Analysis of stress/strain distribution in dental mini-implants manufactured by additive manufacturing and machining.

The study aimed to analyze the stress/strain distribution of new designs of mini-implants manufactured by machining and additive manufacturing. Four designs were evaluated (Ø2.0 mm × 10 mm): Intra-lock, helical, threaded machined (MN threaded) and threaded by additive manufacturing (AM threaded). Analysis of stress was performed through photoelastic analysis (100 N axial/oblique loads) and analysis of strain by digital image correlation (DIC) (250 N axial/100 N oblique load). Data distribution was verified using the Shapiro-Wilk test and a significance level of 5% was adopted. Quantitative data were analyzed using the non-parametric Kruskal-Wallis test. In photoelastic analysis, the Intra-lock mini-implant showed the highest stresses in the cervical (104 kPa), middle (108 kPa), and apical (212 kPa) thirds. Higher stresses were observed in the oblique loading situation for all designs. For DIC analysis, axial loading, a significant difference was observed for the AM Threaded mini-implants about the other designs in the cervical third (p = .04), with the highest strain value 47 µÎµ [10; 76]. In oblique loading, a significant difference between the mini-implants was observed in the middle and apical thirds, with higher strains for the AM threaded design -185 µÎµ [-173; 162] (p = .009) and 242 µÎµ [87; 372] (p = .013), respectively. In general, the influence of different mini-implant designs and the additive manufacturing method on the stress/strain was observed, in the photoelastic and DIC analysis. The evaluated designs demonstrated a lower concentration of stress/strain in the cervical region compared to the apical region, and higher stress/strain in situations of oblique load compared with axial load.

Effects of photobiomodulation on auriculotherapy points for sleep disorders, anxiety, and temporomandibular dysfunctions.

OBJECTIVE: The purpose of this study was to evaluatephotobiomodulation applied at auriculotherapy points forsleep disorder (SD) and anxiety related to temporomandibulardysfunction (TMD). METHODS: The study consisted of two groups of 20 participants: Auriculotherapy group (A) and Control Group(C). The participants responded to the RDC/TMD, Fletcher & Luckett questionnaires, and the Beck Anxiety Inventory to analyze TMD, SD, and anxiety before and after the treatment. RESULTS: The participants presented scores corresponding to mild to moderateanxiety (MDN = 17; CI = [13.16;22.31]) and after treatment, normalor non-existent anxiety (MDN = 9; CI = [8.76; 17.12]) (p = 0.005). There was no significant difference (p > 0.05) between the controland 20 auriculotherapy groups for TMD and SD. DISCUSSION: The results suggest that auriculotherapy was effective in the treatment of anxiety. However, it did not prove effective with the results of the SD and symptoms of TMD.

Analysis of the mechanical and physicochemical properties of Ti-6Al-4 V discs obtained by selective laser melting and subtractive manufacturing method.

The surface properties of titanium and its alloys are commonly modified by different techniques, including additive manufacturing (AM), to improve the osseointegration of dental implants. The aim of this study was to evaluate and compare the wettability, topography, chemistry, and structure of titanium-aluminum-vanadium (Ti-6Al-4 V) discs fabricated by selective laser melting (SLM) and subtractive manufacturing (conventional machining). Three different groups were evaluated: selective laser melting (SLM); conventional machining with H3 PO4 + NaOH surface treatment (CM + ST); and conventional machining without surface treatment (CM), including analysis of wettability and roughness, morphological and chemical analyses by scanning electron microscopy (SEM) and energy dispersive X-ray spectroscopy (EDX), and structural characterization analysis by computed tomography (micro-CT), and X-ray diffraction (XRD). The results showed that SLM surface had higher roughness (9.09 ± 1.94 Ra; 51.93 ± 11.59 Rz; 11.03 ± 1.95 Sa) and lower wettability (103.23° ± 13) than CM (0.06 ± 0.01 Ra; 0.42 ± 0.078 Rz; 0.07 ± 0.01 Sa) (76.95° ± 4.18) and CM + ST (0.17 ± 0.38 Ra; 0.88 ± 0.15 Rz; 0.18 ± 0.04 Sa) (18.55° ± 6.47) (p < 0.05). SEM images also proved the higher roughness of SLM surface, and CM + ST discs showed a topography resembling a sponge, characteristic of the nanometric treatment applied. EDX and XRD found no differences between the different surfaces, and micro-CT demonstrated the solid characteristic of the SLM disc. Compared with conventional machining, the SLM technique resulted in higher roughness and lower wettability. Meanwhile, the chemical properties and structure of the titanium alloy was not altered by the technique.