To Evaluate and Compare the Effect of Various Surface Treatment Modalities on Shear Bond Strength of Composite to Polyetherketoneketone and SEM Analysis: An In vitro Study.

Context: It is a challenge to bond resin materials with polyetherketoneketone (PEKK). To increase the bond strength, surface treatments using chemical adhesion, mechanical adhesion, or a combination of both can be used. Aims: The objective of the present study was to evaluate and compare the shear bond strength of PEKK to the composite resin after various surface treatments and to evaluate the fracture mode analyses. Materials and Methods: One hundred and twenty PEKK specimens were randomly divided into four groups (n = 30) after three different surface treatments (95% sulfuric acid etching, airborne abrasion with 110 µm aluminum-oxide, and 99% acetone). With the help of polytetrafluorethylene tube, resin composite (3M ESPE) was bonded on all the specimens, thermocycled, and subjected to shear bond strength testing. Thereafter, 15 samples from each group were assessed for fracture mode analyses using a scanning electron microscope. Statistical Analysis Used: Mean, Standard deviation, one-way analysis of variance (ANOVA) f-test, post hoc Tukey's test. Results: Statistical analysis using one-way ANOVA f-test revealed that the results were significant with a P < 0.05 with the maximum value obtained in the case of air abraded group and the minimum value obtained in the case of the untreated group. Adhesive failure mode was the most common among the air-abraded group. Conclusions: The mechanical surface treatment group (air abrasion) showed higher shear bond strength than the chemical surface treatment groups (sulfuric acid and acetone). The mixed-type fracture mode was most commonly noted in the air-abraded group.

An in vivo study to assess and compare the angular, linear, and depth deviation as well as the difference in bone density of implants placed using computer-aided design/computer-aided manufacturing fabricated three-dimensional guides versus the implants placed using bone pen kit in maxillary and mandibular ridges.

Aim: The aim is to assess and compare angular, linear, and depth deviation and difference in bone density of dental implants placed using computer aided design/computer aided manufacturing (CAD/CAM) fabricated surgical guides versus implants placed using Bone Pen Kit. Till now, no original research exists in the search engines such as Pubmed, Google Scholar, Science Direct, and Research Gate on this kit. Settings and Design: In vivo- Randomised control trial. Materials and Methods: Twenty clinical cases were selected and split into two distinct groups. Group 1 involved the placement of 10 implants using CAD/CAM fabricated three dimensional guides and Group 2 involved the placement of 10 implants using Bone Pen Kit. Four deviation parameters were evaluated, which included: (a) Angular deviation, (b) Linear deviation at implant platform, (c) Linear deviation at implant apex, and (d) Depth deviation and difference in bone density before and after implant placement was also evaluated. Statistical Analysis Used: SPSS software version 23 was utilized for the analysis of the data. The comparison was made using the Whitney test, and Wilcoxon signed rank test. Results: When comparing angular deviation, the results indicated a statistically significant difference with a P < 0.05. The values observed for angular and linear deviation in Group 2 were significantly greater than those in Group 1. No statistically significant difference in depth and linear deviation was found at the implant platform among the two groups. Bone density before and after implant placement was significantly higher in Group 1. Conclusions: (1) Angular and linear deviation at the apex in Group 2 exhibited higher values in comparison to Group 1, (2) No difference in depth and linear deviation at the implant platform was found among the two groups, and (3) There was no difference in change in bone density among two groups.

Marginal Bone Level Measurements of Unsplinted Implants Used for Mandibular Overdentures: A Six-Month Randomized Prospective Clinical Study Comparing Early and Delayed Loading Protocols.

Background and purpose Implant-supported mandibular overdentures are a good alternative for patients having poor retention of mandibular conventional dentures. The aim of this prospective study was to evaluate and compare the results between early loading and delayed loading of mandibular overdentures on two unsplinted implants. Materials and methods  A total of 14 completely edentulous male patients in the age group of 50-60 years were selected for the study. Two 3.5×13 mm implants were placed in the mandibular interforaminal region. The patients were divided into two groups: (i) the test group in which the overdenture was connected after one week of surgery, and (ii) the control group, in which the overdenture was connected three months after surgery. Marginal bone levels were evaluated at baseline (during loading), three months, and six months post loading. Unpaired 't' test was used for the comparison of intergroup measurements.  Results No implants were lost. Marginal bone resorptions showed no statistically significant differences between the two groups over six months period after loading. Conclusion The results of this prospective clinical study suggested that there was no significant difference in the clinical and radiographic state of patients treated with implant-supported mandibular overdentures loaded either one week or three months after implant surgery.

A review of techniques of iris replication and a novel method of fabrication of ocular prosthesis using two different iris location methods.

Anophthalmic patients suffer from social, functional, and emotional agony. The role of a maxillofacial prosthodontist is to restore this loss and to restore the self-esteem of such patients. Fabrication of a prosthesis for the anophthalmic cavity can be successful with the judicious use of the materials, the vision, and the skill of the prosthodontist. This article describes various techniques used for iris replication and a novel method to locate the iris, which is the most crucial step to fabricate a natural gaze.

Telescopic overdenture: Perio-prostho concern for advanced periodontitis.

The crown- and sleeve-coping denture is a removable prosthesis that is supported by both selectively retained teeth and the residual ridge or mucosa. It is a versatile and successful means of achieving long-term restoration of a partially edentulous jaw. Insertion and removal of the denture and routine oral hygiene are easy to perform. The beneficial results of this form of treatment can be considered for a wide variety of clinical applications for the severely advanced periodontitis case. This paper presents a case report on the prosthetic rehabilitation of a partially edentulous patient with a telescopic overdenture for the mandible and complete denture for the maxilla.