir de um bloco de cera CAD-CAM (Ceramill-Amammgirrbarch). Trinta e duas UCLAs hexágono externo foram fresadas e posteriormente unidas a uma barra pré-fabricada em cera com 2,5mm. Os corpos de prova foram fundidos em liga de cobalto-cromo simulando uma prótese fixa de três elementos. Esses espécimes foram divididos aleatoriamente e separados em três grupos (n=6): grupo A (solda chama direta), grupo B (solda mista), grupo C (solda laser). Os espécimes foram seccionados ao meio e unidos com resina acrílica para simular uma soldagem em prótese fixa. Os corpos foram soldados e tratados de acordo com a proposição. Após a soldagem os corpos de prova foram usinados e levados ao teste de flexão na técnica de três pontos. Os dados foram submetidos aos testes estatísticos de Tukey. Os cálculos estatísticos foram conduzidos adotando-se o nível de significância de 5% (α = 0,05). Houve diferença estatisticamente significativa entre os grupos soldados. Os resultados demonstraram valores mais elevados nos grupos A e B, solda convencional e solda mista, e menor valor no grupo C, solda a laser. No entanto, considerando a metodologia aplicada, a solda a laser mostrou uma menor resistência flexural comparada à soldagem convencional e mista, e a fixação prévia de solda elétrica com complemento de solda convencional (solda mista) não alterou a resistência flexural, produzindo resultado semelhante à solda convencional

The objective of this study was to evaluate three different types of welding, blowtorch; (conventional/brazing), welder Joint; represented by securing two points (Arc Welding Fixator - Kernit, Brazil), and supplemented with conventional welding), and Laser welding method (welder Desktop - Sisma LM 500, Italy). Two implants Bränemark 4.1 mm platform (Neodent, Curitiba/Brazil) were fixed in an aluminum matrix. Specimens were obtained from a CAD-CAM wax block (Ceramill - Amammgirrbarch) were milled 32 UCLAs (external hexagon, Bränemark platform), and subsequently joined to a prefabricated bar also wax 2.5 mm, the specimens were casted in cobalt-chromium alloy. These specimens were randomly divided and separated into 3 groups: group A (welding direct flame), Group B (mixed welding), C (laser welding), with 6 samples for each group. The specimens of each group were cut in half to simulate a fixed prosthesis in welding, and put together with acrylic resin. The bodies were welded and treated according to the statement. After the specimens were welded, they were manually grinded and submitted to the 3 points bending test technique. Data were subjected to statistical tests of Tukey. Statistical calculations were performed adopting the significance level of 5% (α = 0.05), using SPSS 20 (SPSS Inc., Chicago, IL, USA). There were differences between the soldered groups. The data showed the highest values obtained in groups A and B, conventional welding and soldering joint, and lower in group C, the laser welding. However, within the applied methodology, the laser welding showed a lower flexural strength compared to conventional and mixed welding, and that the advance fixing of electric welding, conventional welding complement (mixed welding), does not change its flexural strength, producing results similar to conventional welding

Efeito de primer para zircônia sobre a resistência ao cisalhamento entre um cimento resinoso e a cerâmica de óxido de zircônio / Effect of primer on the bond strength between resin cement and zirconia

O objetivo deste estudo foi avaliar as influências acarretadas pelo tratamento das superfícies das zircônias com primer apropriado na resistência de união entre cimento resinoso e uma cerâmica de Zircônia. foram utilizados 20 corpos de prova em Zircônia VIPI BLOCK ZIRCONN (VIPI, São Paulo, Brasil) divididos em 2 grupos: Grupo 1 ­ tratamento de superfície da zircônia apenas com jateamento de óxido de alumínio e cimento resinoso PanaviaTF 2.0 (Kuraray, Kurashiki, Japão); e Grupo 2 ­ além do jateamento usou-se o primer Ceramic Primer (3M, São Paulo, Brasil). Os espécimes cerâmicos receberam o cimento manipulado na proporção de 1:1 e foram estocados em água destilada a 37ºC por 24 horas antes e após a termociclagem. O ensaio de cisalhamento foi realizado em máquina de ensaios EMIC DL2000 (EMIC, São Paulo, Brasil), os valores de resistência de união foram apresentados em Mpa e analisados através de Análise de Variância (ANOVA) e teste t Student para amostras independentes. Os valores resistência ao cisalhamento entre cimentos e cerâmica à base de zircônia utilizando os primers mencionados não foram estatisticamente diferentes, isto é, nenhuma diferença significativa foi encontrada entre os grupos G1 (8,70 ± 6,31) e G2 (8,18 ± 3,75). Os testes realizados com o primer não mostraram aumento considerável na resistência de união ao cisalhamento entre cimentos e cerâmica à base de zircônia.

The aim of this study was to evaluate the influence of the use of primer to treat zirconia surfaces on the bond strength between resin cement and zirconia ceramics. The 20 specimens were divided into 2 groups: group 1 ­ zirconia surface treatment with sandblasting with aluminum oxide and Panavia T f 2.0 (Kuraray); Group 2 ­ in addition to the sandblasting Ceramic Primer (3M) was used. Each specimen of the ceramic material received manipulated cement in the proportion 1:1. The specimens were stored in distilled water at 37 ° C for 24 hours before and after thermocycling. Shear test was performed in testing EMIC DL2000 (EMIC, São Paulo, Brazil) and the values of bond strength in MPa were analyzed using Analysis of Variance (ANOVA) and Student t test for independent samples machine. There was no significant difference between the values for shear strength between both studied groups: G1 (8.70 ± 6 groups, 31) and G2 (8.18 ± 3.75). The tests performed with the primer used in this study showed no significant increase on shear bond strength between cement and ceramics based on zirconia.

Reimplante dentario: factores que pueden aumentar la posibilidad de éxito. Presentación de casos clínicos / Tooth reimplantation: factors enhancing the chances for success. Report of clinical cases

En esta presentación por un abordaje basado a la luz de la literatura y en la experiencia clínica de los autores, son discutidos los distintos factores que pueden interferir para el éxito de los reimplantes dentarios, que ocurren como secuela de lesiones traumáticas. Estas, a su vez, presentan actualmente un considerable aumento de su frecuencia, por el incremento de la práctica de distintos deportes que propician ese riesgo, abarcando una edad no especificada, pero con mayor prevalencia en los pacientes jóvenes. Componen la ilustración de este trabajo dos casos clínicos con diferentes resultados. Se resaltan aquí además de los innumerables factores que pueden contribuir para el fracaso de los reimplantes, la importancia de los procedimientos realizados por el profesional, el menor tiempo extraalveolar, la posibilidad de generar revascularización del tejido pulpar, la antibioticoterapia, la profilaxis antitetánica, la adecuada contención semirrígida temporaria, entre otros cuidados, pueden ayudar de forma significativa para alcanzar el éxito del tratamiento y justificar, de esa forma, el empleo de estos procedimientos atendiendo los aspectos biológicos y psicológicos

Estudo do quarto canal com fundo cego da raiz mesio-vestibular do primeiro molar superior / Study of fourth canal with blind foramen morphology of first maxillary molars

Foi realizado um estudo da morfologia interna do quarto canal com fundo cego, presente na raiz mesio-vestibular do primeiro molar superior, avaliando como destaque o comprimento deste canal, a distância do seu término ao ápice radiográfico e a emergência ou a real condição deste forame com um fundo cego ou área de calcificação. Com relação ao comprimento, constatou-se um diferença estatisticamente significante entre o quarto canal quando da sua comparação com o canal principal da mesma raiz; quanto à distância do seu término ao ápice, foram observados canais que apresentaram seu término distando acima de 4mm do ápice e canais que terminaram a uma distância abaixo de 4mm do ápice; e finalmente no que se refere à emergência dos quartos canais com fundo cego, estes se constituem, de fato, em áreas calcificadas

Reimplante dentario: factores que pueden aumentar la posibilidad de éxito. Presentación de casos clínicos / Tooth reimplantation: factors enhancing the chances for success. Report of clinical cases

En esta presentación por un abordaje basado a la luz de la literatura y en la experiencia clínica de los autores, son discutidos los distintos factores que pueden interferir para el éxito de los reimplantes dentarios, que ocurren como secuela de lesiones traumáticas. Estas, a su vez, presentan actualmente un considerable aumento de su frecuencia, por el incremento de la práctica de distintos deportes que propician ese riesgo, abarcando una edad no especificada, pero con mayor prevalencia en los pacientes jóvenes. Componen la ilustración de este trabajo dos casos clínicos con diferentes resultados. Se resaltan aquí además de los innumerables factores que pueden contribuir para el fracaso de los reimplantes, la importancia de los procedimientos realizados por el profesional, el menor tiempo extraalveolar, la posibilidad de generar revascularización del tejido pulpar, la antibioticoterapia, la profilaxis antitetánica, la adecuada contención semirrígida temporaria, entre otros cuidados, pueden ayudar de forma significativa para alcanzar el éxito del tratamiento y justificar, de esa forma, el empleo de estos procedimientos atendiendo los aspectos biológicos y psicológicos (AU)