Oral implant placement in our clinic for the loss of three or fewer teeth in the maxilla or mandible between April 2017 and September 2018 comprised six cases of partial edentulism. Specifically, one case was anterior and five were posterior. After implant placement and re-entry surgery, a set of provisional restorations were created and shaped to obtain the desired anatomical structure. Two definitive restorations were produced, replicating the complete morphology, encompassing the subgingival contours, of the provisional restorations using a combination of TMF digital and conventional techniques. A desktop scanner was instrumental in the acquisition of three sets of surface morphological data. Digital measurement of the three-dimensional total discrepancy volume (TDV) between the reference provisional restoration and the two definitive restorations was performed by overlapping the surface data of the stone cast, using Boolean operations. Each TDV ratio, expressed as a percentage, was calculated by dividing the TDV value by the provisional restoration volume. A study comparing median TDV ratios for TMF and conventional techniques leveraged the Wilcoxon signed-rank test.
A statistically significant difference in the median TDV ratio was noted between provisional and definitive restorations made using the TMF digital technique (805%) and the conventional technique (1356%), (P < 0.05).
This preliminary intervention study demonstrated that the digital TMF procedure was more accurate in the transference of morphology from provisional to definitive prosthetic components compared with traditional methods.
This pilot intervention study demonstrated that the TMF digital approach outperformed the conventional method in the precision of transferring morphology from the provisional to the final prosthesis.
This clinical study, focusing on a minimum of two years of clinical care post-procedure, sought to determine the results of using resin-bonded attachments (RBAs) in precision-retained removable dental prostheses (RDPs).
In 123 patients (62 females, 61 males), 205 resin-bonded appliances were placed (44 on posterior teeth, 161 on anterior teeth), starting December 1998, and these patients were revisited annually. Minimally invasive preparation, exclusively on the enamel, was applied to the abutment teeth. RBAs, cast from a cobalt-chromium alloy with a minimum thickness of 0.5mm, were adhesively secured with a luting composite resin, either Panavia 21 Ex or Panavia V5 (Kuraray, Japan). Infection rate Our analysis included caries activity, the plaque index, the periodontal condition, and the vitality of the teeth. L02 hepatocytes The Kaplan-Meier survival curves were employed to accurately represent the failure patterns.
A mean observation period of 845.513 months was recorded for RBAs until their final recall visit, with a minimum of 36 months and a maximum of 2706 months. During the monitored timeframe, 27 patients experienced debonding of 33 RBAs, resulting in a striking 161% rate. The Kaplan-Meier analysis revealed a 10-year success rate of 584%, but this figure declined to 462% after 15 years, factoring in debonding as failure. If rebonded RBAs are construed as having survived, the 10-year survival rate would amount to 683%, and the 15-year survival rate, 61%.
RBAs for precision-retained RDPs appear to be a promising replacement for conventionally retained RDPs. As documented in the existing literature, the survival rate and incidence of complications were consistent with those seen with standard crown-retained attachments for removable dental prostheses.
Utilizing RBAs for precision-retained RDPs appears to be a significant improvement over the conventional retention methods for RDPs. In the published literature, the survival rate and complication rate of crown-retained attachments for RDPs are reported to be similar to those of standard crown-retained attachments.
An investigation into the influence of chronic kidney disease (CKD) on the structural and mechanical characteristics of the maxillary and mandibular cortical bone was the focus of this study.
The study employed maxillary and mandibular cortical bone from a chronic kidney disease (CKD) rat model. Employing histological analyses, micro-computed tomography (CT), bone mineral density (BMD) measurements, and nanoindentation tests, CKD-induced modifications to histology, structure, and micro-mechanics were assessed.
Maxillary CKD-affected tissue samples, under histological scrutiny, exhibited an elevation in osteoclast count coupled with a diminution in osteocyte count. Micro-CT analysis showed a CKD-induced rise in the percentage of void volume to cortical volume, the disparity being more significant in the maxilla than in the mandible. Chronic kidney disease (CKD) played a substantial role in reducing bone mineral density (BMD) within the maxilla. The CKD group displayed reduced elastic-plastic transition points and loss moduli in the maxilla's nanoindentation stress-strain curve, suggesting an augmented micro-fragility of the maxillary bone associated with CKD.
The maxillary cortical bone's structure and the process of bone turnover were impacted by chronic kidney disease (CKD). CKD's impact on the maxilla included compromised histological and structural properties, and consequently, micro-mechanical properties such as the elastic-plastic transition point and loss modulus were also modified.
Chronic kidney disease's influence extended to the bone turnover within the maxillary cortical bone. CKD caused a degradation in the maxillary bone's histological and structural features, leading to an alteration in micro-mechanical properties, specifically the elastic-plastic transition point and loss modulus.
This systematic review employed finite element analysis (FEA) to determine the consequences of implant positioning on the biomechanical response of implant-assisted removable partial dentures (IARPDs).
Following the 2020 guidelines for systematic reviews and meta-analyses, two reviewers independently searched PubMed, Scopus, and ProQuest databases for studies addressing implant location in IARPDs through finite element analysis. The analysis utilized English-language studies, published through August 1st, 2022, which met the criteria of the critical question.
A systematic review encompassed seven articles that fulfilled the inclusion criteria. Six research projects focused on mandibular Kennedy Class I malformations, and another concentrated on mandibular Kennedy Class II. The placement of implants effectively decreased displacement and stress distribution within IARPD components, including both dental implants and abutment teeth, without regard to the Kennedy Class type or location of the implant. The overwhelming conclusion from the biomechanical analyses in most of the included studies was that molar sites are preferable to premolar sites for implant placement. No selected study explored the characteristics of the maxillary Kennedy Class I and II.
Analysis via FEA of mandibular IARPDs led us to the conclusion that implant placement in both the premolar and molar regions results in improved biomechanical performance for IARPD components, irrespective of Kennedy Class. Implant placement in the molar region of Kennedy Class I patients proves to exhibit more conducive biomechanical characteristics compared to implant placement in the premolar region. Due to the absence of relevant studies, the Kennedy Class II matter remained unresolved.
Our finite element analysis of mandibular IARPDs led us to the conclusion that implant placement in both premolar and molar regions positively impacts the biomechanical behavior of IARPD components, regardless of the Kennedy Class. Implant placement in the molar region of Kennedy Class I cases is associated with better biomechanical performance than in the premolar region. The pursuit of a conclusion for Kennedy Class II was thwarted by the absence of pertinent research.
Employing an interleaved Look-Locker acquisition sequence, the T-weighted 3D quantification yielded volumetric data.
Quantitative relaxation time measurements are carried out using the QALAS pulse sequence. 3D-QALAS relaxation time measurements at 30 Tesla, and the potential inherent bias in the 3D-QALAS technique, haven't been assessed yet. Employing 3D-QALAS at 30 T MRI, the current study sought to define the reliability of relaxation time measurements.
The accuracy of the T is fundamental to its effectiveness.
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3D-QALAS values were determined through the utilization of a phantom. Afterwards, the T
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3D-QALAS measurements of brain parenchyma proton density and values in healthy individuals were compared to those produced by the 2D multi-dynamic multi-echo (MDME) method.
The phantom study yielded an average T value, a crucial metric.
The value derived from 3D-QALAS was 83% longer than that from inversion recovery spin-echo; the average T.
In comparison to the multi-echo spin-echo measurement, the 3D-QALAS value was 1.84 times shorter. check details The in vivo assessment revealed that the average T value was.
and T
3D-QALAS values were extended by 53%, PD was reduced by 96%, and PD was increased by 70%, compared to 2D-MDME, respectively.
3D-QALAS, operating at 30 Tesla, shows its proficiency through its high accuracy.
The T value, milliseconds-wise, is below the 1000ms threshold.
It's possible that tissues with durations exceeding 'T' have overestimated values.
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Tissues with the T feature could have their 3D-QALAS value undervalued.
The worth of items increases, and this tendency expands with longer temporal spans.
values.
Even though 3D-QALAS at 30T provides highly accurate T1 values (under 1000ms), there is a potential for overestimation of T1 in tissues with values exceeding that benchmark. For tissues exhibiting various T2 values, the T2 value assessed via 3D-QALAS could be underestimated; this underestimation becomes more notable with longer T2 durations.