Aim:The aim of this systematic review was to compare the survival rate and the marginal bone loss between short implants (≤7 mm) placed in the atrophic area and longer implants placed in the augmented bone area of posterior regions of maxillaries.Methods:Electronic search using three databases was performed up to May 2017 to identify Randomized Controlled Trials (RCT) assessing short implants survival with a minimal follow-up of 12 months post-loading. For the meta-analysis, a Risk Difference (RD) with the 95% Confidence Interval (CI) was used to pool the results of implant failure rate for each treatment group. For the marginal bone changes, Mean Differences (MD) with 95% CI were calculated.Results:Seven randomized controlled trials met the inclusion criteria, being included in qualitative and quantitative analyses. The RD between the short implant group and the control group was -0.02 (95% CI: -0.04 to 0.00), I2=0 and Chi2=3.14, indicating a favorable survival rate for short implant, but with no statistical significance (p=0.09).Discussion:For marginal bone loss, the mean difference was -0,13 (95%CI: -0.22 to -0.05), favoring the test group with statistical significance (p=0.002). The studies showed more heterogeneity for bone loss compared to survival rate. Short and longer implants showed similar survival rates after one year of loading, however the marginal bone loss around short implants was lower than in longer implants sites.Conclusion:Placement of implants ≤7 mm of length was found to be a predictable alternative for the rehabilitation of atrophic posterior regions, avoiding all the disadvantages intrinsic to bone augmentation procedures.
Since the dental implant/abutment interface cannot totally seal the passage of microorganisms, the interior of implant becomes a reservoir of pathogenic microorganisms that produce and maintain chronic inflammation in the tissues around implants. Silver nanoparticles (nano-Ag) are potent and broad-spectrum antimicrobial agents. The aim of this study was to evaluate the capacity of the nano-Ag to prevent the contamination of the implant internal surface by Candida albicans, caused by the implant/abutment microgap infiltration. Thirty-six implants were used in this experiment. Three study groups were performed: experimental group (implants receiving an application of nano-Ag in their inner cavity before installation of the abutment); positive-control group (implants receiving sterile phosphate buffer saline application instead of nano-Ag) and negative-control group (implants receiving the application of nano-Ag in the inner cavity and immersed in a sterile medium). In the positive-control and experimental groups, the implants were immersed in a Candida albicans suspension. The abutments of all three groups were screwed with a 10 N torque. After 72 h of immersion inC. albicans suspension or sterile medium, the abutments were removed and the inner surface of the implants was sampled with absorbent paper cone for fungal detection. No C. albicans contamination was observed in the negative-control group. The positive-control group showed statistically higher values of colony forming units (CFUs) of C. albicans compared with the experimental group. In conclusion, silver nanoparticles reduced C. albicans colonization inside the implants, even with low torque screw abutment.
Background 3D printing technology is a reality in Dentistry and presents several ways to obtain a printed model. The aim of this study was to verify the influence of different types of intraoral scanners and 3D printers on the accuracy of printed models in comparison to plaster models obtained from conventional impressions. Material and Methods A dental study model was used as the reference model and was molded with polyvinyl siloxane to produce the plaster models. It was also scanned with two types of intraoral scanners and the digital files were printed by two types of 3D printers. The plaster and printed models formed five groups (n=50), which were analyzed using linear measurements at six dimension sites. In order to test the equivalence in the precision of the measurements made in the reference model and in the different models of the experimental groups, the Schuirmann Two-One Sided t-test was applied. The trueness of the measurements of the experimental models was tested in comparison to those of the reference model by applying tests for paired data. In all statistical tests, the significance level of 5% (α = 0.05) was adopted. Results In relation to precision, all five groups presented similar and acceptable results. The trueness analysis indicated that both the printed and the plaster models had average measurements that were different from the reference model. Conclusions It was concluded that the accuracy of printed and plaster models was impaired due to the trueness of the models. The type of printer influenced the accuracy of the printed models, while the type of scanner did not. The standardization of the method of obtaining printed models must be carried out in order to provide the production of quality models. However, there will be differences between the technologies. Key words: Dental models, three-dimensional printing, dimensional accuracy.
Igai F. Cementation technique on sandblasted prosthetic implant abutments: an in vitro study [dissertation]. São Paulo: Universidade de São Paulo, Faculdade de Odontologia; 2014. Versão Original. The Implantology provides treatments with high clinical success rate in screw or cement retained rehabilitations. The high survival rate of the implants, its significant clinical success, and the great predictability led to a paradigm shift in current Implantology. The dental implant, previously used for replacing large teeth losses, is also applied to partial dental losses and even single tooth replacement. Therefore, technical difficulties have decreased even more, which consolidated the use of cement retained implant prosthesis. Thus the retrievability, which is the main resource of screw retained implant prostheses, is not the crucial point in the prosthesis retention selection. However, cement retained prostheses have disadvantages that can lead to treatment failure. One can mention the presence of residual excess cement, which may lead to an inflammation of the peri-implant tissue, or even a possible implant loss. There are in the literature cementation techniques that reduce the luting agent excess. Another studied factor is the influence of the prosthetic abutment surface roughness in the prosthetic element tensile strength. The aim of the study was to analyze the tensile strength of prosthetic crowns cemented on standard machined and sand blasted abutments using an experimental cementation technique. Forty specimens were fabricated and four experimental groups were formed, according to the cementation technique (control technique and experimental technique) and the prosthetic abutment roughness (standard machined and sand blasted). The crowns were cemented with zinc phosphate cement. The tensile strength analysis was performed, after the forty specimens thermal cycling, using an universal testing machine. In the cementation techniques analysis it was observed that there were no statistically significant differences between the groups, with mean tensile strength values of 157.83N±22.16N for the control techniquestandard machined surface and 159.95N±46.40N for the experimental technique-standard machined surface. The data analysis of control technique-sand blasted surface group (626.23 N±34.80N) and experimental technique-sand blasted surface group (642.62 N±94.00N) also indicated no significant differences. In the group analysis, comparing the surface roughness, it was observed significant differences, with values of 157.83N±22.16N for the control technique-standard machined surface group and 626.23N±34.80N for the control technique-sand blasted surface group. The same was observed in the experimental technique-standard machined surface group with 159.95N±46.40N values and 642.62N±94.00N for the experimental technique-sand blasted surface group. It can be concluded that, under the study conditions, the experimental cementation technique showed no significant differences with the control technique, regarding tensi...
Objective: The tensile strength effects on the sandblasting of the abutment associated with a cementing technique are not well documented. The objective of this study is to analyze the tensile strength of prosthetic crowns cemented on standard and sandblasted abutments, using a cementing technique. Methods: Experimental groups were formed according to cementing technique (control and practice abutment technique) and prosthetic abutment roughness (standard and sandblasted), totaling forty specimens. The crowns were cemented with Zinc Phosphate cement. Statistical analysis was conducted with an α at 0.05. Results: Considering the cementation techniques analysis, there were no statistically significant differences between the groups, with mean tensile strength values of 157.83±22.16 N for the control technique, and 159.95±46.40 N for the practice abutment technique on the standard surface. Result analysis of the control technique (626.23±34.80 N) and practice abutment technique (642.62±94.00 N) indicated no significant differences on the sandblasted surface. Considering the surface roughness analysis, significant differences were observed, with values of 157.83±22.16 N for the control technique/standard surface group and 626.23±34.80 N for the control technique/sandblasted surface group. Significant differences were observed in the practice abutment technique/standard surface group with 159.95±46.40 N values, compared to the 642.62±94.00 N value for the practice abutment technique/sandblasted group. Conclusions: The practice abutment cementing technique showed no significant differences with the control technique, regarding to the tensile strength, in the two surfaces (standard and sandblasted) used in the study. The sandblasting of prosthetic abutments led to a significant increase on the tensile strength considering the two studied cementation techniques.
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