ABSTRACT
OBJECTIVES: The success of implant treatment depends on many factors affecting the bone-implant, implant-abutment, and abutment-prosthesis interfaces. Stress distribution in bone plays a major role in success/failure of dental implants. This study aimed to assess the pattern of stress distribution in bone and abutment-implant interface under static and cyclic loadings using finite element analysis (FEA). MATERIALS AND METHODS: In this study, ITI implants (4.1×12 mm) placed at the second premolar site with Synocta abutments and metal-ceramic crowns were simulated using SolidWorks 2007 and ABAQUS software. The bone-implant contact was assumed to be 100%. The abutments were tightened with 35 Ncm preload torque according to the manufacturer's instructions. Static and cyclic loads were applied in axial (116 Ncm), lingual (18 Ncm), and mesiodistal (24 Ncm) directions. The maximum von Mises stress and strain values were recorded. RESULTS: The maximum stress concentration was at the abutment neck during both static and cyclic loadings. Also, maximum stress concentration was observed in the cortical bone. The loading stress was higher in cyclic than static loading. CONCLUSION: Within the limitations of this study, it can be concluded that the level of stress in single-unit implant restorations is within the tolerable range by bone.
ABSTRACT
OBJECTIVES: The aim was to investigate the effect of intracanal irrigants and agents on the bond strength of intraradicular fiber posts to dentin. MATERIALS AND METHODS: Root canals of 72 decoronated single-rooted premolars were cleaned, shaped, and obturated with gutta-percha and AH26. The specimens were incubated at 37°C and 100% humidity for seven days. Next, the coronal 10 mm of the canals were prepared to receive size 2 D.T. Light fiber post, and the specimens were randomly allocated into six groups according to the irrigants used after post space preparation: normal saline (control group), 5.25% sodium hypochlorite (NaOCl)/15 seconds, 17% ethylenediaminetetraacetic acid (EDTA)/60 seconds, 2% chlorhexidine (CHX)/5 minutes, MTAD/5 minutes, and acid-etching/15 seconds. All canals were rinsed with normal saline and dried. Fiber posts were cemented using Panavia F2.0. After 24 hours, two mid-root slices of 1mm thickness were obtained from each specimen. Push-out bond strength test was performed in a universal testing machine at 0.5mm/minute. The maximum applied load was recorded, and the bond strength was calculated in megapascal (MPa). Data were analyzed by one-way analysis of variance (ANOVA) and Tukey's test. RESULTS: The mean shear bond strengths of etched (53.21±12.11 MPa), MTAD (52.47±14.75 MPa) and EDTA (49.08±10.19 MPa) groups were significantly higher than that of the control group (39.82±10.04 MPa). The difference was marginally significant for CHX group (49.8±13.57 MPa) and not significant for NaOCl group (47.15±17.64 MPa). CONCLUSIONS: Etching or irrigating the root canals with MTAD or EDTA after post space preparation increases the bond strength of Panavia F2.0 to dentin.
ABSTRACT
The present study was done to evaluate the effects of different types of abutments on the rate and distribution of stress on the bone surrounding the implant by dynamic finite element analysis method. In this study two ITI abutment models-one-piece and multi-piece-along with fixture, bone, and superstructure have been simulated with the help of company-made models. The maximum Von Mises stress (MVMS) was observed in the distobuccal area of the cortical bone near the crest of implant in two implant models. In the multi-piece abutment, MVMS was higher than the one-piece model (27.9 MPa and 23.3 MPa, respectively). Based on the results of this study, it can be concluded that type of abutment influences the stress distribution in the area surrounding the implant during dynamic loading.
Subject(s)
Crowns , Dental Implant-Abutment Design , Dental Prosthesis, Implant-Supported , Finite Element Analysis , Maxilla/physiology , Biomechanical Phenomena , Cementation/methods , Computer Simulation , Dental Materials/chemistry , Dental Porcelain/chemistry , Elastic Modulus , Gold Alloys/chemistry , Humans , Imaging, Three-Dimensional/methods , Models, Biological , Stress, Mechanical , Surface Properties , Titanium/chemistry , TorqueABSTRACT
This clinical report presents a 46-year-old man diagnosed with nasopharyngeal carcinoma with the chief complaint of masticatory and speech deficiency because of radiation therapy. After a period of controlling post radiation caries, the patient was rehabilitated with tooth and implant supported metal ceramic restorations following surgical and endodontic intervention.
