Influence of the frameworks of implant-supported prostheses and implant connections on stress distribution.

BACKGROUND: The maintenance of marginal bone integrity around dental implants continues to be a clinical challenge. It is still unclear whether loading multiple implant-supported prostheses that have different implant connections influences bone resorption. OBJECTIVES: The aim of this in vitro study was to compare stress distribution around residual edentulous ridges supported by external hexagon (EH) and Morse taper (MT) implants with screw-retained frameworks obtained with the use of different methods. MATERIAL AND METHODS: Three-element implant-supported prostheses with distal cantilevers were manufactured according to different techniques of obtaining the framework: LAS - framework sectioned and welded with a laser; TIG - framework sectioned and welded with tungsten inert gas (TIG); and CCS - framework obtained using a computer-aided design/computer-aided manufacturing (CAD/CAM) system. Occlusal and punctual loading (150 N) was applied to the cantilevers. In the photoelastic stress analysis, the fringe orders (n) were quanitified using the Tardy method, which calculates the maximum shear stress value (τ) at each selected point. RESULTS: High stress around the implants and tightening were observed in the TIG group, mainly in the crestal bone region for the EH and MT implant connections. The LAS and CCS frameworks exhibited lower stress for the MT connection under occlusal and punctual loading. CONCLUSIONS: The comparative analysis of the models showed that the MT connection type associated with the laser-welded or CAD/CAM frameworks resulted in lower stress values in the crestal bone area, suggesting the preservation of bone tissue in this region.

Analysis of implant-supported cantilever fixed partial denture: An in vitro comparative study on vertical misfit, stress distribution, and cantilever fracture strength.

PURPOSE: To evaluate the vertical misfit, stress distribution around dental implants, and cantilever fracture strength of 3-unit implant-supported cantilever fixed partial dentures (FPDs) using frameworks made from different materials and manufacturing techniques. MATERIALS AND METHODS: Forty FPDs were fabricated and divided into 5 groups (n = 8) based on the framework material used: LAS Co-Cr (Conventional casting-laser welding); TIG Co-Cr (Conventional casting -TIG welding); OP Co-Cr (Conventional casting-one-piece); CAD Co-Cr (CAD-CAM); and CAD Zr (CAD-CAM ZrO2 ). The vertical misfit was evaluated before porcelain application (T1) and before (T2), and after thermomechanical cycling (T3) by stereomicroscopy. Cantilever fracture strength was tested with a 50 kN (5000 kgf) load cell at a crosshead speed of 0.5 mm/min. Qualitative and quantitative photoelastic analysis was performed to evaluate stress distribution at seven specific points in five FPDs (n = 1/group) subjected to occlusal loading. RESULTS: Only the molar showed interaction among the three factors (G × S × T; F(20.932) = 1.630; p = 0.044). Thermomechanical cycling (T2 vs. T3) had a significant effect on intra-group vertical misfit in molar, especially in LAS Co-Cr (Δ = 5.87; p = 0.018) and OP Co-Cr (Δ = 5.39; p = 0.007), with no significant effect in premolar (p > 0.05). Ceramic application combined with thermomechanical cycling (T1 vs. T3) caused a significant intra-group increase in vertical misfit in all groups, both in the molar and premolar (p < 0.05). OP Co-Cr was associated with greater vertical misfit and stress concentration. Frameworks manufactured by the CAD-CAM system exhibited lower vertical misfit and better stress distribution. FPDs with metal frameworks (>410.83 ± 72.26 N) showed significantly higher fracture strength (p < 0.05) than zirconia (277.47 ± 39.10 N), and the first signs of ceramic veneering fracture were observed around 900 N. CONCLUSIONS: FPDs with frameworks manufactured using a CAD-CAM system appear to be associated with lower vertical misfit and better stress distribution, although the section of the frameworks followed by welding may be a viable alternative. In addition, metal frameworks exhibit high fracture strength.

Evaluation of misfit and stress distribution in implant-retained prosthesis obtained by different methods.

This study evaluated the vertical misfit, passivity, and stress distribution after tightening the screws of different prosthesis. Two implants were used to simulate the rehabilitation of partially edentulous mandible space from the second premolar to the second molar. 40 three-element screw-retained fixed dental prosthesis with distal cantilever were fabricated and divided into four groups according to the method of production of framework (n = 10): G1 = conventional casting one-piece framework, G2 = conventional casting sectioned and laser welding, G3 = conventional casting sectioned and tungsten inert gas (TIG) welding and G4 = framework obtained by CAD/CAM (computer-aided design/computer-aided manufacturing) system. The vertical misfits (both screws tightened) and the passive fit (one screw tightened) were measured under a comparator optical microscope. The data was submitted to Shapiro-Wilk test to enable comparison with ANOVA followed by Tukey with Bonferroni adjust (α = .05). The qualitative analysis of the stress distribution was performed by the photoelastic method. The vertical misfit (both screws tightened) of the G2 (24 µm) and G3 (27 µm) were significantly higher than G4 (10 µm) (p = 0,006). The passive fit (for the non-tightened) of the G1(64 µm) and G3 (61 µm) were significantly higher than the G4 (32 µm) (p=0,009). G1 showed high stress between the implants in the photoelastic analysis and G4 presented lower stress. In conclusion, CAD/CAM method results in less vertical misfit, more passivity, and consequently better stress distribution to the bone.

Evaluation of misfit and stress distribution in implant-retained prosthesis obtained by different methods

Abstract This study evaluated the vertical misfit, passivity, and stress distribution after tightening the screws of different prosthesis. Two implants were used to simulate the rehabilitation of partially edentulous mandible space from the second premolar to the second molar. 40 three-element screw-retained fixed dental prosthesis with distal cantilever were fabricated and divided into four groups according to the method of production of framework (n = 10): G1 = conventional casting one-piece framework, G2 = conventional casting sectioned and laser welding, G3 = conventional casting sectioned and tungsten inert gas (TIG) welding and G4 = framework obtained by CAD/CAM (computer-aided design/computer-aided manufacturing) system. The vertical misfits (both screws tightened) and the passive fit (one screw tightened) were measured under a comparator optical microscope. The data was submitted to Shapiro-Wilk test to enable comparison with ANOVA followed by Tukey with Bonferroni adjust (α = .05). The qualitative analysis of the stress distribution was performed by the photoelastic method. The vertical misfit (both screws tightened) of the G2 (24 μm) and G3 (27 μm) were significantly higher than G4 (10 μm) (p = 0,006). The passive fit (for the non-tightened) of the G1(64 μm) and G3 (61 μm) were significantly higher than the G4 (32 μm) (p=0,009). G1 showed high stress between the implants in the photoelastic analysis and G4 presented lower stress. In conclusion, CAD/CAM method results in less vertical misfit, more passivity, and consequently better stress distribution to the bone.

Resumo Neste estudo foi avaliado desajuste vertical, a passividade e a distribuição de tensões após o aperto dos parafusos de diferentes próteses. Dois implantes foram usados ​​para simular a reabilitação do espaço edêntulo da mandíbula do segundo pré-molar ao segundo molar. Quarenta próteses dentárias fixas parafusadas de três elementos com cantilever distal foram confeccionadas e separadas em quatro grupos de acordo com o método de obtenção da infraestrutura (n = 10): G1 = fundição convencional estrutura monobloco, G2 = fundição convencional seccionada e soldagem a laser, G3 = fundição convencional seccionada e soldagem com gás inerte de tungstênio (TIG) e G4 = infraestrutura obtida pelo sistema CAD / CAM (computer-aided design/computer-aided manufacturing). Os desajustes verticais com ambos os parafusos apertados e os desajustes relativos à avaliação de passividade com um parafuso apertado foram medidos com microscópio comparador óptico. Os dados foram submetidos ao teste de Shapiro-Wilk para comparação com ANOVA seguida de ajuste de Tukey com Bonferroni (α = 0,05). A análise qualitativa da distribuição de tensões foi realizada pelo método fotoelástico. G2 (24 μm) e G3 (27 μm) apresentaram valores significativamente maiores que G4 (10 μm) (p = 0,006) de desajuste vertical (ambos os parafusos apertados). Os valores de desajustes nos G1 (64 μm) e G3 (61 μm), do lado não apertado, foram significativamente maiores que no G4 (32 μm) (p = 0,009). G1 apresentou maior tensão entre os implantes na análise fotoelástica e G4 apresentou menor tensão. O método CAD/CAM resultou em menor desajuste, maior passividade e melhor distribuição de tensões no osso.

Photoelastic analysis of mandibular full-arch implant-supported fixed dentures made with different bar materials and manufacturing techniques.

PURPOSE: To compare the stress distribution of mandibular full dentures supported with implants according to the bar materials and manufacturing techniques using a qualitative photoelastic analysis. MATERIAL AND METHODS: An acrylic master model simulating the mandibular arch was fabricated with four Morse taper implant analogs of 4.5×6mm. Four different bars were manufactured according to different material and techniques: fiber-reinforced resin (G1, Trinia, CAD/CAM), commercially pure titanium (G2, cpTi, CAD/CAM), cobalt­chromium (G3, Co-Cr, CAD/CAM) and cobalt­chromium (G4, Co-Cr, conventional cast). Standard clinical and laboratory procedures were used by an experienced dental technician to fabricate 4 mandibular implant-supported dentures. The photoelastic model was created based on the acrylic master model. A load simulation (150N) was performed in total occlusion against the antagonist. RESULTS: Dentures with fiber-reinforced resin bar (G1) exhibited better stress distribution. Dentures with machined Co-Cr bar (G3) exhibited the worst standard of stress distribution, with an overload on the distal part of the posteriors implants, followed by dentures with cast Co-Cr bar (G4) and machined cpTi bar (G2). CONCLUSION: The fiber-reinforced resin bar exhibited an adequate stress distribution and can serve as a viable alternative for oral rehabilitation with mandibular full dentures supported with implants. Moreover, the use of the G1 group offered advantages including reduced weight and less possible overload to the implants components, leading to the preservation of the support structure.

Three-Dimensional Finite Element Analysis Surface Stress Distribution on Regular and Short Morse Taper Implants Generated by Splinted and Nonsplinted Prostheses in the Rehabilitation of Various Bony Ridges.

AIMS: This study used finite element analysis to compare the biomechanical performance of splinted (SP) and nonsplinted (NSP) prostheses to regular and short length Morse taper implants in the posterior side of the mandible. METHODS: The authors used 3-dimensional geometric models of regular implants (∅4 × 11 mm) and short implants (∅4 × 5 mm) housed in the corresponding bone edges of the posterior left mandibular hemiarch involving tooth 34. The 8 experimental groups were: the control group SP (3 regular implants rehabilitated with SP), group 1SP (2 regular and 1 short implants rehabilitated with SP), group 2SP (1 regular and 2 short implants rehabilitated with SP), group 3SP (3 short implants rehabilitated with SP), the control group NSP (3 regular implants rehabilitated with NSP), group 1NSP (2 and 1 short implants rehabilitated with NSP), group 2NSP (1 regular and 2 short implants rehabilitated with NSP), and group 3NSP (3 short implants rehabilitated with NSP). Oblique forces were simulated in the molars (365 N) and premolars (200 N). Qualitative and quantitative analysis of the distribution of Von Mises equivalent stress (implants, components, and infrastructure) was performed using the AnsysWorkbench10.0 software. RESULTS AND CONCLUSIONS: The results showed that the use of SP provides several advantages and benefits, reducing the stresses placed on the implant surface, on the transmucosal abutment areas and on the interior region of the infrastructure. The use of NSP was advantageous in reducing the stresses on the abutments and in the distal interproximal area of connection between the crowns.

Tensile strength of Ni-Cr copings subjected to inner surface sandblasting using different cementing agents: An in vitro study.

OBJECTIVES: To evaluate the effect of thermal cycling and inner surface treatment with aluminum oxide at different granulations on the tensile strength of Ni-Cr copings cemented with different cementing agents. MATERIALS AND METHODS: Ninety-six metal copings were manufactured and divided into two groups: before and after thermal cycling (n = 48). The copings of both groups were internally treated by sandblasting with aluminum oxide particles of 100 (n = 24) and 320 (n = 24) mesh. The copings were cemented on previously manufactured metal cores using zinc phosphate (n = 8), conventional glass ionomer (CGIC) (n = 8) and resin-modified glass ionomer (RMGIC) (n = 8) cements. The tensile strength before and after thermal cycling was then determined (Newtons). RESULTS: The tensile strength before and after thermal cycling was significantly higher in copings cemented with RMGIC compared to CGIC (p < 0.05) and was similar to that for zinc phosphate (p > 0.05). Thermal cycling and sandblasting of the inner surface of the metal copings with different granulations did not influence retention (p > 0.05). CONCLUSIONS: Zinc phosphate cements and RMGIC showed similar retention. Additionally, the retention of the cements was not influenced by either thermal cycling or the particle size of the aluminum oxide.

Influence of Temporary Cements on the Bond Strength of Self-Adhesive Cement to the Metal Coronal Substrate

This research evaluated the influence of temporary cements (eugenol-containing [EC] or eugenol-free [EF]) on the tensile strength of Ni-Cr copings fixed with self-adhesive resin cement to the metal coronal substrate. Thirty-six temporary crowns were divided into 4 groups (n=9) according to the temporary cements: Provy, Dentsply (eugenol-containing), Temp Cem, Vigodent (eugenol-containing), RelyX Temp NE, 3M ESPE (eugenol-free) and Temp Bond NE, Kerr Corp (eugenol-free). After 24 h of temporary cementation, tensile strength tests were performed in a universal testing machine at a crosshead speed of 0.5 mm/min and 1 kN (100 kgf) load cell. Afterwards, the cast metal cores were cleaned by scraping with curettes and air jet. Thirty-six Ni-Cr copings were cemented to the cast metal cores with self-adhesive resin cement (RelyX U200, 3M ESPE). Tensile strength tests were performed again. In the temporary cementation, Temp Bond NE (12.91±2.54) and Temp Cem (12.22±2.96) presented the highest values of tensile strength and were statistically similar to each other (p>0.05). Statistically significant difference (p<0.05) was observed only between Provy (164.44±31.23) and Temp Bond NE (88.48±21.83) after cementation of Ni-Cr copings with self-adhesive resin cement. In addition, Temp Cem (120.68±48.27) and RelyX Temp NE (103.04±26.09) showed intermediate tensile strength values. In conclusion, the Provy eugenol-containing temporary cement was associated with the highest bond strength among the resin cements when Ni-Cr copings were cemented to cast metal cores. However, the eugenol cannot be considered a determining factor in increased bond strength, since the other tested cements (1 eugenol-containing and 2 eugenol-free) were similar.

Resumo Esta pesquisa avaliou a influência dos cimentos temporários (contendo eugenol [CE]ou livre de eugenol[LE]) na resistência à tração de copingsde Ni-Cr fixados com cimento resinoso auto-adesivo sobre substrato coronário metálico. Trinta e seis coroas provisórias foram divididas em 4 grupos (n=9) de acordo com os cimentos temporários: Provy, Dentsply (contendo eugenol), Temp Cem, Vigodent (contendo eugenol), RelyXTemp NE, 3M ESPE (livre de eugenol) andTemp Bond NE, KerrCorp (livre de eugenol). Após 24 h da cimentação temporária, testes de resistência à tração foram realizados em uma máquina universal de ensaios, com velocidade de 0,5 mm/min. e célula de carga de 1kN (100 kgf). Em seguida, os núcleos metálicos fundidos foram limpos por meio de raspagem com cureta ejatos de ar. Trinta e seis copings de Ni-Cr foram cimentados sobre os núcleos metálicos com cimento resinoso auto-adesivo (RelyX U200, 3M ESPE). Testes de resistência à tração foram novamente realizados. Na cimentação provisória, Temp Bond NE (12,91±2,54) e Temp Cem (12,22±2,96) apresentaram os maiores valores de resistência à tração e foram estatisticamente semelhantes entre si (p>0,05). Diferença estatisticamente significante (p<0.05) foi observada apenas entre Provy (164,44±31,23) e Temp Bond NE (88,48±21,83)após cimentação dos copingsdeNi-Cr com cimento resinoso auto-adesivo. Além disso, Temp Cem (120,68±48,27) e RelyX Temp NE (103,04±26,09) mostraram valores intermediários de resistência à tração. Em conclusão, o cimento temporário contendo eugenol, Proxy, foi associado com a mais alta resistência de união do cimento resinoso, quando os copingsde Ni-Cr foram cimentados sobre os núcleos metálicos fundidos. Entretanto, o eugenol não pode ser considerado como um fator determinante no aumento da resistência de união, já que outros cimentos testados (1 contendo eugenol e 2 livres de eugenol) foram semelhantes.

Influence of Temporary Cements on the Bond Strength of Self-Adhesive Cement to the Metal Coronal Substrate.

This research evaluated the influence of temporary cements (eugenol-containing [EC] or eugenol-free [EF]) on the tensile strength of Ni-Cr copings fixed with self-adhesive resin cement to the metal coronal substrate. Thirty-six temporary crowns were divided into 4 groups (n=9) according to the temporary cements: Provy, Dentsply (eugenol-containing), Temp Cem, Vigodent (eugenol-containing), RelyX Temp NE, 3M ESPE (eugenol-free) and Temp Bond NE, Kerr Corp (eugenol-free). After 24 h of temporary cementation, tensile strength tests were performed in a universal testing machine at a crosshead speed of 0.5 mm/min and 1 kN (100 kgf) load cell. Afterwards, the cast metal cores were cleaned by scraping with curettes and air jet. Thirty-six Ni-Cr copings were cemented to the cast metal cores with self-adhesive resin cement (RelyX U200, 3M ESPE). Tensile strength tests were performed again. In the temporary cementation, Temp Bond NE (12.91 ± 2.54) and Temp Cem (12.22 ± 2.96) presented the highest values of tensile strength and were statistically similar to each other (p>0.05). Statistically significant difference (p<0.05) was observed only between Provy (164.44 ± 31.23) and Temp Bond NE (88.48 ± 21.83) after cementation of Ni-Cr copings with self-adhesive resin cement. In addition, Temp Cem (120.68 ± 48.27) and RelyX Temp NE (103.04 ± 26.09) showed intermediate tensile strength values. In conclusion, the Provy eugenol-containing temporary cement was associated with the highest bond strength among the resin cements when Ni-Cr copings were cemented to cast metal cores. However, the eugenol cannot be considered a determining factor in increased bond strength, since the other tested cements (1 eugenol-containing and 2 eugenol-free) were similar.

Importance of a distal proximal contact on load transfer by implant-supported single adjacent crowns in posterior region of the mandible: a photoelastic study.

OBJECTIVE: This study aimed to evaluate the importance of a distal proximal contact on the load transfer to the posterior region of the mandible by non-splinted adjacent implant-supported crowns using photoelastic stress analysis. MATERIAL AND METHODS: A rectangular model (68x30x15 mm) was made of polymethylmethacrylate resin to simulate half of the mandibular arch. One model was completed with resin replicas representing the first premolar and second molar and with two 3.75 mm dia.x11 mm internal hexagon threaded implants replacing the second premolar and first molar. The other model was manufactured in the same way but without the second molar. Both models were duplicated using photoelastic resin. The roots of the teeth replicas were covered with a layer of polyether impression material to simulate the periodontal ligament. Two different vertical loads were applied to the crowns as follows: 1 - single static point load alternately applied to the crowns replacing the second premolar and first molar (50 N); 2 - simultaneous static point loads applied to both of the crowns replacing the second premolar and first molar (100 N). The resulting isochromatic fringe pattern in the photoelastic model was monitored and photographed. RESULTS: All loading conditions studied showed that the presence of the second molar has changed the load transmission and the pattern of stresses. CONCLUSION: Results showed that the presence of a second molar proximal contact can help minimize the stresses around the implants.

Importance of a distal proximal contact on load transfer by implant-supported single adjacent crowns in posterior region of the mandible: a photoelastic study

OBJECTIVE: This study aimed to evaluate the importance of a distal proximal contact on the load transfer to the posterior region of the mandible by non-splinted adjacent implant-supported crowns using photoelastic stress analysis. MATERIAL AND METHODS: A rectangular model (68x30x15 mm) was made of polymethylmethacrylate resin to simulate half of the mandibular arch. One model was completed with resin replicas representing the first premolar and second molar and with two 3.75 mm dia.x11 mm internal hexagon threaded implants replacing the second premolar and first molar. The other model was manufactured in the same way but without the second molar. Both models were duplicated using photoelastic resin. The roots of the teeth replicas were covered with a layer of polyether impression material to simulate the periodontal ligament. Two different vertical loads were applied to the crowns as follows: 1 - single static point load alternately applied to the crowns replacing the second premolar and first molar (50 N); 2 - simultaneous static point loads applied to both of the crowns replacing the second premolar and first molar (100 N). The resulting isochromatic fringe pattern in the photoelastic model was monitored and photographed. RESULTS: All loading conditions studied showed that the presence of the second molar has changed the load transmission and the pattern of stresses. CONCLUSION: Results showed that the presence of a second molar proximal contact can help minimize the stresses around the implants. .

Three-dimensional finite element analysis of the stress distribution on morse taper implants surface.

PURPOSE: This finite element analysis (FEA) compared stress distribution on external surface of different morse taper implants, varying implant bodies length and dimensions of metal-ceramic crowns in order to maintain the occlusal alignment. METHODS: Three-dimensional finite element (FE) models were designed representing a posterior left side segment of the mandible: group 0, 3 implants of 11 mm length; group 1, implants of 13 mm, 11 mm and 5mm length; group 2, 1 implant of 11 mm and 2 implants of 5mm length; group 3, 3 implants of 5mm length. The abutments heights were 3.5mm for 13 mm and 11 mm implants (regular) and 0.8mm for 5mm implants (short). Evaluation was performed on a computer program (Ansys software), with oblique loads of 365N for molars and 200 N for premolars, applied on ridges of cusps and grooves. RESULTS: Abutments with 0.8mm height generated less von Mises stresses compared with 3.5mm height. The use of short implants associated with bigger crowns concentrated higher stress distribution and stress values on the surface implants, principally on the vestibular side (oblique direction of the loads). The more distal implant concentrated higher stress. CONCLUSIONS: Moreover, these 5mm implants were positioned at the cortical bone level, which has higher elastic modulus and may have influenced at the stress distribution. However, despite the higher stresses, these implants were well able to withstand the applied forces.

Comparison of methods to evaluate implant-abutment interface

Aim: To compare two main methods of two-dimensional measurement of fit at the implant prosthodontic interface, testing the hypothesis that optical microscopy (OM) can reliably and efficiently scanning electronic microscopy (SEM). Methods: Four frameworks with four titanium abutments joined with titanium bars were used. The implant-abutment interfaces were examined by three different methods, forming 3 groups: analysis by OM (40x), and analysis by SEM at 300x and 500x. Readings were taken at the mesial and distal proximal surfaces on the horizontal and vertical axes of each implant (n=32). One-way ANOVA with a significance level of 5% was used for statistical analysis. Results: Neither the horizontal fit nor vertical fit values of the 3 groups presented statistically significant differences (p=0.410 and p=0.543). Conclusions: OM was found to be an accurate two-dimensional method for abutment-framework or implant-abutment interface measurements, with lower costs than SEM. SEM micrographs at 500x presented technical difficulties for the readings that might produce different results.

Retention and stress distribution in distal extension removable partial dentures with and without implant association.

PURPOSE: The present study aimed to evaluate the retention and stress distribution of conventional (C) RPD and compare to RPD associated to implant for support (IS) and retention (IR). METHODS: Frameworks were cast from cp Ti (n=18) and Co-Cr alloy (n=18) by plasma and injected by vacuum-pressure. Conventional RPDs were compared to implant associated RPDs using a distal implant to support (IS) or to support and retain (IR) RPD. The specimens were subjected to insertion/removal cycles simulating 5 years of use and the retention force (N) was measured or evaluated. A mixed linear model was used to analyze the data (α=0.05). Photoelastic models were qualitatively examined for stress when an occlusal load of 15 kgf was applied over support teeth and RPD. RESULTS: Retention force of IR RPDs is greater than IS and C RPDs for both cp Ti and Co-Cr alloy specimens. Retention force of cp Ti RPDs increased initially and was maintained throughout 5 years of simulation test while Co-Cr RPDs presented a decrease at the beginning of the test and had their retention force maintained throughout the test. Implant placement at residual alveolar ridge decreased stress around teeth, mainly in the first premolar. Stress concentration in the IS RPD is slightly greater than in the IR RPD. CONCLUSION: The results suggest that implant placement at the distal extension improves retention and stress distribution of RPDs.

Morse taper implants at different bone levels: a finite element analysis of stress distribution

Aim: To explore the biomechanical effects of the different implantation bone levels of Morse taper implants, employing a finite element analysis (FEA). Methods: Dental implants (TitamaxCM) with 4x13 mm and 4x11 mm, and their respective abutments with 3.5 mm height, simulating a screwed premolar metal-ceramic crown, had their design performed using the software AnsysWorkbench10.0. They were positioned in bone blocks, covered by 2.5 mm thickness of mucosa. The cortical bone was designed with 1.5 mm thickness and the trabecular bone completed the bone block. Four groups were formed: group 11CBL (11 mm implant length on cortical bonelevel), group 11TBL (11 mm implant length on trabecular bone level), group 13CBL (13mm implant length on cortical bone level) and group 13TBL (13 mm implant length on trabecular bonelevel). Oblique 200 N loads were applied. Von Mises equivalent stresses in cortical and trabecular bones were evaluated with the same design program. Results: The results were shown qualitatively and quantitatively by standard scales for each type of bone. By the results obtained, it can be suggested that positioning the implant completely in trabecular bone brings harm with respect to the generated stresses. Its implantation in the cortical bone has advantages with respect to better anchoring and locking, reflecting a better dissipation of the stresses along the implant/bone interfaces. In addition, the search for anchoring the implant in its apical region in cortical bone is of great value to improve stabilization and consequently better stress distribution.Conclusions: The implant position slightly below the bone in relation to the bone crest brings advantages as the best long-term predictability with respect to the expected neck bone loss.

Effect of toothbrushing with different toothpastes at commerciallypure titanium surface roughness / Efeito da escovação com diferentes dentifrícios na rugosidade superficial do titânio comercialmente puro

Objective: To evaluate the effect of brushing, using toothpastes with different fluoride concentrations, on the surface of commercially pure titanium (cp Ti). Methods: Discs (13x4mm) made of cp Ti, embedded in PVC rings and metallographically polished have their surface roughness measured. Tooth brushing simulations (50,400 cycles) were performed: speed of 80mm/s, distance of 10mm distance, at 240 cycles/min. Three toothpastes were tested: Prevident 5000 (Colgate-Palmolive Ind. e Com. Ltda., São Paulo, Brazil), Colgate Total 12 (Colgate-Palmolive Ind. e Com. Ltda., São Paulo, Brazil) and Tandy (Colgate-Palmolive Ind. e Com. Ltda., São Paulo, Brazil), with 5000, 1300 and 500ppm fluoride concentrations, respectively. The brushings had 7.14g and 14.28g of toothpaste, both for 50mL of deionized water. The surface roughness was reevaluated and data were analyzed by two-way ANOVA and Tukey?s test for the effect of brushing and toothpastes. Results: At the beginning, no significant difference (p=0.09) of roughness was noted among the experimental groups (Prevident, Colgate-Palmolive Ind. e Com. Ltda., São Paulo, Brazil): 0.160±0.019; Colgate Total 12 (Colgate-Palmolive Ind. e Com. Ltda., São Paulo, Brazil): 0.159±0.030; Tandy (Colgate-Palmolive Ind. e Com. Ltda., São Paulo, Brazil): 0.157±0.019) but roughness decreased after the 1st (p<0.05) (0.094±0.010) and 2nd (0.089± 0.012) brushings (p<0.05) with Prevident 5000 (Colgate-Palmolive Ind. e Com. Ltda., São Paulo, Brazil), with no significant difference between the 1st and 2nd brushings (p=0.16). Discs brushed with Colgate Total 12 (Colgate-Palmolive Ind. e Com. Ltda., São Paulo, Brazil) presented surface roughness similar (p=0.090) at the beginning and after the 1st brushing (0.133±0.029), and between the 1st and 2nd (0.113±0009) brushings (p=0.402); roughness after the 2nd brushing was statistically greater than at the beginning (p<0.05). Tandy (Colgate- Palmolive Ind. e Com. Ltda., São Paulo, Brazil) toothpaste caused a surface roughness significantly lower (p<0.05) after the 2nd brushing (0.113±0.010), compared to the 1st (0.147±0.020) and the starting point, which were statistically similar (p=0.090). Conclusion: The results suggest that brushing using toothpastes with fluoride causes a decrease in the surface roughness of cp Ti, mainly when greater fluoride concentrations are present.

Objetivo: Avaliar o efeito da escovação com dentifrícios contendo diferentes concentrações de flúor na superfície do titânio comercialmente puro (Ti cp). Métodos: Discos (13x4mm) de Ti cp, embutidos em anéis de PVC e polidos metalograficamente, tiveram a rugosidade superficial avaliada. A simulação da escovação (50400 ciclos) teve velocidade de 80mm/s, curso de 10mm, com 240 ciclos/min. Foram testados três dentifrícios: Prevident 5000, (Colgate-Palmolive Ind. e Com. Ltda., São Paulo, Brasil); Colgate Total 12 (Colgate-Palmolive Ind. e Com. Ltda., São Paulo, Brasil) e Tandy (Colgate-Palmolive Ind. e Com. Ltda., São Paulo, Brasil), com 5000, 1300 e 500ppm de flúor, respectivamente. As escovações tiveram 7,14g e 14,28g de dentifrício, ambas para 50ml de água deionizada. A rugosidade superficial foi reavaliada e os dados analisados por ANOVA - dois fatores e teste de Tukey quanto ao efeito da escovação e dos dentifrícios. Resultados: Inicialmente não houve diferença significante (p=0,09) na rugosidade dos grupos experimentais Prevident, (Colgate-Palmolive Ind. e Com. Ltda., São Paulo, Brasil): 0,160±0,019; Colgate Total 12 (Colgate-Palmolive Ind. e Com. Ltda., São Paulo, Brasil): 0,159±0,030; Tandy (Colgate- Palmolive Ind. e Com. Ltda., São Paulo, Brasil): 0,157±0,019), mas houve diminuição da rugosidade após a 1ª (0,094±0,010) (p<0,05) e 2ª (0,089±0,012) escovações (p<0,05) com Prevident 5000 (Colgate-Palmolive Ind. e Com. Ltda., São Paulo, Brasil), sem diferença significativa entre as demais (p=0,16). Discos escovados com Colgate Total 12 (Colgate-Palmolive Ind. e Com. Ltda., São Paulo, Brasil) apresentaram rugosidade semelhante inicialmente (p=0,090) e após a 1ª escovação (0,133± 0,029), e entre a 1ª e a 2ª escovações (0,113±0,009) (p=0,402); a rugosidade após a 2ª escovação foi significativamente maior que a inicial (p<0,05). O dentifrício Tandy (Colgate-Palmolive Ind. e Com. Ltda., São Paulo, Brasil) causou rugosidade superficial significativamente menor (p<0,05) após a 2ª escovação (0,113±0,010), comparada à 1ª (0,147±0,020) e a inicial, que foram semelhantes (p=0,090). Conclusão: Os resultados sugerem que a escovação com dentifrícios fluoretados diminui a rugosidade superficial do Ti cp, mais significativamente quanto maiores as concentrações de flúor presentes.

Three-dimensional finite element analysis of stress distribution on different bony ridges with different lengths of morse taper implants and prosthesis dimensions.

This finite element analysis (FEA) compared stress distribution on different bony ridges rehabilitated with different lengths of morse taper implants, varying dimensions of metal-ceramic crowns to maintain the occlusal alignment. Three-dimensional FE models were designed representing a posterior left side segment of the mandible: group control, 3 implants of 11 mm length; group 1, implants of 13 mm, 11 mm and 5 mm length; group 2, 1 implant of 11 mm and 2 implants of 5 mm length; and group 3, 3 implants of 5 mm length. The abutments heights were 3.5 mm for 13- and 11-mm implants (regular), and 0.8 mm for 5-mm implants (short). Evaluation was performed on Ansys software, oblique loads of 365N for molars and 200N for premolars. There was 50% higher stress on cortical bone for the short implants than regular implants. There was 80% higher stress on trabecular bone for the short implants than regular implants. There was higher stress concentration on the bone region of the short implants neck. However, these implants were capable of dissipating the stress to the bones, given the applied loads, but achieving near the threshold between elastic and plastic deformation to the trabecular bone. Distal implants and/or with biggest occlusal table generated greatest stress regions on the surrounding bone. It was concluded that patients requiring short implants associated with increased proportions implant prostheses need careful evaluation and occlusal adjustment, as a possible overload in these short implants, and even in regular ones, can generate stress beyond the physiological threshold of the surrounding bone, compromising the whole system.

Photoelastic analysis of stresses transmitted by universal cast to long abutment on implant-supported single restorations under static occlusal loads.

OBJECTIVES: The aim of this study was to compare the stresses resulting from cemented or screw-retained dental prostheses using universal cast to long abutment by the photoelastic method. MATERIAL AND METHODS: A photoelastic resin model was fabricated to simulate a segment of the mandibular arch with resin replicas of a first premolar and a second molar, and two 3.75 × 11-mm implants replacing the second premolar and the first molar. Vertical static loads were individually applied on the occlusal surface of the premolar and the molar (5 kgf) and simultaneously on both crowns (10 kgf). RESULTS: Results found variable stress patterns around each implant and concentrated stresses in the individually loaded crowns. Force transfer characteristics of each situation and quantification of the isochromatic fringes were evaluated. CONCLUSIONS: Within the limitations of this study and based on the results obtained for implant-supported prosthesis with internal hexagon connection/universal cast to long abutment, it could be concluded that single adjacent screw-retained prosthetic restorations lead to higher stresses around the implants when compared with cement-retained restorations.

Effect of fluoride sodium mouthwash solutions on cpTI: evaluation of physicochemical properties

The effects of fluoride, which is present in different oral hygiene products, deserve more investigation because little is known about their impact on the surface of titanium, which is largely used in Implantology. This study evaluated the surface of commercially pure titanium (cpTi) after exposure to different concentrations of sodium fluoride (NaF). The hypothesis tested in this study was that different concentrations of NaF applied at different time intervals can affect the titanium surface in different ways. The treatments resulted in the following groups: GA (control): immersion in distilled water; GB: immersion in 0.05% NaF for 3 min daily; GC: immersion in 0.2% NaF for 3 min daily; GD: immersion in 0.05% NaF for 3 min every 2 weeks; and GE: immersion in 0.2% NaF for 3 min every 2 weeks. The experiment lasted 60 days. Roughness was measured initially and every 15 days subsequently up to 60 days. After 60 days, corrosion analysis and anodic polarization were done. The samples were examined by scanning electron microscopy (SEM). The roughness data were analyzed by ANOVA and there was no significant difference among groups and among time intervals. The corrosion data (i corr) were analyzed by the Mann-Whitney test, and significant differences were found between GA and GC, GB and GC, GC and GD, GC and GE. SEM micrographs showed that the titanium surface exposed to NaF presented corrosion that varied with the different concentrations. This study suggests that the use of 0.05% NaF solution on cpTi is safe, whereas the 0.2% NaF solution should be carefully evaluated with regard to its daily use.

Os efeitos do fluoreto, o qual está presente em diferentes produtos de higiene oral, necessita de maiores investigações, pois pouco se sabe sobre seus efeitos na superfície do titânio, o qual possui amplo uso na implantodontia. Este estudo objetivou avaliar a superfície do titânio comercialmente puro (cpTi) após exposição a diferentes concentrações de fluoreto de sódio (NaF). A hipótese testada neste estudo foi que diferentes concentrações de NaF aplicadas em diferentes intervalos de tempo seriam capazes de afetar diferentemente a superfície do titânio. Os tratamentos realizados foram: GA (controle): imersão em água destilada; GB: imersão diária por 3 min em NaF a 0,05%; GC: imersão diária por 3 min em NaF a 0,2%; GD: imersão quinzenal por 3 min em NaF a 0,05%; e GE: imersão quinzenal por 3 min em NaF a 0,2%. O tempo do experimento foi de 60 dias. A análise da rugosidade foi efetuada inicialmente e a cada 15 dias. Após 60 dias foi realizada análise de corrosão e polarização anódica. As amostras foram analisadas em MEV. Os dados de rugosidade foram analisados por ANOVA e não houve diferença estatisticamente significante entre grupos e entre tempos. Os dados de corrosão (i corr) foram analisados pelo teste de Mann-Whitney e foram encontradas diferenças significantes entre GA e GC, GC e GB, GC e GD, GC e GE. A MEV evidenciou que a superfície do titânio exposto ao NaF apresentou corrosão variando de acordo com a concentração. Com base nos dados encontrados conclui-se que o uso de solução NaF a 0,05% em cpTi é seguro, enquanto a solução NaF 0,2% para uso diário deve ser cuidadosamente avaliada.