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1.
J Prosthet Dent ; 129(2): 350-353, 2023 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-34218898

RESUMO

STATEMENT OF PROBLEM: When 3-dimensional printing casts, the operator can change the type of resin and the printing layer thickness, reducing the fabrication time. However, how these parameters affect the accuracy of 3-dimensionally printed casts is unknown. PURPOSE: The purpose of this in vitro study was to evaluate the accuracy of 3-dimensionally printed casts by using a stereolithography (SLA) 3-dimensional printer (Forms2) with 3 different layer thickness (25, 50, and 100 µm) and 2 different resins (Gray and Cast) and by comparing the time to obtain each cast. MATERIAL AND METHODS: One master cast was scanned, and a single file was printed several times. The printed casts were then scanned by using a laboratory scanner. The standard tessellation language (STL) files provided by the laboratory scanner were superimposed and compared by using a software program (Geomagic Control; 3D Systems). The 2-way ANOVA test was used for the trueness evaluation, followed by the Tukey test to identify differences among the groups (α=.05). RESULTS: No statistically significant differences in accuracy were found among the 3 different layers for either resin (P>.05). Printing time doubled as layer thickness decreased. CONCLUSIONS: This study showed that when printing casts, the fastest printing settings can be used without losing accuracy and that the laboratory digital workflow can be accelerated with selection of the resin and cast layer, as the type of resin and layer thickness did not influence the quality of the casts.


Assuntos
Desenho Assistido por Computador , Modelos Dentários , Impressão Tridimensional , Estereolitografia , Software
2.
J Prosthet Dent ; 125(2): 294-299, 2021 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-32115221

RESUMO

STATEMENT OF PROBLEM: Intraoral scanners (IOSs) have some inherent distortions caused by optical and/or software imperfections. However, how other factors such as operator experience, scan time, scanner type, and scan size influence scan accuracy is not clear. PURPOSE: The purpose of this in vitro study was to evaluate the trueness and precision of scans performed by 3 professionals with different levels of experience by using 2 IOSs. MATERIAL AND METHODS: Three operators with low, medium, and high levels of experience scanned a master model 10 times by using 2 IOSs (CEREC Omnicam; Dentsply Sirona and TRIOS 3; 3Shape), resulting in 10 standard tessellation language files for each group (N=60). Each standard tessellation language file was divided into 2 areas (prepared teeth and complete arch). Precision was evaluated by comparing the 10 scans from each examiner for each system. Trueness was evaluated by comparing each scan file with a reference scan obtained from a laboratory scanner (D2000; 3Shape). A 3D analysis software program (Geomagic Control; 3D Systems) was used to perform all the comparisons and superimpositions. The 3-way ANOVA test followed by the Tukey HSD test were used to assess precision and trueness. The 2-way ANOVA followed by the Tukey HSD test was used to assess scan time. The Pearson correlation test was performed between scan time and trueness for both scanners. An additional correlation was performed between scan time and number of images, as well as between number of images and trueness for the TRIOS 3. RESULTS: Statistically significant influences of operator (P<.001), scanner (P<.001), scan size (P<.001), operator and scan size (P<.001), and scanner and scan size (P<.001) were observed. The TRIOS 3 group reported higher precision than the CEREC Omnicam group for complete-arch scans (P<.001), although no difference was observed for scans of the prepared tooth. Medium- (P=.002) and low-experience operators (P<.001) reported lower precision for complete-arch scans performed with CEREC Omnicam when compared with TRIOS 3. The low-experience operator reported significantly worse results for complete-arch scans in comparison with the medium- (P=.008 and P<.001) and high-experience operators (P<.001 and P=.001), by using TRIOS 3 and CEREC Omnicam, respectively. Medium- and high-experience operators reported similar results among themselves. The CEREC Omnicam scanner reported lower trueness for complete-arch scans when compared with the prepared tooth (P<.001); for TRIOS 3, a difference was only observed for the low-experience operator when compared with the high-experience operator (P<.001). The CEREC Omnicam reported lower trueness than the TRIOS 3, except for the medium-experience operator with the prepared tooth scan. Comparing the trueness between operators and considering the same scanner and scan size, all groups were similar. The low-experience operator had a longer scanning time than the medium- and high-experience operators. For TRIOS 3, the low-experience operator obtained the highest number of images during each scan. CONCLUSIONS: The accuracy of intraoral scans was influenced by operator experience, type of IOSs, and scan size. More experienced operators and smaller scan sizes made for more accurate scans. In addition, more experienced operators made faster scans, and the TRIOS 3 was more accurate than the CEREC Omnicam for complete-arch scans.


Assuntos
Técnica de Moldagem Odontológica , Modelos Dentários , Desenho Assistido por Computador , Arco Dental , Imageamento Tridimensional
3.
Gen Dent ; 69(5): 62-66, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34424215

RESUMO

The aim of this study was to evaluate the influence of the geometry of the screwdriver-screw connection on the reverse torque of UCLA screws after repeated cycles of tightening and loosening in an implant-supported prosthesis. Thirty sets of external hex titanium implants, UCLA abutments, and UCLA abutment screws were divided into 3 experimental groups (n = 10). In the square group, the implant and UCLA abutment system were mounted in an upright position using a screw with a square screwdriver-screw connection. In the hexagonal group, the implant and UCLA abutment system were mounted in an upright position using a screw with a hexagonal screwdriver-screw connection. In the hexalobular group, the implant and UCLA abutment system were mounted at 70° using a dynamic UCLA abutment and screw with a hexalobular screwdriver-screw connection. Ten alternating torque-reverse torque cycles were applied to each screw using a screwdriver fixed at the end of a digital torque meter. The screws with a square connection resulted in less loss of reverse torque than the other types. Screws with a hexagonal connection showed a statistically significant loss of torque initially but remained constant for the remaining cycles. For the screws with a hexalobular connection, the loss of torque was greater, and substantial deformation of the plastic in the microstructure was noted. The screwdriver-screw connection geometry had a direct influence on the reverse torque of UCLA screws, and the initial reverse torque of the abutment screws with a square connection was greater than that of the hexagonal and hexalobular designs.


Assuntos
Dente Suporte , Implantes Dentários , Parafusos Ósseos , Análise do Estresse Dentário , Humanos , Torque
4.
Sensors (Basel) ; 19(23)2019 Nov 22.
Artigo em Inglês | MEDLINE | ID: mdl-31766772

RESUMO

This paper presents an omnidirectional RGB-D (RGB + Distance fusion) sensor prototype using an actuated LIDAR (Light Detection and Ranging) and an RGB camera. Besides the sensor, a novel mapping strategy is developed considering sensor scanning characteristics. The sensor can gather RGB and 3D data from any direction by toppling in 90 degrees a laser scan sensor and rotating it about its central axis. The mapping strategy is based on two environment maps, a local map for instantaneous perception, and a global map for perception memory. The 2D local map represents the surface in front of the robot and may contain RGB data, allowing environment reconstruction and human detection, similar to a sliding window that moves with a robot and stores surface data.

5.
Sensors (Basel) ; 19(1)2019 Jan 07.
Artigo em Inglês | MEDLINE | ID: mdl-30621094

RESUMO

Wire-mesh sensors are used to determine the phase fraction of gas⁻liquid two-phase flow in many industrial applications. In this paper, we report the use of the sensor to study the flow behavior inside an offshore oil and gas industry device for subsea phase separation. The study focused on the behavior of gas⁻liquid slug flow inside a flow distribution device with four outlets, which is part of the subsea phase separator system. The void fraction profile and the flow symmetry across the outlets were investigated using tomographic wire-mesh sensors and a camera. Results showed an ascendant liquid film in the cyclonic chamber with the gas phase at the center of the pipe generating a symmetrical flow. Dispersed bubbles coalesced into a gas vortex due to the centrifugal force inside the cyclonic chamber. The behavior favored the separation of smaller bubbles from the liquid bulk, which was an important parameter for gas-liquid separator sizing. The void fraction analysis of the outlets showed an even flow distribution with less than 10% difference, which was a satisfactorily result that may contribute to a reduction on the subsea gas⁻liquid separators size. From the outcomes of this study, detailed information regarding this type of flow distribution system was extracted. Thereby, wire-mesh sensors were successfully applied to investigate a new type of equipment for the offshore oil and gas industry.

6.
J Prosthet Dent ; 122(1): 54.e1-54.e6, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31202549

RESUMO

STATEMENT OF PROBLEM: Narrow implants have limited indications, and implant fracture may occur when these indications are not followed. PURPOSE: The purpose of this in vitro study was to investigate the mechanical behavior of a 2.9-mm-diameter implant using a fatigue limit test and to investigate the Morse effect of 2 different Morse taper systems, 2.9-mm-diameter (FAC group) and 3.75-mm-diameter (CM group) implants, using a pull-out test. The null hypothesis was that the tensile strengths of the components for both systems would be similar. MATERIAL AND METHODS: The fatigue properties of 13 specimens under 6 loads were determined. The test was performed at 15 Hz and for 5×106 cycles. In the pull-out test, the specimens were divided into 2 groups (n=8), the FAC group (2.9-mm-diameter) and the CM group (3.75-mm-diameter). Statistical analysis for the pull-out test was performed with the Student t test (α=.05). RESULTS: Thirteen specimens underwent the fatigue test. Only 5 did not fail when subjected to the frequency and number of cycles examined. Three of the specimens did not fail under a load of 130 N. The pull-out test showed a significant difference between the FAC and CM groups (P<.001). CONCLUSIONS: According to the fatigue test, the extra-narrow implant (Facility; Neodent) was compatible with the low masticatory effort regions, as indicated by the manufacturer. The better performance of the FAC group in the pull-out test may be due to its design, which promotes the pure Morse effect in the implant-abutment interface, and the angulation of its internal conical portion.


Assuntos
Dente Suporte , Implantes Dentários , Projeto do Implante Dentário-Pivô , Análise do Estresse Dentário , Humanos , Teste de Materiais , Estresse Mecânico
7.
J Prosthet Dent ; 119(3): 377-383, 2018 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-28689912

RESUMO

STATEMENT OF PROBLEM: The manufacturers of computer-aided design and computer-aided manufacturing (CAD-CAM) systems emphasize that new technologies can improve the marginal fit of dental crowns. However, data supporting this claim are limited. PURPOSE: The purpose of this in vitro study was to investigate the differences among the following fabrication methods on the marginal discrepancy of dental crowns: intraoral optical scanners, powder application, and adjustments of intaglio surface. MATERIAL AND METHODS: A single human premolar was fixed on a typodont and prepared to receive crowns prepared by the CEREC CAD-CAM system. Three fabrication techniques were used: digital scans using the CEREC Bluecam scanner with titanium dioxide powder (TDP), digital scans using the CEREC Omnicam scanner without TDP, and digital scans using the Omnicam scanner with TDP. Five experimental groups (n=10) were designated: Bluecam (group B), Bluecam with adjustments (group BA), Omnicam (group O), Omnicam with adjustments (group OA), and Omnicam with TDP (group OP). The specimens were scanned using microcomputed tomography to measure the vertical, horizontal, and internal fit and volumetric 3-dimensional (3D) internal fit values of each luting space. The paired t test was used to evaluate mean marginal fit change after adjustments within the same group. One-way analysis of variance and post hoc tests were used to compare groups B, O, and OP (α=.05). RESULTS: Mean vertical fit values ±standard deviations of group B=29.5 ±13.2 µm; BA=26.9 ±7.7 µm; O=149.4 ±64.4 µm; OA=49.4 ±12.7 µm; and OP=33.0 ±8.3 µm. Adjustments in the intaglio surface and TDP application statistically influenced the vertical fit of group O (P<.001). The percentage of vertical fit values <75 µm in group B=89.3%, BA=92.7%, O=31.0%, OA=73.5%, and OP=92.0%. Mean horizontal fit values for group B=56.2 ±21.5 µm; 85.8 ±44.4 µm for group BA; 77.5 ±11.8 µm for group O; 102.5 ±16.2 µm for group OA; and 91.4 ±19.4 µm for group OP. Results from group B were significantly different from those of the other test groups (P<.05). The percentages of horizontal misfit were 61.2% in group B; 73.5% in group BA; 88.1% in group O; 92.4% in group OA; and 85.0% in group OP. Volumetric 3D internal fit values in group B were 9.4 ±1.3 mm3; 10.7 ±1.0 mm3 in group BA; 11.8 ±2.1 mm3 in group O; 11.0 ±1.3 mm3 in group OA; and 9.6 ±0.9 mm3 in group OP. The overall results from groups B and OP were better than those of group O, with regard to vertical misfit and volumetric 3D internal fit. CONCLUSIONS: Different intraoral optical scanners, powder application, and internal adjustments influenced the marginal discrepancy of crowns. Crowns fabricated using the Omnicam system had significantly higher vertical discrepancy and volumetric 3D internal fit than those fabricated using the Bluecam scanner with TDP. Adjustments of the intaglio surface improved the vertical fit of crowns made using the Omnicam scanner; however, TDP application before Omnicam scanning improved the vertical fit as well as the volumetric 3D internal fit value of the luting space of crowns.


Assuntos
Cerâmica , Desenho Assistido por Computador , Coroas , Adaptação Marginal Dentária , Planejamento de Prótese Dentária , Humanos , Pós , Titânio , Microtomografia por Raio-X
8.
Implant Dent ; 26(3): 388-392, 2017 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-28248689

RESUMO

PURPOSE: This study evaluated the microleakage at different implant-abutment (I-A) connections under unloaded and loaded conditions. MATERIALS AND METHODS: Forty implants, specially designed with an opening at the apex, were grouped according to the I-A and screw device: external hexagon implants with titanium (EH) or EH diamond-like carbon screws fixing the abutment; internal hexagon implants with titanium screws (IH); and Morse taper implants with solid (MT) or MT passing screws (MTps) abutments. The implants were fixed in a 2-compartment device, and toluidine blue solution (1.0 mg/mL) was placed at the I-A interface (upper compartment). The lower compartment was filled with purified water. Four implants of each group were loaded (50 N, 1.2 Hz) and after 50,000, 100,000, 200,000, and 300,000 cycles, aliquots were collected from the lower compartment for absorbance reading. Data were analyzed using analysis of variance for repeated measurements and Tukey (α = 0.05). RESULTS: Although microleakage increased over time in most of the groups, MTps group showed lower values when loaded (P < 0.05). The DLC on the EH screw did not prevent microleakage (P < 0.05). CONCLUSION: It can be concluded that MT connection is more effective to prevent microleakage.


Assuntos
Projeto do Implante Dentário-Pivô , Infiltração Dentária , Análise do Estresse Dentário , Diamante/química , Técnicas In Vitro , Teste de Materiais , Estresse Mecânico , Titânio/química
9.
Gen Dent ; 65(1): e14-e16, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28068275

RESUMO

The aim of this study was to evaluate the influence of abutments with a prosthetic index on the fracture resistance of Morse taper dental implants. Morse taper implants were divided into 2 groups (n = 5 per group): a group with an indexed implant and a nonindexed abutment (solid Morse taper universal post; WIS group), and a group with an indexed implant and an indexed abutment (WIP group). Both groups were subjected to bending tests for fracture strength until 5 mm of displacement or implant fracture occurred. Statistical analysis was performed using the Student t test (α = 0.05). There was no statistically significant difference between the mean fracture values, which were 305.8 N and 318.6 N for the WIS group and WIP group, respectively. The presence of a prosthetic index on Morse taper abutments did not influence the resistance to fracture.


Assuntos
Dente Suporte , Implantes Dentários , Falha de Restauração Dentária , Dente Suporte/normas , Projeto do Implante Dentário-Pivô/normas , Implantes Dentários/normas , Análise do Estresse Dentário , Humanos
10.
J Craniofac Surg ; 27(1): 238-41, 2016 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-26674889

RESUMO

This study aims to compare stress transmitted to implants and passive fit of one-piece cast frameworks fabricated with 3 different materials: commercially pure titanium (G1-CP Ti), cobalt-chromium alloy (G2-Co-Cr), and nickel-chromium-titanium alloy (G3-Ni-Cr-Ti). In total, 12 frameworks simulating bars for fixed prosthesis in a model with 5 implants were fabricated. The passive fit of the framework interface was measured using an optical microscope and the stresses transmitted to implants were measured using quantitative photoelastic analysis. Data were statistically analyzed by analysis of variance (ANOVA) and least significant difference (LSD) tests (α = 0.05). Mean and standard deviation values of passive fit and stress over implants are presented, respectively: G1 [472.49 (109.88) µm and 11.38 (9.23) KPa], G2 [584.84 (120.20) µm and 15.83 (9.30) KPa], and G3 [462.70 (179.18) µm and 16.39 (9.51) KPa]. For stress over implants, there were significant differences between G1, G2, and G3 (P = 0.035), being the lowest values for the G1. There were no significant differences for passive fit between G1 and G3 (P = 0.844), but both were statistically different from G2 (P = 0.028 and P = 0.035, respectively), which showed the worse results. It may be concluded that the stress over implants was affected by the tested materials. The CP Ti presented the best values for the evaluated items.


Assuntos
Ligas Dentárias/química , Implantes Dentários , Materiais Dentários/química , Prótese Dentária Fixada por Implante , Ligas/química , Ligas de Cromo/química , Revestimento para Fundição Odontológica/química , Técnica de Fundição Odontológica , Adaptação Marginal Dentária , Humanos , Teste de Materiais , Microscopia de Polarização , Distribuição Aleatória , Estresse Mecânico , Propriedades de Superfície , Titânio/química
11.
Sensors (Basel) ; 16(8)2016 Aug 09.
Artigo em Inglês | MEDLINE | ID: mdl-27517923

RESUMO

In this paper the extended autocorrelation velocity estimator is evaluated and compared using a nondestructive ultrasonic device. For this purpose, three velocity estimators are evaluated and compared. The autocorrelation method (ACM) is the most used and well established in current ultrasonic velocity profiler technology, however, the technique suffers with phase aliasing (also known as the Nyquist limit) at higher velocities. The cross-correlation method (CCM) is also well known and does not suffer with phase aliasing as it relies on time shift measurements between emissions. The problem of this method is the large computational burden due to several required mathematical operations. Recently, an extended autocorrelation method (EAM) which combines both ACM and CCM was developed. The technique is not well known within the fluid engineering community, but it can measure velocities beyond the Nyquist limit without the ACM phase aliasing issues and with a lower computational cost than CCM. In this work, all three velocity estimation methods are used to measure a uniform flow of the liquid inside a controlled rotating cylinder. The root-mean-square deviation variation coefficient (CVRMSD) of the velocity estimate and the reference cylinder velocity was used to evaluate the three different methods. Results show that EAM correctly measures velocities below the Nyquist limit with less than 2% CVRMSD. Velocities beyond the Nyquist limit are only measured well by EAM and CCM, with the advantage of the former of being computationally 15 times faster. Furthermore, the maximum value of measurable velocity is also investigated considering the number of times the velocity surpasses the Nyquist limit. The combination of number of pulses and number of samples, which highly affects the results, are also studied in this work. Velocities up to six times the Nyquist limit could be measurable with CCM and EAM using a set of parameters as suggested in this work. The results validate the use of the NDT tool to measure velocities even beyond Nyquist limit by using EAM.

12.
Implant Dent ; 25(4): 510-4, 2016 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-27280738

RESUMO

PURPOSE: The aim of this study was to compare the maximum load on the elastic limit of internal conical (IC) implants with regular external hexagon (REH) and narrow external hexagon (NEH) implants. MATERIALS AND METHODS: Thirty cylindrical implants were divided in 3 groups (n = 10): REH (3.75 mm); NEH (3.3 mm); IC (3.5 mm). The implants were evaluated by means of cantilever bending loads using a mechanical testing machine. A strain qualitative analysis and the corresponding angles were analyzed. Using single factor analysis of variance with Tukey Test and Friedman Test (P < 0.05) the statistical analysis for data were performed. RESULTS: REH (294.37 N) and IC (294.37 N) groups presented statistically greater Fle than NEH (189.16 N). Regarding to the strain, there were no significant differences among groups. However, there were a greater number of fissures and more fractures present on NEH group. CONCLUSION: The IC implant with smaller diameter did not result in reduction of elastic limit when compared with the REH implants. Nevertheless, the reduction of 0.45 mm of the hexagonal connection implant's diameter has significantly diminished the elastic limit.


Assuntos
Projeto do Implante Dentário-Pivô/efeitos adversos , Implantação Dentária Endóssea/efeitos adversos , Dente Suporte/efeitos adversos , Implantação Dentária Endóssea/métodos , Falha de Restauração Dentária , Análise do Estresse Dentário/métodos , Elasticidade , Humanos , Suporte de Carga
13.
Implant Dent ; 24(5): 547-51, 2015 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-26068320

RESUMO

PURPOSE: To evaluate the influence of Morse taper implant index on microleakage. MATERIALS AND METHODS: Thirty implants and abutments were divided into 3 groups (n = 10): CM1 (universal post and implant without index), CM2 (universal post and implant with index), and CM3 (abutment and implant with index). To evaluate the microleakage from the implant inner part, the implants were inoculated with Streptococcus sanguinis solution at a 0.5 McFarland and incubated for 7 days at 37°C in Eppendorf tubes with sterile broth. To evaluate the microleakage into the inner part of implant, these were inoculated with sterile Schaedler broth and immersed in a Fusobacterium nucleatum solution at a 0.5 McFarland. The samples were incubated for 30 days in an anaerobic chamber. RESULTS: Nine samples of each group of the first methodology showed no presented bacterial contamination. No samples of the second methodology demonstrated turbidity of the broth. CONCLUSION: The presence of the prosthetic internal index had no influence on bacterial microleakage of Morse taper implants under static conditions, for both methodologies.


Assuntos
Projeto do Implante Dentário-Pivô/efeitos adversos , Implantes Dentários/microbiologia , Infiltração Dentária/microbiologia , Contaminação de Equipamentos , Fusobacterium nucleatum/metabolismo , Humanos , Técnicas In Vitro , Streptococcus sanguis/metabolismo , Microtomografia por Raio-X
14.
J Prosthet Dent ; 113(6): 528-33.e3, 2015 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-25818673

RESUMO

STATEMENT OF PROBLEM: A number of authors have reported the placement of a distal implant associated with a partial removable dental prosthesis (PRDP) to make this rehabilitation more stable. This strategy may represent an option for resolving the problem of the intrusive movements of the PRDP and for reducing treatment costs. PURPOSE: The purpose of this systematic review was to evaluate the current evidence about the placement of a distal implant associated with a mandibular PRDP to improve patient satisfaction and the clinical performance of the abutment tooth and distal implant. MATERIAL AND METHODS: Two independent prosthetic specialist reviewers conducted this systematic review. The search was performed using selected clinical studies with PRDP associated with distal implants published in English up to May 2014 from the PubMed and Cochrane Library databases. A data extraction form was developed to collect general information: authors, title, year of publication, aim of study, level of evidence, number of participants, number of implants used, implant system, implant length and diameter, abutment type, masticatory performance, patient satisfaction, implant mean bone loss, abutment tooth mean bone loss, prosthetic complications, follow-up period, and implant survival rate. The quality of the selected studies and the risk of bias were also reported. RESULTS: The initial electronic search identified 231 studies, and the manual process identified 15 studies (total of 246 studies). After the title and abstract reading and the removal of duplicates, the full texts of 43 studies were obtained. The articles that did not meet the inclusion criteria were excluded (28 studies), and the data from 15 studies were extracted. Seven were retrospective studies, 1 a crossover pilot study, 2 case series, 2 paired clinical studies, and 3 case reports, demonstrating that a high number of the selected studies were of low methodological quality. Nevertheless, the high survival rates for PRDP associated with dental implants have been described. CONCLUSIONS: The use of a PRDP associated with dental implants to convert a Kennedy class I to class III dental prosthesis benefits patients by improving their satisfaction and masticatory abilities without decreasing implant survival rates. Considering the abutment tooth survival rate, clinical studies with comparable methodology are still lacking to define protocols regarding the use of distal implants associated with PRDP. Long-term, prospective clinical trials are still needed to understand which implant abutments increase abutment tooth survival rate.


Assuntos
Implantes Dentários , Prótese Dentária Fixada por Implante , Prótese Parcial Removível , Arcada Parcialmente Edêntula/cirurgia , Mandíbula/cirurgia , Planejamento de Dentadura , Humanos , Arcada Parcialmente Edêntula/reabilitação , Mastigação/fisiologia , Satisfação do Paciente , Análise de Sobrevida
15.
J Prosthet Dent ; 113(1): 22-8, 2015 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-25277028

RESUMO

STATEMENT OF PROBLEM: Relatively little information is available on the accuracy of the abutment-implant interface in computer-aided design and computer-aided manufacturing (CAD/CAM)-fabricated zirconia and cobalt-chromium frameworks. PURPOSE: The purpose of this study was to compare the fit accuracy of CAD/CAM-fabricated zirconia and cobalt-chromium frameworks and conventionally fabricated cobalt-chromium frameworks. MATERIAL AND METHODS: Four groups of 3-unit, implant-supported, screw-retained frameworks were fabricated to fit an in vitro model with 3 implants. Eight frameworks were fabricated with the CAD/CAM system: 4 in zirconia and 4 in cobalt-chromium. Another 8 were cast in cobalt-chromium with conventional casting, including 4 with premachined abutments and 4 with castable abutments. The vertical misfit at the implant-framework interface was measured with scanning electron microscopy when only 1 screw was tightened and when all screws were tightened. Data were analyzed with the Kruskal-Wallis and Mann-Whitney tests (α=.05). RESULTS: The mean vertical misfit values when all screws were tightened was 5.9 ±3.6 µm for CAD/CAM-fabricated zirconia, 1.2 ±2.2 µm for CAD/CAM-fabricated cobalt-chromium frameworks, 11.8 ±9.8 µm for conventionally fabricated cobalt-chromium frameworks with premachined abutments, and 12.9 ±11.0 µm for the conventionally fabricated frameworks with castable abutments; the Mann-Whitney test found significant differences (P<.05) among all frameworks, except between the conventionally fabricated frameworks (P=.619). No significant differences were found among the groups for passive fit gap measurements (P>.05). CONCLUSIONS: When all of the screws were tightened, the CAD/CAM frameworks exhibited better fit accuracy compared with the conventionally fabricated frameworks. High levels of passive fit were achieved for the evaluated techniques.


Assuntos
Ligas de Cromo/química , Desenho Assistido por Computador , Adaptação Marginal Dentária , Materiais Dentários/química , Prótese Dentária Fixada por Implante , Prótese Parcial Fixa , Zircônio/química , Cerâmica/química , Dente Suporte , Técnica de Fundição Odontológica , Projeto do Implante Dentário-Pivô , Técnica de Moldagem Odontológica , Planejamento de Dentadura , Retenção de Dentadura/instrumentação , Dureza , Temperatura Alta , Humanos , Microscopia Eletrônica de Varredura , Estresse Mecânico , Propriedades de Superfície , Ítrio/química
16.
J Prosthodont ; 24(2): 168-71, 2015 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-24990286

RESUMO

In the event of the loss of an implant and to take advantage of the preexisting structures, a rescue procedure that allows continuous use of the original fixed restoration during the restoration of the tripod support at the implant level can be used. When nonphysiological occlusion forces are avoided, the success rate of this rescue procedure is very similar to any other rehabilitation made following a conventional protocol. Furthermore, the fact that the patient has already adapted to the prosthesis position and its vertical dimension results in easier functional adaptation in the postoperative period and, consequently, greater comfort.


Assuntos
Implantes Dentários , Prótese Dentária Fixada por Implante , Prótese Parcial Fixa , Idoso , Falha de Restauração Dentária , Feminino , Seguimentos , Humanos , Mandíbula/cirurgia , Maxila/cirurgia
17.
Gen Dent ; 63(3): 39-42, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25945762

RESUMO

This in vitro study used microcomputed tomography to evaluate the marginal fit of crowns fabricated using a chairside computer-aided design/computer-aided manufacturing (CAD/CAM) system with different methods of virtual model acquisition. Crowns were fabricated to fit in a cast containing a single human premolar. Four methods of virtual model acquisition were used: Group 1 (control), digital impressioning of a typodont; Group 2, digital impressioning of a powdered typodont; Group 3, digital impressioning of a regular impression; and Group 4, digital impressioning of a master cast. Statistically significant differences were found between the marginal gap of Group 2 and the other groups (P < 0.05); no differences were found among Groups 1, 3, and 4. The results showed that crowns fabricated using the chairside CAD/CAM system exhibited significantly smaller vertical misfit when a thin layer of powder was applied over the typodont before digital impressioning.


Assuntos
Dente Pré-Molar/diagnóstico por imagem , Coroas , Adaptação Marginal Dentária , Planejamento de Prótese Dentária/métodos , Microtomografia por Raio-X , Dente Pré-Molar/cirurgia , Desenho Assistido por Computador , Humanos , Microtomografia por Raio-X/métodos
18.
J Craniofac Surg ; 25(6): 2062-5, 2014 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-25329843

RESUMO

This study aims to investigate a possible correlation between vertical misfits and the stresses transmitted to implants from one-piece casted frameworks fabricated with 3 different materials: commercially pure titanium, cobalt chromium alloy, and nickel chromium titanium alloy. Twelve frameworks simulating screw-retained prosthesis were fabricated from a master cast with 5 implants. Each framework was screwed (20 Ncm) over a metal cast and the vertical mesial and distal misfits were measured using an optical microscope. The stresses transmitted to the implants were measured in a third model by a quantitative photoelastic analysis. Stress and vertical misfit data were statistically analyzed by ANOVA and least significant difference tests and the correlation tests were performed using Pearson Correlation Test (α = 0.05). Mean and standard deviation values of vertical misfit and stress over implants are presented, respectively: commercially pure titanium (29.09 ± 13.24 µm and 11.38 ± 9.23 kPa), cobalt chromium alloy (27.05 ± 10.30 µm and 15.83 ± 9.30 kPa), nickel chromium titanium alloy (24.95 ± 11.14 µm and 16.39 ± 9.51 kPa). There were no significant differences for vertical misfit (P = 0.285). Regarding the stress analysis, there were significant differences between commercially pure titanium, cobalt chromium alloy, and nickel chromium titanium alloy (P = 0.035), with the lowest values for the commercially pure titanium. It may be concluded that stress over implants was affected by different procedures and materials for framework production.


Assuntos
Mandíbula/anatomia & histologia , Desenho de Prótese/métodos , Análise de Variância , Fenômenos Biomecânicos , Ligas de Cromo/química , Cobalto/química , Dente Suporte , Ligas Dentárias/química , Técnica de Fundição Odontológica , Prótese Dentária Fixada por Implante , Elasticidade , Humanos , Mandíbula/fisiologia , Titânio/química
19.
Sensors (Basel) ; 14(5): 9093-116, 2014 May 22.
Artigo em Inglês | MEDLINE | ID: mdl-24858961

RESUMO

Ultrasonic measurement techniques for velocity estimation are currently widely used in fluid flow studies and applications. An accurate determination of interfacial position in gas-liquid two-phase flows is still an open problem. The quality of this information directly reflects on the accuracy of void fraction measurement, and it provides a means of discriminating velocity information of both phases. The algorithm known as Velocity Matched Spectrum (VM Spectrum) is a velocity estimator that stands out from other methods by returning a spectrum of velocities for each interrogated volume sample. Interface detection of free-rising bubbles in quiescent liquid presents some difficulties for interface detection due to abrupt changes in interface inclination. In this work a method based on velocity spectrum curve shape is used to generate a spatial-temporal mapping, which, after spatial filtering, yields an accurate contour of the air-water interface. It is shown that the proposed technique yields a RMS error between 1.71 and 3.39 and a probability of detection failure and false detection between 0.89% and 11.9% in determining the spatial-temporal gas-liquid interface position in the flow of free rising bubbles in stagnant liquid. This result is valid for both free path and with transducer emitting through a metallic plate or a Plexiglas pipe.

20.
Implant Dent ; 23(6): 704-9, 2014 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-25290285

RESUMO

PURPOSE: To observe the photoelastic stress patterns generated around implants in relation to variations in the diameter and total number of implants supporting fixed complete-arch mandibular frameworks. MATERIALS AND METHODS: Three different implant configurations were analyzed (n = 3): 5 standard implants with diameters of 3.75 mm (C), 3 standard implants with diameters of 3.75 mm (3S), and 3 wide implants with diameters of 5.0 mm (3W). The samples were subjected to a vertical compressive load (1.33 kgf) applied at the end of the distal cantilever of the framework. The shear stresses were calculated around the implants, and the data were analyzed using one-way analysis of variance. RESULTS: The implants nearest to the loading showed higher stress values regardless of the group. The C group showed lower shear stress when compared with the other groups (P = 0.001). No significant difference was observed between the 3W and 3S groups (P = 0.785). CONCLUSION: A reduction in the number of implants, regardless of the implant diameter, showed higher stress concentration around the implants. Five-implant configuration showed lower stress concentration and seems to be more biomechanically predictable.


Assuntos
Prótese Dentária Fixada por Implante , Análise do Estresse Dentário/métodos , Fenômenos Biomecânicos , Força Compressiva , Planejamento de Prótese Dentária , Elasticidade , Humanos , Técnicas In Vitro , Mandíbula , Titânio , Torque
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