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1.
PeerJ Comput Sci ; 9: e1403, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37346695

RESUMO

Investor sentiment plays a crucial role in the stock market, and in recent years, numerous studies have aimed to predict future stock prices by analyzing market sentiment obtained from social media or news. This study investigates the use of investor sentiment from social media, with a focus on Stocktwits, a social media platform for investors. However, using investor sentiment on Stocktwits to predict stock price movements may be challenging due to a lack of user-initiated sentiment data and the limitations of existing sentiment analyzers, which may inaccurately classify neutral comments. To overcome these challenges, this study proposes an alternative approach using FinBERT, a pre-trained language model specifically designed to analyze the sentiment of financial text. This study proposes an ensemble support vector machine for improving the accuracy of stock price movement predictions. Then, it predicts the future movement of SPDR S&P 500 Index Exchange Traded Funds using the rolling window approach to prevent look-ahead bias. Through comparing various techniques for generating sentiment, our results show that using the FinBERT model for sentiment analysis yields the best results, with an F1-score that is 4-5% higher than other techniques. Additionally, the proposed ensemble support vector machine improves the accuracy of stock price movement predictions when compared to the original support vector machine in a series of experiments.

2.
J Clin Med ; 11(9)2022 Apr 30.
Artigo em Inglês | MEDLINE | ID: mdl-35566662

RESUMO

The main objectives of this work were to assess the efficiency, ease-of-use, and general performance of a novel osseoshaping tool based on first-user clinical experiences and to compare these observations with preclinical data generated in rodents using a miniaturized version of the instrument. All patients selected for the surgery presented challenging clinical conditions in terms of the quality and/or quantity of the available bone. The presented data were collected during the implant placement of 15 implants in 7 patients, and included implant recipient site (bone quality and quantity) and ridge evaluation, intra-operative handling of the novel instrument, and the evaluation of subsequent implant insertion. The instrument was easy to handle and was applied without any complications during the surgical procedure. Its use obviated the need for multiple drills and enabled adequate insertion torque in all cases. This biologically driven innovation in implant site preparation shows improvements in preserving vital anatomical and cellular structures as well as simplifying the surgical protocol with excellent ease-of-use and handling properties.

3.
J Clin Med ; 8(2)2019 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-30717291

RESUMO

The preservation of bone viability at an osteotomy site is a critical variable for subsequent implant osseointegration. Recent biomechanical studies evaluating the consequences of site preparation led us to rethink the design of bone-cutting drills, especially those intended for implant site preparation. We present here a novel drill design that is designed to efficiently cut bone at a very low rotational velocity, obviating the need for irrigation as a coolant. The low-speed cutting produces little heat and, consequently, osteocyte viability is maintained. The lack of irrigation, coupled with the unique design of the cutting flutes, channels into the osteotomy autologous bone chips and osseous coagulum that have inherent osteogenic potential. Collectively, these features result in robust, new bone formation at rates significantly faster than those observed with conventional drilling protocols. These preclinical data have practical implications for the clinical preparation of osteotomies and alveolar bone reconstructive surgeries.

4.
Int J Prosthodont ; 31 Suppl: s66-s69, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29874354
5.
Clin Implant Dent Relat Res ; 17 Suppl 1: e86-96, 2015 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-23910539

RESUMO

PURPOSE: The purpose of this study is to retrospectively evaluate the implant and prosthetic survival and success rates of zirconia-based, implant-supported, screw-retained, cross-arch restorations up to 5 years after placement. MATERIALS AND METHODS: Twenty-two consecutive edentulous patients (11 males and females, each; mean age 68.3 years) received 26 CAD/CAM cross-arch zirconia implant bridges (NobelProcera™ Implant Bridge Zirconia; Nobel Biocare AG, Zurich, Switzerland) supported by 4 to 10 implants each. All patients were followed for at least 3 years (range 36-60 months, mean 42.3 months). Clinical assessments were scheduled every 4 months during hygiene maintenance. Outcomes were implant and prosthetic survival rates, prosthetic success rate, any observed clinical complications, patient satisfaction, and soft tissue parameters. Fisher's exact test was used to assess associations between categorical variables. RESULTS: No dropouts occurred. The overall implant and prostheses survival rate up to 5 years was 100%. Three out of 26 restorations (five out of three hundred forty eight dental units) showed an adhesive chip-off fracture of the veneering ceramic, scoring a cumulative prosthetic success rate of 88.5% at the prosthetic level and 98.6% at the unit level. All 22 patients were functionally and aesthetically highly satisfied with their restorations. Successful soft tissue parameters were found around all implants. CONCLUSIONS: Industrially manufactured, zirconia-based, implant-supported, screw-retained, cross-arch restorations are a viable alternative to conventionally manufactured porcelain-fused-to-metal restorations for rehabilitating the edentulous patient.


Assuntos
Desenho Assistido por Computador , Prótese Dentária Fixada por Implante , Carga Imediata em Implante Dentário , Cirurgia Assistida por Computador , Idoso , Planejamento de Prótese Dentária , Falha de Restauração Dentária , Prótese Parcial , Feminino , Seguimentos , Humanos , Arcada Edêntula/reabilitação , Masculino , Reprodutibilidade dos Testes , Estudos Retrospectivos , Resultado do Tratamento , Zircônio
6.
Quintessence Int ; 44(4): 307-16, 2013 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-23479581

RESUMO

OBJECTIVE: The aim of this clinical study was to evaluate whether a correlation exists between three-dimensional tooth mobility (TM) and Periotest values for maxillary anterior periodontally involved teeth (pocket depth > 3 mm) before and after periodontal therapy. METHOD AND MATERIALS: Force-related TM was measured in 3 N intervals in 19 participants as they bit down on a load cell. Periotest values were evaluated at reproducible measurement points. Both measurement techniques were performed on maxillary central and lateral incisors and canine teeth before periodontal treatment and after a healing period of 3 months. The Pearson product-moment correlation coefficient was calculated to determine exploratory associations. RESULTS: The comparison between TM and Periotest values indicated "high" and "optimum" correlations for maxillary central incisors before and after periodontal therapy. Lateral incisors exhibited "moderate" and "high" correlations, whereas canines exhibited "weak" and "moderate" correlations before and after periodontal therapy. CONCLUSION: Periotest values may provide valuable information about quantitative metric tooth mobility in periodontally involved teeth. In future investigations, the study design can expand on various dental fields, such as implantology and traumatology.


Assuntos
Periodontite Agressiva , Periodontite Crônica , Mobilidade Dentária/diagnóstico , Adulto , Idoso , Periodontite Agressiva/complicações , Periodontite Agressiva/terapia , Anti-Infecciosos Locais/uso terapêutico , Força de Mordida , Clorexidina/uso terapêutico , Periodontite Crônica/complicações , Periodontite Crônica/terapia , Dente Canino , Raspagem Dentária , Feminino , Humanos , Incisivo , Pessoa de Meia-Idade , Mobilidade Dentária/complicações
7.
Acta Odontol Scand ; 71(3-4): 656-63, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23145485

RESUMO

OBJECTIVE: The purpose of this clinical study was to evaluate the correlation between tooth mobility (TM), crown-to-root ratio (CRR) and clinical attachment loss (CAL) in periodontally-compromised participants. MATERIALS AND METHODS: While slowly biting on a load cell, the mobility of the upper incisors and canine teeth of 20 volunteers was measured using a photogrammetric measurement technique. An automated software program recorded the force-related three-dimensional TM at 3-N intervals. CAL was assessed clinically and CRR values were assessed radiographically. For each contralateral pair of teeth (central, lateral incisor, canine) and for each main level of force, the Pearson product-moment correlation coefficient between TM and CRR and between TM and CAL was computed. Correlations were considered statistically significant at p < 0.05. RESULTS: Statistically significant positive correlations were found between TM and CRR for incisors and canines for each main level of force, whereas canines had the lowest correlation. Statistically significant positive correlations were also found between TM and CAL for the central and lateral incisors at each main level of force. Canines showed no significant correlation between CAL and TM, regardless of force level. CONCLUSION: The loss of attachment and bone seem to have more influence on the mobility of incisors than canines.


Assuntos
Dente Canino/fisiologia , Incisivo/fisiologia , Osteoporose , Técnicas de Movimentação Dentária , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
8.
Quintessence Int ; 43(9): 801-9, 2012 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-23041996

RESUMO

OBJECTIVE: Techniques currently applied to determine the marginal accuracy of dental crown restorations yield inadequate information. This investigation aimed to test a new virtual approach for determining the precision of fit of single-crown copings. METHOD AND MATERIALS: Zirconia single crown copings were manufactured on 10 gypsum, single-tooth master casts with two different established computer-aided design/computer-assisted manufacture (CAD/CAM) systems (groups A and B). After cementation, the circumferential fit was assessed with an industrial noncontact scanner and virtual 3D analysis, following a triple-scan protocol. Marginal fit was determined by virtual sectioning; each abutment-coping complex was digitally sliced in 360 vertical sections (1 degree per section). Standardized measurement distances for analyzing the marginal fit (z, xy, xyz) were selected, and a crosshair alignment was utilized to determine whether crowns were horizontally and/or vertically too large or small. The Mann-Whitney test was applied to test for differences between groups. RESULTS: Significant differences in the xy direction (P = .008) were measured between groups. Group A showed a greater number of horizontally overextended margins and a higher frequency of xy distances greater than 150 Μm, in addition to a tendency for excessive z distances (P = .095). CONCLUSION: The mean marginal gap values were clinically acceptable in the present investigation; however, a full circumferential analysis revealed significant differences in marginal coping quality.


Assuntos
Desenho Assistido por Computador , Coroas , Adaptação Marginal Dentária , Planejamento de Prótese Dentária , Interface Usuário-Computador , Cimentação/métodos , Materiais Revestidos Biocompatíveis/química , Coroas/normas , Dente Suporte , Materiais Dentários/química , Planejamento de Prótese Dentária/normas , Humanos , Processamento de Imagem Assistida por Computador/métodos , Imageamento Tridimensional/métodos , Modelos Dentários , Projetos Piloto , Propriedades de Superfície , Titânio/química , Preparo Prostodôntico do Dente/métodos , Zircônio/química
9.
J Appl Oral Sci ; 20(4): 478-85, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-23032212

RESUMO

OBJECTIVE: The objective of this study was to investigate the applicability of micro-analytical methods with high spatial resolution to the characterization of the composition and corrosion behavior of two bracket systems. MATERIAL AND METHODS: The surfaces of six nickel-free brackets and six nickel-containing brackets were examined for signs of corrosion and qualitative surface analysis using an electron probe microanalyzer (EPMA), prior to bonding to patient's tooth surfaces and four months after clinical use. The surfaces were characterized qualitatively by secondary electron (SE) images and back scattered electron (BSE) images in both compositional and topographical mode. Qualitative and quantitative wavelength-dispersive analyses were performed for different elements, and by utilizing qualitative analysis the relative concentration of selected elements was mapped two-dimensionally. The absolute concentration of the elements was determined in specially prepared brackets by quantitative analysis using pure element standards for calibration and calculating correction-factors (ZAF). RESULTS: Clear differences were observed between the different bracket types. The nickel-containing stainless steel brackets consist of two separate pieces joined by a brazing alloy. Compositional analysis revealed two different alloy compositions, and reaction zones on both sides of the brazing alloy. The nickel-free bracket was a single piece with only slight variation in element concentration, but had a significantly rougher surface. After clinical use, no corrosive phenomena were detectable with the methods applied. Traces of intraoral wear at the contact areas between the bracket slot and the arch wire were verified. CONCLUSION: Electron probe microanalysis is a valuable tool for the characterization of element distribution and quantitative analysis for corrosion studies.


Assuntos
Materiais Dentários/química , Microanálise por Sonda Eletrônica/métodos , Níquel/química , Braquetes Ortodônticos , Aço Inoxidável/química , Adolescente , Corrosão , Humanos , Teste de Materiais , Reprodutibilidade dos Testes , Propriedades de Superfície , Fatores de Tempo
10.
J Dent Biomech ; 3: 1758736012452181, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-22924063

RESUMO

Recent advances in industrial non-contact scanners offer unprecedented opportunities for quality assessment of dental restorations. The majority of investigations published to date are limited to local two-dimensional results. A triple-scan protocol for virtual fit assessment of multi-unit screw-retained implant restorations is presented in this technical report. The advantages for application in biomechanical research include detailed three-dimensional information on internal component congruence in implant superstructures to be used in mathematical models.

11.
J. appl. oral sci ; 20(4): 478-485, July-Aug. 2012. ilus
Artigo em Inglês | LILACS | ID: lil-650627

RESUMO

OBJECTIVE: The objective of this study was to investigate the applicability of micro-analytical methods with high spatial resolution to the characterization of the composition and corrosion behavior of two bracket systems. MATERIAL AND METHODS: The surfaces of six nickel-free brackets and six nickel-containing brackets were examined for signs of corrosion and qualitative surface analysis using an electron probe microanalyzer (EPMA), prior to bonding to patient's tooth surfaces and four months after clinical use. The surfaces were characterized qualitatively by secondary electron (SE) images and back scattered electron (BSE) images in both compositional and topographical mode. Qualitative and quantitative wavelength-dispersive analyses were performed for different elements, and by utilizing qualitative analysis the relative concentration of selected elements was mapped two-dimensionally. The absolute concentration of the elements was determined in specially prepared brackets by quantitative analysis using pure element standards for calibration and calculating correction-factors (ZAF). RESULTS: Clear differences were observed between the different bracket types. The nickel-containing stainless steel brackets consist of two separate pieces joined by a brazing alloy. Compositional analysis revealed two different alloy compositions, and reaction zones on both sides of the brazing alloy. The nickel-free bracket was a single piece with only slight variation in element concentration, but had a significantly rougher surface. After clinical use, no corrosive phenomena were detectable with the methods applied. Traces of intraoral wear at the contact areas between the bracket slot and the arch wire were verified. CONCLUSION: Electron probe microanalysis is a valuable tool for the characterization of element distribution and quantitative analysis for corrosion studies.


Assuntos
Adolescente , Humanos , Materiais Dentários/química , Microanálise por Sonda Eletrônica/métodos , Níquel/química , Braquetes Ortodônticos , Aço Inoxidável/química , Corrosão , Teste de Materiais , Reprodutibilidade dos Testes , Propriedades de Superfície , Fatores de Tempo
12.
Int J Prosthodont ; 25(2): 166-9, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-22371839

RESUMO

The aim of this study was to quantify the strain development of screw-retained three-unit implant-supported Procera Implant Bridge restorations. Two groups of screw-retained implant-supported restorations (n = 10) were fabricated by means of casting or computer-aided design/computer-assisted manufacture (CAD/CAM) to fit an in vitro cast situation with two implants. During fixation of the restorations, the emerging strains were recorded using strain gauges attached to the cast material mesially and distally adjacent to the implants. Absolute mean strain development ranged from 29.35 Μm/m to 2,665.80 Μm/m at the different strain gauge locations. Fabrication method had a significant effect on strain development (multivariate analysis of variance, P = .000), with the cast restorations showing significantly higher strain levels compared to the CAD/CAM-fabricated superstructures. CAD/CAM fabrication of screw-retained implant-supported restorations provides greater passivity of fit compared to conventional fabrication methods such as casting.


Assuntos
Desenho Assistido por Computador , Técnica de Fundição Odontológica , Prótese Dentária Fixada por Implante , Retenção de Dentadura/instrumentação , Prótese Parcial Fixa , Dente Suporte , Adaptação Marginal Dentária , Planejamento de Dentadura , Humanos , Teste de Materiais , Ligas Metalo-Cerâmicas/química , Estresse Mecânico , Torque
13.
Int J Oral Maxillofac Implants ; 27(1): 29-35, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-22299075

RESUMO

PURPOSE: Although several investigations of the fit of computer-aided design/computer-assisted manufactured implant restorations have been reported in the literature, very limited information is available on the accuracy of dental scanners for surface data acquisition. The objective of this research project was to investigate the accuracy and repeatability of a three-dimensional noncontact laser scanning system based on conoscopic holography recording the spatial orientation of an implant in vitro. MATERIALS AND METHODS: One master cast containing five nonparallel implant replicas with scan abutments (implant position locator [IPL], Nobel Biocare) was repeatedly digitized by two commercially available dental scanners and an industrial highprecision coordinate measuring machine as a reference. Repeated measurements of the center point and vector analysis were applied to determine the accuracy and repeatability of IPL orientation. The Wilcoxon signed rank test modified for equivalence was applied to determine whether the systems were equally accurate based on given threshold limits of 0.010, 0.005, and 0.001 mm. RESULTS: All between-system tests identified significant differences, although most differences were very small in absolute terms. Tests for equivalence based on difference windows were exploratorily significant for 0.010 and 0.005 mm. CONCLUSION: Conoscopic holography scan technology is a valid option to supplement dental touch-probe scanners for laboratory digitization of implant master casts.


Assuntos
Desenho Assistido por Computador , Implantação Dentária Endóssea/métodos , Processamento de Imagem Assistida por Computador/instrumentação , Modelos Dentários , Cirurgia Assistida por Computador , Planejamento de Prótese Dentária , Holografia/métodos , Humanos , Reprodutibilidade dos Testes , Estatísticas não Paramétricas
14.
Acta Odontol Scand ; 70(1): 27-35, 2012 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-21504267

RESUMO

OBJECTIVE: The purpose of the present study was to investigate whether or not the quantitative Periotest values of anterior teeth correlate with quantitative metric values of tooth mobility under vertical (VL) and horizontal load (HL) in periodontally healthy subjects. MATERIALS AND METHODS: Thirty-one subjects with good periodontal conditions were included and subjected to two different tooth mobility measurement techniques. Periotest values were measured at reproducible measurement points in the vertical (vPT) and horizontal (hPT) dimensions of upper central and lateral incisors and canine teeth. Using the optical measurement technique (photogrammetry), tooth mobility was measured under load in the horizontal (HL) and vertical loading directions (VL) at different load forces. Pearson's correlation coefficients were used to determine exploratory associations. RESULTS: The comparison between hPT and HL showed no correlations between the two measurements except for 'weak' and 'moderate' correlations for teeth 21 and 23. The analysis of correlations between vPT and VL data showed statistically significant correlations for both the left and right canine teeth that ranged from 'weak' to 'high'. Comparisons between hPT values and VL and between vPT and HL showed significant correlations at a few loading forces only. CONCLUSION: Quantitative Periotest values cannot be used to draw conclusions about the metric assessment of tooth mobility. For this purpose, the photogrammetric technique could be an additional tool for scientific questions.


Assuntos
Imageamento Tridimensional , Fotogrametria , Mobilidade Dentária/diagnóstico , Adulto , Força de Mordida , Dente Canino/fisiopatologia , Análise do Estresse Dentário , Humanos , Processamento de Imagem Assistida por Computador , Incisivo/fisiopatologia , Fotografia Dentária , Estatísticas não Paramétricas , Adulto Jovem
15.
Quintessence Int ; 42(8): 651-7, 2011 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-21842005

RESUMO

OBJECTIVE: Assessing the level of precision entailed by the virtual fit of dental restorations is a very challenging issue. A cement space between an abutment tooth and a dental restoration is a clinical requisite that precludes the application of conventional best-fit registration protocols routinely applied in industrial precision measurements. Since two-dimensional fit assessment techniques currently used in dentistry miss important information about the third dimension, a new protocol was developed to provide three-dimensional information for the virtual registration of the digitized restoration with respect to the abutment. METHOD AND MATERIALS: CAD/CAM was used to produce 10 titanium single crown copings for five gypsum master casts each, representing a molar prepared for a full crown. An industrial noncontact scanner was used for digitizing the components. Registration of surface data sets was achieved by a new triple-scan protocol. For statistical analysis and repeatability testing of the triple-scan protocol, mean distances of the cement space of all copings on their respective abutments were measured three times. RESULTS: The validity of the approach is verified by intraclass correlation coefficients that revealed an almost perfect coefficient for repeatability (ICC = 0.981, P < .001) with a 95% confidence range between 0.970 and 0.989. CONCLUSION: The triple-scan protocol represents a reliable registration approach for surface data sets in dental applications and eliminates the limitations of conventional best-fit registration protocols when a cement space or gap is present between a restoration and its underlying abutment. Future fit assessment investigations can implement this approach of obtaining detailed information of component precision in all spatial orientation.


Assuntos
Coroas , Dente Suporte , Processamento de Imagem Assistida por Computador/métodos , Imageamento Tridimensional/métodos , Cimentos Dentários , Humanos , Modelos Dentários , Dente Molar , Ajuste de Prótese , Reprodutibilidade dos Testes , Estatísticas não Paramétricas , Interface Usuário-Computador
16.
Quintessence Int ; 42(5): 413-8, 2011 May.
Artigo em Inglês | MEDLINE | ID: mdl-21519561

RESUMO

OBJECTIVES: To evaluate the clinical long-term success of prefabricated precision attachments in retaining uni- or bilateral removable dental prostheses. METHOD AND MATERIALS: Twenty-three patients with uni- or bilateral shortened dental arches received removable dental prostheses attached to the residual dentition with two types of precision attachments. RESULTS: After 5 years, 70% of bilateral and 25% of unilateral removable dental prostheses remained clinically functional. The most frequent cause of clinical failure was fracture of the abutment teeth for bilateral partial dentures and irreversible wear of the precision attachment for unilateral prostheses. Oral hygiene status significantly improved, and the mean pocket depth of the abutment teeth did not increase after 5 years. CONCLUSION: Removable partial denture prostheses, retained bilaterally with precision attachments, are a reliable treatment modality without negative long-term effects on periodontal health, whereas unilateral removable dental prostheses cannot be recommended because of high clinical failure rates.


Assuntos
Planejamento de Dentadura , Encaixe de Precisão de Dentadura , Prótese Parcial Removível , Dente Suporte , Índice de Placa Dentária , Falha de Restauração Dentária , Desgaste de Restauração Dentária , Reparação em Dentadura , Retenção de Dentadura , Seguimentos , Gengivite/classificação , Humanos , Índice de Higiene Oral , Índice Periodontal , Bolsa Periodontal/classificação , Resultado do Tratamento
17.
Quintessence Int ; 42(6): 471-8, 2011 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-21519584

RESUMO

OBJECTIVE: Finite element analysis (FEA) has been frequently used to study the loading situation of dental implants and bone resulting from the fixation of nonpassively fitting restorations. The goal of the present investigation was to demonstrate the effect of geometric model parameters and mesh size on FEA results. METHOD AND MATERIALS: Five three-dimensional FEA models representing a three-unit fixed dental prosthesis (FDP) supported by two terminal implants were constructed. The models differed in terms of mesh size, bone geometry, implants, and restoration and were created either by joining virtual free-form objects or utilizing optical scans of existing components. By applying thermal changes in volume of specific elements in the area of the FDP pontic, a horizontal misfit of 10 Μm between implants and the restoration was introduced. The resulting loading situation of the bone around the implants was recorded as von Mises equivalent stress. RESULTS: Maximum stress magnitudes ranging from 13.1 to 24.9 MPa occurred in the cortical part of the implant site where the neck of the implant penetrates bone. In trabecular bone, loading magnitudes were lower by a factor of 20. Modeling implant threads did have a remarkable effect on the stress situation as well as different span lengths of the restorations modeled. All other parameters led only to small variations in maximum loading magnitudes. CONCLUSION: Simplistic FEA models based on virtual free-form objects with limited level of mesh refinement seem to allow for a basic evaluation of peri-implant bone loading resulting from the fixation of misfitting superstructures.


Assuntos
Processo Alveolar/fisiologia , Implantes Dentários , Adaptação Marginal Dentária , Prótese Dentária Fixada por Implante , Planejamento de Dentadura , Análise de Elementos Finitos , Fenômenos Biomecânicos , Simulação por Computador , Dente Suporte , Cimentos Dentários/química , Retenção de Dentadura , Prótese Parcial Fixa , Módulo de Elasticidade , Humanos , Imageamento Tridimensional , Modelos Biológicos , Estresse Mecânico , Propriedades de Superfície
18.
Int J Oral Maxillofac Implants ; 26(2): 257-64, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-21483878

RESUMO

PURPOSE: To quantify implant displacement upon axial and oblique force application and compare the effects of bone quality using an in vitro experimental setup. MATERIALS AND METHODS: One hundred ninety-two implants were inserted into artificial bone block specimens using a drill guide. Ninety-six implants were placed in soft cancellous bone and loaded in 10-N increments up to 80 N in axial and oblique (30-degree angle) directions (n = 48 in each group). The other 96 implants were inserted in dense artificial bone and loaded in axial and oblique directions in the same force increments. Three-dimensional displacement data were recorded for all implants using a noncontact optical image correlation technique based on photogrammetric principles, and the absolute displacement vector was calculated. RESULTS: There were significant differences in the absolute implant displacement in the different bone densities over all load increments. Implant displacement was significantly higher in soft cancellous bone than in dense bone. Axial and oblique loading revealed significant differences in implant displacement in the cancellous specimens, whereas oblique loading showed increased displacement (339 ± 47 Μm at 80 N) compared to axial loading (266 ± 39 Μm at 80 N). However, axial and oblique loading showed no significant differences over all load increments when implants were inserted in dense specimens (absolute displacement with an 80-N load: 147 ± 10 Μm axial and 126 ± 17 Μm oblique). CONCLUSIONS: Bone density influenced implant displacement. The loading character (axial versus oblique) significantly influenced implant displacement in soft cancellous bone block specimens only. However, the limitation of the measured displacement values to an in vitro application that did not represent the complexity of vital bone has to be considered.


Assuntos
Densidade Óssea/fisiologia , Implantes Dentários , Fenômenos Biomecânicos , Substitutos Ósseos/química , Osso e Ossos/fisiologia , Dente Suporte , Soldagem em Odontologia , Análise do Estresse Dentário/instrumentação , Módulo de Elasticidade , Humanos , Processamento de Imagem Assistida por Computador , Imageamento Tridimensional/métodos , Teste de Materiais , Movimento , Fotogrametria , Poliuretanos/química , Estresse Mecânico
19.
J Can Dent Assoc ; 77: b31, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-21507284

RESUMO

AIM: The aim of this prospective clinical trial was to evaluate the performance of zirconia-based all-ceramic posterior fixed partial dentures (FPDs) after 4 years of clinical use. MATERIALS AND METHODS: Fifteen patients who needed 3- or 4-unit posterior FPDs were enrolled in the study. One manufacturer fabricated all restorations, following established clinical protocols and using computer-aided design/computer-aided manufacturing technology and one veneering material. Survival and success were evaluated clinically. Impressions were taken immediately after definitive cementation and after 48 months. Gold-coated epoxy replicas of the restorations were analyzed with scanning electron microscopy (SEM). Surface alterations were also evaluated clinically. RESULTS: After 48 months, the survival rate for the FPDs was 100%. Three restorations exhibited minor chipping, for a fracture rate of 20% after 4 years. Thirty (59%) of the 51 individual restoration units revealed clinically rough occlusal surfaces, a finding that was confirmed by SEM. CONCLUSION: The placement of 3- and 4-unit zirconia-based posterior FPDs can be considered a reliable treatment modality for medium-term clinical use. However, surface alterations of the veneering ceramics were observed after 4 years and are of notable clinical concern.


Assuntos
Materiais Dentários/química , Porcelana Dentária/química , Prótese Parcial Fixa , Zircônio/química , Adulto , Idoso , Cimentação , Desenho Assistido por Computador , Falha de Restauração Dentária , Desgaste de Restauração Dentária , Facetas Dentárias , Planejamento de Dentadura , Feminino , Seguimentos , Humanos , Masculino , Microscopia Eletrônica de Varredura , Pessoa de Meia-Idade , Estudos Prospectivos , Técnicas de Réplica , Propriedades de Superfície , Análise de Sobrevida , Resultado do Tratamento
20.
Int J Oral Maxillofac Implants ; 25(5): 947-52, 2010.
Artigo em Inglês | MEDLINE | ID: mdl-20862408

RESUMO

PURPOSE: To show, by comparison of horizontal, vertical, and angular misfit in a three-dimensional finite element model, that clinical methods for the evaluation of implant framework fit cannot provide objective results. MATERIALS AND METHODS: Two three-dimensional finite element models were designed for the simulation of experimentally determined strain values of three-unit fixed dental prostheses supported by two implants. Horizontal, vertical, and angular misfits between implants and restorations were used to create predetermined strain levels. The magnitudes of misfit and resulting bone loading were recorded as von Mises equivalent stresses for the different types of misfit. RESULTS: A horizontal misfit of 36 µm and a vertical misfit of 79 µm had to be modeled to simulate the experimentally determined strain values. An angular misfit of 0.083 degree (equivalent to a gap of 3 µm on one aspect of the implant) resulted in comparable strain levels. Bone loading in the cortical area around both implants ranged from 50 to 90 MPa for horizontal and vertical misfit. In trabecular bone, loading of 2 to 5 MPa was found. For the angular misfit, bone loading up to 20 MPa in the cortical layer and 1 MPa in the cervical part of the trabecular bone occurred at the implant where the misfit had been introduced. Horizontal and vertical misfits led to comparable loading patterns around both supporting implants. Under angular misfit, bone loading mainly occurred around the implant where the misfit had been introduced. Almost no loading was observed in the circumference of the contralateral implant. CONCLUSIONS: Minimal angular misfits between implant abutments and restorations, which cannot be detected clinically, may lead to substantial bone loading.


Assuntos
Processo Alveolar/fisiologia , Dente Suporte/efeitos adversos , Implantes Dentários/efeitos adversos , Prótese Dentária Fixada por Implante/efeitos adversos , Análise do Estresse Dentário , Fenômenos Biomecânicos , Simulação por Computador , Análise do Estresse Dentário/métodos , Análise de Elementos Finitos , Humanos , Imageamento Tridimensional , Modelos Biológicos , Ajuste de Prótese
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