scholarly journals Influence of the Digital Mock-Up and Experience on the Ability to Determine the Prosthetically Correct Dental Implant Position during Digital Planning: An In Vitro Study

2019 ◽  
Vol 9 (1) ◽  
pp. 48
Author(s):  
Miriam O’Connor Esteban ◽  
Elena Riad Deglow ◽  
Álvaro Zubizarreta-Macho ◽  
Sofía Hernández Montero
Keyword(s):  
Dental Implants ◽  
Dental Implant ◽  
In Vitro Study ◽  
Study Groups ◽  
T Test ◽  
Dental Surgery ◽  
Operator Experience ◽  
Planning Software ◽  
Before And After

The purpose of this study was to analyze the influence of the digital mock-up and operator experience on the dental implant planning position. A total of 200 dental implants were planned, which were distributed into two study groups: A. dental implant planning by dental surgeons with 5–10 years of experience (n = 80); and B. dental implant planning by dental surgery students without experience (n = 120). Operators were required to plan eight dental implants in the same maxillary edentulous case uploaded in 3D implant-planning software, before and after using the digital mock-up. Deviations between the dental implant planning positions before and after using the digital mock-up were analyzed at platform, apical and angular levels, and were analyzed using a 3D implant-planning software using Student’s t test. The paired t-test revealed statistically significant differences between the deviation levels of participants with 5–10 years’ experience and no experience at the platform, apical and angular levels. Digital mock-ups allow for more accurate dental implant planning regardless of the experience of the operator. Nevertheless, they are more useful for operators without dental surgery experience.

scholarly journals Accuracy of Computer-Aided Dynamic Navigation Compared to Computer-Aided Static Procedure for Endodontic Access Cavities: An In Vitro Study

2020 ◽  
Vol 9 (1) ◽  
pp. 129 ◽  
Author(s):  
Álvaro Zubizarreta-Macho ◽  
Ana de Pedro Muñoz ◽  
Elena Riad Deglow ◽  
Rubén Agustín-Panadero ◽  
Jesús Mena Álvarez
Keyword(s):  
Navigation System ◽  
In Vitro Study ◽  
Study Groups ◽  
T Test ◽  
Anterior Teeth ◽  
Planning Software ◽  
Computer Aided ◽  
Dynamic Navigation ◽  
Group B

Purpose: To analyze the accuracy of two computer-aided navigation techniques to guide the performance of endodontic access cavities compared with the conventional access procedure. Materials and Methods: A total of 30 single-rooted anterior teeth were selected, which were randomly distributed into three study groups: Group A—guided performance of endodontic access cavities through computer-aided static navigation system (n = 10) (SN); Group B—guided performance of endodontic access cavities through computer-aided dynamic navigation system (n = 10) (DN); and Group C—manual (freehand) performance of endodontic access cavities (n = 10) (MN). The endodontic access cavities of the SN group were performed with a stereolithography template designed on 3D implant planning software, based on preoperative cone-beam computed tomography (CBCT) and a 3D extraoral surface scan, and endodontic access cavities of the DN group were planned and performed by the dynamic navigation system. After endodontic access cavities were performed, a second CBCT was done, and the degree of accuracy between the planned and performed endodontic access cavities was analyzed using therapeutic planning software and Student’s t-test. Results: Paired t-test revealed no statistically significant differences between SN and DN at the coronal (p = 0.6542), apical (p = 0.9144), or angular (p = 0.0724) level; however, statistically significant differences were observed between the two computer-aided navigation techniques and the MN group at the coronal (p < 0.0001), apical (p < 0.0001), and angular (p < 0.0001) level. Conclusion: Both computer-aided static and dynamic navigation procedures allowed accurate performance of endodontic access cavities.

scholarly journals A Comparative Analysis of the Piezoelectric Ultrasonic Appliance and Trephine Bur for Apical Location: An In Vitro Study

2021 ◽  
Vol 11 (10) ◽  
pp. 1034
Author(s):  
Esther Cáceres Madroño ◽  
Paulina Rodríguez Torres ◽  
Soraya Oussama ◽  
Álvaro Zubizarreta-Macho ◽  
María Bufalá Pérez ◽  
...  
Keyword(s):  
Study Groups ◽  
Experimental Models ◽  
Site Preparation ◽  
T Test ◽  
Entry Point ◽  
Osteotomy Site ◽  
End Point ◽  
Planning Software ◽  
Preparation Techniques

To compare and contrast the accuracy of piezoelectric ultrasonic insert (PUI) and trephine bur (TB) osteotomy site preparation techniques for apical location. (1) Material and methods: A total of 138 osteotomy site preparations were randomly distributed into one of two study groups. Group A: TB technique (n = 69) and B: PUI technique (n = 69). A preoperative cone-beam computed tomography scan and an intraoral scan were performed and uploaded to implant-planning software to plan the virtual osteotomy site preparations for apical location. Subsequently, the osteotomy site preparations were performed in the experimental models with both osteotomy site preparation techniques and a postoperative CBCT scan was performed and uploaded into the implant-planning software and matched with the virtually planned osteotomy site preparations to measure the deviation angle and horizontal deviation as captured at the coronal entry point and apical end-point between osteotomy site preparations using Student’s t-test statistical analysis. (2) Results: The paired t-test found statistically significant differences at the coronal entry-point deviations (p = 0.0104) and apical end-point deviations (p = 0.0104) between the TB and PUI study groups; however, no statistically significant differences were found in the angular deviations (p = 0.309) between the trephine bur and piezoelectric ultrasonic insert study groups. (3) Conclusions: The results showed that the TB is more accurate than the PUI for apical location.

Effect of Operator Experience on the Outcome of Fiber Post Cementation With Different Resin Cements

2013 ◽  
Vol 38 (5) ◽  
pp. 555-564 ◽  
Author(s):  
GM Gomes ◽  
OMM Gomes ◽  
A Reis ◽  
JC Gomes ◽  
AD Loguercio ◽  
...  
Keyword(s):  
Bond Strength ◽  
In Vitro Study ◽  
T Test ◽  
Fiber Post ◽  
Operator Experience ◽  
Fiber Posts ◽  
Glass Fiber Posts ◽  
Adhesive Cement ◽  
Push Out

SUMMARY Objectives To evaluate the influence of operator experience (dentist vs student) and cementation system (Adper Scotchbond Multi-Purpose [SBMP] + RelyX ARC [1]; Adper Single Bond 2 [SB] + RelyX ARC [2] and RelyX U100 [3]) on the push-out bond strength (BS) of fiber post to radicular dentin. Materials and Methods The roots of 48 extracted human maxillary central incisors were prepared and divided into six groups (n=8), according to combination of the above factors. Glass fiber posts were cemented in accordance with the instructions of the manufacturer of each cementation system. After water storage at 37°C for one week, the roots were cross-sectioned into six 1-mm thick slices and the push-out test was performed (0.5 mm/min). Data were statistically analyzed by two-way analysis of variance and Tukey tests (α=0.05). The BS results obtained by dentist and student for each cementation system were compared using the Student t-test (α=0.05). Results Higher BS means were observed for the expert operators, irrespective of the cementation system used (p=0.006). RelyX U100 showed the highest bond strength, but it did not differ from SBMP + RelyX ARC. The Student t-test revealed that only RelyX U100 was not affected by the operator's experience. Conclusion Within the limitations of this in vitro study, it can be concluded that the self-adhesive cement RelyX U100 showed the highest bond strength to the root canal in the student's group, and its performance was not affected by the operator's experience.

scholarly journals Preparation of Bioactive Titanium Surfaces via Fluoride and Fibronectin Retention

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Carlos Nelson Elias ◽  
Patricia Abdo Gravina ◽  
Costa e Silva Filho ◽  
Pedro Augusto de Paula Nascente
Keyword(s):  
Dental Implants ◽  
Dental Implant ◽  
Osteoblastic Cells ◽  
Acid Etching ◽  
Implant Surface ◽  
Force Microscopy ◽  
Dental Implant Surface ◽  
Before And After ◽  
Titanium Surfaces

Statement of Problem. The chemical or topographic modification of the dental implant surface can affect bone healing, promote accelerated osteogenesis, and increase bone-implant contact and bonding strength.Objective. In this work, the effects of dental implant surface treatment and fibronectin adsorption on the adhesion of osteoblasts were analyzed.Materials and Methods. Two titanium dental implants (Porous-acid etching and PorousNano-acid etching followed by fluoride ion modification) were characterized by high-resolution scanning electron microscopy, atomic force microscopy, and X-ray diffraction before and after the incorporation of human plasma fibronectin (FN). The objective was to investigate the biofunctionalization of these surfaces and examine their effects on the interaction with osteoblastic cells.Results. The evaluation techniques used showed that the Porous and PorousNano implants have similar microstructural characteristics. Spectrophotometry demonstrated similar levels of fibronectin adsorption on both surfaces (80%). The association indexes of osteoblastic cells in FN-treated samples were significantly higher than those in samples without FN. The radioactivity values associated with the same samples, expressed as counts per minute (cpm), suggested that FN incorporation is an important determinant of thein vitrocytocompatibility of the surfaces.Conclusion. The preparation of bioactive titanium surfaces via fluoride and FN retention proved to be a useful treatment to optimize and to accelerate the osseointegration process for dental implants.

scholarly journals The difference of the salivary volume before and after drinking the rosella tea (Hibiscus sabdariffa)

2010 ◽  
Vol 22 (3) ◽  
Author(s):  
Mutiara Indah Permata Sari Islami ◽  
Edeh Roletta Haroen ◽  
Sri Tjahajawati
Keyword(s):  
In Vitro Study ◽  
T Test ◽  
Hibiscus Sabdariffa ◽  
Test Analysis ◽  
Community Benefits ◽  
Significant Difference ◽  
Before And After ◽  
Quasi Experimental ◽  
The Difference

Introduction: Roselle plants (Hibiscus sabdariffa) is one of the herbs that began to be used by the community. Benefits of this plant is quite a lot for health. The portion taken for consumption is the red flower petals. oselle tea is one of the sour beverages which can affect the salivary gland secretion. The purpose of this study is to analyzed the difference of salivary volume before and after drinking roselle tea. Methods: This study has been conducted to 40 students of Faculty of Dentistry, Padjadjaran University, ranging from 18-23 years of age with good general condition. This study is quasi-experimental in vitro study using the paired test analysis with α = 0,05 of the data collected from salivary volume. Results: The result of study indicates that the average of salivary volume before drinking roselle tea is 1,90 milliliter. After drinking roselle tea, the average of salivary volume is 4,54 milliliter. The result of paired test analysis shows that t-test is 16,172 and t-table is 2,022. The value of t-test > t-table. Result of statistic shown there is significant difference of salivary volume before and after drinking roselle tea. Conclusion: There is a difference of salivary volume before and after drinking roselle tea.

scholarly journals External Connection versus Internal Connection in Dental Implantology. A Mechanical in vitro Study

Metals ◽  
2019 ◽  
Vol 9 (10) ◽  
pp. 1106
Author(s):  
Fernández-Asián ◽  
Martínez-González ◽  
Torres-Lagares ◽  
Serrera-Figallo ◽  
Gutiérrez-Pérez
Keyword(s):  
Dental Implants ◽  
Dynamic Load ◽  
In Vitro Study ◽  
Study Groups ◽  
International Standards ◽  
Force Transmission ◽  
Internal Connection ◽  
External Connection ◽  
Iso 14801

(1) Background: In today's dentistry, implantology has become a therapeutic resource of choice in certain clinical situations. The design of implants has evolved in several aspects since their inception. Dental implants were initially designed with an external hex connection, although due to force transmission and security in the adjustment of the prosthesis, later implants featured an internal hex connection. This study aims to analyse the mechanical properties of two types of implants (an internal connection and an external connection) from the same manufacturer and their different prosthetic components (union screw between implant and prosthetic abutment, and the abutment itself) when subjected to different types of load. (2) Materials and methods: Intraosseous dental implants of similar shape, design and size, although different in type of connection (external vs. internal), were studied. The specifications of the UNI EN ISO 14801 test standard were used, with all determinations being carried out three times. Finally, the dimensional characterisation of the samples analysed after the dynamic load study was carried out, and the values of both study groups were compared by means of the non-parametric Mann–Whitney U test to find statistically significant differences (p < 0.05). (3) Results: For the static characterisation test, we found between 610.9 N and 986.1 N for the external connection and between 1263.6 N and 1324 N for the internal connection (p = 0.011). All of the dynamic load tests were positive and there was no failure in any of the components studied. (4) Conclusions: After the analysis of the samples studied in vitro, satisfactory results were obtained, demonstrating that both connections can support considerable mechanical loads according to international standards (UNI EN ISO 14801).

scholarly journals Accuracy of Computer-Aided Dynamic Navigation Compared to Computer-Aided Static Navigation for Dental Implant Placement: An In Vitro Study

2019 ◽  
Vol 8 (12) ◽  
pp. 2123 ◽  
Author(s):  
Alfonso Mediavilla Guzmán ◽  
Elena Riad Deglow ◽  
Álvaro Zubizarreta-Macho ◽  
Rubén Agustín-Panadero ◽  
Sofía Hernández Montero
Keyword(s):  
Dental Implants ◽  
Dental Implant ◽  
Navigation System ◽  
T Test ◽  
Implant Placement ◽  
Planning Software ◽  
Computer Aided ◽  
Dynamic Navigation ◽  
Group A ◽  
Group B

Aim: To analyze the accuracy capability of two computer-aided navigation procedures for dental implant placement. Materials and Methods: A total of 40 dental implants were selected, which were randomly distributed into two study groups, namely, group A, consisting of those implants that were placed using a computer-aided static navigation system (n = 20) (guided implant (GI)) and group B, consisting of those implants that were placed using a computer-aided dynamic navigation system (n = 20) (navigation implant (NI)). The placement of the implants from group A was performed using surgical templates that were designed using 3D implant-planning software based on preoperative cone-beam computed tomography (CBCT) and a 3D extraoral surface scan, and the placement of group B implants was planned and performed using the dynamic navigation system. After placing the dental implants, a second CBCT was performed and the degree of accuracy of the planning and placement of the implants was analyzed using therapeutic planning software and Student’s t-test. Results: The paired t-test revealed no statistically significant differences between GI and NI at the coronal (p = 0.6535) and apical (p = 0.9081) levels; however, statistically significant differences were observed between the angular deviations of GI and NI (p = 0.0272). Conclusion: Both computer-aided static and dynamic navigation procedures allow accurate implant placement.

An Assessment of Cutting Force for Dental Implant Drilling

2012 ◽  
Vol 472-475 ◽  
pp. 2542-2547
Author(s):  
Joon Hwang ◽  
Eui Sik Chung ◽  
Yong Kyu Lee
Keyword(s):  
Cutting Force ◽  
Dental Implant ◽  
High Speed ◽  
High Speed Steel ◽  
In Vitro Study ◽  
Tool Geometry ◽  
Drilling Process ◽  
Bone Drilling ◽  
Dental Surgery

Bone drilling is widely used in orthopedics and dental surgery; it is a technically surgical procedure. Recent technological improvements in this area are focused on efforts to reduce forces in bone drilling. The aim of this study was to compare changes in cutting force during dental bone drilling at various drilling conditions and drill tool geometry. In the present in vitro study, dog jaw bone with uniform thickness of cortical bone was used. Cutting force changes were measured during drilling process. Drill jig was designed and manufactured to fix jaw workpiece and mounted on the tool dynamometer to measure cutting force in drilling process. The dental implant drilling tests were conducted at various cutting speeds and feed rates. In this study drilling thrust force was observed 1.5~3.6[N] for MS type implant drilling and 3.1~4.9[N] for conventional high speed steel drilling, respectively. This further research will provide a basic quantitative approach for the timely issue of wide application of implant drilling in dental and orthopedic surgery fields.

scholarly journals Nanohydroxyapatite Silicate-Based Cement Improves the Primary Stability of Dental Implants: An In Vitro Study

2017 ◽  
Vol 2017 ◽  
pp. 1-5
Author(s):  
Hooman Khorshidi ◽  
Saeed Raoofi ◽  
Maryam Najafi ◽  
Mohammad Hassan Kalantari ◽  
Jamshid Khorshidi Malahmadi ◽  
...  
Keyword(s):  
Dental Implants ◽  
Bone Defect ◽  
In Vitro Study ◽  
Primary Stability ◽  
Bone Defects ◽  
Biological Properties ◽  
Before And After ◽  
Implant Dentistry ◽  
Vitro Model

Objectives. Insufficient cortical bone volume when placing implants can lead to lack of primary stability. The use of cement as a bone fill material in bone defects around dental implant could result in better clinical outcome. HA has shown excellent biological properties in implant dentistry. The purpose of this study was to evaluate the effect of nanohydroxyapatite powder (Nano-HA) in combination with accelerated Portland cement (APC) on implant primary stability in surgically created circumferential bone defects in a bovine rib in vitro model. Materials and Methods. Sixteen bovine rib bones and thirty-six implants of same type and size (4 mm × 10 mm) were used. Implants were divided into six groups: no circumferential bone defect, defect and no grafting, bone chips grafting, Nano-HA grafting, APC grafting, and Nano-HA mixed to APC grafting (Nano-HA-APC). Circumferential defects around the implants were prepared. The implant stability quotient (ISQ) values were measured before and after the grafting. Results. APC exhibited the highest ISQ values. A significant increase of ISQ values following the grafting of Nano-HA-APC (18.08±5.82) and APC alone (9.50±4.12) was achieved. Increase of ISQ values after 72 hours was 24.16±5.01 and 17.58±4.89, respectively. Nano-HA grafting alone exhibited the least rise in ISQ values. Conclusions. Nanohydroxyapatite silicate-based cement could improve the primary stability of dental implants in circumferential bone defect around implants.

scholarly journals Novel Digital Technique to Analyze the Influence of the Operator Experience on the Accuracy of the Orthodontic Micro-Screws Placement

2021 ◽  
Vol 11 (1) ◽  
pp. 400
Author(s):  
María Bufalá Pérez ◽  
Miriam O’Connor Esteban ◽  
Álvaro Zubizarreta-Macho ◽  
Elena Riad Deglow ◽  
Sofía Hernández Montero ◽  
...  
Keyword(s):  
Intraoperative Complications ◽  
Study Groups ◽  
T Test ◽  
Entry Point ◽  
Study Group ◽  
Years Of Experience ◽  
Digital Technique ◽  
Operator Experience ◽  
Before And After ◽  
Paired T Test

To analyze the influence of the operator experience on the accuracy of orthodontic self-tapping micro-screws placement, a total of 60 orthodontic self-tapping micro-screws were randomly distributed into two study groups: Group A. Orthodontic micro-screws placement by an orthodontist with 10 years of experience (n = 30); and B. Orthodontic micro-screws placement by an orthodontist student without experience (n = 30). Cone-beam computed tomography scans and intraoral scans were performed before and after the orthodontic self-tapping micro-screws placement and uploaded in 3D implant-planning software to analyze the deviation angle and the horizontal deviation measured at the coronal entry point and apical endpoint between orthodontic micro-screws planned and performed. In addition, intraoperative complications such as root perforations after orthodontic self-tapping micro-screws placement and fracture of the orthodontic self-tapping micro-screws during their placement were also analyzed. The paired t-test revealed statistically significant differences at the apical endpoint (p = 0.004) of planned and performed orthodontic self-tapping micro-screws between the orthodontist with 10 years of experience and the orthodontist student without experience. However, the paired t-test revealed no statistically significant differences at the coronal entry point (p = 0.220) and angular deviations (p = 0.602) of planned and performed orthodontic self-tapping micro-screws between the orthodontist with 10 years of experience and the orthodontic student without experience. Furthermore, five root perforations were observed in the no experience study group and three orthodontic self-tapping micro-screws were fractured in each study group. In conclusion, the results show that the greater experience of the operator influences the accuracy of orthodontic micro-screws placement, resulting in less intraoperative complications.

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