Dental Implant-Supported Prosthetic Rehabilitation With Custom Attachment in a Patient With Partial Maxillectomy Defect Because of Osteosarcoma: A Case Report.

Prosthetic rehabilitation in maxillectomy patients aims to separate the oral and nasal cavities to provide adequate articulation, restore the contour of the midface, and provide acceptable aesthetic results. This clinical case report describes prosthetic rehabilitation via placement of dental implants in the zygomatic bone in a patient who underwent partial maxillectomy because of osteosarcoma. The success of obturator placement after maxillectomy requires retention by the surrounding dental tissue or dental implants. When zygomatic implants cannot be used, dental implants placed in the zygomatic bone and attachments fastened to these implants can easily provide the retention and stability required by the obturator.

A 5-Year Retrospective Study Evaluating Periodontal Health and Oral Health-Related Quality of Life of Implant-Supported Overdentures With Locator and Magnetic Attachments.

This study compared peri-implant vertical bone loss, the periodontal index, prosthodontic maintenance requirements and oral health-related quality of life (OHQoL) of patients using mandibular implant-supported overdentures with 2 different attachment systems after an average of 5 years of use. Sixteen mandibular overdenture patients with magnet attachments (group 3), 24 with implant-supported mandibular overdentures with Locator attachments (group 2), and 25 conventional complete denture patients (group 1) were included in the study. The existing at least 5 years old dentures of all patients were evaluated for prosthodontic maintenance by the same prosthodontist and the patients were administered the oral health impact profile-14-Turkish version (OHIP-TR-14) questionnaire. Peri-implant tissue health was evaluated clinically in terms of plaque scores, bleeding scores, probing depth, and gingival index. Radiographic evaluation was performed in terms of peri-implant vertical bone loss. Radiographic evaluations were performed 5 years after overdenture insertion. There were no statistically significant differences between the groups in terms of total OHIP-TR-14 scores (P > .05). Although the average vertical bone resorption measured in group 2 at the end of 5 years was 1.38 mm, there was an average vertical bone loss of 1.45 mm in group 3, but this difference was not statistically significant (P > .05). Among the periodontal health indicators, there were no statistically significant differences in the mean values for periodontal indexes. According to results of the study, there were no differences in peri-implant vertical bone loss in groups 2 and 3, in periodontal health in mandibular overdentures with groups 2 and 3, or between total OHIP-TR-14 scores of patients in all groups.

Evaluation of Oral Stereognosis in Relation to Tactile Ability and Patient Satisfaction.

We investigated the oral stereognostic ability (OSA) of dentate individuals, conventional complete denture patients, and maxillary implant-supported denture patients with bar attachments. Stereognosis tests were carried out, and the relationship between OSA and patient satisfaction was assessed with a satisfaction survey: the Turkish version of the oral health impact profile-14 (OHIP-TR-14). To compare differences in oral sensory function among individuals with natural dentition, complete denture wearers, and maxillary implant-supported denture wearers, tactile awareness (thickness perception threshold) and pressure awareness (threshold of lateral loading) were assessed. According to the results, the oral perception level of natural dentate patients was higher than that of the complete denture group and maxillary implant-supported complete denture group at the end of the study. There was no statistically significant difference in OHIP-TR-14 scores between the maxillary implant-supported complete denture group and the complete denture group ( P < .05). The control group perceived the applied lateral and vertical forces statistically earlier than the other groups ( P < .001). There was no statistically significant difference between the complete denture and maxillary implant-supported denture groups in terms of the lateral pressure threshold or thickness tactile threshold ( P > .05). At the end of the study it was concluded that there was no correlation between oral perception levels and satisfaction in patients with complete dentures and patients with maxillary implant-supported complete dentures. The control group, compared with the complete denture and maxillary implant-supported complete denture groups, perceived the lateral and vertical forces statistically earlier than the other groups.

Evaluation of the resin cement thicknesses and push-out bond strengths of circular and oval fiber posts in oval-shapes canals

PURPOSE: The aim of this study was to evaluate whether the push-out bond strength varies between oval and circular fiber posts, and to examine the effect on the resin cement thicknesses around the posts. MATERIALS AND METHODS: Eighteen mandibular premolar roots were separated into two groups for oval and circular fiber posts systems. Post spaces were prepared and fiber posts were luted to the post spaces. Roots were cut horizontally to produce 1-mm-thick specimens. Resin cement thicknesses were determined with a metallographic optical microscope and push-out tests were done. RESULTS: No significant differences were observed in terms of push-out bond strength between the oval and circular fiber posts (P>.05) The resin cement thicknesses of the oval posts were greater than those of the circular posts group in the coronal, middle and apical specimens (P<.05). CONCLUSION: In the light of these results, it can be stated that resin cement thickness does not affect the push-out bond strength.

Stress distribution of oval and circular fiber posts in amandibular premolar: a three-dimensional finite element analysis

PURPOSE: The aim of the present study was to evaluate the effects of posts with different morphologies on stress distribution in an endodontically treated mandibular premolar by using finite element models (FEMs). MATERIALS AND METHODS: A mandibular premolar was modeled using the ANSYS software program. Two models were created to represent circular and oval fiber posts in this tooth model. An oblique force of 300 N was applied at an angle of 45degrees to the occlusal plane and oriented toward the buccal side. von Mises stress was measured in three regions each for oval and circular fiber posts. RESULTS: FEM analysis showed that the von Mises stress of the circular fiber post (426.81 MPa) was greater than that of the oval fiber post (346.34 MPa). The maximum distribution of von Mises stress was in the luting agent in both groups. Additionally, von Mises stresses accumulated in the coronal third of root dentin, close to the post space in both groups. CONCLUSION: Oval fiber posts are preferable to circular fiber posts in oval-shaped canals given the stress distribution at the post-dentin interface.