Academic literature on the topic 'Dental implant supported prosthesis'
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Journal articles on the topic "Dental implant supported prosthesis"
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Rahajoeningsih, Poedji, and Rosida Manurung. "Jenis-jenis gigitiruan dukungan implan Implant-supported dentures." Journal of Dentomaxillofacial Science 12, no. 1 (February 28, 2013): 44. http://dx.doi.org/10.15562/jdmfs.v12i1.348.
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Dental implants, or completely said as dental implant bodies, function as analogues of tooth roots, achieving aunion directly with jawbone following their insertion into a prepared socket in the bone. Implant system have threebasic components, namely the dental implant body that is lying in the jawbone, abutment that lies on the jawboneand the prosthesis. Dental implants may stabilize a removable prosthesis, complete or partial overdentures, and orsupport and stabilize a fixed prosthesis. In designing implant-supported removable prostheses, there are three formsof anchorage frequently used, namely bar/sleeve (clip) joints which links two or more implants, ball/cap anchoragesapplied individually to two or more isolated implants, and magnets/magnetic keepers. Implant-supported fixedprosthesis is either screwed to or cemented on to the abutment.
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Bae, Eun-Bin, Won-Tak Cho, Hyun-Young Bae, So-Hyoun Lee, Tae-Hyung Kim, and Jung-Bo Huh. "Retrospective Clinical Study of a Freely Removable Implant-Supported Fixed Dental Prosthesis by a Microlocking System." BioMed Research International 2020 (November 3, 2020): 1–7. http://dx.doi.org/10.1155/2020/7929585.
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This retrospective clinical study was conducted to evaluate the clinical usefulness of a freely removable microlocking implant prosthesis (MLP) that was developed to overcome the problems with conventional implant prostheses. A total of 54 patients (male: 31, female: 23) and 100 implant prostheses were included. Patients were divided into three groups such as 6-12 months, 12-18 months, and 18-24 months according to the used period after implant prosthesis delivery, and the patients in each group were recalled for examinations of survival rate, marginal bone resorption, peri-implant soft tissue indices, and complications. The prosthetic complications were analysed by combining the recorded chart data during the periodic checks including the last call for this study. During a 2-year observation period, all the implants showed a 100% survival rate without clinical mobility and functional problems. There was no significant difference in marginal bone resorption, plaque index, and bleeding index over the observation period after implant prosthesis delivery. Probing depth of the 18-24 months group ( 1.5 ± 0.19 mm ) was significantly lower than that of the 6-12 months group ( p < 0.05 ). The main complication was abutment loosening (4%), followed by implant prosthesis fracture (2%) and food impaction (2%) which were recorded. Within the limits of the present study, the implant prostheses with MLP are considered to be an applicable and predictable treatment method.
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Egilmez, Ferhan, Gulfem Ergun, Isil Cekic-Nagas, and Suleyman Bozkaya. "Implant-supported hybrid prosthesis: Conventional treatment method for borderline cases." European Journal of Dentistry 09, no. 03 (July 2015): 442–48. http://dx.doi.org/10.4103/1305-7456.163324.
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ABSTRACTAn implant-supported hybrid prosthesis is an acrylic resin complete fixed dental prosthesis and supported by implants might be a solution in extreme cases that the need of the restoration for esthetics, function, lip support, and speech. This clinical report aims to present the esthetic and functional prosthetic rehabilitation of three borderline cases with implant-supported hybrid prostheses. Patient 1 (62-year-old man) and Patient 2 (61-year-old man) presented a chief complaint of a compromised esthetic. After clinical evaluations, in Patient 1, 8 implants in the maxilla and 7 implants in mandibula were observed. Patient 2 had 7 implants in the maxilla and 7 implants in mandibula, which were previously placed. The intra-arch dimension of both patients was excessive and an insufficient peri-oral soft tissue support was observed. Patient 3 was a 61-year-old man had 2 implants with a history of previously implanted graft infection and implant loss on his maxillary posterior jaw. An excessive intra-arch dimension was observed in clinical examination. In addition, massive bone defect and insufficient soft tissue support were examined. In all patients, implant-supported hybrid prostheses were successfully performed. The clinical and radiologic findings were satisfactory. After 3 years of follow-up, no functional, phonetic, or esthetic problems with the restorations were noted. These case reports suggest that implant-supported hybrid prostheses can be a reliable alternative treatment procedure when a porcelain-fused metal fixed restoration does not satisfy a patient's requirements for esthetics, phonetics, oral hygiene, and oral comfort.
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Toti, Paolo, Simone Marconcini, Giammarinaro Enrica, Giorgio Pedretti, Antonio Barone, and Ugo Covani. "The Influence of Prosthesis Design on the Outcomes of Tooth Implants Immediately Placed and Loaded by Means of One-Piece Titanium Machined Restoration." Journal of Oral Implantology 44, no. 2 (April 1, 2018): 87–93. http://dx.doi.org/10.1563/aaid-joi-d-17-00152.
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Our purpose was to evaluate the occurrence of complications and the degree of bone loss in a cohort of patients treated with fixed prostheses supported by immediately loaded dental implants. The primary aim was to compare partial versus full-arch fixed dental prostheses. We then tested the effect of sinus lifting. In the present retrospective cohort study, the patients had their implants restored with fixed dental prostheses supported by dental implants positioned in the posterior maxilla and mandible. When necessary, the maxillary sinuses were grafted with particulate autogenous bone. Patients were then ranked according to the following predictors: length of prosthesis, crown-to-implant ratio, number of crowns to number of implants ratio, and presence of sinus lifting. Outcomes were evaluated for up to 2 years regarding the peri-implant marginal bone loss and implant/prosthesis survival rates. Fifty-eight subjects (209 implants) were rehabilitated with 25 fixed full-arch prostheses and 33 partial fixed dental implant bridges (16 supported by implants placed in grafted sinus). The mean marginal bone loss for implants supporting partial fixed dental prostheses amounted to 0.81 mm, whereas that for implants within the group of full-arch fixed dental prostheses was 1.21 mm; the comparison of the levels in the 2 groups showed a significant difference (P = .0055). A statistically significant difference (P = .0006) was found between the bone loss around maxillary implants (1.53 mm) and the bone loss around mandibular implants (1.10 mm). Two implants and 4 prostheses failed; 2-year survival rates of partial and of full-arch fixed dental prostheses, respectively, were 94.1% and 96%. Bone loss in full-arch prostheses appeared to be higher than in that of partial prosthesis. Implant-supported prostheses in the maxillae exhibited a bone loss higher than that registered in mandibles.
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Bonnet, Anne Sophie, Marwan Daas, Michel Postaire, and Paul Lipiński. "Numerical Simulations of the Global Behaviour of Implant Supported or Retained Dental Prostheses." Materials Science Forum 638-642 (January 2010): 518–23. http://dx.doi.org/10.4028/www.scientific.net/msf.638-642.518.
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In spite of the recent efforts concerning prevention and treatment of dental diseases, total edentulism remains an important world health problem, even in industrialized countries. Different solutions to mandibular total edentulism are available from the classical removable denture to the implant supported prostheses. The aim of the present work is to compare, through finite element simulations, two distinct types of prosthetic solutions. The first one is an implant-supported prosthesis (ISP) using a “All-On-Four” base and the second one is a mandibular implant-retained overdenture (IRO) using two implants. A foodstuff situated on molar is modelled to simulate the mastication force. An orthotropic behaviour is assumed inside the symphyseal area. The results of the simulations show a strong influence of the prosthetic solution type on the stress and strain repartition in the implant and peri-implant bone. This can be explained by the difference of load transfer to bone between those two configurations. Indeed, in the implant-supported prosthesis, the totality of the mastication force is directly transmitted to peri-implant bone whereas the implant-retained solution benefits from a large participation of mucosa to the global load transfer from overdenture to bone.
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Montero, Javier. "A Review of the Major Prosthetic Factors Influencing the Prognosis of Implant Prosthodontics." Journal of Clinical Medicine 10, no. 4 (February 17, 2021): 816. http://dx.doi.org/10.3390/jcm10040816.
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Background: The treatment plan of prosthetic restorations supported by dental implants requires comprehensive scientific knowledge to deliver prostheses with good prognosis, even before the implant insertion. This review aims to analyze the main prosthetic determinants of the prognosis of implant-supported prostheses. Methods: A comprehensive review of the literature was conducted with a PICO (Patient Intervention Comparison Outcomes) question: “For partially or complete edentulous subjects treated with implant-supported prostheses, which prosthetic factors could affect clinical outcomes?”. A literature search was performed electronically in PubMed (MEDLINE), Scopus and Cochrane Library with the following equation [PROGNOS * OR RISK] FACTOR IMPLANT DENTAL, and by hand search in relevant journals and throughout the selected papers. Results: This revision was carried out based on 50 papers focused on several prosthodontics-related risk factors that were grouped as follows: implant-connection, loading protocol, transmucosal abutments, prosthetic fit, provisionalization, type of retention, impression technique, fabrication technique, and occlusion. More than a half of the studies were systematic reviews (30%), meta-analysis (16%), or prospective evaluations of prosthesis with various kinds of events (18%). However, narrative reviews of literature (14%) and in vitro/animal studies (16%) were also found. Conclusions: The current literature provides insufficient evidence for most of the investigated topics. However, based on the accumulated data, it seems reasonable to defend that the best treatment approach is the use of morse taper implants with transmucosal abutments, recorded by means of rigidly splinted copings through the pick-up technique, and screwed by milled prosthesis occlusally adjusted to minimize functional overloading.
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TORCATO, Leonardo Bueno, Paulo Renato Junqueira ZUIM, Daniela Atili BRANDINI, and Rosse Mary FALCÓN-ANTENUCCI. "Relation between bruxism and dental implants." RGO - Revista Gaúcha de Odontologia 62, no. 4 (December 2014): 371–76. http://dx.doi.org/10.1590/1981-8637201400040000032658.
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OBJECTIVE: The aim of this study was to gather information and discuss the predictability of implant-supported prostheses in patients with bruxism by performing a literature review. METHODS: In order to select the studies included in this review, a detailed search was performed in PubMed and Medline databases, using the following key words: bruxism, dental implants, implant supported prosthesis, and dental restoration failure. Items that were included are: case reports, randomized controlled trials, in vitro studies, literature and systematic reviews, with or without meta-analysis, of the last 20 years that addressed the theme. Articles without abstracts, animal studies, articles in languages other than English and articles from journals unrelated to the dental field were excluded. RESULTS: after analysis according to inclusion and exclusion criteria, 28 articles were selected from a total of 54. It is known from the array of scientific articles which have assessed, either through retrospective, prospective or experimental studies, that the biomechanical and biological impact of bruxism on implant-supported prostheses is small, and that the literature has contributed little to exemplify the prosthetic limits of safety for the specialist from a clinical point of view. CONCLUSION: Although there is still no general consensus on this matter, most of the literature review articles do provide clinical guidelines that contribute to implant supported prostheses longevity and stability in patients with bruxism.
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Jain, Himani, Tarun Kalra, Manjit Kumar, Ajay Bansal, and Deepti Jain. "Three-Dimensional Finite Element Analysis to Evaluate Stress Distribution in Tooth and Implant-Supported Fixed Partial Denture–An In Vitro Study." Dental Journal of Advance Studies 8, no. 03 (August 5, 2020): 084–91. http://dx.doi.org/10.1055/s-0040-1714331.
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Abstract Introduction This study was undertaken to assess the influence of different superstructure materials, when subjected to occlusal loading, on the pattern of stress distribution in tooth-supported, implant-supported, and tooth implant-supported fixed partial prostheses, using the finite element analysis with a comparative viewpoint. Materials and Methods The geometric models of implant and mandibular bone were generated. Three models were created in accordance with the need of the study. The first model was given a tooth-supported fixed partial prosthesis. The second model was given tooth implant-supported fixed partial prosthesis, and the third model was given implant-supported fixed partial prosthesis. Forces of 100 N and 50 N were applied axially and buccolingually, respectively. Results The present study compared the stresses arising in the natural tooth, implant, and the whole prostheses under simulated axial and buccolingual loading of three types of fixed partial dentures, namely, tooth-supported, tooth implant-supported, and implant-supported fixed partial dental prostheses using three different types of materials. Conclusion The pattern of stress distribution did not appear to be significantly affected by the type of prosthesis materials in all models. The maximum stress concentrations were found in the alveolar bone around the neck of the teeth and implants.
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Venezia, Pietro, Ferruccio Torsello, Vincenzo Santomauro, Vittorio Dibello, and Raffaele Cavalcanti. "Full Digital Workflow for the Treatment of an Edentulous Patient with Guided Surgery, Immediate Loading and 3D-Printed Hybrid Prosthesis: The BARI Technique 2.0. A Case Report." International Journal of Environmental Research and Public Health 16, no. 24 (December 17, 2019): 5160. http://dx.doi.org/10.3390/ijerph16245160.
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Purpose: To describe a technique intended to transfer of the intermaxillary and occlusal relationships in a fully digital environment from a complete denture to an implant-supported 3D-printed hybrid prosthesis (an acrylic resin complete fixed dental prosthesis supported by implants). Methods: In edentulous cases, the physiological mandibular position should be determined before the immediate loading procedures. In some cases, the use of interim removable prostheses for a few weeks could be useful to test the new occlusion in centric relation and to verify the prosthetic project. When the correct intermaxillary relationships are achieved, it is difficult to transfer them from the provisional to the final prostheses, as impressions or scans of edentulous arches do not have reference points for intermaxillary records. This paper presents a complex case and the technique used to transfer information from a complete denture to an implant-supported prosthesis with a digital workflow. A prosthetic stent has been used to scan the edentulous mandibular arch and to record the intermaxillary relation. Results: The delivery of the hybrid implant-supported prostheses was carried out with no problems and minimal occlusal adjustments. The patient was extremely satisfied with the treatment and the situation remained stable at the 1-year follow up. Conclusions: The approach described in the present article predictably maintains prosthetic information and allows the delivery of a final implant-supported restoration with the same occlusal relationship as the one tested with the provisional diagnostic dentures.
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Probst, Livia Fernandes, Tazio Vanni, Denise De Fátima Barros Cavalcante, Erica Tatiane da Silva, Yuri Wanderley Cavalcanti, Luis Augusto Passeri, and Antonio Carlos Pereira. "Cost-effectiveness of implant-supported dental prosthesis compared to conventional dental prosthesis." Revista de Saúde Pública 53 (February 7, 2019): 69. http://dx.doi.org/10.11606/s1518-8787.2019053001066.
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OBJECTIVE: To conduct a cost-effectiveness analysis of alternatives for rehabilitation treatment of mandibular edentulism in the context of the Brazilian Unified Health System (implantsupported total dental prosthesis versus conventional total dental prosthesis). METHODS: A Markov model was developed to capture long-term clinical and economic outcomes. The model’s population was comprised of a hypothetical cohort of 1,000,000 patients, aged 55 years, with total mandibular edentulism and without medical contraindications for performing surgical procedures. The adopted analysis perspective was that of the Brazilian Unified Health System. Based on the proposed model, we calculated cost – in BRL, and effectiveness – measured by quality-adjusted prosthesis year (QAPY). The time horizon of the analysis was 20 years. RESULTS: Considering a 5% discount in costs and effects, the incremental cost-effectiveness ratio of implant-supported total dental prostheses compared to conventional total dental prosthesis (BRL 464.22/QAPY) was lower than the willingness to pay threshold adopted in the model (BRL 3,050.00/QAPY). CONCLUSIONS: The results of this economic analysis showed that the rehabilitation of mandibular edentulous patients by implant-supported total prosthesis is very cost-effective when compared to conventional complete prosthesis, considering the cost-effectiveness limits employed.
Dissertations / Theses on the topic "Dental implant supported prosthesis"
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Bacchi, Ataís 1986. "Influência do material de infraestrutura e do desajuste vertical de próteses parciais fixas implantossuportadas nas tensões transmitidas às estruturas protéticas e ao tecido ósseo peri-implantar." [s.n.], 2012. http://repositorio.unicamp.br/jspui/handle/REPOSIP/288548.
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Orientador: Rafael Leonardo Xediek ConsaniDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba
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Resumo: O objetivo neste estudo foi avaliar a influência do material de infraestrutura e diferentes níves de desajuste vertical na concentração de tensões em prótese parcial fixa implantossuportada (infraestrutura e porcelana de cobertura), parafuso de retenção e tecido ósseo peri-implantar durante o assentamento protético e frente à aplicação de carga oclusal. Um modelo tridimensional de elementos finitos de uma porção posterior de mandíbula contendo dois implantes osseointegrados nas posições de segundo pré-molar e segundo molar, suportando uma prótese parcial fixa foi construído utilizando software específico de modelagem (SolidWorks 2010). Modelos de elementos finitos foram obtidos pela importação do modelo sólido ao software de simulação mecânica (ANSYS Workbench 11). Os modelos foram separados em grupos de acordo com o material de infraestrutura (liga de ouro tipo IV, liga de prata-paládio, titânio comercialmente puro, liga de cobalto-cromo ou zircônia) e o nível de desajuste vertical (10 ?m, 50 ?m e 100 ?m) criado na interface prótese-implante do segundo pré-molar. A concentração de tensões foi avaliada nas seguintes condições: (1) assentamento protético; e (2) cargas oclusais simultâneas de 110 N vertical e 15 N horizontal em cada dente. Os resultados obtidos mostraram que as infraestruturas mais rígidas apresentam maior concentração de tensões internas; entretanto, promoveram menores concentrações de tensão sobre a porcelana de recobrimento, em ambas condições avaliadas. Na análise do assentamento protético, materiais mais rígidos para infraestruturas aumentaram os valores de tensão no parafuso de retenção e não causaram diferença relevante nas tensões no tecido ósseo peri-implantar. Quando a carga foi aplicada, o uso de infraestruturas mais rígidas promoveu redução de tensões no parafuso de retenção e no tecido ósseo peri-implantar. Em ambas condições avaliadas um considerável aumento na concentração de tensões foi obsevado em todas as estruturas com a amplificação do desajuste. Nas diferentes simulações, o material de infraestrutura exerceu considerável influência nas tensões transmitidas às estruturas avaliadas, exceto ao tecido ósseo peri-implantar em condições de assentamento. Aumento de tensões em todas as estruturas pode ser observado com o aumento do desajuste
Abstract: The aim in this study was to evaluate the influence of the framework material and vertical misfit on the stresses created in an implant-supported partial prosthesis (framework and porcelain veneer), retention screw and peri-implant bone tissue during the settlement of the prosthesis and under load conditions. A 3-D Finite Element model of a posterior part of a jaw with two osseointegrated implants at the place of the right second pre-molar and second molar supporting an implant-supported fixed partial prosthesis was constructed using specific modeling software (SolidWorks 2010). Finite element models were obtained by importing the solid model into mechanical simulation software (ANSYS Workbench 11). The models were divided into groups according to the framework material (type IV gold alloy, silver-palladium alloy, commercially pure titanium, cobalt-chromium alloy or zirconia) and vertical misfit level (10 ?m, 50 ?m and 100 ?m) created at the second pre-molar implant-prosthesis interface. The stress concentration was evaluated in the following conditions: (1) settlement of the prosthesis; and (2) simultaneous loads of 110 N vertical and 15 N horizontal in each tooth. The obtained results showed that stiffer frameworks presented higher stress concentrations in it and led to lower stresses in the porcelain veneer, in both conditions. In the analysis of settlement of the prosthesis, stiffer framework materials increased the stress values in the retention screw and did not cause a relevant difference in the stresses values in peri-implant bone tissue. When the load was applied, the use of more stiffness frameworks led to lower stresses in the retention screw, and peri-implant bone tissue. In both conditions evaluated, considerable raise of stress concentration was observed in all the structures within misfit amplification. Comparing the results of the different simulations, the framework materials presented a considerable influence on the stress concentration in the structures evaluated, except on the peri-implant bone tissue during the settlement of the prosthesis, while a considerable increase of the stress in all the structures was observed with the increase of the misfit
Mestrado
Protese Dental
Mestre em Clínica Odontológica
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Ayub, Karen Vaz. "Avaliação clínica e radiográfica de implantes utilizados como pilares de próteses inferiores implantossuportadas do tipo protocolo, colocadas sob carga imediata, empregando dois sistemas reabilitadores após 7 anos." Universidade de São Paulo, 2013. http://www.teses.usp.br/teses/disponiveis/25/25146/tde-03122013-164207/.
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Esta pesquisa avaliou o sucesso de implantes utilizados como pilares de próteses inferiores implantossuportada do tipo protocolo, empregando dois sistemas reabilitadores, sob carga imediata, após 7 anos. Foram pesquisados os seguintes aspectos: índices de placa e de sangramento, estabilidade dos implantes por frequência de ressonância (FR) e perda óssea marginal. Foram avaliados 76 implantes, em 19 pacientes, divididos em 2 grupos: A (n=12, All-on-four® - Nobel Biocare®) e B (n=7, Neopronto® - Neodent®). Os pacientes foram acompanhados nos momento da instalação dos implantes (inicial), 6 meses, 1, 2 e 7 anos após a instalação. Os resultados mostraram uma taxa de sucesso de 100% para os implantes do grupo A e de 90% para o grupo B. Os índices de placa não apresentaram diferenças estatisticamente significativas e foram, no grupo A, de 71,87%, 63,54% e 47,92%, e, no grupo B de 26,78%, 41,07% e 37,50%, para as avaliações de 1, 2 e 7 anos, respectivamente. O índice de sangramento para o grupo A foi de 43,75%, 42,71% e 43,75% e para o grupo B foi de 53,57%, 51,79% e 48,21%, nos tempos de avaliação de 1, 2 e 7 anos, respectivamente, sem diferenças estatísticas. Não foi observado supuração em nenhum tempo de avaliação. Os resultados de FR não diferiram estatísticamente entre os dois grupos, entretanto, diminuíram entre a avaliação inical (grupo A = 69,27ISQ e grupo B = 68,29ISQ) e de 6 meses (grupo A = 64,65ISQ e grupo B = 66,50ISQ), e aumentaram nos anos seguintes para os 2 grupos, sendo para o grupo A de 66,17ISQ, 66,05ISQ e 69,87ISQ e para o grupo B de 67,78ISQ, 68,13ISQ e 73,61ISQ para os tempos de 1, 2 e 7 anos, respectivamente. Em relação a perda óssea, existiu diferença significativa entre grupos e foi de 0,49mm e 0,67mm após 1 ano e de 1,03mm e 1,27mm, após 7 anos, para os grupos A e B, respectivamente. Em relação à posição dos implantes, o grupo B apresentou diferença estatística entre os implantes centrais e distais nas avaliações de FR e perda óssea. Concluiu-se que 1- a taxa de sucesso foi de 100% para o grupo A e de 90% para o grupo B; 2- os índices de placa e de sangramento diminuíram ao longo dos anos de avaliação; 3- a FR foi semelhante entre os grupos, mas com diferença significativa no grupo A para o critério tempo e, no grupo B para os critérios tempos de avaliação e posição dos implantes; 4- perda da altura da crista óssea foi diferente significativamente entre os grupos, sendo maior no grupo B.This study evaluated the success of implants used to support mandibular complete full-arch fixed prosthesis employing two rehabilitation systems with immediate loading after 7 years. The following aspects were investigated: plaque and bleeding index, implant stability by resonance frequency analysis and marginal bone loss. The 76 implants were evaluated in 19 patients divided in 2 groups: A (n=12, All-on-four® - Nobel Biocare®) and B (n=7, Neopronto® - Neodent®). The follow-up visits were at the time of implant placement (initial), 6 months, 1, 2 and 7 years after surgery. The results showed a success rate of 100% for implants in group A and 90% for group B. The plaque index did not differ statistically signifcant and were in group A, 71.87%, 63.54% and 47.92%, and in group B 26.78%, 41.07% and 37, 50% for 1, 2 and 7 years of follow-up, respectively. The bleeding index for group A was 43.75%, 42.71% and 43.75% and for group B was 53.57%, 51.79% and 48.21%, for 1, 2 and 7 years of follow-up, respectively, no statistical differences. Suppuration was not observed at any time of evaluation. The results of FR did not differ significantly between groups, however, decreased between initial (group A = 69,27ISQ and group B = 68,29 ISQ) and 6 months (group A = 64,65ISQ and group B = 66,50ISQ), and increased in the following evaluations for both groups, in group A was 66,17ISQ, 66,05ISQ and 69,87ISQ and group B was 67,78ISQ, 68,13ISQ and 73,61ISQ for 1, 2 and 7 years of follow-up, respectively. In relation to bone loss, a significant difference existed between groups and was 0,49mm and 0,67 mm after 1 year and 1,03mm and 1,27mm after 7 years, for groups A and B, respectively. Regarding the position of the implants, group B showed statistical difference between the central and distal implants for FR and bone loss. It was concluded that 1- Success rate was 100% for group A and 90% for group B; 2 - Plaque and bleeding index decreased over the follow-up; 3- FR was similar between groups, but with a significant difference in group A for thw criterion time, and in group B for the criteria evaluation times and position of the implants, 4- bone loss was significantly different between groups, and higher in group B.
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Santiago, Junior Joel Ferreira [UNESP]. "Avaliação da influência de diferentes materiais oclusais na confecção de próteses fixas implantossuportadas unitárias com diferentes diâmetros dos implantes osseointegrados: estudo pelo método dos elementos finitos tridimensionais." Universidade Estadual Paulista (UNESP), 2010. http://hdl.handle.net/11449/93588.
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A literatura científica ainda é escassa em relação à influência de diferentes materiais na confecção de próteses fixas implantossuportadas unitárias em relação aos diferentes diâmetros dos implantes osseointegrados na distribuição das tensões; as suas manifestações e repercussões na prática clínica ainda não estão totalmente esclarecidas, sendo a fundamentação científica indispensável. Assim, o objetivo desta dissertação foi avaliar a influência do material de revestimento oclusal na confecção de prótese fixa implantossuportada unitária com diferentes diâmetros de implantes osseointegrados. Para o estudo foram elaborados 08 modelos, representando cada qual uma secção de osso mandibular (osso esponjoso e cortical), com a presença apenas de um implante (Conexão Master Screw, Sistemas de Próteses, São Paulo, Brasil) do tipo hexágono externo de 3.75 mm x 10 mm (4 modelos) e de 5.00 mm x 10 mm (4 modelos) com coroas de porcelana feldspática, ou de resina acrílica, ou de resina composta ou coroa liga de NiCr. Para confecção dos modelos foram utilizados os programas de desenho assistido: Rhinoceros® 3D 4.0 (NURBS Modeling for Windows, EUA) e SolidWorks® 2006 (SolidWorks Corp, Massachusetts, USA). Os desenhos tridimensionais foram exportados para o programa de elementos finitos NEI Nastran® 9.0 (Noran Engineering, Inc, EUA), para geração da malha, aplicação da carga e análise. Os resultados foram visualizados através dos mapas de tensão von Mises de cada modelo proposto, a fim de avaliar as variações individuais da distribuição das tensões no implante e na coroa; no osso os resultados foram visualizados através dos mapas de tensão máxima principal. Na carga axial (200 N), o osso cortical não mostrou grandes diferenças entre todos os modelos e o osso trabecular sofreu um aumento das tensões por tração...
The scientific literature is still scarce about the influence of different veneering materials used in fabricating superstructures for implant-retained fixed prostheses in relation to different implant diameters on stress distribution, and the manifestations and implications in clinical practice were not clarified. The aim of this dissertation was to evaluate the influence of occlusal material for single implant-supported fixed prostheses with different implant diameters. For this study were simulated 8 models, representing a section of the mandibular bone (trabecular and cortical bone) with a single external hexagonal implant (Master Screw, Conexão Sistema de Prótese ltda., Sao Paulo, Brazil) of 3.75 x 10 mm (4 models) and 5.00 mm x10 mm (4 models) with a crown with different occlusal materials: feldspathic porcelain crowns, or acrylic resin or composite resin crown or NiCr alloy. The models were designed using computer-aided design softwares : Rhinoceros® 3D 4.0 (NURBS Modeling for Windows, USA) and SolidWorks® 2006 (SolidWorks Corp., Massachusetts, USA). The three-dimensional designs were exported to the finite element program NEI Nastran® 9.0 (Noran Engineering, Inc, USA) for mesh generation, load application and analysis. The results were visualized through von Mises stress maps of each model, to assess individual variations of the stress distribution on the implant and crown; bone results were visualized through maps of maximum principal stress. In axial loading (200 N), cortical bone showed no significant differences in all models,on the trabecular bone the tensile stress increased, with regular implant diameter. For non-axial loads (100 N), the cortical bone, the tensile stress increased significantly on the side common the load application, when it reduced the implant diameter; in the trabecular bone showed seemed stress patterns, although more... (Complete abstract click electronic access below)
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Ribeiro, Lívia Forster 1978. "Avaliação biomecânica de próteses parciais fixas implantossuportadas na região anterior da maxila = Biomechanical evaluation of implant-supported fixed partial prosthesis in the maxilla anterior region." [s.n.], 2015. http://repositorio.unicamp.br/jspui/handle/REPOSIP/287946.
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Orientador: Altair Antoninha Del Bel CuryTese (doutorado) - Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba
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Resumo: A reabilitação com próteses fixas implantossuportadas na maxila é uma das melhores opções, quando indicada, sendo consagrada na literatura. Entretanto, devido à alta exigência estética nesta região, a reabilitação com implantes, unitária ou múltipla, é bastante desafiadora tanto para o profissional como para o paciente. Nesse sentido, não somente a estética, mas também os fatores mecânicos atuantes nessas reabilitações, são de extrema importância para a longevidade do tratamento. Dessa forma, o posicionamento e o número dos implantes a serem instalados na maxila anterior têm sido fatores decisivos no planejamento do caso, tanto sob o ponto de vista estético quanto mecânico. Nesse estudo foi avaliada a influência da quantidade e disposição dos implantes na distribuição de tensões nos implantes, componentes e reabilitação protética em diferentes disposições de implantes (04 implantes (4I), 02 implantes na região dos incisivos centrais (CS), 02 implantes sendo um no incisivo central e um no incisivo lateral oposto (CSLS), 02 implantes na região dos incisivos laterais (LS)) na região anterior da maxila, por meio do método tridimensional (3D) de elementos finitos (MEF). Foram obtidos quatro modelos 3D compostos pelas seguintes estruturas: região anterior da maxila (porção cortical e trabecular), implantes cilíndricos em titânio (3.75x11mm) de interface protética do tipo cone Morse, mini-pilares em titânio, infraestrutura em zircônia e coroas cerâmicas. O tecido ósseo e as coroas foram obtidas por meio de imagem tomográfica cone Beam. Os implantes, pilares e infraestrutura protética foram criados a partir do programa CAD (Computer Aided Design) SolidWorks®. Posteriormente os modelos foram exportados para o programa computacional de análises numéricas ANSYS Workbench® para análise e obtenção dos resultados. Foi utilizado um carregamento de 150N, distribuídos nas faces palatinas das coroas protéticas, a 45° em relação ao longo eixo das coroas. Os dados obtidos mostraram a distribuição de tensões e os maiores e menores valores de tensões equivalentes de von Mises (MPa) de cada modelo. O número de implantes revelou uma importante influência no comportamento mecânico das reabilitações e demais componentes, justificados pelos menores valores de tensão encontrados no modelo 4I, em todos os seus componentes (112MPa/Implantes, 93MPa/Pilares, 61MPa/Infraestrutura e 53 MPa/coroas cerâmicas). Todavia, quando o número diminuiu para dois implantes, como visto no modelo LS, constatou-se uma maior concentração de tensão em todas as estruturas avaliadas (654MPa/Implantes, 716 MPa/Pilares, 200 MPa/Infraestrutura e 182 MPa/coroas cerâmicas). O modelo CS, e o modelo CSLS mostraram comportamento mecânico semelhantes entre si, porém com valores de tensão menores que o modelo LS e maiores que o modelo 4I (295 e 412 MPa/Implantes, 174 e 228 MPa/Pilares, 195 e 80 MPa/Infraestrutura e 121.17 e 107 MPa/coroas cerâmicas respectivamente). Conclui-se que um número maior de implantes para suportar próteses parciais fixas, distribui as tensões incididas nos implantes e componentes, de maneira mais uniforme e em menores quantidades, o que pode sugerir, que do ponto de vista mecânico, uma maior longevidade do tratamento reabilitador da região anterior da maxila
Abstract: : The oral rehabilitation with implant-supported fixed prosthesis in the maxilla is the most suitable option and is widely enshrined in the literature. Due to the high requirement aesthetics in this area, the rehabilitation with implants, single or multiple, is a big challenge for both the professional and the patient. In this sense, not only the aesthetics but also the mechanical factors acting in these rehabilitations are very important to the longevity of treatment. Thus, the positioning and the number of the implants to be installed in the anterior maxilla have been decisive factors in the planning of the case, both from the aesthetic and mechanical point of view. In this study was evaluated the influence of the number and the arrangement of the implants in stress distribution in the implants, components and prosthetic rehabilitation in different arrangements (04 implants (4I), 02 implants in the region of the central incisors (CS), 02 implants being one the central incisor and the opposite lateral incisor (CSLS) implants 02 in the region of the lateral incisors (LS)) in the anterior maxillary area by means of the method three-dimensional (3D) finite element method (FEM). The 3D models were obtained and they contained the following structures: anterior maxillary region (cortical and trabecular bone), cylindrical titanium implants (3.75x11mm) prosthetic interface type Morse taper, abutments in titanium alloy, zirconium framework and ceramic crowns. Bone tissue and the crowns were obtained by tomographic cone Beam image. The implants, abutments and prosthetic framework were created from the CAD computer software (Computer Aided Design) SolidWorks®. Subsequently the models have been exported to the computer software of numerical analysis ANSYS Workbench® for analysis and achievement of results. The magnitude of the force applied on each unit was 37,5N distributed on the palatine faces of the prosthetic crown, at a 45° angle to the long axis of each crowns, i.e. the total load applied to the prosthesis was 150N. The data obtained emphasized the stress distribution and the higher stress values the equivalent von Mises (MPa) of each model. The number of implants revealed a significant influence on the mechanical behavior of rehabilitation and other structures, justified by the lower stress values found in the model 4I, in all its components (112 MPa/Implants, 93 MPa/Abutments, 61MPa/Framework and 53 MPa/Ceramic crowns). However, when the number has decreased to two implants, as seen in the LS model, there was a higher concentration of tension in all the evaluated structures (654MPa/Implants, 716 MPa/Abutments, 200 MPa/Framework and 182 MPa/Ceramic crowns). The CS and the CSLS models showed similar mechanical behavior to each other, but with lower stress values that the LS model and larger than the 4I model (295 and 412 MPa/Implants, 174 and 228 MPa/Abutments, 195 and 80 MPa/Framework and 121.17 and 107 MPa/Ceramic crowns respectively). It was concluded that a larger number of implants to support a FPPs, distributed the stresses on the implants and in the structures more evenly and in a smaller amounts, which might suggest the greater longevity of the rehabilitation of treatment especially under the mechanical point of view
Doutorado
Protese Dental
Doutora em Clínica Odontológica
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Fransson, Hannah. "Implant-supported zirconia-based fixed dental prostheses - a literature review." Thesis, Malmö högskola, Odontologiska fakulteten (OD), 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-19651.
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Det ökade intresset av keramiska material har främst centrerat kring zirkoniabaserade keramer på sistone. Zirkoniabaserade fastsittande broar är ämne för en pågående diskussion. Det finns några få publicerade studier på ämnet men med varierande kvalitet och det finns ingen sammanställning av implantatstödda zirkoniabaserade broar. Syftet med den här studien är att bedöma tillgängliga studier på tidigare nämnda konstruktion och redogöra för resultat från kliniska studier.På elektroniska databaser söktes artiklar på implantatstödda zirkoniabaserade fastsittande broar. Artiklar som också rörde tandstödda konstruktioner inkluderades i sökningen. Sökningen kompletterades med en manuell referenssök på de utvalda fulltextartiklarna. Sökningen resulterade i 4,253 artiklar. Baserat på förutbestämda kriterier inhämtades 5 fulltext artiklar. En av de studierna skilde inte på tandstödda och implantatstödda grupper i resultatet, därför exkluderaderades den från fortsatta analyser. Tre studier redogjorde för helkäkeskonstruktioner, och majoriteten av de inkluderade konstruktionerna var helkäkeskonstruktioner. Tillräcklig data för uträkning av överlevnad och komplikationsrisk var tillgänglig i 4 studier. Analysen bar baserad på 47 implantatstödda konstruktioner. Slutsatsen av litteraturstudien blir att zirkoniabaserade helkäkeskonstruktioner som är implantatstödda kan övervägas som behandling. Resultaten är dock baserade på få studier med relativt få konstruktioner inkluderade, varför tolkning av resultaten bör göras med försiktighet. Fortsatta studier behövs för att konkludera hur den här typen av konstruktioner håller med tiden.The increasing interest in ceramic materials has mostly centered on zirconia-based ceramics lately. Zirconia-based fixed dental prostheses (FDPs) is an ongoing subject of discussion. There are a few articles published on the subject but with varying quality and there is no review on implant-supported zirconia-based FDPs to be found. The purpose of this study is to evaluate available studies on zirconia-based implant-supported FDPs, reporting the results from clinical studies.Three electronic databases were searched for studies reporting on zirconia-based FDPs. The electronic search was complemented by a hand-search made from the reference lists of the retrieved full-text articles. The search result yielded 4,253 titles. Based on pre-established criteria, 5 full-text articles were obtained. One study did not separate the results between tooth-supported and implant-supported groups, why it was excluded from further analysis. Three studies reported on cross-arch restorations, and the majority of the FDPs included were cross-arch restorations. Sufficient data for calculation of cumulative survival-and complication-rates was available in 4 studies. Analysis was based on 47 implant-supported FDPs. This review concludes that cross-arch implant-supported zirconia-based FDPs could be considered as a treatment alternative. The results are, however, based on small number of studies with relatively few FDPs included thus interpretation of the results should be made with caution. Further studies are needed to evaluate how these types of constructions stand the test of time.
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Coró, Vitor. "Análise comparativa da interface entre intermediários e estruturas fundidas e CAD/CAM em Co-Cr e zircônia antes e após queima de cerâmica e ciclagem mecânica." Universidade de São Paulo, 2013. http://www.teses.usp.br/teses/disponiveis/58/58131/tde-08082013-154727/.
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As próteses sobre implantes apresentam alto índice de sucesso, mas ainda existem relatos de complicações técnicas e mecânicas, principalmente em relação à adaptação e desaperto de parafusos. Técnicas CAD/CAM foram desenvolvidas tentando melhorar adaptação e passividade, e hoje existem vários materiais e sistemas como opção de trabalho. A proposta deste estudo foi avaliar, por meio de leitura em microscópio, a adaptação de próteses de três elementos sobre dois implantes confeccionadas em diferentes materiais, por diferentes técnicas, antes e após a queima de cerâmica. Também foi verificado se o método/material utilizado, assim como o grau de adaptação influenciariam no comportamento das peças frente a um ensaio de fadiga mecânica. Foram formados 5 grupos de 10 amostras (n=10). Após leituras, prensagem de cerâmica e ensaio de fadiga, os dados foram submetidos aos testes ANOVA e Tuckey-Kramers. As médias de desajuste vertical pré e pós aplicação da cerâmica (μm), quando ambos parafusos apertados foram para G1: Estruturas fundidas em Co-Cr com cilindros calcináveis (26,03 ± 18,4) e (36,5 ± 9) G2: Estruturas sobrefundidas em liga de Co-Cr, utilizando cilindros com base de Co-Cr (4,86 ± 5) e (10,5 ± 6); G3: Estruturas fundidas em liga de Co-Cr, associadas à técnica do cilindro cimentado (0 ± 0)e (0 ± 0); G4: Estruturas usinadas em Co-Cr CAD/CAM (0 ± 0) e (2,7 ± 2);G5: Estruturas usinadas em Zircônia CAD/CAM (14,87 ± 9) e (15,2 ± 8). Para a condição de medida com apenas um dos lados apertado, pré e pós cerâmica, do lado parafusado, os resultados foram para G1: 9,63 ± 1 e 34,8 ± 8; G2: 2,37 ± 5 e 11,9 ± 9; G3: 0 ± 0 e 0 ± 0; G4: 0 ± 0 e 3,4 ± 3; G5: 17,69 ± 1 e 20,8 ± 9. Para a condição de medida com apenas um dos lados apertado, pré e pós cerâmica, do lado desparafusado, os resultados foram para G1: 124,22 ± 37 e 129,8 ± 37; G2: 64,79 ± 47 e 80,6 ± 46; G3: 12,34 ± 17 e 2,1 ± 3; G4: 3,54 ± 5 e 17,6 ± 8; G5: 37,77 ± 25 e 42,4 ± 19. O torque de desaperto (Ncm) dos parafusos protéticos foi verificado antes e após ensaio de fadiga com 300.000 ciclos. Os valores médios encontrados foram respectivamente: G1: 5,80 ± 1,23 e 4,11 ± 1,16; G2: 6,30 ± 1,00 e 3,32 ± 0,87; G3: 5,63 ± 1,05 e 3,30 ± 1,46; G4: 7,24 ± 1,05 e 3,44 ± 1,62; G5: 7,75 ± 1,25 e 6,78 ± 1,18. Os grupos CC, Co-Cr CAD/CAM e Zi, apresentaram os melhores resultados quanto ao ajuste vertical, seguidos pelo grupo Co-Cr e calcinável. Os grupos CC, Co-Cr e Co-Cr CAD/CAM apresentaram perda de torque dos parafusos protéticos após oensaio de fadiga mecânica. O grupo Zi teve menor perda de torque entretodos grupos, comparando antes e após o teste de fadiga. Nenhum dos grupos apresentou perda de torque suficiente para que a prótese perdesse estabilidade da junção.The implant-supported prostheses present a high success rate, but there are still reports of technical and mechanical complications, mainly regarding adaptation and loosening of screws. CAD/CAM techniques have been developed trying to improve adaptation and passivity, and today there are many options of materials and systems to work with. The purpose of this study was to evaluate, by microscope, fitting of three elements prostheses retained by two implants, made of different materials, different techniques, before and after ceramic firing. It was also verified if the method/material used, as well as the degree of adjustment would influence on the behavior of the prostheses after a fatigue test. Five groups of ten specimens were formed (n = 10). After reading, ceramic pressing and fatigue test data were submitted to ANOVA and Tukey-Kramer\'s tests. The mean vertical misfit pre and post application of ceramic (μm), whit both screws tightened to G1: Structures casted in Co-Cr with castable cylinders (26.03 ± 18.4) and (36.5 ± 9) G2: Structures casted in Co-Cr, with Co-Cr basis cylinder (4.86 ± 5) (10.5 ± 6); G3: Structures casted in Co-Cr associated with the cemented cylinder technique (0 ± 0) and (0 ± 0); G4: Machined structures in Co-Cr CAD/CAM (0 ± 0) and (2.7 ± 2), G5: Structures machined in zirconia CAD/CAM (14.87 ± 9) and (15.2 ± 8). To the measurement condition of only one side tighted, pre and post ceramic, on the tightned side, the results were G1: 9.63 ± 1 and 34.8 ± 8; G2: 2.37 ± 5 and 11.9 ± 9; G3: 0 ± 0 and 0 ± 0; G4: 0 ± 0 and 3.4 ± 3; G5: 17.69 ± 1 and 20.8 ± 9. To the measurement condition of only one side tightened, pre and post ceramic, on the untightened side, the results were in G1: 124.22 ± 37 and 129.8 ± 37; G2: 64.79 ± 47 and 80.6 ± 46; G3: 12.34 ± 2.1 and 17 ± 3; G4: 5 ± 3.54 and 17.6 ± 8; G5: 37.77 ± 25 and 42.4 ± 19. The loosening torque of the prosthetic screws (Ncm) was checked before and after fatigue test to 300,000 cycles. The mean values were: G1: 5,80 ± 1,23 e 4,11 ± 1,16; G2: 6,30 ± 1,00 e 3,32 ± 0,87; G3: 5,63 ± 1,05 e 3,30 ± 1,46; G4: 7,24 ± 1,05 e 3,44 ± 1,62; G5: 7,75 ± 1,25 e 6,78 ± 1,18. CC groups, Co-Cr CAD/CAM and Zi, showed the best results regarding vertical adjustment, followed by the Co-Cr group and castable. CC groups, Co-Cr and Co-Cr CAD/CAM presented loss of torque after fatigue test. The Zi group showed less loss of torque among all groups, comparing before and after fatigue test. None of the groups showed enough loosening to loose joint stability.
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Östman, Pär-Olov. "On various protocols for direct loading of implant-supported fixed prostheses /." Göteborg : Department of Biomaterials, Institute of Clinical Sciences, Sahlgrenska Academy, Göteborg University, 2007. http://hdl.handle.net/2077/7617.
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Santiago, Júnior Joel Ferreira. "Avaliação da influência de diferentes materiais oclusais na confecção de próteses fixas implantossuportadas unitárias com diferentes diâmetros dos implantes osseointegrados : estudo pelo método dos elementos finitos tridimensionais /." Araçatuba : [s.n.], 2010. http://hdl.handle.net/11449/93588.
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Resumo: A literatura científica ainda é escassa em relação à influência de diferentes materiais na confecção de próteses fixas implantossuportadas unitárias em relação aos diferentes diâmetros dos implantes osseointegrados na distribuição das tensões; as suas manifestações e repercussões na prática clínica ainda não estão totalmente esclarecidas, sendo a fundamentação científica indispensável. Assim, o objetivo desta dissertação foi avaliar a influência do material de revestimento oclusal na confecção de prótese fixa implantossuportada unitária com diferentes diâmetros de implantes osseointegrados. Para o estudo foram elaborados 08 modelos, representando cada qual uma secção de osso mandibular (osso esponjoso e cortical), com a presença apenas de um implante (Conexão Master Screw, Sistemas de Próteses, São Paulo, Brasil) do tipo hexágono externo de 3.75 mm x 10 mm (4 modelos) e de 5.00 mm x 10 mm (4 modelos) com coroas de porcelana feldspática, ou de resina acrílica, ou de resina composta ou coroa liga de NiCr. Para confecção dos modelos foram utilizados os programas de desenho assistido: Rhinoceros® 3D 4.0 (NURBS Modeling for Windows, EUA) e SolidWorks® 2006 (SolidWorks Corp, Massachusetts, USA). Os desenhos tridimensionais foram exportados para o programa de elementos finitos NEI Nastran® 9.0 (Noran Engineering, Inc, EUA), para geração da malha, aplicação da carga e análise. Os resultados foram visualizados através dos mapas de tensão von Mises de cada modelo proposto, a fim de avaliar as variações individuais da distribuição das tensões no implante e na coroa; no osso os resultados foram visualizados através dos mapas de tensão máxima principal. Na carga axial (200 N), o osso cortical não mostrou grandes diferenças entre todos os modelos e o osso trabecular sofreu um aumento das tensões por tração... (Resumo completo, clicar acesso eletrônico abaixo)Abstract: The scientific literature is still scarce about the influence of different veneering materials used in fabricating superstructures for implant-retained fixed prostheses in relation to different implant diameters on stress distribution, and the manifestations and implications in clinical practice were not clarified. The aim of this dissertation was to evaluate the influence of occlusal material for single implant-supported fixed prostheses with different implant diameters. For this study were simulated 8 models, representing a section of the mandibular bone (trabecular and cortical bone) with a single external hexagonal implant (Master Screw, Conexão Sistema de Prótese ltda., Sao Paulo, Brazil) of 3.75 x 10 mm (4 models) and 5.00 mm x10 mm (4 models) with a crown with different occlusal materials: feldspathic porcelain crowns, or acrylic resin or composite resin crown or NiCr alloy. The models were designed using computer-aided design softwares : Rhinoceros® 3D 4.0 (NURBS Modeling for Windows, USA) and SolidWorks® 2006 (SolidWorks Corp., Massachusetts, USA). The three-dimensional designs were exported to the finite element program NEI Nastran® 9.0 (Noran Engineering, Inc, USA) for mesh generation, load application and analysis. The results were visualized through von Mises stress maps of each model, to assess individual variations of the stress distribution on the implant and crown; bone results were visualized through maps of maximum principal stress. In axial loading (200 N), cortical bone showed no significant differences in all models,on the trabecular bone the tensile stress increased, with regular implant diameter. For non-axial loads (100 N), the cortical bone, the tensile stress increased significantly on the side common the load application, when it reduced the implant diameter; in the trabecular bone showed seemed stress patterns, although more... (Complete abstract click electronic access below)
Orientador: Eduardo Piza Pellizzer
Coorientador: Fellippo Ramos Verri
Banca: Paulo Sérgio Perri de Carvalho
Banca: Alcides Gonini Júnior
Mestre
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Pérez, Delgado José Delfín. "Prótese implanto‒suportada aparafusada vs. cimentada." Master's thesis, [s.n.], 2015. http://hdl.handle.net/10284/5069.
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Projeto de Pós-Graduação/Dissertação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Mestre em Medicina DentáriaA procura de reabilitações orais cada vez mais próximas dos dentes naturais contribuiu para a evolução das técnicas de reabilitação oral, nomeadamente na área da implantologia, onde atualmente são levantados vários paradigmas, entre os quais se encontra a discussão entre a utilização de próteses cimentadas versus as próteses aparafusadas. Neste trabalho é feita uma revisão da literatura e uma comparação em relação aos dois tipos de retenção de prótese fixas implanto‒suportadas. Para isso foram analisados vários fatores com influência no sucesso ou insucesso dos dois tipos de restaurações como: estética, oclusão, resistência, retenção, biomecânica, reversibilidade, ajuste passivo, efeitos biológicos, provisionalização, função imediata e hábitos parafuncionais. A resposta a esta discussão só é possível de ser obtida após uma exaustiva avaliação de cada caso de reabilitação, ponderando as vantagens e desvantagens de cada técnica, não havendo uma resposta geral para a questão de qual o melhor tipo de retenção. The search for oral rehabilitations more and more close from the natural teeth had contributed for the evolution of the oral rehabilitation techniques, namely in the implantology field, where nowadays are lifted several paradigms, among which is the discussion among the use of cement‒retained or screw‒retained prostheses. In this work it is done a literature review and a comparison in relation to the both types of implant‒supported fixed prostheses retention.For that propose several factors with influence on the success or failure of the both type of restorations were analyzed, such as: aesthetics, occlusion, resistance, retention, biomechanics, retrievability, passivity, biological effects, provisionals, immediate function and parafunctional activity. The answer to this discussion it’s only obtained after an exhaustive evaluation of each rehabilitation case, considering the advantages and disadvantages of each technique, without having a general answer for the question which is the best type of retention.
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Fischer, Kerstin. "On immediate/early loading of implant-supported prostheses in the maxilla /." Göteborg : Dept. of Biomaterials, Institute of Clinical Sciences, Sahlgrenska Academy, Göteborg University, 2008. http://hdl.handle.net/2077/9436.
Full textBooks on the topic "Dental implant supported prosthesis"
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Pedro, Torroba Laviña, ed. Implant-supported prostheses: Occlusion, clinical cases, and laboratory procedures. Chicago: Quintessence Pub., 1995.
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Implant treatment planning for the edentulous patient: A graftless approach to immediate loading. St. Louis, Mo: Mosby/Elsevier, 2011.
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Clinical and laboratory manual of implant overdentures. Ames, Iowa: Blackwell Munksgaard, 2007.
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author, Daas Marwan 1968, and Maló Paulo 1961 author, eds. Esthetic implant restoration in the edentulous maxilla: A simplified protocol. Chicago: Quintessence Publishing Co Inc, 2014.
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Removable partial dentures on osseointegrated implants: Principles of treatment planning and prosthetic rehabilitation in edentulous mandible. Chicago: Quintessence, 1998.
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Misch, Carl E. Contemporary implant dentistry. 3rd ed. St. Louis, MO: Mosby Elsevier, Inc., 2008.
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J, Stevens Patrick, and Gress Maurice L, eds. Implant prosthodontics: Clinical and laboratory procedures. St. Louis, Mo: Mosby-Year Book, 1994.
Find full textBook chapters on the topic "Dental implant supported prosthesis"
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Limmer, Bryan, Anne E. Sanders, Glenn Reside, and Lyndon F. Cooper. "Complications and Patient-Centered Outcomes with an Implant-Supported Monolithic Zirconia Fixed Dental Prosthesis: 1 Year Results." In Journal of Prosthodontics on Dental Implants, 166–76. Hoboken, New Jersey: John Wiley & Sons, Inc., 2015. http://dx.doi.org/10.1002/9781119115397.ch18.
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Hooper, S. M., T. Westcott, P. L. L. Evans, A. P. Bocca, and D. C. Jagger. "Implant-Supported Facial Prostheses Provided by a Maxillofacial Unit in A U.K. Regional Hospital: Longevity and Patient Opinions." In Journal of Prosthodontics on Dental Implants, 183–91. Hoboken, New Jersey: John Wiley & Sons, Inc., 2015. http://dx.doi.org/10.1002/9781119115397.ch20.
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Takaba, Masayuki, Shinpei Tanaka, Yuichi Ishiura, and Kazuyoshi Baba. "Implant-Supported Fixed Dental Prostheses With CAD/CAM-Fabricated Porcelain Crown and Zirconia-Based Framework." In Journal of Prosthodontics on Complex Restorations, 225–31. Hoboken, NJ, USA: John Wiley & Sons, Inc., 2016. http://dx.doi.org/10.1002/9781119274605.ch30.
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Batista, R., A. Moreira, M. Sampaio-Fernandes, P. Vaz, J. C. Reis Campos, and M. H. Figueiral. "Implant-tooth fixed supported prosthesis: A review." In Biodental Engineering V, 279–83. London, UK; Boca Raton, FL: Taylor & Francis Group, [2019] |: CRC Press, 2019. http://dx.doi.org/10.1201/9780429265297-54.
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Peñarrocha-Oltra, David, Juan Carlos Bernabeu-Mira, Ugo Covani, Alberto Fernández-Ruiz, and María Peñarrocha-Diago. "Immediate Loading with Fixed Full-Arch Prosthesis in the Edentulous Patient: Treatment Protocol." In Atlas of Immediate Dental Implant Loading, 155–77. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-05546-2_10.
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De Santis, Giorgio, and Marta Starnoni. "Atrophic Maxilla with Fibula Flap and Implant-Supported Prosthesis." In Clinical Scenarios in Reconstructive Microsurgery, 1–11. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-319-94191-2_22-1.
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Ochandiano Caicoya, Santiago Jose, Carlos Navarro Cuellar, Julio Acero Sanz, and Carlos Navarro Vila. "Functional Implant-Supported Dental Rehabilitation in Oncologic Patients." In Reconstructive Oral and Maxillofacial Surgery, 163–202. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-20487-1_6.
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Ntounis, Athanasios, Michael Patras, Stavros Pelekanos, and Gregory Polyzois. "Treatment of Hemi-Mandibulectomy Defect with Implant-Supported Telescopic Removable Prosthesis." In Journal of Prosthodontics on Complex Restorations, 199–204. Hoboken, NJ, USA: John Wiley & Sons, Inc., 2016. http://dx.doi.org/10.1002/9781119274605.ch27.
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Schoenbaum, Todd R., and Perry R. Klokkevold. "The Implant-Supported Screw-Retained Provisional Prosthesis: Science, Fabrication, and Design." In Implants in the Aesthetic Zone, 175–92. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-72601-4_8.
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Maló, Paulo, Miguel De Araújo Nobre, Armando Lopes, and Rolando Rodrigues. "Double Full-Arch Versus Single Full-Arch, Four Implant-Supported Rehabilitations: A Retrospective, 5-Year Cohort Study." In Journal of Prosthodontics on Dental Implants, 131–39. Hoboken, New Jersey: John Wiley & Sons, Inc., 2015. http://dx.doi.org/10.1002/9781119115397.ch15.
Full textConference papers on the topic "Dental implant supported prosthesis"
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Ahmadian, Mohammad Taghi, Keikhosrow Firoozbakhsh, Golsa Ghanati, and Parsa Ghanati. "The Nonlinear Finite Element Analysis of a Novel Dental Implant With an Interposed Internal Layer Imitating Periodontal Ligament’s Function." In ASME 2011 International Mechanical Engineering Congress and Exposition. ASMEDC, 2011. http://dx.doi.org/10.1115/imece2011-64841.
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Osseointegrated dental implants are deficient in natural periodontal ligaments. It may therefore, disrupts the natural function of implant and leads to excessive stress and strain in jaw bone. Our new proposed implant has the nonlinear internal component which imitates periodontal ligaments function. A nonlinear finite element analysis developed to investigate the efficiency of utilizing this nonlinear internal layer for three conditions of bone implant interface conditions under vertical and horizontal loading conditions. Our results so far indicate that the use of a class of material exhibiting incompressible hyperelastic behaviour as a internal layer can reduce the peak stress deduced from different loads. The mobility of implant supported prosthesis is similar to that of natural tooth and micromotion at the bone-implant interface is decreased for both delayed and immediately loading treatment.
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Hasan, Md Abu, and Panos S. Shiakolas. "3D Finite Element Stress Analysis of an Implant Supported Overdenture Under Bruxism and Lingualized Loading Conditions." In ASME 2015 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2015. http://dx.doi.org/10.1115/imece2015-51688.
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Bruxism is a nonfunctional motor activity that is characterized by grinding and clenching of the teeth. It has been postulated that bruxism causes excessive occlusal load on the dental implant and its superstructures leading to biological and biomechanical complications. While many researchers suggest that grinding/clenching causes early implant complications and accelerated bone loss, others indicate that the long term effects are still unclear. The goal of this study is to analyze the effect of bruxism loading condition on the stress distribution of an implant supported overdenture (ISO) using finite element analysis (FEA) and compare the results with one of the most functionally efficient occlusion schemes in the clinical dentistry — lingualized occlusion. A high fidelity solid model of a mandibular denture encompassing lingual and buccal cusps, mesial and distal fossae supported by four implants and a connecting titanium prosthetic bar, resting on alveolar bone were modeled in SolidWorks 2013 following proper clinical guidelines and imported to ANSYS 15.0 for stress analysis. The results of the study demonstrate that the stress distribution in the implant prostheses and surrounding bone is significantly affected due to bruxism as compared to the lingualized loading. While the location of the maximum stress concentration was the same (neck of the posterior implants) for both loading conditions, there was an increase of approximately 115% von-Mises stress for bruxism loading condition as compared to the lingualized occlusion. The maximum principal stress in the cortical bone surpassed the ultimate tensile strength limit of the jaw bone implying possibility of bone resorption in the peri-implant area.
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Roatesi, Iulia, Simona Roatesi, and Constantin Rotaru. "FEM analysis of one element prosthesis on dental implant." In 2015 E-Health and Bioengineering Conference (EHB). IEEE, 2015. http://dx.doi.org/10.1109/ehb.2015.7391353.
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Trappey, Amy J. C., Charles V. Trappey, Hsin-Yi Peng, and Tong-Mei Wang. "Ontology-based dental implant connection patent analysis." In 2013 IEEE 17th International Conference on Computer Supported Cooperative Work in Design (CSCWD). IEEE, 2013. http://dx.doi.org/10.1109/cscwd.2013.6580972.
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Faegh, Samira, and Sinan Müftü. "Load Transfer Along the Bone-Dental Implant Interface." In ASME 2009 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2009. http://dx.doi.org/10.1115/sbc2009-206815.
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Endosseous dental implants are used as prosthetic treatment alternatives for treating partial edentulism [1]. Excellent long term results and high success rates have been achieved using dental implants during the past decades. Further improvements in implant protocols will include immediate loading, patient specific implants, applications for patients with extreme bone loss and extreme biting habits such as bruxism. The implant designs available in the market vary in size, shape, materials and surface characteristics [2], and address some of these concerns. An important factor in the implant design is the load transfer from the implant to bone during occlusal loading.[2,3] Load transfer starts along the bone-implant interface, and is affected by the loading type, material properties of the implant and prosthesis, implant geometry, surface structure, quality and quantity of the surrounding bone, and nature of the bone-implant interface [4]. While many studies using the finite element method (FEM) have been carried out [2–5], a systematic investigation of the load transfer at the bone implant interface, and the effects of various parameters that make the implant contour is lacking. The goal of this paper is to investigate one aspect of this multivariable problem, namely the effect of external implant threads on the load transfer along the bone-implant interface.
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Sego, T. J., Yung-Ting Hsu, Tien-Min Gabriel Chu, and Andres Tovar. "Towards the Optimal Crown-to-Implant Ratio in Dental Implants." In ASME 2017 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. American Society of Mechanical Engineers, 2017. http://dx.doi.org/10.1115/detc2017-67889.
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Short dental implants are commonly recommended to be implemented with small crown-to-implant (C/I) ratios due to their mechanical stability — decreasing C/I ratios cause less deformation in skeletal tissue under occlusal force. However, the long-term stability of short implants with high C/I ratios remains a controversial issue due to biomechanical complications. This study evaluates the strain distribution and functional implications in an implant-supported crown with various C/I ratios using a high-fidelity, nonlinear finite-element model. Several clinical scenarios are simulated by loading implants with various implant lengths (IL) and crown heights (CH). Strain distribution and maximum equivalent strain are analyzed to evaluate the effects and significance of CH, IL, and the C/I ratio. The study shows underloading for certain implant configurations with high C/I ratio. Increasing IL and decreasing C/I in moderation demonstrates a positive effect in long-term stability.
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Ji, Chen, Ling Chen, Shaokai Wang, and Zhong Zhang. "The construction and analysis of the three-dimensional finite element model of dental implant and root bisection joint prosthesis." In 2014 IEEE International Conference on Mechatronics and Automation (ICMA). IEEE, 2014. http://dx.doi.org/10.1109/icma.2014.6885881.
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Tallita Passos, Bianka, Moira Cristina Cubas Fatiga Tillmann, and Anita Maria da Rocha Fernandes. "Plataforma para apoio a modelagem de próteses com base em Processamento Digital de Imagens e Deep Learning." In Computer on the Beach. São José: Universidade do Vale do Itajaí, 2021. http://dx.doi.org/10.14210/cotb.v12.p525-527.
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Medical practice in general, and dentistry in particular, generatesdata sources, such as high-resolution medical images and electronicmedical records. Digital image processing algorithms takeadvantage of the datasets, enabling the development of dental applicationssuch as tooth, caries, crown, prosthetic, dental implant, andendodontic treatment detection, as well as image classification. Thegoal of image classification is to comprehend it as a whole and classifythe image by assigning it to a specific label. This work presentsthe proposal of a tool that helps the dental prosthesis specialist toexchange information with the laboratory. The proposed solutionuses deep learning to classify image, in order to improve the understandingof the structure required for modeling the prosthesis. Theimage database used has a total of 1215 images. Of these, 60 wereseparated for testing. The prototype achieved 98.33% accuracy.
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Agostinho Hernandez, Bruno, Alexander Paterno, Edson Antonio Capello Sousa, João Paulo de Oliveira Freitas, and Cesar Renato Foschini. "Fatigue Analysis of Dental Prostheses by Finite Element Method (FEM)." In ASME 2015 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2015. http://dx.doi.org/10.1115/imece2015-51911.
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Introduction and Objectives: The dental prostheses are typical biomechanical structures because they have the objective to restore the mastication functions and are responsible for replacing the original tooth that was damaged. In the last few years, many studies have been done and big achievements have been noticed in this area. However, clinical studies and experimental procedures for these conditions are sometimes impractical, due to the biological nature of these components and the difficult to reproduce and to analyze such conditions. Moreover, it involves complex geometries, loads and mechanical behaviors, which analytical solution is very difficult to achieve. For these reasons, many researchers have applied the Finite Element Method (FEM). This method allows the evaluation of non-linear situations (e.g. biomechanical interactions) with complex geometries where experimental tests are usually difficult to be conducted. Furthermore, the uses of this method allow failure evaluation and it forecast occurrence. Like any mechanical structure, prostheses are sensible to failures. The cyclic nature of the loading that components are exposed means that fatigue failures are the type of failure which needs more attention in these kinds of structures. Therefore, this project aims to develop a tridimensional finite element model of dental prosthesis in order to evaluate the fatigue problem. Methods: A geometric model from a single dental prosthesis compounded by an implant, an abutment screw, an abutment, a fixation’s screw and a crown will be generated from Micro CT and scanning data. Then, the geometry will be exported to finite element software where a finite element model will be created. After these steps, boundaries conditions will be applied and simulations will be done. Finally, the simulation results will be analyzed. Results: The results from fatigue simulations and analysis demonstrated that abutment screw will have a finite life in most of the analyzed cases, and the fixation screw will be an infinite life. Conclusion: The results obtained illustrate the efficiency of Finite Element Method on simulating the biomechanical conditions, mainly in dental prostheses. In this study, the fatigue conditions were explored and analyzed. Finally, the knowledge about this problem could be improved.
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Sego, T. J., Yung-Ting Hsu, Tien-Min Gabriel Chu, and Andres Tovar. "On the Significance and Predicted Functional Effects of the Crown-to-Implant Ratio: A Finite Element Study of Long-Term Implant Stability Using High-Resolution, Nonlinear Numerical Analysis." In ASME 2016 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2016. http://dx.doi.org/10.1115/imece2016-67654.
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With the rising popularity of short dental implants, the effects of the crown-to-implant (C/I) ratio on stress and strain distributions remain controversial. Previous research disagrees on results of interest and level of necessary technical detail. The present study aimed to evaluate the strain distribution and its functional implications in a single implant-supported crown with various C/I ratios placed in the maxillary molar region. A high-fidelity, nonlinear finite-element model was generated to simulate multiple clinical scenarios by laterally loading a set of single implants with various implant lengths (IL) and crown heights (CH). Strain distribution and maximum equivalent strain (MES) were analyzed to evaluate the effects and significance of the CH, IL and C/I. Predicted functional response to strain at the implant interface was analyzed by interface surface area. Results. Results were evaluated according to the mechanostat hypothesis to predict functional response. Overloading and effects of strain concentrations were more prevalent with increasing C/I. Overloading was predicted for all configurations to varying degrees, and increased with decreasing IL. Fracture in trabecular bone was predicted for at least one C/I and all IL of 10 mm or less. Higher C/I ratios and lower IL increase the risk of overloading and fracture. Increasing C/I augments the functional effects of other implant design factors. Greater C/I ratios may be achieved with implant designs that induce less significant strain concentrations.