Dental implants in individuals living with HIV-1: Results from a prospective study in patients undergoing highly active antiretroviral therapy.

OBJECTIVE: To assess survival and success rates of dental implants and the occurrence of peri-implant diseases (mucositis/peri-implantitis) in HIV-1-infected individuals. MATERIAL AND METHODS: In this prospective study, 13 HIV-1-infected individuals undergoing highly active antiretroviral therapy (with undetectable plasma HIV RNA levels, and CD4+ T cells > 350/mm3 ) were followed after implant placement, as well as 13 non-HIV-1-infected matched controls. Patients enrolled in this study were followed up to 120 months (mean = 40.6 months; standard deviation = 22.2; range 18 -120 months). Twenty-five implants were placed in pristine healed sites for each group and bone augmentation procedures, when needed, were done only for contour augmentation. Patients were enrolled in a strict periodontal/peri-implant supportive therapy protocol with three recalls per year. The two groups were compared regarding subject-level characteristics (age, gender, smoking, diabetes) and implant-level characteristics (marginal bone level, peri-implant health status). RESULTS: All the implants healed uneventfully and reached 100% survival rates (after at least 18 months) in both groups. There were no significant differences between groups for peri-implant diseases (mucositis/peri-implantitis) and for all subject-level co-variables (p > .05). Only the variables dental implant prosthesis type (DIPT) (p = .021, d = .86) and follow up (p = .011, d = .77) showed statistically significant differences between groups. CONCLUSION: The findings suggest that well-controlled HIV-1-infected individuals are eligible to undergo implant therapy, achieving survival and success rates comparable to non-HIV-1-infected controls.

Propriedades em flexão de fios de liga de Ni-Ti / Bending properties of Ni-Ti alloys wires

As ligas de niquel-titânio (Ni-Ti) são usadas na fabricação de fios ortodônticos devido principalmente a sua maior resiliência e menor módulo de elasticidade quando comparadas com outras ligas metálicas, especialmente o aço inoxidável. O objetivo do presente trabalho foi comparar as propriedades mecânicas em flexão de fios de liga com memória de forma de diferentes fabricantes e lotes. Dois lotes de três fabricantes foram ensaiados em flexão três pontos de acordo com a norma ISO 15841:2006(E). Os resultados mostraram que os fios designados como termoativados geram tensões menores que os fios designados como superelásticos, observou-se variações de até 28% entre fios designados como superelásticos e 31% entre fios designados como termoativados. Na comparação dos lotes do mesmo fabricante observou-se também a não homogeneidade entre os fios.

The nickel-titanium (Ni-Ti) alloys are used in the manufacture of orthodontic wires mainly due to its greater resilience and low modulus of elasticity when compared to other alloys, particularly stainless steel. The aim of this study was to compare the mechanical properties of shape memory alloys wires in three-point bending in different manufacturers. Two lots of three manufacturers were tested in three-point bending according to ISO 15841:2006 (E). The results showed that wires designated as termoactivated generated lower tensions than the designated as superelastic, variations of up to 28% between wires designated as superelastic and 31% between wires d esignated as termoactivated were found. In the manufacturer lots comparison was also not observed homogeneity between wires.