Objective. To model and compare the stress variation and distribution of the implant and its supporting components under two types of loading with the abutment in the axial and coronal lingual augmentation positions by means of the 3D finite element method. Method. 15 all-ceramic crowns completed by the same technician between the years 2014 and 2015 were randomly selected. A high precision laser scanner was used to scan the specimen models of all-ceramic crowns and then converted and imported into the promapping software to create 15 solid models each in the axial position of the crown and the lingual augmentation position of the crown. Results. We showed that the abutments were significantly more stressed in the bone cortex than in the bone cancellous under both loads when the abutments were in the long axis position and in the lingual ridge position of the dentition. The distribution of stresses in the bone tissue was mainly concentrated in the cortical bone. The stresses induced by oblique forces were greater than those induced by vertical forces. When comparing the abutment in the long axis position of the dentition with the lingual ridge position of the dentition, the peak stresses obtained from the stress analysis of the abutment in the lingual ridge position were all increased to different degrees under both loads, and the differences were statistically significant ( p < 0.05 ) suggesting that the design of the abutment in the direction of the long axis of the dentition is less stressful than that of the crown in the lingual augmentation position, and the risk of alveolar ridge resorption and screw fracture is less. Conclusion. In this paper, we proposed a dental 3D scanning system, which is less stressful based on a 3D reconstruction algorithm using Fourier transform contouring that achieved a speed dental 3D scanner with Fourier transform contouring by projecting a raster pattern onto a dental impression.
Objectives This study aimed to classify the alveolar ridge of the anterior maxillary edentulous and investigate the incidence of perforation and associated risk factors via virtual implant placement using cone beam computed tomography (CBCT). Methods The morphology of 85 patients who have lost a single tooth in the maxillary esthetic zone was assessed by CBCT. The width and height of the residual crest alveolar bone were measured. Root form implants (3.3 mm*10 mm and 3.3 mm*12 mm) were placed virtually in the edentulous area, and the risk factors associated with perforation were analyzed. Results Class Ib was the most common type of ridge (n = 26; 30.6%). Concavity bone thickness (CT) was significantly different (P < 0.05) among the four types of alveolar bone. The long axis angle of alveolar bone (LAAB) and the differences between the LAAB and implant placement angle (IPA) in the nonperforation areas were significantly lower compared with those in the perforation areas. After implantation, the overall occurrence of labial bone perforation was 56.5%, and perforation mostly occurred in Class II ridges. Conclusions Class II ridges and lateral incisors were at relatively high risk for labial perforation after implant placement. We thus recommend that clinicians determine the ridge classification, tooth type, CT, LAAB and IPA.
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