Comparative Evaluation of Implant Stability, Insertion Torque, and Implant Macrogeometry in Different Bone Densities Using Resonance Frequency Analysis.

AIM AND OBJECTIVE: Evaluation and comparison of insertion torque (IT) and the implant stability of two different implant macrogeometry in different bone densities using resonance frequency analysis. MATERIALS AND METHODS: A total of 48 implants (with two implant types having regular and novel macrogeometry) were classified into 4 groups with 12 samples in each group. Group A regular implant without surface treatment, group B regular implant with surface treating, group C novel implant deprived of surface treating, and group D was new dental implant with surface treatment were used. Implant stability quotient (ISQ), implant IT, removal torque (RT) percentage, and torque reduction percentage were calculated. RESULTS: The mean ± SD ISQ value of bone 1 in group A was 56.7 ± 3.2, in group B was 58.6 ± 2.4, in group C was 57.1 ± 3.5, and in group D was 59.3 ± 2.9. In bone 2, the value was 57.8 ± 1.4, 59.5 ± 1.5, 58.2 ± 2.6, and 59.5 ± 2.4 among A, B, C, and D groups correspondingly. In bone 3, it was 59.4 ± 2.4, 60.3 ± 2.3, 60.4 ± 2.8, and 62.7 ± 2.5 among A, B, C, and D groups correspondingly. In bone 4, it was 67.2 ± 3.4, 69.5 ± 2.7, 68.7 ± 2.4, and 69.4 ± 2.3 among A, B, C, and D groups correspondingly. There was a substantial difference in IT and nonsignificant difference in RT in different groups. CONCLUSION: There was a low IT value with new implant macrogeometry as compared to regular implant macrogeometry. There was absence of association between IT and implant stability. CLINICAL SIGNIFICANCE: Calculation of torque insertion score helps in implant placement. Higher bone density scores produce a higher option of decreasing the initial torque. Low IT of new implant types is useful to reduce failure.

An in vitro evaluation of tensile bond strength of soft liners bonded to different denture base resins.

Background: Clinically, adhesion failure is the most critical problem because of the failure of the optimal bond between denture base and the soft liner. Objectives: This study was performed to assess the tensile bond strength of two temporary soft liners to different denture base resins. Materials and Methods: Forty-eight blocks with 16 samples each of heat-cured denture base resin of three different types were fabricated from custom-made stainless steel die after de-waxing mold space. Surface roughening of each acrylic resin specimens which bonds with soft liners was done by abrading the surface and to this temporary soft liners (Perma soft denture liner and Pro soft denture liner) were bonded. The universal testing machine was used to test the tensile strength of bonded space. The results were statistically analyzed using the Statistical Software IBM SPSS Statistics for Windows, version 20.0. (Armonk, NY, USA: IBM Corp.) using the Chi-square test, Post hoc Tukey's HSD, and two way ANOVA tests. Results: It was observed that Perma soft was prevalent over Pro-soft denture liner on the basis of tensile bond strength with all three different types of denture base resins. Trevalon HI and acrylic composite exhibited better bond strength results with both Perma soft and GC Pro-soft denture liner as compared to other types of denture base resins. Conclusion: Perma soft had a better bond strength compared to Pro-soft denture liner in bonding modified denture base and conventional resins.

RésuméFond: Cliniquement, l'échec d'adhésion est le problème le plus critique à cause de l'échec de l'obligation optimale entre la base de râtelier et le paquebot mou. Objectifs: Cette étude a été exécutée pour évaluer la force d'obligation extensible de deux paquebots mous temporaires à de différentes résines de base de râtelier. Matériel et Méthodes: les blocs de Forty-eight avec 16 échantillons chacune de résine de base de râtelier heat-cured de trois différents types ont été fabriqués de l'acier inoxydable custom-made meurent après que de-waxing moisissent l'espace. Le fait de rendre rude de surface de chaques exemplaires de résine en acrylique que les obligations avec moules paquebots ont été faits en abrasant la surface et à ce temporaire les paquebots mous (Perma le paquebot de râtelier mol et le paquebot de râtelier mol Avantageux) étaient bonded. La machine de mise à l'essai universelle a été utilisée pour évaluer la limite élastique à traction d'espace bonded. Les résultats ont été statistiquement analysés en utilisant le Statistique Le logiciel IBM la Statistique de SPSS pour Windows, la version 20.0. (Armonk, NEW YORK, Etats-Unis: Société d'IBM.) l'utilisation de l'épreuve de Chi-square, Postez le HSD de Tukey hoc, et deux voie. Résultats: Il a été remarqué que Perma mol était qui prévaut sur le paquebot de râtelier Pro-soft sur la base de l'obligation extensible la force avec tous les trois différents types de râtelier base des résines. Trevalon SALUT et le composite en acrylique a exposé de meilleurs résultats de force d'obligation avec tant Perma mous que GC Pro-soft le paquebot de râtelier en comparaison d'autres types de râtelier basent des résines. Conclusion: Perma mol avait une meilleure obligation la force comparée au paquebot de râtelier Pro-soft dans bonding a modifié la base de râtelier et les résines conventionnelles.

Crestal bone loss around dental implants after implantation of Tricalcium phosphate and Platelet- Rich Plasma: A comparative study.

BACKGROUND AND AIMS: Bone loss around dental implants is generally measured by monitoring changes in marginal bone level using radiographs. After the first year of implantation, an implant should have <0.2 mm annual loss of marginal bone level to satisfy the criteria of success. However, the success rate of dental implants depends on the amount of the crestal bone around the implants. The main aim of this study was to evaluate and compare the crestal bone loss around implants placed with particulate ß-Tricalcium Phosphate Bone Graft and platelet concentrates. METHODS: 50 individuals received hundred dental implants. Each individual received one dental implant in the edentulous site filled with ß-Tricalcium Phosphate Bone Graft along (ß-TCP) with Platelet- Rich Plasma (PRP) (Group A) and another in edentulous site filled only with ß-Tricalcium Phosphate Bone Graft (Group B) in the posterior edentulous region. All the 100 implants were prosthetically loaded after a healing period of three months. Crestal bone loss was measured on mesial, distal, buccal and lingual side of each implant using periapical radiographs 3 months, 6 months and 9 months after implant placement. RESULTS: The average crestal bone loss 9 months after the implants placement in Group A and Group B was 2.75 mm and 2.23 mm respectively, the value being statistically significant (P < 0.05). In both Group A and Group B, the average crestal bone loss was maximum on the lingual side followed by buccal, distal and mesial sides. CONCLUSION: ß-TCP is a promising biomaterial for clinical situations requiring bone augmentation. However, the addition of PRP results in decreased bone loss around the dental implants.

Long-term Retrospective Study based on Implant Success Rate in Patients with Risk Factor: 15-year Follow-up.

AIM: The purpose of this retrospective study is to assess implant success rates with various risk factors. MATERIALS AND METHODS: Two hundred patients with a total of 650 implants were selected. Risk factors, such as smoking, antidepressants, bruxism, diabetes, and bone augmentation procedures were considered, and patients were followed up for a period of 8 to 15 years. RESULTS: Of 650 implants placed, the success rate was 88%, i.e., a total of 572 implants were successful. A total of 78 implants were considered failure; and out of 78, twenty implants were surgically removed. CONCLUSION: Based on this study's results, it is concluded that risk factors, such as smoking, bruxism, diabetes, and bone augmentation play an important role in success rate of dental implants. CLINICAL SIGNIFICANCE: Several factors, such as bruxism, diabetes, and supporting bone can play an important role in dental implant success.

Disinfectant Efficacy of 0.525% Sodium Hypochlorite and Epimax on Alginate Impression Material.

AIM: Species of Streptococcus, Escherichia coli, Staphylococcus, Actinomyces, Pseudomonas, Klebsiella, and Candida are commonly seen in the oral cavity. Impression materials are commonly contaminated with microorganisms. The present study was conducted to assess the disinfection efficacy of Epimax and 0.525% sodium hypochlorite on alginate impression over a period of 10 minutes. MATERIALS AND METHODS: This study was conducted in the Department of Prosthodontics in the year 2015. An alginate impression material was prepared. For each bacteria species, 15 samples were used. Out of 15 samples, 3 were used by 0.525% sodium hypochlorite for disinfection for 5 minutes and 3 others for 10 minutes. Similarly, 3 samples were used by Epimax for 5 minutes and other 3 for 10 minutes. Three samples were used as controls. Each sample was polluted with Candida albicans, Pseudomonas aeruginosa, and Staphylococcus aureus strains. RESULTS: There was no statistical difference in P. aeruginosa and C. albicans after 5 minutes, whereas S. aureus showed significant difference (p < 0.05). Epimax was found to be more effective in removing S. aureus as compared with other disinfectants. Both Epimax and 0.525% sodium hypochlorite did not show significant difference against P. aeruginosa and C. albicans, whereas significant difference was found between both agents against S. aureus (p < 0.05). It was seen that Epimax eliminated S. aureus after 5 minutes and P. aeruginosa after 10 minutes and 99.8% C. albicans after 10 minutes. About 0.525% sodium hypochlorite eliminated 99.1% of C. albicans after 10 minutes, whereas 98.5 and 99% of S. aureus and P. aeruginosa were eliminated after 10 minutes respectively. CONCLUSION: Both Epimax and 0.525% sodium hypochlorite can disinfect the alginate impression material against C. albicans, P. aeruginosa, and S. aureus strains. However, Epimax was found to be more effective against S. aureus as compared with 0.525% sodium hypochlorite. CLINICAL SIGNIFICANCE: Efficacy of disinfection of sodium hypo-chlorite and Epimax on alginate impression.