The present study was designed to compare the stress distributions in two restoration types of implants and the surrounding bone. The first restoration type was a conventional cement-retained zirconia crown, and the second was a novel cementless screw-retained zirconia crown with a base abutment. A three-dimensional finite element method was used to model the implants, restorations, and supporting bone. A comparative study of the two implants was performed under two masticatory loads: a vertical load of 100 N and a 30-degree oblique load of 100 N. Under both loading conditions, the maximum von Mises stress and strain values in the implant and supporting bone were higher in the conventional cement-retained restoration model than in the cementless screw-retained model. In terms of stress distribution, the cementless screw-retained zirconia crown with base abutment may be considered a superior restoration option compared to the conventional cement-retained zirconia crown.
Dental caries and periodontal disease are considered to be chronic, but can be prevented through an incremental oral health program covering all ages. The National Oral Health Program for adults provides oral health exam and scaling, and is covered by national health insurance for those over 20 years of age in Korea. The aim of this study was to collect basic data for developing an oral health program for adults by identifying factors related to awareness and need. The data were obtained by convenience sampling of 303 subjects. The use of dental plaque disclosing agents affected tooth brushing frequency, toothbrushing time and use of oral auxiliary devices. Education on toothbrushing methods affected toothbrushing time and use of oral auxiliary devices. Of those surveyed, 93.1% replied that an incremental oral health program for adults was needed, and 68.0% intended to participate. In a regression model, the factors that had an effect on the perceived need for an oral health program were education level, use of oral hygiene auxiliary devices, and toothbrushing time, and the factors affecting intent to participate were education for prevention of periodontal disease and the use of oral hygiene auxiliary devices. The subjects stated that the following oral health programs were needed: an oral bacteria exam (74.3%), toothbrushing education (71.6%), a bad breath exam (69.3%), education on use of oral hygiene auxiliary devices (46.9%), a dental plaque exam (42.9%) and a saliva exam (37.6%). Oral health education appears to be an important factor for participation in an incremental oral health program.
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