Mechanical Stress Analysis of Different Configurations of the All-on-4 Concept in Atrophic Mandible: A 3D Finite Element Study.

PURPOSE: This study evaluated the mechanical behavior of different configurations of the All-on-4 treatment concept designed with straight short (6-mm-length), straight standard (11-mm-length), or tilted standard (30-degree angled; 11-mm-length) posterior implants. MATERIALS AND METHODS: The All-on-4 configurations were performed in atrophic mandible models and consisted of anterior straight standard and posterior tilted standard implants (H1 model), anterior straight standard and posterior straight short implants (H2 model), and anterior and posterior straight standard implants (H3 model). Three oblique forces of 100 N were simulated in the posterior region of the prosthetic bar. The values of stress were obtained for the ductile materials using the von Mises equivalent stress (σvm) criteria. The stress peaks in the peri-implant bone crest were measured by the maximum (σmax) and minimum (σmin) principal stresses. The two-way analysis of variance (two-way ANOVA) and Tukey post hoc tests determined significant differences (P < .01) of stress values among the ductile materials (implant and prosthetic components). RESULTS: The use of tilted standard posterior implants (H1 model) showed the lowest values of σmax and σmin in the posterior region of the peri-implant bone area. On the other hand, the use of straight short (H2 model) or straight standard (H3 model) posterior implants significantly reduced the von Mises mean stresses in the bar screws, abutments, and abutment screws (P < .01). CONCLUSION: The higher odds of technical failures (screw fracture/loosening) may be expected when the All-on-4 configuration is performed with tilted standard posterior implants. Also, peri-implant bone overload may occur when the All-on-4 design is performed with straight short or straight standard posterior implants in atrophic mandibles.

Comparison of Ti-35Nb-7Zr-5Ta and Ti-6Al-4V hydrofluoric acid/magnesium-doped surfaces obtained by anodizing.

OBJECTIVES: Development of a new generation of stable ß alloy, free of aluminum or vanadium and with better biological and mechanical compatibility and evaluate the surface properties of Ti-6Al-4V and Ti-35Nb-7Zr-5Ta after anodization in hydrofluoric acid, followed by deposition of different electrolyte concentrations of magnesium particles by micro arc-oxidation treatment. METHODS: Disks were anodized in hydrofluoric acid. After this first anodization, the specimens received the deposition of magnesium using different concentration (8.5% and 12.5%) and times (30s and 60s). The surface morphology was assessed using scanning electron microscopy, and the chemical composition was assessed using energy dispersive x ray spectroscopy. The surface free energy was measured from the contact angle, and the mean roughness was measured using a digital profilometer. RESULTS: Anodization in hydrofluoric acid provided the formation of nanotubes in both alloys, and the best concentration of magnesium considered was 8.5%, as it was the condition where the magnesium was incorporated without covering the morphology of the nanotubes. X-ray dispersive energy spectroscopy showed magnesium incorporation in all conditions. The average roughness was increased in the Ti-35Nb-7Zr-5Ta alloy. CONCLUSIONS: It was concluded that anodizing could be used to deposit magnesium on the surfaces of Ti-6Al-4V and Ti-35Nb-7Zr-5Ta nanotubes, with better results obtained in samples with magnesium concentration in 8.5% and the process favored the roughness in the Ti-35Nb-7Zr-5Ta group.

Surface properties of Ti-35Nb-7Zr-5Ta: Effects of long-term immersion in artificial saliva and fluoride solution.

STATEMENT OF PROBLEM: The mechanical properties of new titanium alloys with an elastic modulus closest to cortical bone have been studied. However, potentially damaging conditions experienced in the oral cavity, such as fluoride ions, can initiate a localized or crevice process of corrosive degradation in the alloy surfaces. PURPOSE: The purpose of this in vitro study was to evaluate the effects of long-term immersion in artificial saliva or in fluoride solution on mean roughness (Ra), Vickers hardness, and topography of the new titanium alloy Ti-35Nb-7Zr-5Ta (TNZT) compared with those of cp Ti and Ti-6Al-4V (TAV). MATERIAL AND METHODS: Disks (N=210) were divided into cp Ti, TAV, and TNZT and subdivided according to the following treatments: no immersion (N(-), control), immersion in artificial saliva (S), and immersion in fluoride (F) during periods equivalent to 5, 10, 15, and 20 years. The Ra and Vickers hardness were measured with a profilometer and a hardness tester. The topography was analyzed by scanning electronic microscopy. Data were compared using the Kruskal-Wallis and Dunn tests (α=.05). RESULTS: Values of Ra and hardness were significantly different among the metals (Ra: TAV

Titanium surface topography after brushing with fluoride and fluoride-free toothpaste simulating 10 years of use.

OBJECTIVES: To conduct a controlled study contrasting titanium surface topography after procedures that simulated 10 years of brushing using toothpastes with or without fluoride. METHODS: Commercially pure titanium (cp Ti) and Ti-6Al-4V disks (6 mm Ø×4 mm) were mirror-polished and treated according to 6 groups (n=6) as a function of immersion (I) or brushing (B) using deionised water (W), fluoride-free toothpaste (T) and fluoride toothpaste (FT). Surface topography was evaluated at baseline (pretreatment) and post-treatment, using atomic force microscope in order to obtain three-dimensional images and mean roughness. Specimens submitted to immersion were submerged in the vehicles without brushing. For brushed specimens, procedures were conducted using a linear brushing machine with a soft-bristled toothbrush. Immersion and brushing were performed for 244 h. IFT and BFT samples were analysed under scanning electron microscope with Energy-Dispersive X-ray Spectroscopy (EDS). Pre and post-treatment values were compared using the paired Student T-test (α=.05). Intergroup comparisons were conducted using one-way ANOVA with Tukey post-test (α=.05). RESULTS: cp Ti mean roughness (in nanometers) comparing pre and post-treatment were: IW, 2.29±0.55/2.33±0.17; IT, 2.24±0.46/2.02±0.38; IFT, 2.22±0.53/1.95±0.36; BW, 2.22±0.42/3.76±0.45; BT, 2.27±0.55/16.05±3.25; BFT, 2.27±0.51/22.39±5.07. Mean roughness (in nanometers) measured in Ti-6Al-4V disks (pre/post-treatment) were: IW, 1.79±0.25/2.01±0.25; IT, 1.61±0.13/1.74±0.19; IFT, 1.92±0.39/2.29±0.51; BW, 2.00±0.71/2.05±0.43; BT, 2.37±0.86/11.17±2.29; BFT, 1.83±0.50/15.73±1.78. No significant differences were seen after immersions (p>.05). Brushing increased the roughness of cp Ti and of Ti-6Al-4V (p<.01); cp Ti had topographic changes after BW, BT and BFT treatments whilst Ti-6Al-4V was significantly different only after BT and BTF. EDS has not detected fluoride or sodium ions on metal surfaces. CONCLUSIONS: Exposure to toothpastes (immersion) does not affect titanium per se; their use during brushing affects titanium topography and roughness. The associated effects of toothpaste abrasives and fluorides seem to increase roughness on titanium brushed surfaces.

Fatigue strength: effect of welding type and joint design executed in Ti-6Al-4V structures.

BACKGROUND: This study evaluated the fatigue strength of Ti-6Al-4V-machined structures submitted to laser (L)-welding and TIG (TIG)-welding procedures, varying the joint designs. MATERIALS AND METHODS: Seventy dumbbell rods were machined in Ti-6Al-4V alloy with central diameters of 3.5 mm. The specimens were sectioned and welded using TIG or L and three joint designs {'I' design, varying welding distances [0.0 mm (I00) or 0.6 mm (I06)], or 'X' [X] design}. The combinations of variables created six groups, which, when added to the intact group, made a total of seven groups (n = 10). L was executed as follows: 360 V/8 ms (X) and 390 V/9 ms (I00 and I06), with focus and frequency regulated to zero. TIG was executed using 2:2 (X) and 3:2 (I00 and I06) as welding parameters. Joints were finished, polished and submitted to radiographic examination to be analysed visually for the presence of porosity. The specimens were then subjected to mechanical cyclic tests, and the number of cycles completed until failure was recorded. The fracture surface was examined using a scanning electron microscope. RESULTS: The Kruskal-Wallis and Dunn test (α = 0.05) indicated that the number of cycles resisted for fracture was higher to X for both welding procedures. To L, I06 was as resistant as X. The Mann-Whitney U-test (α = 0.05) indicated that L joints were more resistant than TIG to I00 and I06. Spearman's correlation coefficient (α = 0.05) indicated a negative correlation between the number of cycles and presence of porosity. CONCLUSION: Thus, to weld Ti-6Al-4V structures, the best condition is X, independent of the welding method employed.

Influence of different dentin etching times and concentrations and air-abrasion technique on dentin microtensile bond strength.

PURPOSE: To determine the influence of different dentin treatments on the microtensile bond strengths of adhesive resins to dentin. METHODS: Fifteen human molars were ground to 600-grit to obtain flat root-dentin surfaces. Five different dentin treatments were evaluated: Group 1--10% phosphoric acid for 30 seconds; Group 2--37% phosphoric acid for 15 seconds; Group 3--air-abrasion for 10 seconds followed by 10% phosphoric acid for 30 seconds; Group 4--air-abasion for 10 seconds followed by 37% phosphoric acid for 15 seconds. The dental adhesive (OptiBond Solo Plus) was applied according to manufacturer's instructions and followed by composite (Z100) application to provide sufficient bulk for microtensile bond testing. All samples were placed in distilled water for 24 hours at 37 degrees C, thermocycled for 500 cycles in distilled water at 10 degrees C and 50 degrees C, and serially sliced perpendicular to the adhesive surface and subjected to tensile forces (0.5 mm/minute). Additional samples were prepared for SEM to observe the adhesive interface. RESULTS: Group 2 exhibited significantly (P < 0.05) lower bond strength values than all other treatments. The bond strengths of the different conditions were (in MPa): Group 1: 43.0 +/- 16.1; Group 2: 29.2 +/- 8.3; Group 3: 48.1 +/- 14.2; Group 4: 41.0 +/- 9.3. The dentin treated with phosphoric acid 37% for 15 seconds showed the lowest values of microtensile bond strength. The results obtained with Groups 1, 3 and 4 were statistically similar.