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Sample records for abutments

  1. Integral Abutment and Jointless Bridges

    Cristian-Claudiu Comisu

    2005-01-01

    Integral bridges, or integral abutment and jointless bridges, as they are more commonly known in the USA, are constructed without any movement joints between spans or between spans and abutments. Typically these bridges have stub-type abutments supported on piles and continuous bridge deck from one embankment to the other. Foundations are usually designed to be small and flexible to facilitate horizontal movement or rocking of the support. Integrally bridges are simple or multiple span ones t...

  2. An introduction to single implant abutments.

    Warreth, Abdulhadi

    2013-01-01

    This article is an introduction to single implant abutments and aims to provide basic information about abutments which are essential for all dental personnel who are involved in dental implantology. Clinical Relevance: This article provides a basic knowledge of implants and implant abutments which are of paramount importance, as replacement of missing teeth with oral implants has become a well-established clinical procedure.

  3. Transition Slabs of Integral Abutment Bridges

    Dreier, Damien; Muttoni, Aurelio; BURDET, Olivier

    2011-01-01

    Over the past decades, an increasing number of bridges with integral abutment have been built in Switzerland. This type of bridge offers various advantages over standard bridges with abutments, equipped with expansion joints and bearings that require regular inspection and maintenance. One main concern of integral abutment bridges is related to the soil-structure interaction, in particular between the transition slab and the embankment. To avoid any expansion joints, transition slabs are dire...

  4. Comparison of Fracture Resistance and Failure Mode of Different Zirconia Abutments with Titanium Abutment

    Ghasem Omati Shabestari

    2013-02-01

    Full Text Available Background and Aims: One of the decicive factors on the final esthetic results of implant treatment is theabutment material. Ceramic abutments are nowadays very popular in this regard. The purpose of this study was tocompare the fracture resistance of three zirconia abutments with titanium abutment.Materials and Methods: Four groups of abutments 4 recorded for each specimen. The data were analyzed using One-way ANOVA.Results: The mean values recorded for fracture resistance of different zirconia abutments varied between 426 to688 N; however, there was no significant differences among the groups

  5. Local scour at abutments: A review

    Abdul Karim Barbhuiya; Subhasish Dey

    2004-10-01

    Failure of bridges due to local scour has motivated many investigators to explore the causes of scouring and to predict the maximum scour depth at abutments. In this paper, a detailed review of the up-to-date work on scour at abutments is presented including all possible aspects, such as flow field, scouring process, parameters affecting scour depth, time-variation of scour and scour depth estimation formulae.

  6. Laboratory technique for coloring titanium abutments to improve esthetics.

    Wadhwani, Chandur P K; O'Brien, Richard; Kattadiyil, Mathew T; Chung, Kwok-Hung

    2016-04-01

    Titanium alloys are used for implant abutments onto which prostheses are attached. One major disadvantage of titanium abutments is their esthetics; the metallic gray color may show through the restorative material or through surrounding tissues. A laboratory technique using readily available household items is described that can alter the abutment color by anodization. PMID:26723096

  7. 21 CFR 872.3630 - Endosseous dental implant abutment.

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Endosseous dental implant abutment. 872.3630... (CONTINUED) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3630 Endosseous dental implant abutment. (a) Identification. An endosseous dental implant abutment is a premanufactured prosthetic...

  8. Clinical Use of Laser-Microtextured Abutments: A Case Series.

    Shapoff, Cary A; Babushkin, Jeffrey A; Wohl, David J

    2016-01-01

    This article discusses the clinical use of laser-microtextured abutments on dental implant restorations. Four cases are presented, each using one of the four commercially available laser-microtextured abutment styles. Numerous preclinical and clinical studies have shown the positive effects of laser microtexturing on the implant platform in limiting crestal bone loss and benefiting soft tissue stability. Other histologic studies of laser microtexturing on the implant abutment have demonstrated the ability of this specific feature to block epithelial downgrowth and provide a functional connective tissue attachment to the abutment surface. Other abutment designs, styles, and materials have only demonstrated a soft tissue seal with epithelial adhesion and a circular ring of connective tissue fibers around the abutment without direct contact. This article presents clinical and radiographic case examples from a private practice perspective on the longterm successful use of microtextured abutments with respect to crestal bone levels, exceptional soft tissue health, and stability with minimal sulcular depth. PMID:27560683

  9. Dynamic Soil-Structure Interaction in Bridge Abutments

    Martínez Cutillas, Antonio; Mateo Bermejo, J.; Alarcón Álvarez, Enrique

    1996-01-01

    Strong motion obtained in instrumental short-span bridges show the importance of the abutments in the dynamic response of the whole structure. Many models have been used in order to take into account the influence of pier foundations although no reliable ones have been used to analyse the abutment performance. In this work three-dimensional Boundary Element models in frequency domain have been proposed and dimensionless dynamic stiffness of standard bridge abutments have been obtained.

  10. Abrasion of abutment screw coated with TiN

    Jung, Seok-Won; Son, Mee-Kyoung; Chung, Chae-Heon; Kim, Hee-Jung

    2009-01-01

    STATEMENT OF PROBLEM Screw loosening has been a common complication and still reported frequently. PURPOSE The purpose of this study was to evaluate abrasion of the implant fixture and TiN coated abutment screw after repeated delivery and removal with universal measuring microscope. MATERIAL AND METHODS Implant systems used for this study were Osstem and 3i. Seven pairs of implant fixtures, abutments and abutment screws for each system were selected and all the fixtures were perpendicularly m...

  11. Magnetic resonance imaging of ulnocarpal abutment syndrome

    Ulnocarpal abutment syndrome (UAS) is the impingement between lunate and ulnar head. Twenty-two wrists of 19 patients were diagnosed as UAS arthroscopically after having undergone MRI examination. Ten wrists had MRI both before and after ulnar recession arthroplasty. Spin-echo pulse sequences were taken. T1-weighted and T2-weighted images were obtained. On T1-weighted images, the focal signal intensity of the ulnar part of the lunate was decreased in 18 wrists. On T2-weighted images, the focal signal intensity of the ulnar aspect of the lunate were from high to low in 18 wrists. There was focal and abnormal signal intensity of the triquetrum found in 10 wrists and was abnormal signal intensity of the ulnar head in two wrists. After the operation, on the T1-weighted image signal intensity of the lunate shifted from low through slightly low to iso. On the T2-weighted images it shifted from low to high or iso. Focal low signal intensity of the lunate on T1-weighted images is diagnostic of ulnocarpal abutment syndrome. The intensity of the signal from the lunate on T2-weighted images may indicate the severity of the disease. (author)

  12. Time-wise variation of scouring at bridge abutments

    A Melih Yanmaz; Omer Kose

    2007-06-01

    Accurate estimation of the maximum possible depth of scour at bridge abutments is important in decision-making for the safe depth of burial of footings. Besides, investigation of the geometric features of scour holes around abutments provides useful information for the degree of scour counter-measure to be implemented against excessive scouring. Experiments have been performed to investigate time-dependent characteristics of scour holes around vertical wall abutments under clear water conditions with uniform bed materials. Temporal variations of scour depth and scour contours were measured. Using this information, an empirical relation was developed for temporal variation of scour depth. Additional relations were also derived for time-dependent volume and surface area of the scour holes around abutments. The findings of this study may provide useful informatoin for preliminary design of abutment footings and placement details of armoring counter-measures, such as riprap.

  13. Implant adaptation of stock abutments versus CAD/CAM abutments: a radiographic and Scanning Electron Microscopy study

    Apicella, Davide; Veltri, Mario; Chieffi, Nicoletta; Polimeni, Antonella; Giovannetti, Agostino; Ferrari, Marco

    2011-01-01

    Summary Introduction The study evaluated a null-hypothesis of no differences of fit between stock abutments and CAD/CAM titanium, gold sputtered and zirconia abutments when examined for radiographic adaptation and Scanning Electron Microcopy (SEM) at their inner aspect. The agreement between microscopic and radiographic fit was also assessed. Methods Implants (Osseospeed, Astra Tech, Mölndal, Sweden) were connected to titanium abutments (Ti-design, Astra Tech, Mölndal, Sweden) (control group n=12), to stock zirconia abutments (Zir-design, Astra Tech) (group 1 n=12) and to third party zirconia abutments (Aadva Zr abutment, GC, Tokyo, Japan) as observed under SEM (JEOL JSM-6060LV, Tokyo, Japan). Two independent operators blindly evaluated the images, according to a three-score scale: perfect adaptation, no complete adaptation, and clear evidence of no adaptation. A Kruskal-Wallis test was applied to assess significant differences in adaptation scores between the groups. Results All specimens showed precise SEM adaptation at all tested interfaces and no radiographically apparent gaps. No significant differences were found and therefore the null-hypothesis tested was accepted. Radiographic and SEM scores were in agreement. Discussion CAD/CAM titanium, gold sputtered and zirconia abutments and third-part CAD/CAM zirconia abutments show an adaptation to Astra Tech implants that is comparable to that of stock titanium and zirconia abutments. Clinicians might be able to verify such adaptation with an x-ray. In-vivo studies would be needed to evaluate the clinical outcome of CAD/CAM abutments. PMID:22238709

  14. Clinical evaluation of isolated abutment teeth in removable partial dentures

    Zarrati S

    2011-02-01

    Full Text Available "nBackground and Aims: Nowadays, removable partial dentures are applied to patients who are not able to use dental implants or fixed prosthesis. Although based on the studies the users of removable partial dentures are in the risk of plaque accumulation and unacceptable changes such as gingivitis, periodontitis and mobility in abutment tooth. It is not clear whether the negative effects of removable partial dentures are more on the isolated teeth which are a kind of abutment adjacent to endentulous area in both sides. The purpose of this study was to investigate the clinical condition of isolated abutment teeth without splinting in comparison to control abutment from the aspects of B.O.P (bleeding on probing, mobility, pocket depth and gingivitis."nMaterials and Methods: In this cross-sectional study, the prepared questionnaires were filled out by 50 patients who received removable partial dentures in department of removable prosthodontics of dental school of Tehran University of Medical Sciences. The patients had isolated abutment tooth and did not have any systemic disease. The obtained data were analyzed. Using Wilcoxon, exact Fisher and Kruskal-Wallis test."nResults: B.O.P (P=0.004, pocket depth (P=0.035, and mobility (P<0.001 in isolated abutments were more than those in control abutments, but there were not significant differences in the degree of caries (P=0.083 and gingivitis (P=0.07."nConclusion: This study showed that clinical condition of isolated abutments is worse than that of control abutments. More attention should be paid to healthiness of isolated teeth without splinting and periodic follow ups should be done in these cases.

  15. Effect of Long-Term Cycling Load for Abutment Screw Fixation in Implant Prosthodontics

    Szabo, Gy.; L. Kocsis; Szanto, P.; Thamm, F.

    2002-01-01

    The aim of this in vitro study was to use rotational tests on commercially available abutment screws to evaluate their potential for preload generation and to follow changes in torque by using newer fixation geometry on the interface of the implant-abutment screw joint. Five identical implant/abutment assemblies were chosen from each of the following systems: external hex with standard abutment and Replace with TorgTite screw (Nobel Biocare), Camlog universal abutment (Altatec Biotechnologies...

  16. Velocity and turbulence at a wing-wall abutment

    Abdul Karim Barbhuiya; Subhasish Dey

    2004-02-01

    Experimental investigation of the 3D turbulent flow field around a 45° wing-wall abutment, resting on a rough rigid bed, is reported. The experiment was conducted in a laboratory flume using the Acoustic Doppler Velocimeter (ADV). Profiles of time-averaged velocity components, turbulent intensity components, turbulent kinetic energy and Reynolds stresses at different azimuthal planes are presented. Vector plots of flow fields at azimuthal and horizontal planes show the presence of a primary vortex associated with the downflow in the upstream side of the abutment and a wake vortex on the downstream side. The shear stresses acting on the bed around the abutment are estimated from the Reynolds stresses and velocity gradients. The data presented in this study would be useful to researchers for future development and comparison of theoretical models of flow fields around bridge abutments.

  17. Mechanical testing of thin-walled zirconia abutments

    Luigi CANULLO

    2013-01-01

    Full Text Available Although the use of zirconia abutments for implant-supported restorations has gained momentum with the increasing demand for esthetics, little informed design rationale has been developed to characterize their fatigue behavior under different clinical scenarios. However, to prevent the zirconia from fracturing, the use of a titanium connection in bi-component aesthetic abutments has been suggested. Objective Mechanical testing of customized thin-walled titanium-zirconia abutments at the connection with the implant was performed in order to characterize the fatigue behavior and the failure modes for straight and angled abutments. Material and Methods Twenty custom-made bi-component abutments were tested according to ISO 14801:2007 either at a straight or a 25° angle inclination (n=10 each group. Fatigue was conducted at 15 Hz for 5 million cycles in dry conditions at 20°C±5°C. Mean values and standard deviations were calculated for each group. All comparisons were performed by t-tests assuming unequal variances. The level of statistical significance was set at p≤0.05. Failed samples were inspected in a polarized-light and then in a scanning electron microscope. Results Straight and angled abutments mean maximum load was 296.7 N and 1,145 N, the dynamic loading mean Fmax was 237.4 N and 240.7 N, respectively. No significant differences resulted between the straight and angled bi-component abutments in both static (p=0.253 and dynamic testing (p=0.135. A significant difference in the bending moment required for fracture was detected between the groups (p=0.01. Fractures in the angled group occurred mainly at the point of load application, whereas in the straight abutments, fractures were located coronally and close to the thinly designed areas at the cervical region. Conclusion Angled or straight thin-walled zirconia abutments presented similar Fmax under fatigue testing despite the different bending moments required for fracture. The main

  18. Creep and shrinkage effects on integral abutment bridges

    Munuswamy, Sivakumar

    Integral abutment bridges provide bridge engineers an economical design alternative to traditional bridges with expansion joints owing to the benefits, arising from elimination of expensive joints installation and reduced maintenance cost. The superstructure for integral abutment bridges is cast integrally with abutments. Time-dependent effects of creep, shrinkage of concrete, relaxation of prestressing steel, temperature gradient, restraints provided by abutment foundation and backfill and statical indeterminacy of the structure introduce time-dependent variations in the redundant forces. An analytical model and numerical procedure to predict instantaneous linear behavior and non-linear time dependent long-term behavior of continuous composite superstructure are developed in which the redundant forces in the integral abutment bridges are derived considering the time-dependent effects. The redistributions of moments due to time-dependent effects have been considered in the analysis. The analysis includes nonlinearity due to cracking of the concrete, as well as the time-dependent deformations. American Concrete Institute (ACI) and American Association of State Highway and Transportation Officials (AASHTO) models for creep and shrinkage are considered in modeling the time dependent material behavior. The variations in the material property of the cross-section corresponding to the constituent materials are incorporated and age-adjusted effective modulus method with relaxation procedure is followed to include the creep behavior of concrete. The partial restraint provided by the abutment-pile-soil system is modeled using discrete spring stiffness as translational and rotational degrees of freedom. Numerical simulation of the behavior is carried out on continuous composite integral abutment bridges and the deformations and stresses due to time-dependent effects due to typical sustained loads are computed. The results from the analytical model are compared with the

  19. Abutments influence in the dynamic response of bridges

    Martínez Cutillas, Antonio; Gómez Lera, Sagrario; Alarcón Álvarez, Enrique

    1996-01-01

    A simplified analytical model of a short span bridge is proposed. The inertial interaction effects of pier foundations and abutments has been included in order to evaluate the response sensitivities to different soil-structure interaction variables. The modification of natural frequency and damping properties is shown for typical short span bridges of the integral deck-abutment type for longitudinal vibrations or general bridges for the transverse ones.

  20. Clinical evaluation of isolated abutment teeth in removable partial dentures

    Zarrati S; Baheri Mghadam T; Nematollahi F

    2011-01-01

    "nBackground and Aims: Nowadays, removable partial dentures are applied to patients who are not able to use dental implants or fixed prosthesis. Although based on the studies the users of removable partial dentures are in the risk of plaque accumulation and unacceptable changes such as gingivitis, periodontitis and mobility in abutment tooth. It is not clear whether the negative effects of removable partial dentures are more on the isolated teeth which are a kind of abutment adjacent to ...

  1. Abutment screw loosening of endosseous dental implant body/abutment joint by cyclic torsional loading test at the initial stage.

    Katsuta, Yasuhiro; Watanabe, Fumihiko

    2015-01-01

    Cyclic torsional loading tests were carried out in the laboratory using various implant systems, in order to clarify differences between the systems in loosening of abutment screws. Six samples from six commercially available abutment systems were used, giving a total of 36 samples. Four of the systems used internal connections, and two used external connections. The abutment screw for each system was tightened to a torque value specified by the manufacturer, and after 5 min, the loosening torque was measured using a digital torque meter. Measurements were taken twice, and a second measurement was taken as a reference value. A cyclic torsional loading test with 100,000 cycles was performed on the sample, and the loosening torque was again measured after the test. In conclusion, loosening of the abutment screw occurred as a result of cyclic torsional loading, and the degree of loosening varied with each implant system. PMID:26632240

  2. The applicability of PEEK-based abutment screws.

    Schwitalla, Andreas Dominik; Abou-Emara, Mohamed; Zimmermann, Tycho; Spintig, Tobias; Beuer, Florian; Lackmann, Justus; Müller, Wolf-Dieter

    2016-10-01

    The high-performance polymer PEEK (poly-ether-ether-ketone) is more and more being used in the field of dentistry, mainly for removable and fixed prostheses. In cases of screw-retained implant-supported reconstructions of PEEK, an abutment screw made of PEEK might be advantageous over a conventional metal screw due to its similar elasticity. Also in case of abutment screw fracture, a screw of PEEK could be removed more easily. M1.6-abutment screws of four different PEEK compounds were subjected to tensile tests to set their maximum tensile strengths in relation to an equivalent stress of 186MPa, which is aused by a tightening torque of 15Ncm. Two screw types were manufactured via injection molding and contained 15% short carbon fibers (sCF-15) and 40% (sCF-40), respectively. Two screw types were manufactured via milling and contained 20% TiO2 powder (TiO2-20) and >50% parallel orientated, continuous carbon fibers (cCF-50). A conventional abutments screw of Ti6Al4V (Ti; CAMLOG(®) abutment screw, CAMLOG, Wimsheim, Germany) served as control. The maximum tensile strength was 76.08±5.50MPa for TiO2-20, 152.67±15.83MPa for sCF-15, 157.29±20.11MPa for sCF-40 and 191.69±36.33MPa for cCF-50. The maximum tensile strength of the Ti-screws amounted 1196.29±21.4MPa. The results of the TiO2-20 and the Ti screws were significantly different from the results of the other samples, respectively. For the manufacturing of PEEK abutment screws, PEEK reinforced by >50% continuous carbon fibers would be the material of choice. PMID:27434650

  3. Replacing worn overdenture abutments of an unknown implant system by using laser welding: a clinical report.

    Mohunta, Vrinda V; Stevenson, James A; Lee, Damian J

    2014-09-01

    This clinical report describes a procedure for replacing worn ball abutments with low-profile resilient abutments by using laser welding when the implant system for a mandibular implant-supported overdenture could not be identified. PMID:24836281

  4. Prosthodontic considerations concerning the abutment teeth of the irradiated patient

    There still remain several prosthodontic problems for the patient who has received radiation therapy for oral cancer because of radiation injury. We have experienced these in applying a tooth-borne denture to such a patient. Subsequently, it has been recognized that the longevity of the abutment teeth in such a denture is extremely short, compared with the ordinary case. Therefore, when designing the prosthesis for the irradiated patients, it is imperative that we pay special attention to the decreased vitality of the supporting bones of the abutment teeth, as well as to the weakened mucous membrane and rampant caries. (author)

  5. A technique for removal of a fractured implant abutment screw.

    Kurt, Murat; Güler, Ahmet Umut; Duran, İbrahim

    2013-12-01

    The aim of this technique report was to present a procedure for removal of a fractured implant abutment screw. Whatever the cause, when an abutment fracture has occurred, the fractured screw segment inside the implant must be removed. The methods used by the clinicians may include the use of an endo-explorer self-made screwdriver and the use of implant repair kit available for some implant systems. The advantage of the presented method is that it may be extended to other implant systems that do not have a special repair kit and also that the technique is simple and does not require special equipment. PMID:21905898

  6. Prosthodontic considerations concerning the abutment teeth of the irradiated patient

    Nitta, Eiji; Taniguchi, Hisashi; Ohyama, Takashi; Takeda, Masamune (Tokyo Medical and Dental Univ. (Japan). School of Dentistry)

    1984-06-01

    There still remain several prosthodontic problems for the patient who has received radiation therapy for oral cancer because of radiation injury. We have experienced these in applying a tooth-borne denture to such a patient. Subsequently, it has been recognized that the longevity of the abutment teeth in such a denture is extremely short, compared with the ordinary case. Therefore, when designing the prosthesis for the irradiated patients, it is imperative that we pay special attention to the decreased vitality of the supporting bones of the abutment teeth, as well as to the weakened mucous membrane and rampant caries.

  7. [Interproximal tooth cleansing of abutment teeth and pontic design].

    Kocher, T; Plagmann, H C; Engelsmann, U; Schlüter, R

    1990-03-01

    This clinical study was an attempt to find out if a patient's home care plaque control at his or her abutment tooth is more effectively enhanced by a modified ridge lap or a hygienic pontic design. Oral hygiene was performed either with a tooth brush alone or in combination with an interdental brush. We found that the effectivity of interproximal toothcleaning was not influenced by the pontic design and that only interdental brushes permit a good plaque control at the proximal area of the abutment tooth. This implies that "self cleansing" is non-existent in these tooth areas. PMID:2257819

  8. Experimental and Analytical Investigations of Piles and Abutments of Integral Bridges

    Arsoy, Sami

    2000-01-01

    Bridges without expansion joints are called "integral bridges." Eliminating joints from bridges crates concerns for the piles and the abutments of integral bridges because the abutments and the piles are subjected to temperature-induced cyclic lateral loads. As temperatures change daily and seasonally, the lengths of integral bridges increase and decrease, pushing the abutment against the approach fill and pulling it away. As a result the bridge superstructure, the abutment, the approach f...

  9. Acrylic resin guide for locating the abutment screw access channel of cement-retained implant prostheses.

    Ahmed, Ayman; Maroulakos, Georgios; Garaicoa, Jorge

    2016-05-01

    Abutment screw loosening represents a common and challenging technical complication of cement-retained implant prostheses. This article describes the fabrication of a simple and accurate poly(methyl methacrylate) guide for identifying the location and angulation of the abutment screw access channel of a cement-retained implant prosthesis with a loosened abutment screw. PMID:26794698

  10. Influence of the implant abutment types and the dynamic loading on initial screw loosening

    Kim, Eun-Sook

    2013-01-01

    PURPOSE This study examined the effects of the abutment types and dynamic loading on the stability of implant prostheses with three types of implant abutments prepared using different fabrication methods by measuring removal torque both before and after dynamic loading. MATERIALS AND METHODS Three groups of abutments were produced using different types of fabrication methods; stock abutment, gold cast abutment, and CAD/CAM custom abutment. A customized jig was fabricated to apply the load at 30° to the long axis. The implant fixtures were fixed to the jig, and connected to the abutments with a 30 Ncm tightening torque. A sine curved dynamic load was applied for 105 cycles between 25 and 250 N at 14 Hz. Removal torque before loading and after loading were evaluated. The SPSS was used for statistical analysis of the results. A Kruskal-Wallis test was performed to compare screw loosening between the abutment systems. A Wilcoxon signed-rank test was performed to compare screw loosening between before and after loading in each group (α=0.05). RESULTS Removal torque value before loading and after loading was the highest in stock abutment, which was then followed by gold cast abutment and CAD/CAM custom abutment, but there were no significant differences. CONCLUSION The abutment types did not have a significant influence on short term screw loosening. On the other hand, after 105 cycles dynamic loading, CAD/CAM custom abutment affected the initial screw loosening, but stock abutment and gold cast abutment did not. PMID:23509006

  11. An innovative steel-concrete joint for integral abutment bridges

    Bruno Briseghella; Tobia Zordan

    2015-01-01

    Integral abutment bridges are becoming rather common, due to the durability problems of bearings and expansion joints. At the same time, among short- and medium-span bridges, multi-beam steel-concrete composite deck with hot-rolled girder is an economical and interesting alternative to traditional pre-stressed concrete solutions. The two concepts can be linked together to design integral steel-concrete composite bridges with the benefits of two typologies. The most critical aspect for these b...

  12. Management of a fractured implant abutment screw: a clinical report.

    Canpolat, Ceyhun; Ozkurt-Kayahan, Zeynep; Kazazoğlu, Ender

    2014-07-01

    In an abutment screw fracture, it is generally a challenge for the clinician to remove fractured fragments. In some cases, the screw cannot be removed, and alternative solutions should be considered. This clinical report describes the replacement of a ball attachment with a fractured screw, which was impossible to retrieve, with a cast dowel with ball attachment. The patient who presented to the Department of Prosthodontics, Yeditepe University, Faculty of Dentistry was a 65-year-old woman, wearing a mandibular complete denture supported by two implants for 4 years. She complained about the loss of retention of the denture because of the fractured abutment screw, and it was found that another dentist had previously tried to retrieve the fractured screw with no success. It was decided to construct a cast dowel with ball attachment to improve retention without sacrificing the implant. The interior of the implant and the fractured screw were machined with a rotating instrument. An impression was taken with a metal strip and silicone-based materials. In the laboratory, a stone die was generated from the impression, and a custom-made cast dowel with ball attachment was constructed. It was then cemented with glass ionomer cement and connected to the denture with the direct method. The alternative procedure described in this clinical report was successful for the removal of the fractured abutment screw and use of the existing denture. PMID:24393481

  13. Evaluation on Impact Interaction between Abutment and Steel Girder Subjected to Nonuniform Seismic Excitation

    Yue Zheng; Xiang Xiao; Lunhai Zhi; Guobo Wang

    2015-01-01

    This paper aims to evaluate the impact interaction between the abutment and the girder subjected to nonuniform seismic excitation. An impact model based on tests is presented by taking material properties of the backfill of the abutment into consideration. The conditional simulation is performed to investigate the spatial variation of earthquake ground motions. A two-span continuous steel box girder bridge is taken as the example to analyze and assess the pounding interaction between the abut...

  14. On the Performance of Super-Long Integral Abutment Bridges: Parametric Analyses and Design Optimization

    Lan, Cheng

    2012-01-01

    The concept of "integral abutment bridge" has recently become a topic of remarka-ble interest among bridge engineers, not only for newly built bridges but also during refurbishment processes. The system constituted by the substructure and the superstructure can achieve a composite action responding as a single structural unit; the elimination of expansion joint and bearings on the abutments, greatly reduce the construction and maintenance costs. To maximize the benefits from integral abutment...

  15. Distribution of Side Abutment Stress in Roadway Subjected to Dynamic Pressure and Its Engineering Application

    Yao Qiangling; Zhou Jian; Li Yanan; Tan Yingming; Jiang Zhigang

    2015-01-01

    The borehole stress-meter was employed in this study to investigate the distribution of the side abutment stress in roadway subjected to dynamic pressure. The results demonstrate that the side abutment stress of the mining roadway reaches a peak value when the distance to the gob is 8 m and the distribution curve of the side abutment stress can be divided into three zones: stress rising zone, stress stabilizing zone, and stress decreasing zone. Further numerical investigation was carried out ...

  16. Effect of Abutment Modification and Cement Type on Retention of Cement-Retained Implant Supported Crowns

    Mitra Farzin; Kianoosh Torabi; Ahmad Hasan Ahangari; Reza Derafshi

    2014-01-01

    Objective: Provisional cements are commonly used to facilitate retrievability of cement-retained fixed implant restorations; but compromised abutment preparation may affect the retention of implant-retained crowns.The purpose of this study was to investigate the effect of abutment design and type of luting agent on the retentive strength of cement-retained implant restorations. Materials and Method: Two prefabricated abutments were attached to their corresponding analogs and embedded in an ac...

  17. Effect of abutment modification and cement type on retention of cement-retained implant supported crowns.

    Mitra Farzin

    2014-06-01

    Full Text Available Provisional cements are commonly used to facilitate retrievability of cement-retained fixed implant restorations; but compromised abutment preparation may affect the retention of implant-retained crowns.The purpose of this study was to investigate the effect of abutment design and type of luting agent on the retentive strength of cement-retained implant restorations.Two prefabricated abutments were attached to their corresponding analogs and embedded in an acrylic resin block. The first abutment (control group was left intact without any modifications. The screw access channel for the first abutment was completely filled with composite resin. In the second abutment, (test group the axial wall was partially removed to form an abutment with 3 walls. Wax models were made by CAD/CAM. Ten cast copings were fabricated for each abutment. The prepared copings were cemented on the abutments by Temp Bond luting agent under standardized conditions (n=20. The assemblies were stored in 100% humidity for one day at 37°C prior to testing. The cast crown was removed from the abutment using an Instron machine, and the peak removal force was recorded. Coping/abutment specimens were cleaned after testing, and the testing procedure was repeated for Dycal luting agent (n=20. Data were analyzed with two- way ANOVA (α=0.05.There was no significant difference in the mean transformed retention (Ln-R between intact abutments (4.90±0.37 and the abutments with 3 walls (4.83±0.25 using Dycal luting agent. However, in TempBond group, the mean transformed retention (Ln-R was significantly lower in the intact abutment (3.9±0.23 compared to the abutment with 3 walls (4.13±0.33, P=0.027.The retention of cement-retained implant restoration can be improved by the type of temporary cement used. The retention of cast crowns cemented to implant abutments with TempBond is influenced by the wall removal.

  18. [Arthroscopic distal ulna resection after post traumatic ulno carpal abutment].

    Mathoulin, C; Pagnotta, A

    2006-11-01

    Ulno carpal abutments secondary to the sequels of a fracture of the radius are often due to the inversion of the distal radio ulnar index by shortening relative to the radius. This positive ulnar variance eventually leads to an abutment between the head of the ulnar and the proximal articular face of the lunate with alteration of the cartilaginous carpal surfaces. The wrist arthroscopy makes diagnosis and treatment possible in a less invasive way. The patients are operated on as outpatients under local regional anaesthetic using a pneumatic tourniquet. The arthroscope is positioned using the 3-4 radio carpal opening permitting exploration of the joint. The surgical treatment is performed by arthroscopy using a burr and going in through the 6R radio carpal opening. In this way we use the technique of partial resection of the distal ulna. We have a series of 62 patients who have benefited from the technique of partial resection of the ulnar head by arthroscopy. There were 30 men and 32 women. The average age was 66 years old (between 45 and 82). Our average follow-up is 32 months (between 12 and 60 months). Recovery of mobility was immediate in all cases with persistent pain in the radio ulnar joint in 8 cases. Arthroscopic treatment of ulno carpal abutment has proved itself effective and innocuous. It should nevertheless be reserved for operations on small sized inversions of the distal radio ulnar index (less than 5 mm). In the event of larger ulnar variances we prefer ulnar shortening osteotomy. The other techniques will be restricted to cases where the distal radio ulnar joint has been impaired. PMID:17361890

  19. Effect of abutment modeling on the seismic response of bridge structures

    Ady Aviram; Kevin R.Mackie; Bozidar Stojadinovic

    2008-01-01

    Abutment behavior significantly influences the seismic response of certain bridge structures.Specifically in the case of short bridges with relatively stiff superstructures typical of highway overpasses,embankment mobilization and inelastic behavior of the soil material under high shear deformation levels dominate the response of the bridge and its column bents.This paper investigates the sensitivity of bridge seismic response with respect to three different abutment modeling approaches.The abutment modeling approaches are based on three increasing levels of complexity that attempt to capture the critical components and modes of abutment response without the need to generate continuum models of the embankment,approach,and abutment foundations.Six existing reinforced concrete bridge structures,typical of Ordinary Bridges in California,are selected for the analysis.Nonlinear models of the bridges are developed in OpenSees.Three abutment model types of increasing complexity are developed for each bridge,denoted as roller,simplified,and spring abutments.The roller model contains only single-point constraints.The spring model contains discrete representations of backfill,bearing pad,shear key,and back wall behavior.The simplified model is a compromise between the efficient roller model and the comprehensive spring model.Modal,pushover,and nonlinear dynamic time history analyses are conducted for the six bridges using the three abutment models for each bridge.Comparisons of the analysis results show major differences in mode shapes and periods,ultimate base shear strength,as well as peak displacements of the column top obtained due to dynamic excitation.The adequacy of the three abutment models used in the study to realistically represent all major resistance mechanisms and components of the abutments,including an accurate estimation of their mass,stiffness,and nonlinear hysteretic behavior,is evaluated.Recommendations for abutment modeling are made.

  20. Simplified modelling of bridge abutments-soil interaction under seismic effects

    Martínez Cutillas, Antonio; Alarcón Álvarez, Enrique

    1995-01-01

    A simplified model is proposed to show the importance that the dynamic soil-abutment interaction can have in the global behavior of bridges submitted to seismic loading. The modification of natural frequency and damping properties is shown in graphic form for typical short span bridges of the integral deck-abutment type for longitudinal vibrations or general ones for transverse vibrations.

  1. An innovative steel-concrete joint for integral abutment bridges

    Bruno Briseghella

    2015-08-01

    Full Text Available Integral abutment bridges are becoming rather common, due to the durability problems of bearings and expansion joints. At the same time, among short- and medium-span bridges, multi-beam steel-concrete composite deck with hot-rolled girder is an economical and interesting alternative to traditional pre-stressed concrete solutions. The two concepts can be linked together to design integral steel-concrete composite bridges with the benefits of two typologies. The most critical aspect for these bridges is usually the joints between deck and piers or abutments. In this paper, an innovative beam-to-pier joint is proposed and a theoretical and experimental study is introduced and discussed. The analyzed connection is aimed at combining general ease of construction with a highly simplified assembly procedure and a good transmission of hogging and sagging moment at the supports in continuous beams. For this purpose, the traditional shear studs, used at the interface between steel beam and upper concrete slab, are also used at the ends of steel profiles welded horizontally to the end plates. To better understand the behaviour of this kind of joints and the roles played by different components, three large-scale specimens were tested and an FE model was implemented. The theoretical and experimental results confirmed the potential of the proposed connection for practical applications and indicated the way to improve its structural behaviour.

  2. Effect of the number of abutments on biomechanics of Branemark prosthesis with straight and tilted distal implants

    Marcos Michelon Naconecy

    2010-04-01

    Full Text Available OBJECTIVE: This study aimed to evaluate the bending moments, and compressive and tensile forces in implant-supported prostheses with three, four or five abutments. MATERIAL AND METHODS: Ten Pd-Ag frameworks were tested over two master models with: 1 parallel vertical implants, and 2 tilted distal implants. Strain gauges were fixed on the abutments of each master model to measure the deformation when a static load of 50 N was applied on the cantilever (15 mm. The deformation values were measured when the metallic frameworks were tested over three, four or five abutments, and transformed into force and bending moment values. Data were analyzed by ANOVA and Tukey's test for multiple comparisons at 5% level of significance. RESULTS: Abutment #1 (adjacent to the cantilever had the highest values of force and sagittal bending moment for all tests with three, four or five abutments. Independently from the number of abutments, axial force in abutment #1 was higher in the vertical model than in the tilted model. Total moment was higher with three abutments than with four or five abutments. Independently from the inclination of implants, the mean force with four or five abutments was lower than that with three abutments. CONCLUSION: The results suggest that in the set-ups with four or five abutments tilted distal implants reduced axial force and did not increase bending moments.

  3. Effects of Repeated Screw Tightening on Implant Abutment Interfaces in Terms of Bacterial and Yeast Leakage in Vitro: One-Time Abutment Versus the Multiscrewing Technique.

    Calcaterra, Roberta; Di Girolamo, Michele; Mirisola, Concetta; Baggi, Luigi

    2016-01-01

    Screw loosening can damage the interfaces of implant components, resulting in susceptibility to contamination of the internal parts by microorganisms. The aim of this study was to investigate the impact of abutment screw retightening on the leakage of two different types of bacteria, Streptococcus sanguinis and Fusobacterium nucleatum, and of the yeast Candida albicans. Two types of implant-abutment systems with tube-in-tube interfaces were tested. Groups A and B each used a different type of system that consisted of 20 different pieces that were assembled according to the manufacturer's torque recommendations; four samples in each group were closed just one time, four samples three times, four samples five times, four samples seven times, and four samples nine times. The implants of groups A and B were contaminated with 0.1 μL of microbial solution just before being assembled for the last time to minimize the possibility of contamination. Results showed a direct correlation between the number of colony-forming units grown in the plates and the closing/opening cycles of the implant-abutment systems. Within the limitations of this study, the results indicate the possibility that repeated closing/opening cycles of the implant-abutment unit may influence bacterial/yeast leakage, most likely as a consequence of decreased precision of the coupling between the abutment and the internal part of the dental implant. These findings suggest that a one-time abutment technique may avoid microbiologic leakage in cases of implant-abutment systems with tube-in-tube interfaces. PMID:26901305

  4. Beam-edge modifier for abutting electron fields

    Abutment of unmodified electron fields to irradiate large areas can lead to significant dose inhomogeneities in the region of junction of the fields. In this paper we describe the design and dosimetric characteristics of a device developed to broaden the electron beam penumbra and thereby to improve the dose uniformity in the overlap region. The device is a high-density triangular-toothed comb capable of reducing the beam intensity without seriously degrading the beam energy. The effect of the comb is such that a single device will generate a beam penumbra which is broad and very nearly linear at all depths for all clinically used beam energies. Results are shown for various field configurations and energies. With a gap of 5.0 cm between the treatment cone and phantom surface the dose ''ripple'' in the region beneath the teeth was found not to exceed +- 5% at 0.5-cm depth

  5. Access to Abutment Screw in Cement Retained Restorations: A Clinical Tip

    Harianawala, Husain; Kantharia, Nidhi; Sethi, Tania; Jambhekar, Shantanu

    2015-01-01

    Abutment screw loosening has been reported to be the most common prosthetic complications occurring in screw retained as well as cement retained implant restorations. Different methods to treat this issue have been reported in the literature so far; however these have their own short-comings. Retrievability of an implant restoration intact becomes a clinical challenge when the restoration is cement retained especially with an angulated abutment. This technique is aimed at accurately determining the position of the abutment screw in 3 dimensional relationships using a vacuum formed clear stent. This technique can be used as a viable protocol for management of screw loosening in cement retained implant restorations. PMID:25859535

  6. A Simple Method for Making Diagnostic Casts for Dental Implants Using Acrylic Abutments

    H. Siadat

    2007-06-01

    Full Text Available The use of multiple implants in the same jaw requires a detailed knowledge of abutment angulation. The position and angulation of the abutments play an important role in treatment planning and fabrication of the custom tray. Therefore diagnostic casts thatcontain cover screws may cause problems during implant therapy.The current article describes a technique for making a preliminary cast with acrylic custom abutments in order to help the clinician select an appropriate impression technique and evaluate the location and angulations of the implant bodies. This method can also aid the technician to provide adequate and proper space for the fabrication of an open custom tray.

  7. Non-rigid connector in fixed partial dentures with pier abutment: An enigma simplified

    Prince Kumar

    2012-01-01

    Full Text Available In the fixed partial denture (FPD prosthesis with rigid connectors, forces of mastication are transmitted to the terminal retainers, which make the middle abutment act as a class I lever fulcrum. This techno-clinical cycle often causes failure of the fixed partial dentures. To overcome this dilemma, a non-rigid connector may be incorporated on the distal aspect of the middle (pier abutment. The non-rigid connector counterbalances the effects of these forces of leverage. This clinical report presents the use of a non-rigid connector in a long-span, five-unit FPD, replacing two missing teeth with an intermediate pier abutment.

  8. Torque Removal Evaluation of Screw in One-Piece and Two-Piece Abutments Tightened with a Handheld screwdriver

    Jalil Ghanbarzadeh

    2013-12-01

    Full Text Available Introduction: Some clinicians use a handheld screw driver instead of a torque wrench to definitively tighten abutment screws. The aim of this study was to compare the removal torque of one-piece and two-piece abutments tightened with a handheld driver and a torque control ratchet. Methods: 40 ITI implants were placed in acrylic blocks and divided into 4 groups. In groups one and two, 10 ITI one-piece abutments (Solid® and in groups three and four, 10 ITI two-piece abutments (Synocta® were placed on the implants. In groups one and three abutments were tightened by 5 experienced males and 5 experienced females using a handheld driver. In groups two and four abutments were tightened using a torque wrench with torque values of 10, 20 and 35 N.cm. Insertion torque and removal torque values of the abutments were measured with a digital torque meter. Results: The insertion torque values (ITVs of males in both abutments were significantly higher than those of females. ITVs in both Solid® and Synocta® abutments tightened with a handheld screwdriver were similar to the torque of 20 N.cm in the torque wrench. Removal torque values (RTVs of solid® abutments were higher than those of synocta® abutments. Conclusion: The one- piece abutments (solid® showed higher RTVs than the two-piece abutments (synocta®. Hand driver does not produce sufficient preload force for the final tightening of the abutment

  9. Soil Structure Interaction for Integral Abutment Bridge Using Spring Analogy Approach

    The reaction of the backfill behind the abutments and adjacent to the piles plays a significant role in the behavior of the Integral bridge. The handling of soil-structure interaction in the analysis and design of integral abutment bridges has always been problematic due to its complexity. This study describes the implementation of a 2-D finite element model of IAB system which explicitly incorporates the soil response. The superstructure members and the pile have been represented by means of three-node isoperimetric beam elements with three degree of freedom per node. The Eight node isoperimetric quadrilateral element has been used to model the abutment. The backfill was idealized by uncoupled 'Winkler' spring. The applic1ability of this model is demonstrated by analyzing a single span IA bridge. The results have shown that the shear forces at the tops of the supported piles were only 12% to 16% of the load which at the top of abutment.

  10. Soil Structure Interaction for Integral Abutment Bridge Using Spring Analogy Approach

    Thanoon, W A [Faculty Engineering, Nizwa University (Oman); Abdulrazeg, A A; Jaafar, M S; Kohnehpooshi, O [Department of Civil Engineering, University Putra Malaysia, 43400 Serdang, Selangor (Malaysia); Noorzaei, J, E-mail: jamal@eng.upm.edu.my [Institute of Advance Technology, University Putra Malaysia, 43400 Serdang, Selangor (Malaysia)

    2011-02-15

    The reaction of the backfill behind the abutments and adjacent to the piles plays a significant role in the behavior of the Integral bridge. The handling of soil-structure interaction in the analysis and design of integral abutment bridges has always been problematic due to its complexity. This study describes the implementation of a 2-D finite element model of IAB system which explicitly incorporates the soil response. The superstructure members and the pile have been represented by means of three-node isoperimetric beam elements with three degree of freedom per node. The Eight node isoperimetric quadrilateral element has been used to model the abutment. The backfill was idealized by uncoupled 'Winkler' spring. The applic1ability of this model is demonstrated by analyzing a single span IA bridge. The results have shown that the shear forces at the tops of the supported piles were only 12% to 16% of the load which at the top of abutment.

  11. Effect of cyclic load on vertical misfit of prefabricated and cast implant single abutment

    Rudys Rodolfo de Jesus Tavarez

    2011-02-01

    Full Text Available OBJECTIVES: The purpose of this in vitro study was to evaluate misfit alterations at the implant/abutment interface of external and internal connection implant systems when subjected to cyclic loading. MATERIAL AND METHODS: Standard metal crowns were fabricated for 5 groups (n=10 of implant/abutment assemblies: Group 1, external hexagon implant and UCLA cast-on premachined abutment; Group 2, internal hexagon implant and premachined abutment; Group 3, internal octagon implant and prefabricated abutment; Group 4, external hexagon implant and UCLA cast-on premachined abutment; and Group 5, external hexagon implant and Ceraone abutment. For groups 1, 2, 3 and 5, the crowns were cemented on the abutments and in group 4 crowns were screwed directly on the implant. The specimens were subjected to 500,000 cycles at 19.1 Hz of frequency and non-axial load of 133 N in a MTS 810 machine. The vertical misfit (μm at the implant/abutment interface was evaluated before (B and after (A application of the cyclic loading. Data were analyzed statistically by using two-away ANOVA and Tukey's post-hoc test (p<0.05. RESULTS: Before loading values showed no difference among groups 2 (4.33±3.13, 3 (4.79±3.43 and 5 (3.86±4.60; between groups 1 (12.88±6.43 and 4 (9.67±3.08, and among groups 2, 3 and 4. However, groups 1 and 4 were significantly different from groups 2, 3 and 5. After loading values of groups 1 (17.28±8.77 and 4 (17.78±10.99 were significantly different from those of groups 2 (4.83±4.50, 3 (8.07±4.31 and 5 (3.81±4.84. There was a significant increase in misfit values of groups 1, 3 and 4 after cyclic loading, but not for groups 2 and 5. CONCLUSIONS: The cyclic loading and type of implant/abutment connection may develop a role on the vertical misfit at the implant/abutment interface.

  12. PRELOAD AND TORQUE REMOVAL EVALUATION OF THREE DIFFERENT ABUTMENT SCREWS FOR SINGLE STANDING IMPLANT RESTORATIONS

    Rafael Augusto Stüker; Eduardo Rolim Teixeira; João Carlos Pinheiro Beck; Nilza Pereira da Costa

    2008-01-01

    Several authors still consider the mechanical problems of fracture and component loosening as the main causes of failure of implant-supported restorations. The purpose of this in vitro study was to compare the preload of three types of screw for transmucosal abutment attachment used in single implant-supported prosthesis through strain gauge and removal torque measurements. Three external hex fixtures were used, and each received a transmucosal abutment (Cera One®), which was fixed to the imp...

  13. Loosening torque of Universal Abutment screws after cyclic loading: influence of tightening technique and screw coating

    Bacchi, Atais; Regalin, Alexandre; Bhering, Claudia Lopes Brilhante; Alessandretti, Rodrigo; Spazzin, Aloisio Oro

    2015-01-01

    PURPOSE The purpose of this study was to evaluate the influence of tightening technique and the screw coating on the loosening torque of screws used for Universal Abutment fixation after cyclic loading. MATERIALS AND METHODS Forty implants (Titamax Ti Cortical, HE, Neodent) (n=10) were submerged in acrylic resin and four tightening techniques for Universal Abutment fixation were evaluated: A - torque with 32 Ncm (control); B - torque with 32 Ncm holding the torque meter for 20 seconds; C - to...

  14. The Influence of Post in Endodontically Treated Molar Abutment on Fixed Dentures Success Rate

    Pralita Kusumawardhini; Alysia Henrietta; Saraventi Saraventi

    2013-01-01

    Many dentists believe that the tooth need reinforcement provided by post before the definite restoration is placed. However, others suggest not to use post when posterior teeth especially molars, still have significant amount of tooth structure. Therefore, when endodontically treated molar is considered to be used as fixed denture abut-ment, clinicians must have proper knowledge about the impact of post placement. This literature will describe considerations regarding post placement in endodo...

  15. Non-rigid connector in fixed partial dentures with pier abutment: An enigma simplified

    Prince Kumar; Vishal Singh; Roshni Goel; Harkanwal P Singh

    2012-01-01

    In the fixed partial denture (FPD) prosthesis with rigid connectors, forces of mastication are transmitted to the terminal retainers, which make the middle abutment act as a class I lever fulcrum. This techno-clinical cycle often causes failure of the fixed partial dentures. To overcome this dilemma, a non-rigid connector may be incorporated on the distal aspect of the middle (pier) abutment. The non-rigid connector counterbalances the effects of these forces of leverage. This clinical report...

  16. A Retrospective Study of Implant–Abutment Connections on Crestal Bone Level

    Lin, M.-I.; Shen, Y.-W.; Huang, H.-L.; Hsu, J.-T.; Fuh, L.-J.

    2013-01-01

    This study compared the effects of external hex, internal octagon, and internal Morse taper implant–abutment connections on the peri-implant bone level before and after the occlusal loading of dental implants. Periapical radiographs of 103 implants (63 patients) placed between 2002 and 2010 were collected, digitized, standardized, and classified into groups based on the type of implant–abutment connection. These radiographs were then analyzed with image-processing software to measure the peri...

  17. Screw- vs cement-implant-retained restorations: an experimental study in the Beagle. Part 1. Screw and abutment loosening.

    Assenza, Bartolomeo; Scarano, Antonio; Leghissa, Giulio; Carusi, Giorgio; Thams, Ulf; Roman, Fidel San; Piattelli, Adriano

    2005-01-01

    The causes of implant failures can be biological or mechanical. The mechanical causes include fracture of the implant, fracture of the abutment, and loosening of the abutment. Numerous studies show that abutment loosening constitutes one of the marked implant postsurgery complications requiring clinical intervention. The aim of the present study was to evaluate the incidence of the screw loosening in screwed or cemented abutments. Six adult male Beagles were used. In each dog, the first molars and 2 premolars were extracted. The sutures were removed after 7 days. After 3 months, 10 implants were placed in each dog, 5 in the right mandible and 5 in the left mandible. The abutments either were screwed in (n=30) by applying a total strength of 30 N/cm or were cemented (n=30). After 12 months, 8 (27%) loosened screws were present in screwed abutments, whereas no abutment loosening was observed in cemented abutments (P = .0001). Screwed abutments are often submitted to nonaxial loads that determine screw and abutment loosening. PMID:16265854

  18. Local scour around bridge abutments under ice covered condition- an experimental study

    Peng WU; Faye HIRSHFIELD; Jue-yi SUI

    2015-01-01

    The local scour around bridge abutments has been an active research topic for many decades. But very few studies have been conducted regarding the impacts of ice cover on the local scour phenomenon around bridge abutments. A series of ice covered flume experiments were conducted in this study. The shape factors of different abutment types in the local scour were compared. Under ice cover, the shape factor for semi-circular abutments ranges from 0.66~0.71. Three different non-uniform sediments were used withD50s of 0.58 mm, 0.50 mm, and 0.47 mm respectively. Two types of ice cover, namely smooth and rough cover, were created to simulate the impacts of ice cover around the abutments. Maximum scour depth was analyzed under different conditions. The contours of the scour holes were plotted to show the bed morphology and sediment deposition around bridge abutments. An empirical relationship between maximum scour depth, densimetric Froude number and sediment size was developed.

  19. Determination of Abutment Pressure in Coal Mines with Extremely Thick Alluvium Stratum: A Typical Kind of Rockburst Mines in China

    Zhu, Sitao; Feng, Yu; Jiang, Fuxing

    2016-05-01

    This paper investigates the abutment pressure distribution in coal mines with extremely thick alluvium stratum (ETAS), which is a typical kind of mines encountering frequent intense rockbursts in China. This occurs due to poor understanding to abutment pressure distribution pattern and the consequent inappropriate mine design. In this study, a theoretical computational model of abutment pressure for ETAS longwall panels is proposed based on the analysis of load transfer mechanisms of key stratum (KS) and ETAS. The model was applied to determine the abutment pressure distribution of LW2302S in Xinjulong Coal Mine; the results of stress and microseismic monitoring verified the rationality of this model. The calculated abutment pressure of LW2302S was also used in the terminal mining line design of LW2301N for rockburst prevention, successfully protecting the main roadway from the adverse influence of the abutment pressure.

  20. A digital approach to fabricating an abutment replica to control cement volume in a cement-retained implant prosthesis.

    Lee, Ju-Hyoung; Park, In-Sook; Sohn, Dong-Seok

    2016-07-01

    If a cement-retained implant prosthesis is placed on an abutment, excess cement should be minimized or removed to prevent periimplant inflammation. Various methods for fabricating an abutment replica have been introduced to maintain tissue health and reduce clean-up time. The purpose of this article is to present an alternative technique for fabricating an abutment replica with computer-aided design/computer-aided manufacturing (CAD/CAM) technology. PMID:26946917

  1. Radiologic Evaluation of Bone Loss at Implants with Biocide Coated Titanium Abutments: A Study in the Dog

    López-Píriz, R.; Bartolomé, J. F.; Cabal, B.; Esteban-Tejeda, L.; Torrecillas, Ramón; J. S. Moya

    2012-01-01

    The objective of the present study is to evaluate bone loss at implant abutments coated with a soda-lime glass containing silver nanoparticles subjected to experimental peri-implantitis. Five beagle dogs were used in the experiments, 3 implants were installed in each quadrant of the mandibles. Glass/n-Ag coted abutments were connected to implant platform. Cotton floss ligatures were placed in a submarginal position around the abutment necks and the animals were subject to a diet which allowed...

  2. Fatal complications after stereotactic body radiation therapy for central lung tumors abutting the proximal bronchial tree

    Haseltine, Justin M.; Rimner, Andreas; Gelblum, Daphna Y.; Modh, Ankit; Rosenzweig, Kenneth E.; Jackson, Andrew; Yorke, Ellen D.; Wu, Abraham J.

    2016-01-01

    Purpose Stereotactic body radiation therapy (SBRT) is associated with excess toxicity following treatment of central lung tumors. Risk-adapted fractionation appears to have mitigated this risk, but it remains unclear whether SBRT is safe for all tumors within the central lung zone, especially those abutting the proximal bronchial tree (PBT). We investigated the dependence of toxicity on tumor proximity to PBT and whether tumors abutting the PBT had greater toxicity than other central lung tumors after SBRT. Materials and methods A total of 108 patients receiving SBRT for central lung tumors were reviewed. Patients were classified based on closest distance from tumor to PBT. Primary endpoint was SBRT-related death. Secondary endpoints were overall survival, local control, and grade 3+ pulmonary adverse events. We compared tumors abutting the PBT to nonabutting and those ≤1 cm and >1 cm from PBT. Results Median follow-up was 22.7 months. Median distance from tumor to PBT was 1.78 cm. Eighty-eight tumors were primary lung and 20 were recurrent or metastatic; 23% of tumors were adenocarcinoma and 71% squamous cell. Median age was 77.5 years. Median dose was 4500 cGy in 5 fractions prescribed to the 100% isodose line. Eighteen patients had tumors abutting the PBT, 4 of whom experienced SBRT-related death. No other patients experienced death attributed to SBRT. Risk of SBRT-related death was significantly higher for tumors abutting the PBT compared with nonabutting tumors (P 1cm from PBT (P = .014). Conclusions Even with risk-adapted fractionation, tumors abutting PBT are associated with a significant and differential risk of SBRT-related toxicity and death. SBRT should be used with particular caution in central-abutting tumors, especially in the context of anti-vascular endothelial growth factor therapy. PMID:26577006

  3. The Influence of Post in Endodontically Treated Molar Abutment on Fixed Dentures Success Rate

    Pralita Kusumawardhini

    2013-05-01

    Full Text Available Many dentists believe that the tooth need reinforcement provided by post before the definite restoration is placed. However, others suggest not to use post when posterior teeth especially molars, still have significant amount of tooth structure. Therefore, when endodontically treated molar is considered to be used as fixed denture abut-ment, clinicians must have proper knowledge about the impact of post placement. This literature will describe considerations regarding post placement in endodontically treated molar abutment in fixed partial dentures and their influence to the success rate. Previous studies implied the need of proper measurement of the amount of remaining tooth structure, the type of intracoronal reinforcement of the abutment, and the functional loads to ensure the success of fixed denture treatment. When planning definitive restorations for endodontically treated abutment teeth, some even suggest to use post and core to fulfill the need of reinforcement. On the contrary, others find that when a post is use in endodontically treated abutment teeth, the failure of custom made-tapered cast post and core is relatively high, whereas the use of amalgam or composite core in posterior teeth especially molars with adequate amount of tooth structure is sufficient due to post system’s limited influence on the suc-cess rate. Based on literature review, for cases with adequate tooth stucture, it can be concluded that the influ-ence of post placement in endodontically treated molar abutment to fixed partial dentures success rate is very limited.DOI: 10.14693/jdi.v18i2.64

  4. Comparison of the fracture resistance of dental implants with different abutment taper angles.

    Wang, Kun; Geng, Jianping; Jones, David; Xu, Wei

    2016-06-01

    To investigate the effects of abutment taper angles on the fracture strength of dental implants with TIS (taper integrated screwed-in) connection. Thirty prototype cylindrical titanium alloy 5.0mm-diameter dental implants with different TIS-connection designs were divided into six groups and tested for their fracture strength, using a universal testing machine. These groups consisted of combinations of 3.5 and 4.0mm abutment diameter, each with taper angles of 6°, 8° or 10°. 3-Dimensional finite element analysis (FEA) was also used to analyze stress states at implant-abutment connection areas. In general, the mechanical tests found an increasing trend of implant fracture forces as the taper angle enlarged. When the abutment diameter was 3.5mm, the mean fracture forces for 8° and 10° taper groups were 1638.9N±20.3 and 1577.1N±103.2, respectively, both larger than that for the 6° taper group of 1475.0N±24.4, with the largest increasing rate of 11.1%. Furthermore, the difference between 8° and 6° taper groups was significant, based on Tamhane's multiple comparison test (Pimplants with different abutment taper angles and supported the findings of the static tests. In conclusion, increases of the abutment taper angle could significantly increase implant fracture resistance in most cases established in the study, which is due to the increased implant wall thickness in the connection part resulting from the taper angle enlargement. The increasing effects were notable when a thin implant wall was present to accommodate wide abutments. PMID:27040208

  5. The Effect of Abutment Surface Roughness on the Retention of Implant-Supported Crowns Cemented with Provisional Luting Cement

    Jalil Ganbarzadeh

    2013-01-01

    Full Text Available Introduction: Surface roughness can increase the retention of castings by ridges and grooves that are microretentive. This study compared the retention of implant-supported crowns when used with 3 different surface roughness abutments and one temporary cement. Methods: Thirty solid abutments (ITI, 4 mm high, were divided into three groups randomly. In the first group, 10 abutments were roughened with sandblast (50-µm aluminum oxide and in the second group, 10 abutments were roughened with diamond bur. The third group had no surface treatment. Then, thirty implant fixture analogs (ITI were placed in the center of acrylic cylinders. After that a solid abutment was tightened on the each fixture analog with 35 N/cm force. Thirty base metal crowns were made on the 4 mm ITI abutment analogs using plastic coping. The prepared copings were cemented on the abutments by TempBond temporary cement and finally, crowns were pulled from the abutment in a universal test machine at a cross speed of 0.5cm/min. Results: The mean tensile strength in sandblasted, bur treated, and control group were 64.38±8, 91.37±7.19, and 58.61±1.93, respectively. Bur treated group showed higher tensile strength in comparison with two other groups. Conclusion: Surface modification of implant abutment by diamond bur may be an effective method to increase retention of crown when TempBond is used.

  6. The Effect of Abutment Surface Roughness on the Retention of Implant-Supported Crowns Cemented with Provisional

    Seyyed Mohammad Abrisham

    2012-09-01

    Full Text Available Introduction: Surface roughness can increase the retention of castings by ridges and grooves that are microretentive. This study compared the retention of implant-supported crowns when used with 3 different surface roughness abutments and one temporary cement. Methods: Thirty solid abutments (ITI, 4 mm high, were divided into three groups randomly. In the first group, 10 abutments were roughened with sandblast (50-µm aluminum oxide and in the second group, 10 abutments were roughened with diamond bur. The third group had no surface treatment. Then, thirty implant fixture analogs (ITI were placed in the center of acrylic cylinders. After that a solid abutment was tightened on the each fixture analog with 35 N/cm force. Thirty base metal crowns were made on the 4 mm ITI abutment analogs using plastic coping. The prepared copings were cemented on the abutments by TempBond temporary cement and finally, crowns were pulled from the abutment in a universal test machine at a cross speed of 0.5cm/min. Results: The mean tensile strength in sandblasted, bur treated, and control group were 64.38±8, 91.37±7.19, and 58.61±1.93, respectively. Bur treated group showed higher tensile strength in comparison with two other groups. Conclusion: Surface modification of implant abutment by diamond bur may be an effective method to increase retention of crown when TempBond is used.

  7. Torque Removal Evaluation of Screw in One-Piece and Two-Piece Abutments Tightened with a Handheld screwdriver

    Jalil Ghanbarzadeh; Mahboobeh Rajabzadeh; Mohammadreza Nakhaei; Hamidreza Rajatihaghi; Niloufar Tayarani Najjaran

    2013-01-01

    Introduction: Some clinicians use a handheld screw driver instead of a torque wrench to definitively tighten abutment screws. The aim of this study was to compare the removal torque of one-piece and two-piece abutments tightened with a handheld driver and a torque control ratchet. Methods: 40 ITI implants were placed in acrylic blocks and divided into 4 groups. In groups one and two, 10 ITI one-piece abutments (Solid®) and in groups three and four, 10 ITI two-piece abutments (Synocta®) were p...

  8. Guidelines for Clinical Management of Laser-Etched (Laser-Lok) Abutments in Two Different Clinical Scenarios: A Preclinical Laboratory Soft Tissue Assessment Study.

    Neiva, Rodrigo; Tovar, Nick; Jimbo, Ryo; Gil, Luiz F; Goldberg, Paula; Barbosa, Joao Pm; Lilin, Thomas; Coelho, Paulo G

    2016-01-01

    One-stage implants were placed in the mandibles of eight beagle dogs with laser-etched (LL) and machined abutments. After 4 weeks, half of the LL abutments were disconnected and reconnected after 10 minutes of saline storage, and the other half were replaced with a new LL abutment (impression simulation) with or without sulcus de-epithelialization. After abutment change, systems remained in vivo for 3 weeks. Results showed that LL abutments can be reconnected and that sulcus scoring prior to LL placement of one-stage implants receiving machined abutments may be beneficial. PMID:27100803

  9. A comparative radiographic evaluation of the titanium and zirconium implant-abutment gap of three different implant connections

    Majid Sahebi

    2016-07-01

    Full Text Available Background and Aims: In response to esthetic demand and use of zirconia abutments; detection of implant-abutment connection misfit is so important. The purpose of this study was to evaluate the sensitivity and specificity of radiographic images in the detection of abutment-implant connection misfit in zirconia and titanium abutments of three different implant connections. Materials and Methods: One regular implant fixture of Branemark, Noble active and Replace systems were mount in acrylic models. Two pieces titanium and zirconium abutments were attached to the implants, once with correct adaptation and once with 0.5 mm spacer. Digital radiographic images were taken of 12 created states with zero degree vertical and horizontal inclination and evaluated by 10 specialists in implant treatment in two different time penods. Data were analyzed using Kappa analysis. Results: Interclass Correlation Coefficients (ICC of the agreement of answers in the first and second times were 97.4 and 97.5, respectively (P<0/001. Sensitivity of detecting gap in all groups was acceptable (95-100% except titanium abutment in Noble active which was the lowest value (35%. Specificity of all groups were acceptable (80-95% except zirconia abutments in Noble active and Replace with 45% and 30% values, respectively, and titanium abutments in Branemark had the highest value (95%. Conclusion: The sensitivity of radiographic images in detection of abutment-implant connection misfit only in Noble active with titanium abutment was not acceptable. Specificity of radiographic images in the absence of gap in titanium abutments was more favorable.

  10. Zirconia- versus metal-based, implant-supported abutments and crowns

    Hosseini, Mandana

    selection of restoration materials should be based on proper optical characteristics in addition to biocompatibility and sufficient strength of materials. Abutments and crowns based on zirconia are one of the most recent alternatives to metal abutments and metal-ceramic crowns. To date, only few comparative...... estimate long-term biomechanical results of zirconia-based versus metal-based restorations. The aim of study I was to analyse the mode of fracture and number of cyclic loadings until veneering fracture of zirconia-based all-ceramic restorations compared to metal-ceramic restorations. The aim of study II...... was to test the reliability and validity of six aesthetic parameters used at the Copenhagen Dental School to assess the aesthetic outcome of implant-supported restorations. The aims of study III and IV were to compare the influence of different abutment and crown materials on biological, biomechanical...

  11. Elasto-Viscoplastic Block Element Method and its Application to Arch Dam Abutment Slopes

    Chen, S.-H.; Shahrour, I.; Egger, P.; Wang, W.-M.

    2002-08-01

    This paper presents an elasto-viscoplastic block element method and its application to the deformation and stability study of arch dam abutment slopes. The paper is composed of two parts. The first part concerns the numerical methods used in the analysis, which includes the identification of the rock blocky system, the algorithm of unconfined seepage flow in discontinuity network taking the grout curtain and drainage curtain into account, and the elasto-viscoplastic block element method as well. In the second part a complicated arch dam abutment slope is studied, from which the seepage flow, the deformation, and the safety factor of the abutment slope are obtained. Based on the analysis suggestions about the seepage control and stabilization measures are made.

  12. [Evaluation of cermet fillings in abutment teeth in removable partial prostheses].

    Saulic, S; Tihacek-Sojic, Lj

    2001-01-01

    The aim of the study was to describe the clinical process of setting the purpose filling on abutment teeth, after finishing the removable partial dentures. The aim was also to investigate the use of cermet glass-ionomer cement for the purpose filling in the abutment teeth for removable partial dentures, as well as to investigate the surface of the purpose filling. For the clinical evaluation of purpose filling slightly modified criteria according to Ryg's were used in 20 patients with different type of edentulousness. Changes occurring on the surface of purpose filling have been experimentally established by the method of scanning electron microscopy on the half-grown third molars in seven patients. It could be concluded that cement glass-ionomer was not the appropriate material for the purpose fillings in abutment teeth for removable partial dentures. PMID:11858021

  13. Mechanical behavior of single-layer ceramized zirconia abutments for dental implant prosthetic rehabilitation

    Jiménez Melendo, Manuel; Llena Blasco, Oriol; Bruguera Alvarez, August; Llena Blasco, Jaime; Yáñez Vico, Rosa María; García Calderón, Manuel; Vaquero Aguilar, Cristina; Velázquez Cayón, Rocío; Gutiérrez Pérez, José Luis; Torres Lagares, Daniel

    2014-01-01

    Objectives: This study was undertaken to characterize the mechanical response of bare (as-received) and single-layer ceramized zirconia abutments with both internal and external connections that have been developed to enhanced aesthetic restorations. Material and Methods: Sixteen zirconia implant abutments (ZiReal Post®, Biomet 3i, USA) with internal and external connections have been analyzed. Half of the specimens were coated with a 0.5mm-thick layer of a low-fusing fluroapatite ceramic. Me...

  14. The effect of zirconia and titanium implant abutments on light reflection of the supporting soft tissues

    van Brakel, Ralph; Noordmans, Herke Jan; Frenken, Joost; de Roode, Rowland; de Wit, Gerard C.; Cune, Marco S.

    2011-01-01

    Objectives: To determine the difference in light reflection of oral mucosa covering titanium (Ti) or zirconia (ZrO2) abutments as it relates to the thickness of the covering mucosa. Material and methods: Fifteen anterior implants (Astra Osseo speed (R)) in 11 patients were fitted with a Ti or a ZrO2 abutment (cross-over, within-subject comparison). Hyper-spectral images were taken with a camera fitted on a surgical microscope. High-resolution images with 70nm interval between 440 and 720 nm w...

  15. Sealing Capability and SEM Observation of the Implant-Abutment Interface

    Fabio C. Lorenzoni

    2011-01-01

    water were collected at previously determinate times. The absorbance was measured with a spectrophotometer, and the data were analyzed by Two-way ANOVA (<.05 and Tukey's test. Marginal fit was determined using SEM. Leakage was observed for both groups at all times and was significantly higher at 144 hrs. SEM analysis depicted gaps in the implant-abutment interface of both groups. Gaps in the implant-abutment interface were observed along with leakage increased at the 144 hrs evaluation period.

  16. Analysis of load distribution in tooth-implant supported fixed partial dentures by the use of resilient abutment

    Glišić Mirko

    2016-01-01

    Full Text Available Introduction. Differences between the tooth and implant response to load can lead to many biological and technical implications in the conditions of occlusal forces. Objective. The objective of this study was to analyze load distribution in tooth/implant-supported fixed partial dentures with the use of resilient TSA (Titan Shock Absorber, BoneCare GmbH, Augsburg, Germany abutment and conventional non-resilient abutment using finite element method. Methods. This study presents two basic 3D models. For one model a standard non-resilient abutment is used, and on the implant of the second model a resilient TSA abutment is applied. The virtual model contains drawn contours of tooth, mucous membranes, implant, cortical bones and spongiosa, abutment and suprastructure. The experiment used 500 N of vertical force, applied in three different cases of axial load. Calculations of von Mises equivalent stresses of the tooth root and periodontium, implants and peri-implant tissue were made. Results. For the model to which a non-resilient abutment is applied, maximum stress values in all three cases are observed in the cortical part of the bone (maximum stress value of 49.7 MPa. Measurements of stress and deformation in the bone tissue in the model with application of the resilient TSA abutment demonstrated similar distribution; however, these values are many times lower than in the model with non-resilient TSA abutment (maximum stress value of 28.9 MPa. Conclusion. Application of the resilient TSA abutment results in more equal distribution of stress and deformations in the bone tissue under vertical forces. These values are many times lower than in the model with the non-resilient abutment.

  17. Cancer of Oral Cavity Abutting the Mandible; Predictors of Loco-regional Failure

    The purpose of this study is to analyze the causes of Loco-regional failure in 51 patients with tumors of the oral cavity abutting the mandible. Patients and Methods: This cross-sectional study (27 patients were operated upon in the retrospective section and 24 patients in the prospective section of the study) was done in the department of Surgical Oncology, National Cancer Institute, Cairo University, from January 2003 to January 2008. Fifty-one patients, with oral cavity cancerous lesions abutting the mandible, were operated upon by segmental mandibulectomy en-bloc with primary tumor resection in addition to modified radical or selective neck dissection according to the status of the cervical lymph nodes. Results: During a median follow-up of 2 years, 29 patients (56.8%) had local recurrences, the incidence of nodal recurrence after neck dissection was detected in 4 patients (7.8%). On multivariate analysis, tumor depth, tumor grade, oral mucosa, soft tissue and bone surgical margins in addition to metastatic lymphadenopathy were independent prognostic factors of loco-regional failure and disease-free survival. Conclusion: Oral cavity cancers abutting the mandible should be treated with great caution by a multidisciplinary oncology team (resection and reconstruction surgeons) as it has a very aggressive biologic behavior. Negative intraoperative pathological margins should be attempted since this is the critical point for patients with cancers abutting the mandible? Further research on the biologic margin and genetic study is required

  18. Evaluation on Impact Interaction between Abutment and Steel Girder Subjected to Nonuniform Seismic Excitation

    Yue Zheng

    2015-01-01

    Full Text Available This paper aims to evaluate the impact interaction between the abutment and the girder subjected to nonuniform seismic excitation. An impact model based on tests is presented by taking material properties of the backfill of the abutment into consideration. The conditional simulation is performed to investigate the spatial variation of earthquake ground motions. A two-span continuous steel box girder bridge is taken as the example to analyze and assess the pounding interaction between the abutment and the girder. The detailed nonlinear finite element (FE model is established and the steel girder and the reinforced concrete piers are modeled by nonlinear fiber elements. The pounding element of the abutment is simulated by using a trilinear compression gap element. The elastic-perfectly plastic element is used to model the nonlinear rubber bearings. The comparisons of the pounding forces, the shear forces of the nonlinear bearings, the moments of reinforced concrete piers, and the axial pounding stresses of the steel girder are studied. The made observations indicate that the nonuniform excitation for multisupport bridge is imperative in the analysis and evaluation of the pounding effects of the bridges.

  19. Relevance between abutment pressure and fractal dimension of crack network induced by mining

    Gao Mingzhong; Jin Wencheng; Dai Zhixu; Xie Jing

    2013-01-01

    Based on the geological conditions of coal mining face No. 15-14120 at No. 8 mine of Pingdingshan coal mining group, the real-time evolution of coal-roof crack network with working face advancing was collected with the help of intrinsically safe borehole video instrument. And according to the geology of this working face, a discrete element model was calculated by UDEC. Combining in situ experimental data with numerical results, the relationship between the fractal dimension of boreholes’ wall and the distri-bution of advanced abutment pressure was studied under the condition of mining advance. The results show that the variation tendency of fractal dimension and the abutment pressure has the same charac-teristic value. The distance between working face and the peak value of the abutment pressure has a slight increasing trend with the advancing of mining-face. When the working face is set as the original point, the trend of fractal dimension from the far place to the origin can be divided into three phases:constant, steady increasing and constant. And the turning points of these phases are the max-influencing distance (50 m) and peak value (15 m) of abutment pressure.

  20. Long-term stability analysis of the left bank abutment slope at Jinping I hydropower station

    Long Zhang; Qiang Yang; Yaoru Liu

    2016-01-01

    The time-dependent behavior of the left bank abutment slope at Jinping I hydropower station has a major influence on the normal operation and long-term safety of the hydropower station. To solve this problem, a geomechanical model containing various faults and weak structural planes is established, and numerical simulation is conducted under normal water load condition using FLAC3D, incorporating creep model proposed based on thermodynamics with internal state variables theory. The creep deformations of the left bank abutment slope are obtained, and the changes of principal stresses and deformations of the dam body are analyzed. The long-term stability of the left bank abutment slope is evaluated ac-cording to the integral curves of energy dissipation rate in domain and its derivative with respect to time, and the non-equilibrium evolution rules and the characteristic time can also be determined using these curves. Numerical results show that the left bank abutment slope tends to be stable in a global sense, and the stress concentration is released. It is also indicated that more attention should be paid to some weak regions within the slope in the long-term deformation process.

  1. Live-bed scour experiments with 45° wing-wall abutments

    M H Mazumder; A K Barbhuiya

    2014-10-01

    Live bed scour experiments were conducted using four types of noncohesive bed sediments with median diameters d50 = 0.26 mm, 0.42 mm, 1.06 mm and 1.92 mm and five 45° wing-wall abutments of lengths l = 0.04 m, 0.06 m, 0.08 m, 0.10 m and 0.12 m. The tests were conducted in the range of flow velocity varies from 0.71 to 5 times of the critical velocity. The plotting of non-dimensional scour depths (scour depths/abutment lengths) vs non-dimensional flow intensity (flow intensity/critical velocity) show one peak value of scour depth close to the threshold velocity and thereafter, it reduces and again attain a live-bed maximum in the range of flow intensity 3 to 5 times of the critical velocity. It is also observed that the scour depth increases with the increase in sediment sizes up to threshold value of flow for all sediment sizes and abutment lengths. Further, the scour depth decreases with the increase of non-uniformity under all flow conditions. A design equation is proposed for estimating maximum scour depth at 45°wing-wall abutment under live-bed condition. The calculated values of scour depths using proposed equation, and also with three different live-bed local scour equations, are compared with the measured values of scour depths.

  2. The effect of mucosal cuff shrinkage around dental implants during healing abutment replacement.

    Nissan, J; Zenziper, E; Rosner, O; Kolerman, R; Chaushu, L; Chaushu, G

    2015-10-01

    Soft tissue shrinkage during the course of restoring dental implants may result in biological and prosthodontic difficulties. This study was conducted to measure the continuous shrinkage of the mucosal cuff around dental implants following the removal of the healing abutment up to 60 s. Individuals treated with implant-supported fixed partial dentures were included. Implant data--location, type, length, diameter and healing abutments' dimensions--were recorded. Mucosal cuff shrinkage, following removal of the healing abutments, was measured in bucco-lingual direction at four time points--immediately after 20, 40 and 60 s. anova was used to for statistical analysis. Eighty-seven patients (49 women and 38 men) with a total of 311 implants were evaluated (120 maxilla; 191 mandible; 291 posterior segments; 20 anterior segments). Two-hundred and five (66%) implants displayed thick and 106 (34%) thin gingival biotype. Time was the sole statistically significant parameter affecting mucosal cuff shrinkage around dental implants (P < 0.001). From time 0 to 20, 40 and 60 s, the mean diameter changed from 4.1 to 4.07, 3.4 and 2.81 mm, respectively. The shrinkage was 1%, 17% and 31%, respectively. The gingival biotype had no statistically significant influence on mucosal cuff shrinkage (P = 0.672). Time required replacing a healing abutment with a prosthetic element should be minimised (up to 20/40 s), to avoid pain, discomfort and misfit. PMID:26132112

  3. Distribution of Side Abutment Stress in Roadway Subjected to Dynamic Pressure and Its Engineering Application

    Yao Qiangling

    2015-01-01

    Full Text Available The borehole stress-meter was employed in this study to investigate the distribution of the side abutment stress in roadway subjected to dynamic pressure. The results demonstrate that the side abutment stress of the mining roadway reaches a peak value when the distance to the gob is 8 m and the distribution curve of the side abutment stress can be divided into three zones: stress rising zone, stress stabilizing zone, and stress decreasing zone. Further numerical investigation was carried out to study the effect of the coal mass strength, coal seam depth, immediate roof strength, and thickness on the distribution of the side abutment stress. Based on the research results, we determined the reasonable position of the mining roadway and the optimal width of the barrier pillar. The engineering application demonstrates that the retention of the barrier pillar with a width of 5 m along the gob as the haulage roadway for the next panel is feasible, which delivers favorable technological and economic benefits.

  4. Resisting momentum in the abutment to rotating of freight car bogie

    Pavels GAVRILOVS

    2008-01-01

    Full Text Available On the Latvian railway, derailments of freight cars take place in the course of shunting work on marshalling yards. A number of factors during shunting work on marshalling yards may contribute to the derailments of rolling stock: longitudinal dynamics during braking of cars with the turned off brakes by locomotive, hauling down cars from a marshalling hill with braking position controlled by an operator, dry internal rails in curves, absence of greasing in the pivot unit of freight bogies. At present, measures allowing elimination of the car derailments during shunting work are developed.During the period between repairs, the abutment unit of freight car often works in conditions of dry friction. Our observations suggest that at the time of taking a car into repair, there is often an absence of greasing between trail bearing and center plate of the abutment, and a presence of sandy dust. It increases a friction and, together with high contact pressures and dynamic influence, hinders the turn of bogie at motion of car.In this paper, the results of studying the resisting moment in the abutment to turning of bogie is reported. The study was conducted on the basis of freight bogie of type 18-100; the body was leant on the center plate unit of the abutment, on the center plate unit, and on the sliders. Experiments were conducted, with the use of greasing and at the dry friction of center plate unit.

  5. Improvement of dose distributions in abutment regions of intensity modulated radiation therapy and electron fields

    In recent years, intensity modulated radiation therapy (IMRT) is used to radiate tumors that are in close proximity to vital organs. Targets consisting of a deep-seated region followed by a superficial one may be treated with abutting photon and electron fields. However, no systematic study regarding matching of IMRT and electron beams was reported. In this work, a study of dose distributions in the abutment region between tomographic and step-and-shoot IMRT and electron fields was carried out. A method that significantly improves dose homogeneity between abutting tomographic IMRT and electron fields was developed and tested. In this method, a target region that is covered by IMRT was extended into the superficial target area by ∼2.0 cm. The length and shape of IMRT target extension was chosen such that high isodose lines bent away from the region treated by the electrons. This reduced the magnitude of hot spots caused by the 'bulging effect' of electron field penumbra. To account for the uncertainties in positioning of the IMRT and electron fields, electron field penumbra was modified using conventional (photon) multileaf collimator (MLC). The electron beam was delivered in two steps: half of the dose delivered with MLCs in retracted position and another half with MLCs extended to the edge of electron field that abuts tomographic IMRT field. The experimental testing of this method using film dosimetry has demonstrated that the magnitude of the hot spots was reduced from ∼45% to ∼5% of the prescription dose. When an error of ±1.5 mm in field positioning was introduced, the dose inhomogeneity in the abutment region did not exceed ±15% of the prescription dose. With step-and-shoot IMRT, the most homogeneous dose distribution was achieved when there was a 3 mm gap between the IMRT and electron fields

  6. Percutaneous Radiofrequency Ablation for the Hepatocellular Carcinoma Abutting the Diaphragm: Assessment of Safety and Therapeutic Efficacy

    Kang, Tae Wook; Rhim, Hyun Chul; Kim, Eun Young; Kim, Young Sun; Choi, Dong Il; Lee, Won Jae; Lim, Hyo K. [Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul (Korea, Republic of)

    2009-02-15

    To assess the safety and therapeutic efficacy of a percutaneous radiofrequency (RF) ablation for the hepatocellular carcinoma (HCC) abutting the diaphragm. We retrospectively assessed 80 patients who underwent a percutaneous RF ablation for a single nodular (< 4 cm) HCC over the last four years. Each patient underwent an ultrasound-guided RF ablation using internally cooled electrodes for the first-line treatment. We divided patients into two subgroups based on whether the index tumor was abutting (less than 5 mm) the diaphragm or not: group A (abutting; n = 31) versus group B (non-abutting; n = 49). We compared the two subgroups for complications and therapeutic efficacy using image and the review of medical records. The statistical assessment included an independent t-test, Fisher's exact test, and chi-square test. The assessment of the diaphragmatic swelling at CT immediately following the procedure was more severe in group A than group B (mean thickness change:1.44 vs. 0.46 mm, p = 0.00). Further, right shoulder pain was more common in group A than B (p = 0.01). Although minor complications (hemothorax 1 case, pleural effusion 1 case) were noted only in group A, no major thoracic complication occurred in either group. The technical success rate was lower in group A than group B (84% vs. 98%, p = 0.03). As well, the primary and secondary technique effectiveness rates in group A and group B were 90% versus 98% (p = 0.29) and 79% versus 91% (p = 0.25), respectively. The local tumor progression rate was higher in group A than in group B (29% vs. 6%, p = 0.02). We found that the percutaneous RF ablation for the HCC abutting the diaphragm is a safe procedure without major complications. However, it is less effective with regard to technical success and local tumor control.

  7. Esthetic Outcomes of Single-Tooth Implant-Supported Restorations Using Metal-Ceramic Restorations with Zirconia or Titanium Abutments: A Randomized Controlled Clinical Study.

    Baldini, Nicola; D'Elia, Chiara; Clementini, Marco; Carrillo de Albornoz, Ana; Sanz, Mariano; De Sanctis, Massimo

    2016-01-01

    The aim of this study was to test whether zirconia abutments exhibit the same clinical and esthetic outcomes as titanium abutments in single-tooth implant restorations in the esthetic area. The 24 treated patients were randomly assigned to a test (zirconia abutment) or control (titanium abutment) group. Objective evaluations were carried out using the Implant Crown Aesthetic Index (ICAI) and the Papilla Index (PI) at the 1-month and 12-month follow-up examinations after crown cementation. No significant differences, either in ICAI or in other periodontal or radiographic measurements, were observed. At 1 year, zirconia and titanium abutments exhibited the same esthetic outcomes. PMID:27333019

  8. Analytical solutions of hard roof’s bending moment, deflection and energy under the front abutment pressure before periodic weighting

    Jiang Haijun; Cao Shenggen; Zhang Yun; Wang Chen

    2016-01-01

    The distribution of front abutment pressure is closely related to the force, deformation and energy distri-bution of hard roof before periodic weighting. So it is necessary to carry out research on the relationship between them. According to front abutment pressure distribution feature, using the location of peak front abutment pressure as the dividing point, coal seam is divided into two parts along the direction of min-ing:the yield zone that is the area between the faceline and the point where the maximum front abut-ment pressure occurs, and the elastic zone that is the part before the point of peak front abutment pressure. The proposed mechanical model of unit width hard roof at the panel center before periodic weighting consists of five parts including the yield zone. All parameters of the deflection equations for each of the five parts that satisfy the continuity conditions and natural boundary conditions are obtained by using the Matlab software. The continuous curves of front abutment pressure, deflection, bending moment and bending strain energy density distribution of hard roof are obtained by iterative approxima-tion method, and the relationship between the yield zone width and the above curves are analyzed in detailed.

  9. Hasarlı Çene Kemiklerinde Abutment Boyunun Dental İmplant Sistemi Üzerindeki Etkileri

    Sinan KÖSE

    2015-01-01

    Full Text Available The purpose of this study is to investigate the stresses occurred onhard and soft bones after recovering the deficiency caused by totally edentulousand damaged mandible by using abutments with different lengths andprosthesis filling material. Two different damaged parts of 2.5 and 4.5 mm indepth were created with the aid of Solidworks program on the right hand sideof the mandible. Implants were then applied between the foremen channels.Later, the damaged models were recovered by abutment with different lengthsas for the first method. Two models using abutment were, therefore, obtainedfor the damaged parts of 2.5 and 4.5 mm in depth. In the second method, for thesame damaged cases, prosthesis filling material was used to recover deficiencykeeping the abutment length constant. Finally, there were totally obtained 4different damaged models of two fixed with abutment and two fixed with fillingmaterial and 1 undamaged model. At the second step of this study, the stressvalues were obtained on lower jaw bones by using finite element method underthe maximum chewing force and compared to each other. The results showedthat stress data obtained particularly on the soft and hard bones weredistributed more uniformly on the damaged models fixed with prosthesis fillingmaterial compared to the damaged models recovered by abutment. Moreover,the stress values obtained for models fixed with different abutment length wererather high in comparison to those of the filling material application

  10. Using a porcelain furnace to debond cement-retained implant crown from the abutment after screw fracture: a clinical report.

    Saponaro, Paola C; Heshmati, Reza H; Lee, Damian J

    2015-04-01

    When a screw fracture occurs on a cement-retained, implant-supported restoration, the abutment and restoration are completely separated from the implant's internal connection. Traditionally, an access hole is drilled through the crown to retrieve the broken screw, and the restoration can be placed again as a screw-retained restoration. This clinical report documents a patient whose broken abutment screw was retrieved from the restoration by burning off the cement and separating from the abutment without drilling an access hole. PMID:25316610

  11. Dynamic Abutment: A method of redirecting screw access for implant-supported restorations: Technical details and a clinical report.

    Berroeta, Eva; Zabalegui, Ion; Donovan, Terrence; Chee, Winston

    2015-06-01

    The esthetic outcome of implant-supported restorations is affected by the implant position. A well-placed implant will allow appropriate contours of the restoration and together with an adequate volume of soft tissue will result in a functional and esthetic restoration. When a screw-retained restoration is anticipated, an implant that is angled too far facially would be esthetically unacceptable. In 2004, an abutment called the Dynamic Abutment (Talladium International Implantology) became commercially available. This abutment can allow a deviation of the restoration screw access angle to the implant angle of up to 28 degrees while allowing a screw-retained restoration to be connected directly to the platform of the implant. The purpose of this article was to describe the components, technique, and clinical use of this abutment. PMID:25794919

  12. Esthetic Considerations for Reconstructing Implant Emergence Profile Using Titanium and Zirconia Custom Implant Abutments: Fifty Case Series Report.

    Kutkut, Ahmad; Abu-Hammad, Osama; Mitchell, Richard

    2015-10-01

    Titanium and zirconia custom implant abutments are now commonly used for esthetic implant dentistry. Custom implant abutments allow the clinician to improve an implant's emergence profile, to customize cervical margins in accordance with the anatomy of the natural root, and to compensate for poor implant angulation. All of these are essential for optimum esthetic outcomes. Computer-aided design/computer-aided machining (CAD/CAM) technology allows the clinician to design custom implant abutment configurations and create natural-looking superstructures that are in harmony with the adjacent dentition and soft tissue. The CAD/CAM technique provides precise fit, reduces the cost of the procedure, and eliminates dimensional inaccuracies inherent in the conventional waxing and casting technique. The aim of this report is to describe a simplified technique for reconstructing emergence profiles during implant restoration using milled titanium and zirconia custom implant abutments. The results of 50 consecutive cases are reported. PMID:24175922

  13. Effects of vertical interarch space and abutment height on stress distributions: a 3D finite element analysis.

    Naveau, Adrien; Renault, Patrick; Pierrisnard, Laurent

    2009-06-01

    This three dimensional Finite Element Analysis study investigated stress distribution and intensity in implants restored with cemented or screwed crown. Two parameters varied: interarch space and abutment height. Highest stresses occurred at the cervical area in all models. Stresses increased mainly with vertical interarch space highness, and secondarily with abutments shortness. From a mechanical point of view, bone and prosthetics components supporting cemented crowns were not as solicited as with screwed crowns. PMID:19645311

  14. The effect of resin cements and primer on retentive force of zirconia copings bonded to zirconia abutments with insufficient retention

    Kim, Seung-Mi; Yoon, Ji-Young; Lee, Myung-Hyun; Oh, Nam-Sik

    2013-01-01

    PURPOSE The purpose of this study was to investigate the effect of resin cements and primer on the retentive force of zirconia copings bonded to zirconia abutments with insufficient retention. MATERIALS AND METHODS Zirconia blocks (Lava, 3M ESPE, St. Paul, MN, USA) were obtained and forty sets of zirconia abutments and copings were fabricated using CAD/CAM technology. They were grouped into 4 categories as follows, depending on the types of resin cements used, and whether the primer is applie...

  15. Transpulmonary computed tomography-guided radiofrequency ablation of liver neoplasms abutting the diaphragm with multiple bipolar electrodes

    Q. Zhang; Li, X; Pan, J.; Z. Wang

    2015-01-01

    Background: Neoplasm abutting the diaphragm is one kind of the special sites of liver neoplasms treated with radiofrequency ablation (RFA), the purpose of this study is to evaluate the feasibility and safety of computed tomography (CT)-guided RFA of liver neoplasms abutting the diaphragm with multiple bipolar electrodes sequentially passing through the lung parenchyma. Materials and Methods: 37 patients were treated with transpulmonary CT-guided RFA. Technical success rate, perioperative comp...

  16. LATE RESULTS OF PATIENTS’ ORTHOPEDIC TREATMENT USING FIXED PARTIAL DENTURES, DEPENDING ON THE FUNCTIONAL STATE OF THE ABUTMENT TEETH

    Ozhogan, Z. R.; Klymyuk, Y. V.

    2015-01-01

    Treatment of partial adentia involves preparation of abutment teeth, followed by the production of fixed partial dentures. However, the abutment tooth vitality should be taken into account and the periodontal reserve power should be considered to prevent functional overload. The hygienic condition of the oral cavity is also necessary to be monitored during treatment and at different times after it.Using clinical indices data, the preservation of vital teeth was found to be a more reliable cri...

  17. Effect of the number of abutments on biomechanics of Branemark prosthesis with straight and tilted distal implants

    Marcos Michelon Naconecy; Tomás Geremia; André Cervieri; Eduardo Rolim Teixeira; Rosemary Sadami Shinkai

    2010-01-01

    OBJECTIVE: This study aimed to evaluate the bending moments, and compressive and tensile forces in implant-supported prostheses with three, four or five abutments. MATERIAL AND METHODS: Ten Pd-Ag frameworks were tested over two master models with: 1) parallel vertical implants, and 2) tilted distal implants. Strain gauges were fixed on the abutments of each master model to measure the deformation when a static load of 50 N was applied on the cantilever (15 mm). The deformation values were mea...

  18. Abutment-Supported Papilla: A Combined Surgical and Prosthetic Approach to Papilla Reformation.

    Urban, Istvan A; Klokkevold, Perry R; Takei, Henry H

    2016-01-01

    Restoration of lost interdental papilla remains one of the most challenging goals for clinicians. When a single tooth is replaced with an implant, the papilla between the tooth and the implant can often be maintained or predictably reconstructed as long as the periodontal attachment and bone of the adjacent tooth is preserved. However, if the periodontal support is compromised on the neighboring natural tooth, the papilla will often be deficient or missing. This article presents a multidisciplinary treatment approach to regenerate the interdental papilla between an implant and a periodontally compromised tooth using surgical procedures and a customized abutment. Specifically, an abutment with modified subgingival contours is used to enhance support of the surgically reformed papilla. PMID:27560670

  19. Biomechanical Analysis of Tapered Integrated Screw and Sensitivity Analysis on Abutment Loosening in Dental Implants

    Milad Farzadi; Mohammadreza Mallakzadeh

    2013-01-01

    Background and Aims: Different mechanisms have been developed for connecting abutment to implant. One of the most popular mechanisms is Tapered Integrated Screw (TIS), which is a Tapered Interference Fit (TIF) with a screw integrated at the bottom of that. The aim of this study was to investigate the mechanism of TIS and effective factors in employing TIS during design and implementation processes using an analytic method.Materials and Methods: Relevant equations were developed to predict tig...

  20. Soft Tissue Response to Titanium Abutments with Different Surface Treatment: Preliminary Histologic Report of a Randomized Controlled Trial

    Canullo, Luigi; Dehner, Jan Friedrich; Penarrocha, David; Checchi, Vittorio; Mazzoni, Annalisa; Breschi, Lorenzo

    2016-01-01

    The aim of this preliminary prospective RCT was to histologically evaluate peri-implant soft tissues around titanium abutments treated using different cleaning methods. Sixteen patients were randomized into three groups: laboratory customized abutments underwent Plasma of Argon treatment (Plasma Group), laboratory customized abutments underwent cleaning by steam (Steam Group), and abutments were used as they came from industry (Control Group). Seven days after the second surgery, soft tissues around abutments were harvested. Samples were histologically analyzed. Soft tissues surrounding Plasma Group abutments predominantly showed diffuse chronic infiltrate, almost no acute infiltrate, with presence of few polymorphonuclear neutrophil granulocytes, and a diffuse presence of collagenization bands. Similarly, in Steam Group, the histological analysis showed a high variability of inflammatory expression factors. Tissues harvested from Control Group showed presence of few neutrophil granulocytes, moderate presence of lymphocytes, and diffuse collagenization bands in some sections, while they showed absence of acute infiltrate in 40% of sections. However, no statistical difference was found among the tested groups for each parameter (p > 0.05). Within the limit of the present study, results showed no statistically significant difference concerning inflammation and healing tendency between test and control groups. PMID:27366741

  1. Laparoscopic vs computerized tomography-guided radiofrequency ablation for large hepatic hemangiomas abutting the diaphragm

    Gao, Jun; Kong, Jian; Ding, Xue-Mei; Ke, Shan; Niu, Hai-Gang; Xin, Zong-Hai; Ning, Chun-Min; Guo, Shi-Gang; Li, Xiao-Long; Zhang, Long; Dong, Yong-Hong; Sun, Wen-Bing

    2015-01-01

    AIM: To compare safety and therapeutic efficacy of laparoscopic radiofrequency (RF) ablation vs computed tomography (CT)-guided RF ablation for large hepatic hemangiomas abutting the diaphragm. METHODS: We retrospectively reviewed our sequential experience of treating 51 large hepatic hemangiomas abutting the diaphragm in 51 patients by CT-guided or laparoscopic RF ablation due to either the presence of symptoms and/or the enlargement of hemangioma. Altogether, 24 hemangiomas were ablated via a CT-guided percutaneous approach (CT-guided ablation group), and 27 hemangiomas were treated via a laparoscopic approach (laparoscopic ablation group). RESULTS: The mean diameter of the 51 hemangiomas was 9.6 ± 1.8 cm (range, 6.0-12.0 cm). There was no difference in the diameter of hemangiomas between the two groups (P > 0.05). RF ablation was performed successfully in all patients. There was no difference in ablation times between groups (P > 0.05). There were 23 thoracic complications in 17 patients: 15 (62.5%, 15/24) in the CT-guided ablation group and 2 (7.4%, 2/27) in the laparoscopic ablation group (P 0.05). CONCLUSION: Laparoscopic RF ablation therapy should be used as the first-line treatment option for large hepatic hemangiomas abutting the diaphragm. It avoids thermal injury to the diaphragm and reduces thoracic complications. PMID:26019459

  2. Preload and torque removal evaluation of three different abutment screws for single standing implant restorations

    Rafael Augusto Stüker

    2008-02-01

    Full Text Available Several authors still consider the mechanical problems of fracture and component loosening as the main causes of failure of implant-supported restorations. The purpose of this in vitro study was to compare the preload of three types of screw for transmucosal abutment attachment used in single implant-supported prosthesis through strain gauge and removal torque measurements. Three external hex fixtures were used, and each received a transmucosal abutment (Cera One®, which was fixed to the implant with its respective screw: Group A- gold screw, Group B- titanium screw and Group C- surface-treated titanium screw (Ti-Tite®. Ten screws of each type were attached applying a 30.07±0.28 Ncm torque force and maintained in position for 5 minutes. After this, the preload values were measured using strain gauges and a measurement cell. Gold screws presented higher preload values (131.72±8.98 N, followed by surface-treated titanium screws (97.78±4.68 N and titanium screws (37.03±5.69 N. ANOVA (p<0.05 and Tukey's test (p<0.05 were applied. Statistically significant differences were found among the groups for both preload and removal torque values. In conclusion, gold screws may be indicated to achieve superior longevity of the abutment-implant connection and, consequently, prosthetic restoration due to greater preload values yielded.

  3. Correction of Malpositioned Implants through Periodontal Surgery and Prosthetic Rehabilitation Using Angled Abutment.

    de Avila, Erica Dorigatti; de Molon, Rafael Scaf; de Barros-Filho, Luiz Antônio Borelli; de Andrade, Marcelo Ferrarezi; Mollo, Francisco de Assis; de Barros, Luiz Antônio Borelli

    2014-01-01

    When dental implants are malpositioned in relation to the adjacent teeth and alveolar bone or in an excessive buccal or lingual position, the final prosthesis rehabilitation impairs the peri-implant health of the gingival tissues and the aesthetics of the patient. Thus, the purpose of this case was to report and discuss a multidisciplinary protocol for the treatment of a compromised maxillary tooth in a patient with an abscess in his right central incisor due to an excessive buccal implant position. The patient presented with an implant-supported provisional restoration on his right maxillary central incisor and a traumatic injury in his left central incisor. The treatment protocol consisted in (i) abutment substitution to compensate the incorrect angulation of the implant, (ii) clinical crown lengthening, (iii) atraumatic extraction of the left central incisor, and (iv) immediate implant placement. Finally, (v) a custom abutment was fabricated to obtain a harmonious gingival contour around the prosthetic crown. In conclusion, when implants are incorrectly positioned in relation to the adjacent teeth, associated with soft-tissue defects, the challenge to create a harmonious mucogingival contours may be achieved with an interdisciplinary approach and with the placement of an appropriate custom abutment. PMID:24955259

  4. Correction of Malpositioned Implants through Periodontal Surgery and Prosthetic Rehabilitation Using Angled Abutment

    Érica Dorigatti de Avila

    2014-01-01

    Full Text Available When dental implants are malpositioned in relation to the adjacent teeth and alveolar bone or in an excessive buccal or lingual position, the final prosthesis rehabilitation impairs the peri-implant health of the gingival tissues and the aesthetics of the patient. Thus, the purpose of this case was to report and discuss a multidisciplinary protocol for the treatment of a compromised maxillary tooth in a patient with an abscess in his right central incisor due to an excessive buccal implant position. The patient presented with an implant-supported provisional restoration on his right maxillary central incisor and a traumatic injury in his left central incisor. The treatment protocol consisted in (i abutment substitution to compensate the incorrect angulation of the implant, (ii clinical crown lengthening, (iii atraumatic extraction of the left central incisor, and (iv immediate implant placement. Finally, (v a custom abutment was fabricated to obtain a harmonious gingival contour around the prosthetic crown. In conclusion, when implants are incorrectly positioned in relation to the adjacent teeth, associated with soft-tissue defects, the challenge to create a harmonious mucogingival contours may be achieved with an interdisciplinary approach and with the placement of an appropriate custom abutment.

  5. 重载铁路桥台设计%Abutment Design of Heavy Haul Railway

    严章荣

    2012-01-01

    针对山西中南部铁路通道采用的30 t轴重荷载,分析目前国内外重栽铁路的发展特点,拟定桥台的设计标准、设计荷载以及荷载检算模式,通过对台身偏心及应力检算,确定了空心桥台的结构尺寸.设计的矩形空心桥台台长随填土高增加而增加,其结构整体刚度好、台身圬工量较省、方便施工,能够满足30t轴重列车的运营要求.%Focusing on the axle load of 30 tons which was applied to the Railway Passage in Central and Southern Shanxi, the development characteristics of heavy haul railway at home and abroad at present were analyzed. The design criteria, design load and the load calculation model were formulated. After the eccentricities and the stresses are checked out, the structure size of hollow abutment was defined. The design results show that the rectangular hollow abutment which the abutment length increases with the increase of earth filling's height, has a good rigidity with less amount of masonry, can be convenient for construction, and can meet the requirements of train's operation under 30t axle load.

  6. Accuracy of different abutment level impression techniques in All-On-4 dental implants

    Marzieh Alikhasi

    2012-01-01

    Full Text Available Background and Aims: Passive fit of prosthetic frameworks is a major concern in implant dentistry. Impression technique is one of the several variables that may affect the outcome of dental implants. The purpose of this study was to compare the three dimensional accuracy of direct and indirect abutment level implant impressions ofALL-ON-4 treatment plan.Materials and Methods: A reference acrylic resin model with four Branemark fixtures was made according to All-On-4 treatment plan. Multiunit abutments were screwed into the fixtures and two special trays were made for direct and indirect impression techniques. Ten direct and ten indirect impression techniques with respective impression transfers were made. Impressions were poured with stone and the positional accuracy of the abutment analogues in each dimension of x, y, and z axes and also angular displacement (Δθ were evaluated using a Coordinate Measuring Machine (CMM. Data were analyzed using T- test.Results: The results showed that direct impression technique was significantly more accurate than indirect technique (P<0.001.Conclusion: The results showed that the accuracy of direct impression technique was significantly more than that of indirect technique in Δθ and Δr coordinate and also Δx, Δy, Δz.

  7. Displacements Prediction in Double-Arch Dam Rock Abutment Using SPSS Software Based on Extensometer Readings Case study: Karun 4 Concrete Dam, Iran

    Hadi kamali Bandpey; Kaveh Ahangari; Mirsaeid Hosseini Shirvani

    2012-01-01

    In this study we present a method for Displacements Prediction in Double-Arch Dam Rock Abutment Using SPSS Software Based on Extensometer Readings. Displacement in dams is the most tangible and important parameter which could be crucial in their safety. Different elevation displacements are yielded by various loadings and the thrust force imposed on foundation and abutment. Most concrete dams are constructed on stone foundations. Displacements in foundation and abutment are measured by extens...

  8. The Effect of Laser-Etched Surface Design on Soft Tissue Healing of Two Different Implant Abutment Systems: An Experimental Study in Dogs.

    Neiva, Rodrigo; Tovar, Nick; Jimbo, Ryo; Gil, Luiz F; Goldberg, Paula; Barbosa, Joao Pm; Lilin, Thomas; Coelho, Paulo G

    2016-01-01

    This study describes the early soft tissue morphology around two different implant systems that received either smooth or laser-etched abutments in a beagle dog model. Implants were placed in the healed mandibular molar region of eight beagle dogs and allowed to heal for 7 weeks. When the most apical aspect of the junctional epithelium (JE) was above or within the upper half of the laser-etched region, fibers were oriented perpendicular to the abutment surface. In contrast, JE positioned within the lower half of the laser-etched region or within or below the implant-abutment gap level presented fibers oriented parallel to the abutment surface. PMID:27560671

  9. Radiologic evaluation of bone loss at implants with biocide coated titanium abutments: a study in the dog.

    Roberto López-Píriz

    Full Text Available The objective of the present study is to evaluate bone loss at implant abutments coated with a soda-lime glass containing silver nanoparticles subjected to experimental peri-implantitis. Five beagle dogs were used in the experiments, 3 implants were installed in each quadrant of the mandibles. Glass/n-Ag coted abutments were connected to implant platform. Cotton floss ligatures were placed in a submarginal position around the abutment necks and the animals were subject to a diet which allowed plaque accumulation, and after 15 weeks the dogs were sacrificed. Radiographs of all implant sites were obtained at the beginning and at the end of the experimentally induced peri-implantitis. The radiographic examination indicated that significant amounts of additional bone loss occurred in implants without biocide coating, considering both absolute and relative values of bone loss. Percentages of additional bone loss observed in implants dressed with a biocide coated abutment were about 3 times lower (p<0.006 distal aspect; and p<0.031 at mesial aspect than the control ones. Within the limits of the present study it seems promising the use of soda-lime glass/nAg coatings on abutments to prevent peri-implant diseases.

  10. Clinical evaluation of removable partial dentures on the periodontal health of abutment teeth: a retrospective study.

    Dula, Linda J; Ahmedi, Enis F; Lila-Krasniqi, Zana D; Shala, Kujtim Sh

    2015-01-01

    The aim of this retrospective study was to evaluate the effect of removable partial dentures in periodontal abutment teeth in relation to the type of denture support and design of RPD in a five-year worn period. Methods : A total of 64 patients with removable partial dentures (RPDs), participated in this study. It were examined ninety-one RPDs. There were seventy-five RPDs with clasp-retained and sixteenth were RPDs with attachments. There were 28 females and 36 males, aged between 40-64 years, 41 maxillary and 50 mandible RPDs. For each subjects the following data were collected: denture design, denture support, and Kennedy classification. Abutment teeth were assessed for plaque index (PI), calculus index (CI), blending on probing (BOP), probing depth (PD), gingival recession (GR), tooth mobility (TM). Level of significance was set at p<0.05. Results : According to denture support of RPD, BOP, PD, PI, GR, CI and TM-index showed no statistically significant difference. Based on the denture design of RPD's, BOP, PD, PI, CI, and TM-index proved no statistically significant difference. Except GR-index according to denture design confirmed statistically significant difference in RPD with clasp p<0.01. The higher values of all periodontal parameter as BOP, PD, PI, CI and TM were in patients with RPD's with claps comparing with RPD's with attachment. Conclusion : RPD's with clasp increased level of gingival inflammation in regions covered by the dentures and below the clasp arms in abutment teeth. PMID:25926896

  11. Management of a malpositioned implant using custom abutment and screw-retained fixed dental prosthesis.

    Turkyilmaz, Ilser

    2014-01-01

    A 32-year-old woman with missing permanent mandibular right molars and left first molar presented for treatment. One of the implants were misaligned during the placement due to sudden mouth closure of the patient. All implants success fully osseointegrated. However, the misaligned implant resulted in substantial mechanical and esthetic restorative challenges. The prosthodontic treatment included a custom abutment and a screw-retained fixed dental prosthesis on the right side. The patient did not report any problems with the implants and restorations during the first year of service. The treatment presented in this clinical report may be an alternative option to restore malpositioned implants. PMID:25307826

  12. Effect of Abutment Taper on the Fracture Resistance of all-Ceramic Three-unit Bridges

    F. Gerami-Panah; H. Jalali; L. Sedighpour

    2005-01-01

    Statement of Problem: The connector area is the weakest zone of an all-ceramic fixed partial denture (FPD), where most catastrophic failures of the prostheses tend to occur.Purpose: The aim of the present study was to assess the effect of the convergence angle of abutments on the fracture resistance of three-unit fixed partial dentures made of IPSEmpress2.Materials and Methods: Forty extracted human premolars and molars were used to reproduce twenty, 3-unit fixed partial dentures, for the rep...

  13. The effect of platform switching on the levels of metal ion release from different implant–abutment couples

    Alrabeah, Ghada O; Knowles, Jonathan C; Petridis, Haralampos

    2016-01-01

    The improved peri-implant bone response demonstrated by platform switching may be the result of reduced amounts of metal ions released to the surrounding tissues. The aim of this study was to compare the levels of metal ions released from platform-matched and platform-switched implant–abutment couples as a result of accelerated corrosion. Thirty-six titanium alloy (Ti-6Al-4V) and cobalt–chrome alloy abutments were coupled with titanium cylinders forming either platform-switched or platform-matched groups (n=6). In addition, 18 unconnected samples served as controls. The specimens were subjected to accelerated corrosion by static immersion in 1% lactic acid for 1 week. The amount of metal ions ion of each test tube was measured using inductively coupled plasma mass spectrometry. Scanning electron microscope (SEM) images and energy dispersive spectroscopy X-ray analyses were performed pre- and post-immersion to assess corrosion at the interface. The platform-matched groups demonstrated higher ion release for vanadium, aluminium, cobalt, chrome, and molybdenum compared with the platform-switched groups (PTitanium was the highest element to be released regardless of abutment size or connection (P<0.05). SEM images showed pitting corrosion prominent on the outer borders of the implant and abutment platform surfaces. In conclusion, implant–abutment couples underwent an active corrosion process resulting in metal ions release into the surrounding environment. The highest amount of metal ions released was recorded for the platform-matched groups, suggesting that platform-switching concept has a positive effect in reducing the levels of metal ion release from the implant–abutment couples. PMID:27357323

  14. The effect of platform switching on the levels of metal ion release from different implant-abutment couples.

    Alrabeah, Ghada O; Knowles, Jonathan C; Petridis, Haralampos

    2016-01-01

    The improved peri-implant bone response demonstrated by platform switching may be the result of reduced amounts of metal ions released to the surrounding tissues. The aim of this study was to compare the levels of metal ions released from platform-matched and platform-switched implant-abutment couples as a result of accelerated corrosion. Thirty-six titanium alloy (Ti-6Al-4V) and cobalt-chrome alloy abutments were coupled with titanium cylinders forming either platform-switched or platform-matched groups (n=6). In addition, 18 unconnected samples served as controls. The specimens were subjected to accelerated corrosion by static immersion in 1% lactic acid for 1 week. The amount of metal ions ion of each test tube was measured using inductively coupled plasma mass spectrometry. Scanning electron microscope (SEM) images and energy dispersive spectroscopy X-ray analyses were performed pre- and post-immersion to assess corrosion at the interface. The platform-matched groups demonstrated higher ion release for vanadium, aluminium, cobalt, chrome, and molybdenum compared with the platform-switched groups (P<0.05). Titanium was the highest element to be released regardless of abutment size or connection (P<0.05). SEM images showed pitting corrosion prominent on the outer borders of the implant and abutment platform surfaces. In conclusion, implant-abutment couples underwent an active corrosion process resulting in metal ions release into the surrounding environment. The highest amount of metal ions released was recorded for the platform-matched groups, suggesting that platform-switching concept has a positive effect in reducing the levels of metal ion release from the implant-abutment couples. PMID:27357323

  15. Assessment of the tensile strength of hexagonal abutments using different cementing agents

    Carlos Wahl

    2008-12-01

    Full Text Available The aim of this study was to assess the uniaxial tensile strength after thermal cycling in replicas of CeraOne®abutments (abutment and coping sets, using four types of cements (n = 10. A zinc phosphate cement (Fosfato de Zinco®/ SSW, a resin-modified glass ionomer cement (RelyX®luting / 3M-ESPE, a zinc oxide-eugenol cement (ZOE®/ SSW and a zinc oxide cement without eugenol (TempBond NE®/ KERR were used. After cementation, the samples were submitted to thermal cycles (1,000 cycles, 5ºC ± 2º to 55ºC ± 2º for thirty seconds in each bath. Next, the samples were submitted to the tensile test in a universal test machine (0.5 mm/min. The data were submitted to ANOVA and the Tukey-Kramer test (p < 0.05, and statistically significant difference was found among the cements. The highest tensile strength mean value found was for zinc phosphate cement (33.6 kgf followed by the resin-modified glass ionomer cement (20.5 kgf, zinc oxide-eugenol cement (8.4 kgf and the temporary cement (3.1 kgf. Therefore, it was found that the permanent cements presented higher tensile strength, and the temporary cement could be used in situations requiring reversibility and the removal of cemented dental implant-supported prostheses.

  16. Biomechanical Analysis of Tapered Integrated Screw and Sensitivity Analysis on Abutment Loosening in Dental Implants

    Milad Farzadi

    2013-02-01

    Full Text Available Background and Aims: Different mechanisms have been developed for connecting abutment to implant. One of the most popular mechanisms is Tapered Integrated Screw (TIS, which is a Tapered Interference Fit (TIF with a screw integrated at the bottom of that. The aim of this study was to investigate the mechanism of TIS and effective factors in employing TIS during design and implementation processes using an analytic method.Materials and Methods: Relevant equations were developed to predict tightening and loosening torques, contactpressure and preloads with and without bone tissue in this analysis. The efficiency is defined as the ratio of the loosening torque to the tightening torque. The effects of the change in elastic modulus and thickness of the bone on operation of this mechanism were investigated.Results: In this study, 14 independent parameters such as taper angle, friction coefficient, abutment and implantgeometry that are effective on performance of TIS mechanism were presented. The role of some factors was shown in the performance of ITI implant using sensitivity analysis.Conclusion: It was shown that friction coefficient, contact length, and implant radius play major roles on tightening and loosening torques and efficiency of the mechanism. Furthermore, the results revealed that the change in the elastic modulus and thickness of the bone influenced the efficiency of the mechanism less than 15%.

  17. Histology of a dental implant with a platform switched implant-abutment connection

    Vittoria Perrotti

    2011-10-01

    Full Text Available Background: Peri-implant crestal bone must be stable for aesthetic reasons. Aim of this study was a histologic analysis of an implant with a platform switched implant-abutment connection. Materials and methods: A 32-year-old male patient participated in this study. The patient needed a bilateral mandibular restoration. Four implants were used, and were immediately restored and loaded the same day of insertion. After a 6 weeks healing period, one implant with platform-switched abutment was retrieved with trephine. Before retrieval the implant was osseointegrated and not mobile. On one side of the implant, a 1 mm resorption of the crestal bone was present. On the contrary, on the other side no bone resorption had occurred and about 1 mm of bone was present over the implant shoulder. Results: The bone-implant contact percentage was 65.1 ± 6.3 %. Platform- switching could help in maintaining the height of the peri-implant crestal bone.

  18. EFFECTS OF FLOW INTENSITY, OBSTACLE ALIGNMENT AND CROSS-SECTION GEOMETRY ON SCOUR AT BRIDGE ABUTMENTS

    A. H. CARDOSO; J. S. SANTOS; M. ROCA

    2002-01-01

    Experiments are reported on the effects of flow intensity, obstacle alignment and cross-section geome try on the equilibrium scour depth around abutments. The effect of flow intensity was studied for clear water flow conditions, the obstacle alignment was studied for a wide range of angles of the obstacle with the flow direction, and tests on the cross-section geometry apply only to the case where the abut ment extends into the main channel of a compound cross-section (two-stage channel). The channel bank and flood plain were built up with sand. The hypothesis of zero scour for flow velocities smaller than approximately 50% of the threshold velocity for the beginning of motion in the approaching flow cannot be rejected; maximum scour occurs for obstacles protruding at right angle from the cross-section walls, the reduction being small when obstacles point upstream; compared with rigid banks, the scour depth seems to be significantly reduced when channel bank and flood plain are constituted of alluvial material.

  19. Combination of natural teeth and osseointegrated implants as prosthesis abutments in a posterior cantilever bridge

    Michael Josef Kridanto Kamadjaja

    2008-06-01

    Full Text Available Dental implants have been used for several decades. Patients of all ages have chosen dental implants to replace a single tooth or several teeth or to support partial or full dentures. This paper reports two cases of patients treated with dental implant as alternative to replace the missing teeth and connected with natural tooth as abutments in a fixed restoration with distal cantilever bridge. The underlining reasons that we decided to make such kind fixed prostheses are because of clinically imposible to put the implant on certain area and the patients asked for prostheses as optimum as possible, so the mastication function could return to the homeostasis condition. The benefit of these treatments are that prostheses could be made as optimum as possible with a more economic price, so the patients feel quite satisfied. The result shows that a few years after the treatments finished there is no any disadvantageous effect of connecting teeth to implants as abutments in fixed partial dentures and there is no sign of a harmful effect to the opposing teeth either.

  20. Investigation of the Effects of Abutment and Implant Length on Stability of Short Dental Implants

    Eda OZYILMAZ

    2015-01-01

    Full Text Available The use of dental implants to solve different problems in dentistry has been growing rapidly. The success rates of dental implants are also very important for patients. Depending on the bone level of patients, short dental implants are very popular and widely used by many dentists. Although many dentists are using short dental implants frequently, It can be guessed that there can be stability problems because of crown to implant ratios. In this study, it is aimed to find out the effects of dental implant and abutment lengths on stability of short dental implants. 3 different short dental implant design made with the use of Solidworks 2013. Abutment lengths were 3,5 mm, 4 mm, 4,5 mm, 5 mm and implant lengths were 5 mm, 6 mm, 7 mm for each model. Human mandible model is transferred from Computed Tomography. Then, each implant model is mounted to modeled mandible and Finite Element Analysis is performed for each model. In order to see the effects of implant number on stability, we performed same analysis by placing 4 implants to the mandible

  1. Repeatability and reproducibility of individual abutment impression, assessed with a blue light scanner

    Kim, Dong-Yeon; Lee, Jae-Jun; Kim, Ji-Hwan

    2016-01-01

    PURPOSE We assessed the repeatability and reproducibility of abutment teeth dental impressions, digitized with a blue light scanner, by comparing the discrepancies in repeatability and reproducibility values for different types of abutment teeth. MATERIALS AND METHODS To evaluate repeatability, impressions of the canine, first premolar, and first molar, prepared for ceramic crowns, were repeatedly scanned to acquire 5 sets of 3-dimensional data via stereolithography (STL) files. Point clouds were compared and the error sizes were measured (n=10, per type). To evaluate reproducibility, the impressions were rotated by 10-20° on the table and scanned. These data were compared to the first STL data and the error sizes were measured (n=5, per type). One-way analysis of variance was used to assess the repeatability and reproducibility of the 3 types of teeth, and Tukey honest significant differences (HSD) multiple comparison test was used for post hoc comparisons (α=.05). RESULTS The differences with regard to repeatability were 4.5, 2.7, and 3.1 µm for the canine, premolar, and molar, indicating the poorest repeatability for the canine (Pteeth, digitized with a blue light scanner, had good repeatability and reproducibility. PMID:27350856

  2. Effect of Abutment Taper on the Fracture Resistance of all-Ceramic Three-unit Bridges

    F. Gerami-Panah

    2005-12-01

    Full Text Available Statement of Problem: The connector area is the weakest zone of an all-ceramic fixed partial denture (FPD, where most catastrophic failures of the prostheses tend to occur.Purpose: The aim of the present study was to assess the effect of the convergence angle of abutments on the fracture resistance of three-unit fixed partial dentures made of IPSEmpress2.Materials and Methods: Forty extracted human premolars and molars were used to reproduce twenty, 3-unit fixed partial dentures, for the replacement of second premolars. All teeth were prepared according to the guidelines outlined for all-ceramic crowns and bridges, except for the convergence angles of the abutments. The specimens were randomly divided into two groups of 10, with total occlusal convergence angles of 12° and 22°. Fixed partial dentures with a uniform thickness of 0.8 mm were fabricated using IPS-Empress2 and were bonded to the corresponding models. Connectordimensions were set to 4 mm height and 4mm width. The radius of curvature at the gingival embrasure was carved to 0.9 mm. All specimens were exposed to 10,000 preloading cycles and a load of 40 N at a frequency of 1.3 Hz in a standardized testing machine at a cross head speed of 1mm/min. Student t-test was performed to detect any difference in the mean fracture resistance between the two groups (α = 0.05.Results: Mean failure loads (and standard deviations of the 12° and 22° groups were 1009.12 N (208.05 and 1182.72 N (144.67, respectively. Statistical analysis revealed a significant difference (P <0.04 between the mean failure loads of the two groups. Mostfractures occurred through the connectors.Conclusion: The mean failure loads of the investigated fixed partial dentures were higher in the abutments with 22° taper as compared to those with a taper of 12°.

  3. The Relationship between Biofilm and Physical-Chemical Properties of Implant Abutment Materials for Successful Dental Implants

    Erica Dorigatti de Avila

    2014-05-01

    Full Text Available The aim of this review was to investigate the relationship between biofilm and peri-implant disease, with an emphasis on the types of implant abutment surfaces. Individuals with periodontal disease typically have a large amount of pathogenic microorganisms in the periodontal pocket. If the individuals lose their teeth, these microorganisms remain viable inside the mouth and can directly influence peri-implant microbiota. Metal implants offer a suitable solution, but similarly, these remaining bacteria can adhere on abutment implant surfaces, induce peri-implantitis causing potential destruction of the alveolar bone near to the implant threads and cause the subsequent loss of the implant. Studies have demonstrated differences in biofilm formation on dental materials and these variations can be associated with both physical and chemical characteristics of the surfaces. In the case of partially edentulous patients affected by periodontal disease, the ideal type of implant abutments utilized should be one that adheres the least or negligible amounts of periodontopathogenic bacteria. Therefore, it is of clinically relevance to know how the bacteria behave on different types of surfaces in order to develop new materials and/or new types of treatment surfaces, which will reduce or inhibit adhesion of pathogenic microorganisms, and, thus, restrict the use of the abutments with indication propensity for bacterial adhesion.

  4. Rehabilitation of the edentulous mandible with implant-supported overdenture using ball attachments and healing abutments: A case report

    PARK, JUN-BEOM

    2009-01-01

    For many years, osseointegrated implant-supported overdentures have been used in the rehabilitation of the edentulous lower jaw with excellent results. In this report, additional implants with healing abutments were applied posterior to mental foramen on each side was used to achieve additional support to the overdenture.

  5. Effect of abutment angulation in the retention and durability of three overdenture attachment systems: An in vitro study

    Ustrell, Raul; Mendes, Jose Manuel; Braga, Ana Cristina; Berastegui, Esther

    2016-01-01

    PURPOSE This in vitro study investigated and compared the durability and retention of three types of attachments. MATERIALS AND METHODS Three commercially available attachments were investigated: Clix®, Dalbo-Plus® and Locator®. In total, 72 samples of these attachments were placed in the acrylic resin forms and subjected to mechanical testing (5400 cycles of insertion and removal) over the respective ball or Locator abutments immersed in artificial saliva at pH 7 and 37℃. The abutments were placed at angulations of 0°, 10° and 20°. The retention force was recorded at the beginning and after 540, 1080, 2160, 3240, 4320 and 5400 insertion-removal cycles. RESULTS The results revealed that there were significant differences in the average values of the insertion/removal force due to angulation (F (2.48) = 343619, P<.05) and the type of attachment (F (7.48) = 23.220, P<.05). CONCLUSION Greater angulation of the abutments was found to influence the retention capacity of the attachments, and the fatigue test simulating 5 years of denture insertion and removal did not produce wear in the metal abutments. PMID:26949484

  6. [Microbial contamination of the implant-abutment connections: Review of the literature].

    Baixe, S; Tenenbaum, H; Etienne, O

    2016-02-01

    Today manufacturing process of dental implant parts allows for a precision of fit between implant and abutment of several microns. This microgap opens and closes under occlusal forces, leading to a pumping effect and to a contamination of the implant from bacteria and oral fluids. This kind of contamination is seen in all systems even if less often with internal connections that offers a better fit. Apart from this junction area, the screw well is another contamination pathway if the filling materials do not guarantee a hermetic sealing. The nature of contamination depends on the surrounding oral flora. When present, contamination leads to a persistent inflammatory reaction nearby the seal. The use of antiseptics or other materials for sealing the microgap decreases the risk of contamination and improves the gingival reaction. However, these solutions are time-limited. PMID:26746601

  7. RADIOACTIVE OR NATURAL TRACER。TECHNIQUES FOR LEAK DETERMINING OF DAM ABUTMENT

    陈建生; 杜国平; 等

    1995-01-01

    Infiltration and localization of preferential infiltration zones at the dam abutment are measured using radioactive tracer tests of flow in boreholes,meanwhile interconnection between boreholes and the energing water points is analysed.The theory and practice of radioactive tracer synthetic detective method are described to give methods and calculation formulae used under the condition of stable flow in single well to measure permeability coefficient and hydrostatic heads.Major single hole techniques including measurement for seepage line,velocity,rate of seepage flow and relationship of recharge of groundwater in aquifers are introduced briefly.The possibilities offered by natureal tracers are analysed,uincluding electric-conduct,pH-value and temperature of water as well as stable isotopes(D,18O) and tritium.Furthermore,the sensibilities of this theory and methods were confirmed by detecting seepage flow field of Xinanjiang Dam.

  8. Economical bridge solutions based on innovative composite dowels and integrated abutments ecobridge

    Băncilă, Radu

    2015-01-01

    This book is an outcome of the research project “ECOBRIDGE – Demonstration of ECOnomical BRIDGE solutions based on innovative composite dowels and integrated abutments – RFCS – CT 2010-00024”, which has been co-funded by the Research Fund for Coal and Steel (R.F.C.S.) of the European Community. The main topics of the book are the following: design of integral bridges, innovative composite dowels for the shear transmission, construction of bridges, structural analysis of bridges and monitoring. The book joins the technical experience and the contributions of the involved research partners. The technical content of all the papers is present-day in the field of the design, construction and monitoring of innovative composite bridges. The efficient design and construction improve and consolidate the market position of steel construction and steel producing industry. In addition, the advanced forms of construction are contributing to savings in material and energy consumption for the structure during prod...

  9. Bone loss at implant with titanium abutments coated by soda lime glass containing silver nanoparticles: a histological study in the dog.

    Arturo Martinez

    Full Text Available The aim of the present study was to evaluate bone loss at implants connected to abutments coated with a soda-lime glass containing silver nanoparticles, subjected to experimental peri-implantitis. Also the aging and erosion of the coating in mouth was studied. Five beagle dogs were used in the experiments. Three implants were placed in each mandible quadrant: in 2 of them, Glass/n-Ag coated abutments were connected to implant platform, 1 was covered with a Ti-mechanized abutment. Experimental peri-implantitis was induced in all implants after the submarginal placement of cotton ligatures, and three months after animals were euthanatized. Thickness and morphology of coating was studied in abutment cross-sections by SEM. Histology and histo-morphometric studies were carried on in undecalfied ground slides. After the induced peri-implantitis: 1.The abutment coating shown losing of thickness and cracking. 2. The histometry showed a significant less bone loss in the implants with glass/n-Ag coated abutments. A more symmetric cone of bone resorption was observed in the coated group. There were no significant differences in the peri-implantitis histological characteristics between both groups of implants. Within the limits of this in-vivo study, it could be affirmed that abutments coated with biocide soda-lime-glass-silver nanoparticles can reduce bone loss in experimental peri-implantitis. This achievement makes this coating a suggestive material to control peri-implantitis development and progression.

  10. Bone loss at implant with titanium abutments coated by soda lime glass containing silver nanoparticles: a histological study in the dog.

    Martinez, Arturo; Guitián, Francisco; López-Píriz, Roberto; Bartolomé, José F; Cabal, Belén; Esteban-Tejeda, Leticia; Torrecillas, Ramón; Moya, José S

    2014-01-01

    The aim of the present study was to evaluate bone loss at implants connected to abutments coated with a soda-lime glass containing silver nanoparticles, subjected to experimental peri-implantitis. Also the aging and erosion of the coating in mouth was studied. Five beagle dogs were used in the experiments. Three implants were placed in each mandible quadrant: in 2 of them, Glass/n-Ag coated abutments were connected to implant platform, 1 was covered with a Ti-mechanized abutment. Experimental peri-implantitis was induced in all implants after the submarginal placement of cotton ligatures, and three months after animals were euthanatized. Thickness and morphology of coating was studied in abutment cross-sections by SEM. Histology and histo-morphometric studies were carried on in undecalfied ground slides. After the induced peri-implantitis: 1.The abutment coating shown losing of thickness and cracking. 2. The histometry showed a significant less bone loss in the implants with glass/n-Ag coated abutments. A more symmetric cone of bone resorption was observed in the coated group. There were no significant differences in the peri-implantitis histological characteristics between both groups of implants. Within the limits of this in-vivo study, it could be affirmed that abutments coated with biocide soda-lime-glass-silver nanoparticles can reduce bone loss in experimental peri-implantitis. This achievement makes this coating a suggestive material to control peri-implantitis development and progression. PMID:24466292

  11. Accuracy of 3D white light scanning of abutment teeth impressions: evaluation of trueness and precision

    Jeon, Jin-Hun; Kim, Hae-Young; Kim, Ji-Hwan

    2014-01-01

    PURPOSE This study aimed to evaluate the accuracy of digitizing dental impressions of abutment teeth using a white light scanner and to compare the findings among teeth types. MATERIALS AND METHODS To assess precision, impressions of the canine, premolar, and molar prepared to receive all-ceramic crowns were repeatedly scanned to obtain five sets of 3-D data (STL files). Point clouds were compared and error sizes were measured (n=10 per type). Next, to evaluate trueness, impressions of teeth were rotated by 10°-20° and scanned. The obtained data were compared with the first set of data for precision assessment, and the error sizes were measured (n=5 per type). The Kruskal-Wallis test was performed to evaluate precision and trueness among three teeth types, and post-hoc comparisons were performed using the Mann-Whitney U test with Bonferroni correction (α=.05). RESULTS Precision discrepancies for the canine, premolar, and molar were 3.7 µm, 3.2 µm, and 7.3 µm, respectively, indicating the poorest precision for the molar (Pteeth types were 6.2 µm, 11.2 µm, and 21.8 µm, respectively, indicating the poorest trueness for the molar (P=.007). CONCLUSION In respect to accuracy the molar showed the largest discrepancies compared with the canine and premolar. Digitizing of dental impressions of abutment teeth using a white light scanner was assessed to be a highly accurate method and provided discrepancy values in a clinically acceptable range. Further study is needed to improve digitizing performance of white light scanning in axial wall. PMID:25551007

  12. Fracture of abutment screw supporting a cemented implant-retained prosthesis with external hexagon connection: a case report with sem evaluation

    Mariana Diniz Bisi Santos

    2007-04-01

    Full Text Available One of the causes of implant failures in cemented implant-retained prostheses is the fracture of abutment screw or UCLA abutment. This article reports a case of simultaneous fracture of two UCLA abutments screws occurring in an implant-supported prosthesis placed in the mandibular molar region. The fractured structures were examined under scanning electron microscopy to investigate the probable causes of the failure, which were not related to failures on materials or fabrication of the screws, but rather were due to shear forces. The misfit in cemented prostheses may be the most likely cause of shear force generation.

  13. FRACTURE OF ABUTMENT SCREW SUPPORTING A CEMENTED IMPLANT-RETAINED PROSTHESIS WITH EXTERNAL HEXAGON CONNECTION: A CASE REPORT WITH SEM EVALUATION

    Santos, Mariana Diniz Bisi; Pfeifer, Arthur Braga; Silva, Marcos Rogério Pupo; Sendyk, Claudio Luiz; Sendyk, WIlson Roberto

    2007-01-01

    One of the causes of implant failures in cemented implant-retained prostheses is the fracture of abutment screw or UCLA abutment. This article reports a case of simultaneous fracture of two UCLA abutments screws occurring in an implant-supported prosthesis placed in the mandibular molar region. The fractured structures were examined under scanning electron microscopy to investigate the probable causes of the failure, which were not related to failures on materials or fabrication of the screws, but rather were due to shear forces. The misfit in cemented prostheses may be the most likely cause of shear force generation. PMID:19089120

  14. 多年冻土区路桥过渡段的一种新结构%A New Structure of Roadbed-Abutment Transition Part on Permafrost

    刘建坤; 鲍维猛; 黎明; 葛建军

    2004-01-01

    The design of roadbed-abutment transition part is always a challenging problem in transportation engineering, especially in permafrost distribution zone. A new type of roadbed-abutment transition part on permafrost was presented, and long-term observation was conducted for the deformation and the thermal regime of a roadbed-abutment transition part in the constructing Qinghai-Tibet Railway. In this paper, a new structure was presented and the observed settlements both in the subgrade and the base and its dependency with the thermal regime (permafrost table) were analyzed. In conclusion the roadbed-a-butment transition method for permafrost distribution zone was evaluated.

  15. Bone Loss at Implant with Titanium Abutments Coated by Soda Lime Glass Containing Silver Nanoparticles: A Histological Study in the Dog

    Martinez, Arturo; Guitián, Francisco; López-Píriz, R.; Bartolomé, J. F.; Cabal, B.; Esteban-Tejeda, L.; Torrecillas, Ramón; J. S. Moya

    2014-01-01

    The aim of the present study was to evaluate bone loss at implants connected to abutments coated with a soda-lime glass containing silver nanoparticles, subjected to experimental peri-implantitis. Also the aging and erosion of the coating in mouth was studied. Five beagle dogs were used in the experiments. Three implants were placed in each mandible quadrant: in 2 of them, Glass/n-Ag coated abutments were connected to implant platform, 1 was covered with a Ti-mechanized abutment. Experimental...

  16. Randomized Controlled Clinical Trial of All-Ceramic Single Tooth Implant Reconstructions Using Modified Zirconia Abutments: Radiographic and Prosthetic Results at 1 Year of Loading

    Thoma, Daniel S.; Brandenberg, Francine; Fehmer, Vincent; Büchi, Dominik L.E.; Hämmerle, Christoph H.F.; Sailer, Irena

    2015-01-01

    This study aims to test whether or not veneering of the submucosal part of zirconia abutments with pink dental ceramic affects radiographic and technical outcomes of implant-supported single crowns (ISSC).

  17. "EFFECTS OF FLOW INTENSITY, OBSTACLE ALIGNMENT AND CROSS-SECTION GEOMETRY ON SCOUR AT BRIDGE ABUTMENTS" CARDOSO, A.H., SANTOS, J.S. and ROCA, M.

    Bruce W. MELVILLE

    2002-01-01

    The authors present new measurements of maximum (equilibrium) local scour depth at bridge abutments, the new data being analysed in terms of the multiplying factors given in Melville (1992,1997) and Melville and Coleman (2000). The design method presented in these publications is referred to here as the University of Auckland (UoA) Method. The authors' data apply to the following factors:∏f (flow intensity), ∏θ (abutment alignment) and ∏g (approach channel geometry).

  18. Clinical Outcome of Inter-Proximal Papilla between a Tooth and a Single Implant Treated with CAD/CAM Abutments: a Cross-Sectional Study

    Tiago Borges; Tiago Lima; Ágata Carvalho; Vasco Carvalho

    2012-01-01

    ABSTRACT Objectives The aim of this study was to assess the clinical outcomes achieved with Computer-Assisted Design/Computer-Assisted Manufacturing implant abutments in the anterior maxilla. Material and Methods Nineteen patients with a mean age of 41 (range form 26 to 63) years, treated with 21 single tooth implants and 21 Computer-Assisted Design/Computer-Assisted Manufacturing (CAD/CAM) abutments in the anterior maxillary region were included in this study. The patients followed 4 criteri...

  19. A Simple and Cost Effective Method used for Removal of a Fractured Implant Abutment Screw: A Case Report

    Satwalekar, Parth; Chander, K Subash; Reddy, B Anantha; Sandeep, N; Sandeep, N; Satwalekar, Tanushree

    2013-01-01

    The success of dental implants is based primarily on the extent of osseointegration. The failure of dental implants is not only due to biological factors, such as unsuccessful osseointegration or the presence of peri-implantitis, but may also result from technical complications. Fracture of the implant abutment screw can be a serious problem, as the fragment remaining inside the implant may prevent the implant from functioning efficiently as an anchor. A simple and cost effective procedure used for the removal of fractured screw fragments and the successful utilization of the existing prosthesis are described in this clinical report. How to cite this article: Satwalekar P, Chander KS, Reddy BA, Sandeep N, Sandeep N, Satwalekar T. A Simple and Cost Effective Method used for Removal of a Fractured Implant Abutment Screw: A Case Report. J Int Oral Health 2013; 5(5):120-3. PMID:24324315

  20. Reducing Distortion of Implant- or Abutment-Level Impressions for Implant-Supported Prosthetic Rehabilitation: A Technique Report.

    Lanis, Alejandro; Padial-Molina, Miguel; Selman, Andrea; Alvarez Del Canto, Orlando

    2015-01-01

    Passive fit between prosthesis and implants or abutments is a significant factor in preventing mechanical and biologic failures of implant-supported prostheses. Therefore, impression techniques must transfer the 3D implant position as accurately as possible for a correct superstructure fabrication. A novel impression protocol that uses an individualized open tray design is proposed. It allows the clinician to splint the transfers between the copings, outside the impression area, and to the tray itself to create a rigid monoblock. Thus, distortions produced by the tear of impression material or by transfer abutments' micromovements during tray retrieval are limited and superstructure misfits are minimized. This technique is specifically recommended for long spanning or completely edentulous patients. PMID:26509993

  1. A Simple and Cost Effective Method used for Removal of a Fractured Implant Abutment Screw: A Case Report

    Satwalekar, Parth; Chander, K Subash; Reddy, B Anantha; N. Sandeep; Satwalekar, Tanushree

    2013-01-01

    The success of dental implants is based primarily on the extent of osseointegration. The failure of dental implants is not only due to biological factors, such as unsuccessful osseointegration or the presence of peri-implantitis, but may also result from technical complications. Fracture of the implant abutment screw can be a serious problem, as the fragment remaining inside the implant may prevent the implant from functioning efficiently as an anchor. A simple and cost effective procedure us...

  2. Effect of abutment screw length and cyclic loading on removal torque in external and internal hex implants

    Mohammed, Hnd Hadi; Lee, Jin-Han; Bae, Ji-Myung

    2016-01-01

    PURPOSE The purpose of this study was to evaluate the effects of abutment screw length and cyclic loading on the removal torque (RTV) in external hex (EH) and internal hex (IH) implants. MATERIALS AND METHODS Forty screw-retained single crowns were connected to external and internal hex implants. The prepared titanium abutment screws were classified into 8 groups based on the number of threads (n = 5 per group): EH 12.5, 6.5, 3.5, 2.5 and IH 6.5, 5, 3.5, 2.5 threads. The abutment screws were tightened with 20 Ncm torque twice with 10-minute intervals. After 5 minutes, the initial RTVs of the abutment screws were measured with a digital torque gauge (MGT12). A customized jig was constructed to apply a load along the implant long axis at the central fossa of the maxillary first molar. The post-loading RTVs were measured after 16,000 cycles of mechanical loading with 50 N at a 1-Hz frequency. Statistical analysis included one-way analysis of variance and paired t-tests. RESULTS The post-loading RTVs were significantly lower than the initial RTVs in the EH 2.5 thread and IH 2.5 thread groups (P<.05). The initial RTVs exhibited no significant differences among the 8 groups, whereas the post-loading RTVs of the EH 6.5 and EH 3.5 thread groups were higher than those of the IH 3.5 thread group (P<.05). CONCLUSION Within the limitations of this study, the external hex implants with short screw lengths were more advantageous than internal hex implants with short screw lengths in torque maintenance after cyclic loading. PMID:26949489

  3. Influence of abutment screw design and surface coating on the bending flexural strength of the implant set.

    Prado, Célio Jesus do; Neves, Flávio Domingues das; Soares, Carlos José; Dantas, Kelly Abadia; Dantas, Talita Souza; Naves, Lucas Zago

    2014-04-01

    The purpose of this study was to analyze the influence of the setting and the presence of solid lubricant on the abutment screw surface on the flexural strength of the joint implant/abutment/screw. Forty abutments were connected to external hex implants, divided into 4 groups (n = 10): FE (titanium alloy screw threaded in the extremity), LE (titanium alloy screw with solid lubricant and thread in the extremity), FT (titanium alloy screw with threaded in all its length), and LT (titanium alloy screw with solid lubricant and thread in all its length). Through the mechanical flexural test, the implant/abutment resistance was evaluated with load applied perpendicular to the long axis in a mechanical testing machine (EMIC) under a speed of 0.5 mm/min. Data were submitted to a statistics test, and results showed statistically significant differences between the FE group and the other groups, and the FE group showed the lowest values. The LE group showed greater values than the LT group, and the values were statistically significant. According to the methodology used, it can be concluded that within noncoated titanium screws, a screw threaded along its entire length provided greater rigidity to the implant set, while with the screw containing solid lubricant, the screw threaded in all its length provided less rigidity of the implant set than screws with the thread only on the end. Among screws with the same geometry, those with the solid lubricant are statistically higher than those which do not have threads just at the end, but those with threads along their entire length do not show statistically significant differences. PMID:22251283

  4. An Indirect Method to Measure Abutment Screw Preload: A Pilot Study Based on Micro-CT Scanning.

    Rezende, Carlos Eduardo E; Griggs, Jason Alan; Duan, Yuanyuan; Mushashe, Amanda M; Nolasco, Gisele Maria Correr; Borges, Ana Flávia Sanches; Rubo, José Henrique

    2015-12-01

    This study aimed to measure the preload in different implant platform geometries based on micro-CT images. External hexagon (EH) implants and Morse Tapered (MT) implants (n=5) were used for the preload measurement. The abutment screws were scanned in micro-CT to obtain their virtual models, which were used to record their initial length. The abutments were screwed on the implant with a 20 Ncm torque and the set composed by implant, abutment screw and abutment were taken to the micro-CT scanner to obtain virtual slices of the specimens. These slices allowed the measurement of screw lengths after torque application and based on the screw elongation. Preload values were calculated using the Hooke's Law. The preloads of both groups were compared by independent t-test. Removal torque of each specimen was recorded. To evaluate the accuracy of the micro-CT technique, three rods with known lengths were scanned and the length of their virtual model was measured and compared with the original length. One rod was scanned four times to evaluate the measuring method variation. There was no difference between groups for preload (EH = 461.6 N and MT = 477.4 N), but the EH group showed higher removal torque values (13.8±4.7 against 8.2±3.6 Ncm for MT group). The micro-CT technique showed a variability of 0.053% and repeatability showed an error of 0.23 to 0.28%. Within the limitations of this study, there was no difference between external hexagon and Morse taper for preload. The method using micro-CT may be considered for preload calculation. PMID:26963202

  5. Periodontal and pulpal conditions of abutment teeth. Status after four to eight years following the incorporation of fixed reconstructions.

    Reichen-Graden, S; Lang, N P

    1989-01-01

    In the present retrospective clinical study, 58 patients were examined 4 to 8 years (median 77 months) following the incorporation of a fixed reconstruction. No regular maintenance care had been provided during the interval period. The periodontal conditions represented by the Plaque Control Record (PCR), the Gingival Index (GI) and pocket probing depths were examined on 182 abutment teeth of 94 reconstructions. Pulpal vitality and periapical pathology were assessed clinically as well as radiographically. The periodontal parameters of the abutment teeth were compared with homologous contralateral uncrowned teeth. Significantly higher plaque prevalence, gingival indices, and pocket probing depths were found in the crowned teeth. Also, bleeding on probing was observed more frequently whenever the crown margins were located subgingivally. At the end of the interval period, 3.7% of the originally vital abutments had lost their vitality. A technical failure rate of 7.4% with no apparent differences between conventional and extension bridges was noted. This study indicates that even with precise marginal fit and in the absence of a regular maintenance program, the supragingival location of the crown margin is more favourable than the subgingival location for the maintenance of oral health. PMID:2701195

  6. Distribution pattern of front abutment pressure of fully-mechanized working face of soft coal isolated island

    Xu Wenquan; Wang Enyuan; Shen Rongxi; Song Dazhao; Zhang Jingmin

    2012-01-01

    The front abutment pressure of a fully-mechanized workface of 11061 soft coal isolated island of Liangbei Coal Mine was measured and studied using a self-developed mining-induced stress monitoring system associated with electromagnetic radiation technology,and the effects of abutment pressure distribution on strata behavior we discussed.The results indicate that the mining-induced influencing distance advanced at the fully-mechanized working face of soft coal isolated island is larger than that at the general working face at the isolated island,besides the fracture zone in front of working face was widened to some extent,and the influencing range caused by relaxations on both roadways became bigger with the advancing working face.Moreover,it can be indicated that mining has significant effect on strata behavior of fully-mechanized working face of soft coal isolated island,which is mostly distributed in the area of stress concentration.The research results have an important reference value for revealing the distribution pattern of the front abutment pressure of a fully-mechanized working face of soft coal isolated island,and controlling the coal-rock dynamic disaster occurrence under similar mining conditions.

  7. Performance monitoring of a short-span integral-abutment bridge using wireless sensor technology

    Gangone, Michael V.; Whelan, Matthew J.; Fuchs, Michael P.; Janoyan, Kerop D.

    2007-04-01

    Discussed in this paper is the implementation of a wireless sensor system for performance monitoring of bridges. The advanced wireless sensor system, developed at Clarkson University's Laboratory for Intelligent Infrastructure and Transportation Technologies (LIITT), allows for structural monitoring of bridges. A short-span integral-abutment bridge located in New York State is instrumented with a wireless sensor system measuring acceleration, and strain to monitor the behavior of the structure under various loading conditions including ambient, environmental and traffic loading. Strain and acceleration measurements are recorded simultaneously and in real time to validate various performance characteristics of the bridge, including load distribution along an interior girder, as well as additional stiffness factors (end fixity and composite action of the beams and bridge deck), using existing bridge load testing and condition evaluation guidelines used by the New York State Department of Transportation (NYSDOT) and American Association of State Highway and Transportation Officials (AASHTO). Additionally, acceleration measurements are used to extract the superstructure's first five natural frequencies and corresponding mode shapes. Results are compared to a developed Finite Element Method (FEM) model based on the bridge as built drawings.

  8. An in vivo assessment of the effects of using different implant abutment occluding materials on implant microleakage and the peri-implant microbiome

    Rubino, Caroline

    Microleakage may be a factor in the progression of peri-implant pathology. Microleakage in implant dentistry refers to the passage of bacteria, fluids, molecules or ions between the abutment-implant interface to and from the surrounding periodontal tissues. This creates a zone of inflammation and reservoir of bacteria at the implant-abutment interface. Bone loss typically occurs within the first year of abutment connection and then stabilizes. It has not yet been definitively proven that the occurrence of microleakage cannot contribute to future bone loss or impede the treatment of peri-implant disease. Therefore, strategies to reduce or eliminate microleakage are sought out. Recent evidence demonstrates that the type of implant abutment channel occluding material can affect the amount of microleakage in an in vitro study environment. Thus, we hypothesize that different abutment screw channel occluding materials will affect the amount of observed microleakage, vis-a-vis the correlation between the microflora found on the abutment screw channel occluding material those found in the peri-implant sulcus. Additional objectives include confirming the presence of microleakage in vivo and assessing any impact that different abutment screw channel occluding materials may have on the peri-implant microbiome. Finally, the present study provides an opportunity to further characterize the peri-implant microbiome. Eight fully edentulous patients restored with at dental implants supporting screw-retained fixed hybrid prostheses were included in the study. At the initial appointment (T1), the prostheses were removed and the implants and prostheses were cleaned. The prostheses were then inserted with polytetrafluoroethylene tape (PTFE, TeflonRTM), cotton, polyvinyl siloxane (PVS), or synthetic foam as the implant abutment channel occluding material and sealed over with composite resin. About six months later (T2), the prostheses were removed and the materials collected. Paper

  9. Transpulmonary computed tomography-guided radiofrequency ablation of liver neoplasms abutting the diaphragm with multiple bipolar electrodes

    Q Zhang

    2015-01-01

    Full Text Available Background: Neoplasm abutting the diaphragm is one kind of the special sites of liver neoplasms treated with radiofrequency ablation (RFA, the purpose of this study is to evaluate the feasibility and safety of computed tomography (CT-guided RFA of liver neoplasms abutting the diaphragm with multiple bipolar electrodes sequentially passing through the lung parenchyma. Materials and Methods: 37 patients were treated with transpulmonary CT-guided RFA. Technical success rate, perioperative complications, and local tumor progression were investigated. Results: The number of electrode (s sequentially passing through the lung parenchyma (NPLP was 1 electrode in 20 patients, 2 electrodes in 14 cases, and 3 electrodes in 3 cases. Technical success rate was 100%. The most of the perioperative complications were self-limiting and mainly included pneumothorax (11 cases, 2 needed percutaneous drainage, hemorrhage of the electrode track in the lung parenchyma (6 cases, a small amount of hemoperitoneum in perihepatic space (8 cases and discomfort of the right shoulder (7 cases. Local tumor progression occurred in 6 cases during the follow-up (3–12 months. Multivariate logistic regression analysis showed that the incidence of pneumothorax was not related to NPLP (P = 0.50, length of the electrode (s in the lung parenchyma (P = 0.18, types of anesthesia (P = 0.10, and indwelling time of the electrode (s in the lung parenchyma (P = 0.28. Conclusion: CT-guided RFA of liver neoplasms abutting the diaphragm with multiple bipolar electrodes sequentially passing through the lung parenchyma is a feasible and safe therapeutic option.

  10. An alternative approach for the management of fractured implant abutment screws on a mandibular implant-retained overdenture: A clinical report.

    Shah, Karnik; Lee, Damian J

    2016-04-01

    In contemporary implant and prosthodontic practice, high levels of surgical and biologic success rates have been achieved. However, mechanical and technical complications continue to exist. Of these, one of the biggest challenges to the clinician is the conservative retrieval of fractured screw fragments from within the implants and/or abutments. While removal is desirable, the fragments cannot always be removed, and alternative solutions for the management of such clinical situations must be considered. This clinical report describes the replacement of 2 fractured, irretrievable, Locator abutment screws of a mandibular implant-retained overdenture with a cast dowel and laser welded Locator attachments. This alternative method was successful in managing broken abutment screw fragments while using the existing prosthesis and implants. PMID:26723094

  11. Carpal Tunnel Cross-Sectional Area Affected by Soft Tissues Abutting the Carpal Bones.

    Gabra, Joseph N; Li, Zong-Ming

    2013-02-01

    The carpal tunnel accommodates free movement of its contents, and the tunnel's cross-sectional area is a useful morphological parameter for the evaluation of the space available for the carpal tunnel contents and of potential nerve compression in the tunnel. The osseous boundary of the carpal bones as the dorsal border of the carpal tunnel is commonly used to determine the tunnel area, but this boundary contains soft tissues such as numerous intercarpal ligaments and the flexor carpi radialis tendon. The aims of this study were to quantify the thickness of the soft tissues abutting the carpal bones and to investigate how this soft tissue influences the calculation of the carpal tunnel area. Magnetic resonance images were analyzed for eight cadaveric specimens. A medical balloon with a physiological pressure was inserted into an evacuated tunnel to identify the carpal tunnel boundary. The balloon-based (i.e. true carpal tunnel) and osseous-based carpal tunnel boundaries were extracted and divided into regions corresponding to the hamate, capitate, trapezoid, trapezium, and transverse carpal ligament (TCL). From the two boundaries, the overall and regional soft tissue thicknesses and areas were calculated. The soft tissue thickness was significantly greater for the trapezoid (3.1±1.2mm) and trapezium (3.4±1.0mm) regions than for the hamate (0.7±0.3mm) and capitate (1.2±0.5mm) regions. The carpal tunnel area using the osseous boundary (243.0±40.4mm(2)) was significantly larger than the balloon-based area (183.9±29.7mm(2)) with a ratio of 1.32. In other words, the carpal tunnel area can be estimated as 76% (= 1/1.32) of the osseous-based area. The abundance of soft tissue in the trapezoid and trapezium regions can be attributed mainly to the capitate-trapezium ligament and the flexor carpi radialis tendon. Inclusion of such soft tissue leads to overestimations of the carpal tunnel area. Correct quantification of the carpal tunnel area aids in examining carpal

  12. Effect of cement washout on loosening of abutment screws and vice versa in screw- and cement- retained implant-supported dental prosthesis

    Kim, Seok-Gyu; Chung, Chae-Heon; Son, Mee-Kyoung

    2015-01-01

    PURPOSE The purpose of this study was to examine the abutment screw stability of screw- and cement-retained implant-supported dental prosthesis (SCP) after simulated cement washout as well as the stability of SCP cements after complete loosening of abutment screws. MATERIALS AND METHODS Thirty-six titanium CAD/CAM-made implant prostheses were fabricated on two implants placed in the resin models. Each prosthesis is a two-unit SCP: one screw-retained and the other cemented. After evaluating th...

  13. Dental devices; reclassification of root-form endosseous dental implants and endosseous dental implant abutments. Final rule.

    2004-05-12

    The Food and Drug Administration (FDA) is reclassifying root-form endosseous dental implants and endosseous dental implant abutments from class III to class II (special controls). Root-form endosseous dental implants are intended to be surgically placed in the bone of the upper or lower jaw arches to provide support for prosthetic devices, such as artificial teeth, in order to restore the patient's chewing function. Endosseous dental implant abutments are separate components that are attached to the dental implant and intended to aid in prosthetic rehabilitation. FDA is reclassifying these devices on its own initiative on the basis of new information. Elsewhere in this issue of the Federal Register, FDA is announcing the availability of the guidance document that will serve as the special control for these devices. FDA is taking this action under the Federal Food, Drug, and Cosmetic Act (the act), as amended by the Medical Device Amendments of 1976 (the 1976 amendments), the Safe Medical Devices Act of 1990, the Food and Drug Administration Modernization Act of 1997, and the Medical Device User Fee and Modernization Act of 2002. PMID:15141676

  14. Stress distribution and displacement of abutment of middle implant-natural teeth fixed bridge under different loading

    Objective: To study stress distribution and displacement of abutment of middle implant-natural teeth fixed bridge under different loading. Methods: The stress distribution and displacement of abutment were studied and analyzed by means of three-dimensional finite element when different loading was applied. Results: The biggest stress of middle implant was 4-5 times as big as that of natural teeth. Under concentrated vertical loading, the biggest stress of implant was about 2 times higher than that under dispersed vertical loading. There was no significant difference of biggest stress on the implant between concentrated oblique loading and dispersed oblique loading. The biggest stress of implant under oblique loading was 3 times as big as that under dispersed vertical loading. The biggest stress of natural teeth under dispersed loading was lower than that under concentrated loading. The maximum displacement of implant in occlusal-gum direction was great lower than that of natural teeth. Both in buccal-lingual direction and medial-distal direction, the displacement of implant were about equal to that of natural teeth. Conclusion: The oblique loading is the main force to destroy the middle implant-natural teeth fixed bridge. The lean of cusp should be reduced. The abnormally high occlusal points should be deleted. The bite points should be well distributed. The fixed bridge is feasible. (authors)

  15. In vitro infrared thermography assessment of temperature peaks during the intra-oral welding of titanium abutments

    Degidi, Marco; Nardi, Diego; Sighinolfi, Gianluca; Merla, Arcangelo; Piattelli, Adriano

    2012-07-01

    Control of heat dissipation and transmission to the peri-implant area during intra-oral welding is very important to limit potential damage to the surrounding tissue. The aim of this in vitro study was to assess, by means of thermal infrared imaging, the tissue temperature peaks associated with the thermal propagation pathway through the implants, the abutments and the walls of the slot of the scaffold, generated during the welding process, in three different implant systems. An in vitro polyurethane mandible model was prepared with a 7.0 mm v-shape slot. Effects on the maximum temperature by a single welding procedure were studied using different power supplies and abutments. A total of 36 welding procedures were tested on three different implant systems. The lowest peak temperature along the walls of the 7.0 mm v-shaped groove (31.6 ± 2 °C) was assessed in the specimens irrigated with sterile saline solution. The highest peak temperature (42.8 ± 2 °C) was assessed in the samples with a contemporaneous power overflow and premature pincers removal. The results of our study suggest that the procedures used until now appear to be effective to avoid thermal bone injuries. The peak tissue temperature of the in vitro model did not surpass the threshold limits above which tissue injury could occur.

  16. Observations on an in-vivo failure of a titanium dental implant/abutment screw system: a case report.

    Manda, Marianthi G; Psyllaki, Pandora P; Tsipas, Dimitrios N; Koidis, Petros T

    2009-04-01

    Titanium and its alloys are widely used in prosthetic dentistry, due to their biocompatibility, excellent mechanical and anti-corrosion behavior. However, delayed fracture of dental prosthetics is frequently encountered. Mechanisms leading to fracture are not generic but are strongly related to the particular environmental (quality of biological fluids) and mechanical loading conditions (mastication habits, presence of prosthetic metallic/ceramic components) in the patients' oral cavity. In this study, a commercially pure titanium implant-screw system has failed after 15 years of operation in the oral cavity of an old female. The system was retrieved in three pieces: the upper part of the implant, part of the abutment screw, and the apical part of the implant to which a part of the screw was embedded. This is considered as a rare case, where the whole dental assembly was retrieved after fracture allowing the extensive fractographic analysis of the conjugate pieces and the establishment of a thorough in-vivo failure scenario. Scanning electron microscopy observations performed on all three retrieved parts indicated a synergistic effect of distinct mechanisms, which led to total failure under extrinsic common fatigue loading. The principal mechanism was the propagation of a main crack, which was previously initiated in the body of the implant and affected by a wedging mechanism due to Ca/P aggregates developed within the crack. Because of the strong fixation between the implant and the abutment screw, this main crack was transferred to the latter causing eventually total failure of the assembly. PMID:18837452

  17. Fixture-abutment connection surface and micro-gap measurements by 3D micro-tomographic technique analysis

    Deborah Meleo

    2012-01-01

    Full Text Available X-ray micro-tomography (micro-CT is a miniaturized form of conventional computed axial tomography (CAT able to investigate small radio-opaque objects at a-few-microns high resolution, in a nondestructive, non-invasive, and tri-dimensional way. Compared to traditional optical and electron microscopy techniques, which provide two-dimensional images, this innovative investigation technology enables a sample tri-dimensional analysis without cutting, coating or exposing the object to any particular chemical treatment. X-ray micro-tomography matches ideal 3D microscopy features: the possibility of investigating an object in natural conditions and without any preparation or alteration; non-invasive, non-destructive, and sufficiently magnified 3D reconstruction; reliable measurement of numeric data of the internal structure (morphology, structure and ultra-structure. Hence, this technique has multi-fold applications in a wide range of fields, not only in medical and odontostomatologic areas, but also in biomedical engineering, materials science, biology, electronics, geology, archaeology, oil industry, and semi-conductors industry. This study shows possible applications of micro-CT in dental implantology to analyze 3D micro-features of dental implant to abutment interface. Indeed, implant-abutment misfit is known to increase mechanical stress on connection structures and surrounding bone tissue. This condition may cause not only screw preload loss or screw fracture, but also biological issues in peri-implant tissues.

  18. Stock Versus CAD/CAM Customized Zirconia Implant Abutments - Clinical and Patient-Based Outcomes in a Randomized Controlled Clinical Trial

    Schepke, Ulf; Meijer, Henny J A; Kerdijk, Wouter; Raghoebar, Gerry M; Cune, Marco

    2016-01-01

    BACKGROUND: Single-tooth replacement often requires a prefabricated dental implant and a customized crown. The benefits of individualization of the abutment remain unclear. PURPOSE: This randomized controlled clinical trial aims to study potential benefits of individualization of zirconia implant ab

  19. Clinical Outcome of Inter-Proximal Papilla between a Tooth and a Single Implant Treated with CAD/CAM Abutments: a Cross-Sectional Study

    Lima, Tiago; Carvalho, Ágata; Carvalho, Vasco

    2012-01-01

    ABSTRACT Objectives The aim of this study was to assess the clinical outcomes achieved with Computer-Assisted Design/Computer-Assisted Manufacturing implant abutments in the anterior maxilla. Material and Methods Nineteen patients with a mean age of 41 (range form 26 to 63) years, treated with 21 single tooth implants and 21 Computer-Assisted Design/Computer-Assisted Manufacturing (CAD/CAM) abutments in the anterior maxillary region were included in this study. The patients followed 4 criteria of inclusion: (1) had a single-tooth implant in the anterior maxilla, (2) had a CAD/CAM abutment, (3) had a contralateral natural tooth, (4) the implant was restored and in function for at least 6 months up to 2 years. Cases without contact point were excluded. Presence/absence of the interproximal papilla, inter tooth-implant distance (ITD) and distance from the base of the contact point to dental crest bone of adjacent tooth (CPB) were accessed. Results Forty interproximal spaces were evaluated, with an average mesial CPB of 5.65 (SD 1.65) mm and distal CPB of 4.65 (SD 1.98) mm. An average mesial ITD of 2.49 (SD 0.69) mm and an average distal ITD of 1.89 (SD 0.63) mm were achieved. Papilla was present in all the interproximal spaces accessed. Conclusions The restoration of dental implants using CAD/CAM abutments is a predictable treatment with improved aesthetic results. These type of abutments seem to help maintaining a regular papillary filling although the variations of the implant positioning or the restoration teeth relation. PMID:24422016

  20. Clinical Outcome of Inter-Proximal Papilla between a Tooth and a Single Implant Treated with CAD/CAM Abutments: a Cross-Sectional Study

    Tiago Borges

    2012-09-01

    Full Text Available Objectives: The aim of this study was to assess the clinical outcomes achieved with Computer-Assisted Design/Computer-Assisted Manufacturing implant abutments in the anterior maxilla.Material and Methods: Nineteen patients with a mean age of 41 (range form 26 to 63 years, treated with 21 single tooth implants and 21 Computer-Assisted Design/Computer-Assisted Manufacturing (CAD/CAM abutments in the anterior maxillary region were included in this study. The patients followed 4 criteria of inclusion: (1 had a single-tooth implant in the anterior maxilla, (2 had a CAD/CAM abutment, (3 had a contralateral natural tooth, (4 the implant was restored and in function for at least 6 months up to 2 years. Cases without contact point were excluded. Presence/absence of the interproximal papilla, inter tooth-implant distance (ITD and distance from the base of the contact point to dental crest bone of adjacent tooth (CPB were accessed. Results: Forty interproximal spaces were evaluated, with an average mesial CPB of 5.65 (SD 1.65 mm and distal CPB of 4.65 (SD 1.98 mm. An average mesial ITD of 2.49 (SD 0.69 mm and an average distal ITD of 1.89 (SD 0.63 mm were achieved. Papilla was present in all the interproximal spaces accessed. Conclusions: The restoration of dental implants using CAD/CAM abutments is a predictable treatment with improved aesthetic results. These type of abutments seem to help maintaining a regular papillary filling although the variations of the implant positioning or the restoration teeth relation.

  1. History, observation and mathematical models in the seismic analysis of the Valadier abutment area in the Colosseum

    D. D'Ayala

    1995-06-01

    Full Text Available The present work aimed to outline the need to investigate different fields of research to interpret the structural behaviour of a monument as complex as the Colosseum. It is shown how defining the numerical models first. then refining them, followed by interpretation of results. is strictly linked with the inforination gathered from historical records and observation of the ~nonumenta s it is today. The study is confined to the area of the Valadier abutment. analysing its state and its seismic behaviour before and after the XIX century restoration using different ilumerical tools, from the elastic modal analysis to the non linear step by step time history direct integration. The procedure comparatiely evaluates the reliability in the interpretation of the results and identifies future lines or research.

  2. Free-end saddle length influence on stress level in unilateral complex partial denture abutment teeth and retention elements

    Patrnogić Vesna

    2013-01-01

    Full Text Available Background/Aim. Different types of dental restorations are used for the therapy of unilateral free-end saddle edentulism. Unilateral complex partial denture is one of the indications for the Kennedy class II partial edentulism. The abscence of major connector and denture plate is an advantage compared to the conventional restorations, because of better comfort and shorter period of adaptation. The aim of the study was to analyse the influence of free-end saddle length change on the behaviour of unilateral complex partial denture supporting structures. Methods. Stress levels of the canine and the first premolar as retentional teeth and the attachments were tested under the influence of physiological forces with the loading point shifting distally in relation to the saddle length change. A virtual real size 3D model of the fixed part of the restoration (the canine and the first premolar with milled crowns was created using the CATIA computer program. It was connected to the mobile part of partial denture with the SD snap in latch attachment. Mobile part of the restoration was designed in the region of 2, 3 and 4 lateral teeth (second premolar, first, second and third molar. By using the finite element method (FEM stress levels analysis was performed under the load of physiological forces of 150 N in the free-end saddle teeth zone. Results. The results of analysis show that physiological forces cause a different stress distribution on the abutment teeth and the attachment, depending on the saddle length. Conclusion. The stress level values obtained for the abutment teeth as well as the attachment are far lower than the marginal ones. The behaviour of the system changes under this defined stress, but no plastic deformation occurs.

  3. Marginal fit at cylinder-abutment interface before and after overcasting procedure Adaptação marginal na interface intermediário-cilindro antes e após as sobrefundições

    Luciana Martins Cres Moraes; Paulo Henrique Orlato Rossetti; Leylha Maria Nunes Rossetti; Ana Paula Ribeiro do Vale Pedreira; Accacio Lins do Valle; Wellington Cardoso Bonachela

    2005-01-01

    The aim of this study was to measure marginal fit at cylinder-abutment interface, before and after overcasting procedure. A hexagonal implant was fixed to a stainless steel base and a Estheticone-like abutment used during all the experiment. Before casting procedure, gold (Group I) and Ni-Cr-Be (Group II) premachined cylinders were tightened to the abutment with gold and titanium screws (in both groups), with 10Ncm and 20Ncm torque values for the same screw type. Vertical measures were taken ...

  4. A Stress Analysis on Abutment Teeth of Dowel Cemented Fixed Partial Dentures : On the effect of the resorption of alveoar bone

    KATAOKA, SHIGERU; KOSAKA, SHIGERU; TSUCHIYA, SOHICHIRO; AMARI, MITSUHARU

    1995-01-01

    Stress in abutment teeth with cemented dowels and those with crown margins in fixed-fixed and cantilever bridges that resorp alveolar bone were analyzed by a two dimensional finite element method. Stress in all parts of the dentin in both bridges increased with the resorption of alveolar bone. Moreover, in th dentin and apex of the dowel in cantilever bridges, extreme stress when there were large amounts of resorption of alveolar bone, was seen. Therefore, in cantilevers bridges, cemented dow...

  5. Safety evaluation of replacement reinforcement quality in abutment contact zones of ultra-high arch dam in first impoundment period based on prototype monitoring

    Bo HU

    2012-06-01

    Full Text Available Reinforcement quality evaluation at the abutment is an important research direction. Prototype monitoring and theoretical derivation were integrated to study the replacement reinforcement quality in abutment contact zones of the Xiaowan ultra-high arch dam. The principles of monitoring layout and design are introduced in detail. Prototype monitoring shows that the increment of the interfacial compressive stress is much larger in the impoundment stage than in the regulating stage. The water pressure and time-effect are two main factors affecting the interfacial stress. The time-effect is the key factor in the initial impoundment stage, and the water pressure is the key factor after impoundment. The contact properties are significantly improved by grouting. This study shows that there are three typical stages in the joint opening hydrographs, namely the compression stage, opening stage, and stable stage. There is a nonlinear relationship between the joint opening and temperature, which can be well described by the S-function. In conclusion, the reinforcement effect is satisfying, and the abutment is safe.

  6. Improving the long-term stability of Ti6Al4V abutment screw by coating micro/nano-crystalline diamond films.

    Xie, Youneng; Zhou, Jing; Wei, Qiuping; Yu, Z M; Luo, Hao; Zhou, Bo; Tang, Z G

    2016-10-01

    Abutment screw loosening is the most common complication of implanting teeth. Aimed at improving the long-term stability of them, well-adherent and homogeneous micro-crystalline diamond (MCD) and nano-crystalline diamond (NCD) were deposited on DIO(®) (Dong Seo, Korea) abutment screws using a hot filament chemical vapor deposition (HFCVD) system. Compared with bare DIO(®) screws, diamond coated ones showed higher post reverse toque values than the bare ones (pcoated disks showed lower friction coefficients of 0.15 and 0.18 in artificial saliva when countered with ZrO2 than that of bare Ti6Al4V disks of 0.40. Though higher cell apoptosis rate was observed on film coated disks, but no significant difference between MCD group and NCD group. And the cytotoxicity of diamond films was acceptable for the fact that the cell viability of them was still higher than 70% after cultured for 72h. It can be inferred that coating diamond films might be a promising modification method for Ti6Al4V abutment screws. PMID:27393893

  7. Findings of a Four-Year Randomized Controlled Clinical Trial Comparing Two-Piece and One-Piece Zirconia Abutments Supporting Single Prosthetic Restorations in Maxillary Anterior Region

    Guerino Paolantoni

    2016-01-01

    Full Text Available The purpose of this randomized controlled study is to investigate the clinical results obtained over four years and incidence of complications associated with one- versus two-piece custom made zirconia anchorages, in single tooth implant-supported restorations of the maxillary anterior region. Sixty-five patients, with a total of 74 missing maxillary teeth, were selected in the period from February 2007 to July 2010. Two different ways of custom made zirconia abutment and final prosthetic restoration were evaluated: a standard zirconia abutment associated with a pressed layer of lithium disilicate with an all-ceramic cemented restoration versus one-piece restoration with the facing porcelain fired and pressed straight to the custom made zirconia abutment. In 29 cases, the restoration consisted of an all-ceramic restoration for cementation (two pieces; in 45 cases the restoration was a screw-retained restoration (one piece. Three all-ceramic restorations broke during the observation time. Two one-piece restorations fractured after 26 months. At follow-up examination there were no significant differences between one-piece and two-piece groups regarding the PI, BI, and MBL. Awaiting studies with longer follow-up times, a careful conclusion is that zirconia anchorages for single-implant restorations seem to demonstrate good short-term technical and biological results.

  8. Determination of fluid leakages in the different screw-retained implant-abutment connections in a mechanical artificial mouth.

    Martin-Gili, D; Molmeneu, M; Fernandez, M; Punset, M; Giner, Ll; Armengou, J; Gil, F Javier

    2015-07-01

    This study shows the potential risk of microfiltration between two different types of implant-abutment connections screwed at 45 Ncm: external and internal. For the first time the use of a mechanical artificial mouth is used with the values (compression and torsion loads with a frequency of 2 Hz) of the human chewing. The mechanical tests were performed with an artificial saliva at 37°C. The microgap in the connection was measured by an Image Analysis software incorporated in a high resolution scanning electron microscopy. Implant connections were filled with methylene blue by using self-adjustable precision pipettes and the quantity of leakage was determined by high sensitivity spectometry. We showed that the internal connection has lower microgaps compared to the external ones and these microgaps increased with the number of mechanical cycles. The leakage of methylene blue was higher when the external connection was performed. Microgaps and the influence of the mechanical loads are very important for the long-term behavior avoiding the bacteria colonization in the dental implants. These aspects should be known by the implantologists. PMID:26174348

  9. The behavior of implant-supported dentures and abutments using the cemented cylinder technique with different resinous cements

    Ivete Aparecida de Mathias Sartori

    2008-01-01

    Full Text Available Objective: Evaluate the behavior of implant-supported dentures and their components, made by cemented cylinder technique, using threetypes of resin cements. Methods: Fifty three patients, of whom 26 were women and 27 men, aged between 25 and 82 years. Results: With partial (54.43% and total (45.57% implant-supported dentures, of the Cone Morse, external and internal hexagon types (Neodent®, Curitiba, Brazil, totaling 237 fixations, were analyzed. The resin cements used were Panavia® (21.94%, EnForce® (58.23% and Rely X® (19.83% and the components were used in accordance with the Laboratory Immediate Loading - Neodent® sequence. The period of time of denture use ranged between 1 and 5 years. The results reported that 5(2.1% cylinders were loosened from metal structure (both belonging to Rely X group, 2(0.48% implants were lost after the first year of use, 16(6.75% denture retention screws wereloosened and 31(13.08% abutment screws were unloosened.Conclusion: The reasons for these failures probably are: metal structure internal retention failure, occlusal pattern, cementation technique and loading conditions. The cemented cylinder technique was effective when used in partial and total implant-supported rehabilitations, keeping prosthetic components stable, despite the resin cement utilized. However, further clinical studies must be conducted.

  10. Comparison of strain generated in bone by "platform-switched" and "non-platform-switched" implants with straight and angulated abutments under vertical and angulated load: A finite element analysis study

    Susan Paul

    2013-01-01

    Full Text Available Purpose: The aim of this study was to evaluate the microstrain exhibited by bone around immediately loaded, platform-switched, and non-platform-switched implants under vertical and angled loading using a finite element analysis (FEA and also to evaluate whether platform-switched implants evoke a better response than non-platform-switched implants on a mechanical basis. Materials and Methods: Three-dimensional finite element study was undertaken to model and analyze an immediate loaded situation. FEA was chosen for this study since it is useful in determining the stress and strain around the dental implant. Bone responses to vertical and angulated loads on straight and angulated abutments (platform-switched and non-platform-switched abutments were evaluated. Results: Non-platform-switched abutments tend to exhibit a lower tensile stress and compressive stress but higher microstrain value (conducive to higher chance of bone resorption than platform-switched abutments. Ideal bone remodeling values of microstrain (50-3000 μϵ were exhibited by platform-switched straight abutments under vertical load and angled load (with an abutment-implant diameter difference of 1 mm. Conclusion: In spite of the obvious advantages, the practice of immediate loading is limited due to apprehension associated with compromised bone response and a higher rate of bone loss around an immediately loaded implant. The mechanical basis for the concept of "platform switching" in immediately loaded situation is analyzed in this context. The results of this limited investigation indicated that the ideal values of microstrain (50-3000 microstrain can be exhibited by platform switching of dental implants (with an abutment-implant diameter difference of 1 mm and can be considered as a better alternative for prevention of crestal bone loss when compared to non-platform-switched implants.

  11. Quality assurance of MLC leaf position accuracy and relative dose effect at the MLC abutment region using an electronic portal imaging device

    We investigated an electronic portal image device (EPID)-based method to see whether it provides effective and accurate relative dose measurement at abutment leaves in terms of positional errors of the multi-leaf collimator (MLC) leaf position. A Siemens ONCOR machine was used. For the garden fence test, a rectangular field (0.2x20 cm) was sequentially irradiated 11 times at 2-cm intervals. Deviations from planned leaf positions were calculated. For the nongap test, relative doses at the MLC abutment region were evaluated by sequential irradiation of a rectangular field (2x20 cm) 10 times with a MLC separation of 2 cm without a leaf gap. The integral signal in a region of interest was set to position A (between leaves) and B (neighbor of A). A pixel value at position B was used as background and the pixel ratio (A/Bx100) was calculated. Both tests were performed at four gantry angles (0, 90, 180 and 270deg) four times over 1 month. For the nongap test the difference in pixel ratio between the first and last period was calculated. Regarding results, average deviations from planned positions with the garden fence test were within 0.5 mm at all gantry angles, and at gantry angles of 90 and 270deg tended to decrease gradually over the month. For the nongap test, pixel ratio tended to increase gradually in all leaves, leading to a decrease in relative doses at abutment regions. This phenomenon was affected by both gravity arising from the gantry angle, and the hardware-associated contraction of field size with this type of machine. (author)

  12. Displacements Prediction in Double-Arch Dam Rock Abutment Using SPSS Software Based on Extensometer Readings Case study: Karun 4 Concrete Dam, Iran

    Hadi kamali Bandpey

    2012-11-01

    Full Text Available In this study we present a method for Displacements Prediction in Double-Arch Dam Rock Abutment Using SPSS Software Based on Extensometer Readings. Displacement in dams is the most tangible and important parameter which could be crucial in their safety. Different elevation displacements are yielded by various loadings and the thrust force imposed on foundation and abutment. Most concrete dams are constructed on stone foundations. Displacements in foundation and abutment are measured by extensometers. Karun 4 Concrete dam is designed with 11 galleries, from elevation 1016 to 802 m, in the order from top elevation (dam crest elevation 1032 to the bottom elevation (dam foundation elevation 806 within the dam body. As a whole, 19 extensometers in the left bank, 17 in the right, and one more in the middle are implemented in the dam. Karun 4 dam has already been impounded with water up to the elevation 1003. Displacements in Karun 4 are recorded by extensometers whence water was leveled in 7 elevations 943.68, 953.36, 973.55, 983.28, 993.17, 1003.13. In this study, using SPSS we have tried to predict the displacements for a situation in which water will be elevated to the elevations 1013, 1023, 1032 in the future for elevations which are equipped with anchor. The most predicted displacement pertaining to the left bank when water was leveled to the elevation 1013, was 3.65 mms by R2 = 0.9997 for the implemented anchor. Proceeding further, as water is leveled to the elevations 1023 and 1033, the most predicted displacement respectively would be 4.31 and 5.66 by R2 = 0.9941; and is related to the anchor implemented in the elevation 936.05. The most predicted displacement for the right bank is 5.9397, 7.2347 and 8.6877 mms by R2 = 0.9995 for the elevation 888.128 m.

  13. Effect of abutment shade, ceramic thickness, and coping type on the final shade of zirconia all-ceramic restorations: in vitro study of color masking ability

    Oh, Seon-Hee; Kim, Seok-Gyu

    2015-01-01

    PURPOSE The aim of the study was to evaluate the effect of abutment shade, ceramic thickness, and coping type on the final shade of zirconia all-ceramic restorations. MATERIALS AND METHODS Three different types of disk-shaped zirconia coping specimens (Lava, Cercon, Zirkonzahn: ø10 mm × 0.4 mm) were fabricated and veneered with IPS e.max Press Ceram (shade A2), for total thicknesses of 1 and 1.5 mm. A total of sixty zirconia restoration specimens were divided into six groups based on their co...

  14. Arrangement of Peri-implant Connective Tissue Fibers Around Platform-Switching Implants with Conical Abutments and Its Relationship to the Underlying Bone: A Human Histologic Study.

    Rodríguez, Xavier; Navajas, Alvaro; Vela, Xavier; Fortuño, Angels; Jimenez, Jaime; Nevins, Myron

    2016-01-01

    The objective of this study was to clarify and evaluate the orientation of the collagen fibers around platform-switching (PS) implants with conical abutments in humans after 8 weeks of healing, and to determine how this orientation would help stabilize the soft tissue and prevent bone resorption. On PS implants, circular orientation of collagen fiber was observed as the main arrangement in a cross-sectional view. The circular collagen fibers might be the key factor in stabilizing the soft tissues around the rehabilitation, inhibiting apical migration of the soft tissues and, in turn, protecting the underlying bone. PMID:27333011

  15. Effects of Length and Inclination of Implants on Terminal Abutment Teeth and Implants in Mandibular CL1 Removable Partial Denture Assessed by Three-Dimensional Finite Element Analysis

    Amir Fayaz; Alahyar Geramy; Yeganeh Memari; Zahra Rahmani Rahmani

    2016-01-01

    Objectives: This study sought to assess the effects of length and inclination of implants on stress distribution in an implant and terminal abutment teeth in an implant assisted-removable partial denture (RPD) using three-dimensional (3D) finite element analysis (FEA).  Materials and Methods: In this in vitro study, a 3D finite element model of a partially dentate mandible with a distal extension RPD (DERPD) and dental implants was designed to analyze stress distribution in bone around termin...

  16. The State of Prosthetic Bed Mucous Membrane and Periodontium of Abutment and Preserved Teeth in Conditions of Considerable and Total Loss of Teeth and Use of Removable Dentures

    Vasylyshyn, U.

    2014-01-01

    The paper deals with the study of impact of considerable loss of teeth and long-term use of removable dentures on mucous membrane of prosthetic bed and periodontium of abutment and preserved teeth, and also impact on the appearance and course of inflammatory processes in these parts. Materials and research methods: the patients of Dentistry Centre of IFNMU clinic (105 people  from 45 to 70 years old) with considerable and total loss of teeth, treated by the removable dentures, were the object...

  17. Analysis on distribution law of the abutment pressure of the integrated coal beside the road-in packing for gob-side entry retaining in fully-mechanized caving face

    Zhu Chuanqu; Liu Ze; Wang Weijun; Zhang Daobing

    2009-01-01

    The three-dimensional damage constitutive relationship of coal is established and distribution law of the abut-ment pressure of the integrated coal beside the road-in packing for gob-side entry retaining in fully-mechanized caving face under the effect of given deformation of the main roof is analyzed by the damage mechanics theory. And the rela-tionship between distribution of the abutment pressure and thickness of coal seam is explored. The presented result is of great theoretical significance and practical value to the study on stability control of the surrounding rock of road-in pack-ing for gob-side entry retaining in fully-mechanized caving face.

  18. Multicolor fluorescent in situ hybridization to define abutting and overlapping gene expression in the embryonic zebrafish brain

    Hauptmann Giselbert

    2011-04-01

    Full Text Available Abstract Background In recent years, mapping of overlapping and abutting regulatory gene expression domains by chromogenic two-color in situ hybridization has helped define molecular subdivisions of the developing vertebrate brain and shed light on its basic organization. Despite the benefits of this technique, visualization of overlapping transcript distributions by differently colored precipitates remains difficult because of masking of lighter signals by darker color precipitates and lack of three-dimensional visualization properties. Fluorescent detection of transcript distributions may be able to solve these issues. However, despite the use of signal amplification systems for increasing sensitivity, fluorescent detection in whole-mounts suffers from rapid quenching of peroxidase (POD activity compared to alkaline phosphatase chromogenic reactions. Thus, less strongly expressed genes cannot be efficiently detected. Results We developed an optimized procedure for fluorescent detection of transcript distribution in whole-mount zebrafish embryos using tyramide signal amplification (TSA. Conditions for hybridization and POD-TSA reaction were optimized by the application of the viscosity-increasing polymer dextran sulfate and the use of the substituted phenol compounds 4-iodophenol and vanillin as enhancers of POD activity. In combination with highly effective bench-made tyramide substrates, these improvements resulted in dramatically increased signal-to-noise ratios. The strongly enhanced signal intensities permitted fluorescent visualization of less abundant transcripts of tissue-specific regulatory genes. When performing multicolor fluorescent in situ hybridization (FISH experiments, the highly sensitive POD reaction conditions required effective POD inactivation after each detection cycle by glycine-hydrochloric acid treatment. This optimized FISH procedure permitted the simultaneous fluorescent visualization of up to three unique transcripts

  19. In vitro synchrotron-based radiography of micro-gap formation at the implant–abutment interface of two-piece dental implants

    Micro-radiography using hard X-ray synchrotron radiation is the first potential tool to allow an evaluation of the mechanical behavior of the dental implant–abutment complex during force application, thus enabling the enhancement of the design of dental implants which has been based on theoretical analysis to date. Micro-gap formation at the implant–abutment interface of two-piece dental implants was investigated in vitro using high-resolution radiography in combination with hard X-ray synchrotron radiation. Images were taken with the specimen under different mechanical loads of up to 100 N. The aim of this investigation was to prove the existence of micro-gaps for implants with conical connections as well as to study the mechanical behavior of the mating zone of conical implants during loading. Synchrotron-based radiography in comparison with classical laboratory radiography yields high spatial resolution in combination with high contrast even when exploiting micro-sized features in highly attenuating objects. The first illustration of a micro-gap which was previously indistinguishable by laboratory methods underlines that the complex micro-mechanical behavior of implants requires further in vitro investigations where synchrotron-based micro-imaging is one of the prerequisites

  20. D型便梁加固既有桥台施工技术%Type D beam strengthened with abutment construction technology

    张留

    2014-01-01

    Bao Xi railway double track two Dao Gou Bridge Abutment with both type D beam reinforcement, through the relationship between old and new, on line analysis of existing line is busy and so on, elaborates the technical measures of temporary pier construction, beam transport and installation, safety protection to ensure the operation safety of the line.%包西铁路复线二道沟大桥既有桥台采用D型便梁加固,通过对新旧线路关系、既有线路繁忙情况等方面的分析,详细阐述了临时支墩施工、便梁的运输及安装、既有线安全防护等确保线路运营安全的技术措施。

  1. 氧化锆基台在种植体支持的全瓷修复中的应用%The application of zirconia abutment in implant supported all - ceramic restoration

    王大山; 杨建军; 邓悦; 吴品林; 杨振; 杨凤丽; 张慧敏

    2011-01-01

    目的 探讨氧化锆基台的应用及种植体支持的全瓷修复体的临床效果.方法 选择安多键内连接种植系统φ4.0×10ram种植体植入缺牙区,上颌植入6个月、下颌植入3个月后安装自制的氧化锆基台;将基台予以磨改预留修复间隙,取印模,灌制石膏模型;应用CAD/CAM制作全瓷冠、桥;将全瓷修复体与基台粘接固位;应用MINRAY口内数字X线摄片系统和X线摄片定位仪,拍摄安装氧化锆基台时和全瓷修复体粘接后36个月时的X线片进行测量,对比分析.结果 自制的氧化锆基台能与种植体顺利装配,应用该基台和CAD/CAM制作的全瓷冠、桥修复体完成的15例患者18颗种植义齿全瓷修复的即刻效果满意,追踪30-36个月,所有患者的种植义齿使用良好,修复体和基台均无松动脱落与折裂、折断,牙周无炎症及牙槽骨吸收,部分患者的牙槽骨显示增高,患者满意度高.结论 应用氧化锆基台配合CAD/CAM氧化锆全瓷冠、桥修复体,不仅可获得满意的美学效果,还有益于种植义齿周围组织的健康.%Objective ThiS study is to discuss the application of zirconia abutment and Lhe clinical results of the implant supponed all - ceramic restoration.Methods Embed the Anthogyr inter - joins implant system ( φ 4.0 × 10mm)into the edentulous region, install the self - made zirconia abutment after 6 months maxilla implantation or 3 months mandible implantation; Then the abutment is ground to reserve restoration space and the impression is made to cast plaster mould; Make the all - ceramic crown/ bridge by CAD/CAM before adhere and fix the all - ceramic restoration with the abutment; Use MINRAY digital X - ray shooting system and X - ray holders system to shoot X - ray at the time of zirconia abutment installation and 36 months after the adhesion of the all - ceramic restoration then carry out measurement and comparative analysis.Results The self - made zirconia abutment can match well

  2. Clinical research on abutment gingivitis and secondary caries after partial centure fixing%固定义齿修复后基牙牙龈炎、继发龋的临床观察

    徐频频; 林燕; 麻广丽; 周国锋

    2014-01-01

    目的:观察固定义齿修复后基牙牙龈炎与继发龋的临床表现,对比两种疾病的牙周指标。方法选取本院口腔科接受固定义齿修复的患者共50例:25例患者接受治疗后发生基牙牙龈炎,设定为A组;25例患者接受治疗后发生继发龋,设定为B组,对比两组患者的菌斑指数、社区牙周治疗需要指数、探诊深度以及菌斑细菌分布。结果 A组与B组患者的菌斑指数、社区牙周治疗需要指数、探诊深度差异无统计学意义,A组与B组的菌斑细菌分布差异有统计学意义(P<0.05)。结论固定义齿修复后基牙牙龈炎与继发龋的发生率较高,基牙牙龈炎与继发龋患者的牙周指标无显著差异,因此医生应注重患者固定义齿修复后的健康宣教,以降低牙周疾病的发生率。%Objective To observe the clinical manifestation of abutment gingivitis and secondary caries after partial denture fixing,and to have a comparison of periodontal index between abutment gingivitis and secondary caries. Meth-ods Fifty patients who received partial denture fixing were divided randomly into two groups.Twenty-five patients had abutment gingivitis,and twenty-five patients had secondary caries. The PLI,CPITN,PD and the classification of bacte-rial of two groups were compared. Results The PLI,CPITN,PD of both groups had no difference,but the classification of bacterial in both groups were significantly different (P<0.05). Conclusion The incidence of abutment gingivitis and secondary caries after partial denture fixing is massive. Although the periodontal index between patients who had abut-ment gingivitis or secondary caries after partial denture fixing have no difference. Doctors should strengthen the health education after treatment to reduce the rate of periodontal disease.

  3. Management of a Fractured Multiunit Maxillary Implant-Supported Fixed Prosthesis with Stripped Abutment Screws Using a Hybrid Cement-Retained and Screw-Retained Design: A 5-Year Follow-Up Clinical Report.

    Al Amri, Mohammad D

    2016-06-01

    Fracture and loosening of implant-supported prostheses (ISPs) are complications encountered in routine dental practice. In the present report, management of a fractured maxillary full-arch cement-retained (CR) fixed dental prosthesis supported by six implants is presented. Due to stripped screws, complications were encountered that prevented the retrieval of two of the six abutment screws, which was managed by using a hybrid retention approach, whereby a single full-arch CR and screw-retained (SR) ISP was used. The techniques used to successfully retrieve four of the abutment screws are described. The final retention design involved a combination of three CR and three SR restorations, which offers the advantages of both retention designs. PMID:26713868

  4. Factors associated with fixed partial denture abutment gingivitis and secondary caries%固定义齿基牙牙龈炎继发龋菌斑因素的研究

    李文晋; 李瑛; 牛金亮; 金慧兰; 王涛; 刘艳

    2011-01-01

    Objective To investigate the factors associated with fixed partial denture abutment gingivitis and secondary caries.Methods Forty patients with gingivitis or secondary caries after fixed partial denture abutment were included in this study, comprising 57 abutment teeth in all (42 with gingivitis and 15 with secondary caries).The peridontal index of abutment tooth, the severity of secondmry caries and constituent ratio of dental plaques were investigated and compared between the two conditions.Results Peridontal index was comparable between patients with abutment gingivitis and those with secondary caries (P>0.05).The constituent ratio of Staphylococci in dental plaque was significantly higher in secondary caries than in abutment gingivitis, while the constituent ratios of Spirochaetes, Fusobocterium and Eubacterium was lower in secondary caries than in abutment gingivitis (P<0.05).Conclusion It is as equally important to protect abutment peridontal tissue after treatment.Patients should be educated to keep good oral cavity hygiene and regular clinic visit in order to reduce gingivitis and secondary caries.%目的 通过对固定义齿修复后基牙牙龈炎、继发龋的观察,分析基牙牙龈炎、继发龋与牙周组织及菌斑的关系.方法 收集固定义齿修复后出现牙龈炎、继发龋的病例40例,共57颗固定义齿修复体,其中基牙牙龈炎42颗,继发龋15颗.观察基牙的牙周指数、继发龋坏的情况以及菌斑细菌构成比.结果 基牙牙龈炎组与继发龋组的牙周指数差异无统计学意义(P>0.05).基牙继发龋组牙菌斑中球菌的构成比高于基牙牙龈炎组,螺旋体、梭形杆菌和真杆菌的构成比低于基牙牙龈炎组,差异有统计学意义(P<0.05).结论 固定义齿修复后牙周组织的保护同样很重要.固定义齿修复后要对患者进行口腔卫生宣教,指导患者注意保持口腔卫生,定期复诊,以减少牙龈炎、继发龋的发生.

  5. Potential of discrete Gaussian edge feathering method for improving abutment dosimetry in eMLC-delivered segmented-field electron conformal therapy

    Purpose: The purpose of this work was to investigate the potential of discrete Gaussian edge feathering of the higher energy electron fields for improving abutment dosimetry in the planning volume when using an electron multileaf collimator (eMLC) to deliver segmented-field electron conformal therapy (ECT). Methods: A discrete (five-step) Gaussian edge spread function was used to match dose penumbras of differing beam energies (6-20 MeV) at a specified depth in a water phantom. Software was developed to define the leaf eMLC positions of an eMLC that most closely fit each electron field shape. The effect of 1D edge feathering of the higher energy field on dose homogeneity was computed and measured for segmented-field ECT treatment plans for three 2D PTVs in a water phantom, i.e., depth from the water surface to the distal PTV surface varied as a function of the x-axis (parallel to leaf motion) and remained constant along the y-axis (perpendicular to leaf motion). Additionally, the effect of 2D edge feathering was computed and measured for one radially symmetric, 3D PTV in a water phantom, i.e., depth from the water surface to the distal PTV surface varied as a function of both axes. For the 3D PTV, the feathering scheme was evaluated for 0.1-1.0-cm leaf widths. Dose calculations were performed using the pencil beam dose algorithm in the Pinnacle3 treatment planning system. Dose verification measurements were made using a prototype eMLC (1-cm leaf width). Results: 1D discrete Gaussian edge feathering reduced the standard deviation of dose in the 2D PTVs by 34, 34, and 39%. In the 3D PTV, the broad leaf width (1 cm) of the eMLC hindered the 2D application of the feathering solution to the 3D PTV, and the standard deviation of dose increased by 10%. However, 2D discrete Gaussian edge feathering with simulated eMLC leaf widths of 0.1-0.5 cm reduced the standard deviation of dose in the 3D PTV by 33-28%, respectively. Conclusions: A five-step discrete Gaussian edge

  6. Stress analysis of a fixed implant-supported denture by the finite element method (FEM when varying the number of teeth used as abutments

    Marcos Daniel Septímio Lanza

    2011-12-01

    Full Text Available OBJECTIVES: In some clinical situations, dentists come across partially edentulous patients, and it might be necessary to connect teeth to implants. The aim of this study was to evaluate a metal-ceramic fixed tooth/implant-supported denture with a straight segment, located in the posterior region of the maxilla, when varying the number of teeth used as abutments. MATERIAL AND METHODS: A three-element fixed denture composed of one tooth and one implant (Model 1, and a four-element fixed denture composed of two teeth and one implant (Model 2 were modeled. A 100 N load was applied, distributed uniformly on the entire set, simulating functional mastication, for further analysis of the SEQV (Von Mises principal stresses, which were compared with the flow limit of the materials. RESULTS: In a quantitative analysis, it may be observed that in the denture with one tooth, the maximum SEQV stress was 47.84 MPa, whereas for the denture with two teeth the maximum SEQV stress was 35.82 MPa, both located in the region between the pontic and the tooth. CONCLUSION: Lower stresses were observed in the denture with an additional tooth. Based on the flow limit of the materials, porcelain showed values below the limit of functional mastication.

  7. A Novel Scheme and Evaluations on a Long-Term and Continuous Biosensor Platform Integrated with a Dental Implant Fixture and Its Prosthetic Abutment.

    Li, Yu-Jung; Lu, Chih-Cheng

    2015-01-01

    A miniature intra-oral dental implant system including a built-in biosensor device is proposed in this article. The dental implant system, or platform, is replaced over maxilla and allows relatively non-invasive procedures for a novel biosensing scheme for human blood analysis. Due to placement of the implant fixture, periodontal ligaments and the pulp structure, which are regarded as the main origin of pain, are thus removed, and long-term, continuous blood analysis and management through maxillary bone marrow becomes achievable through the dental implant platform. The new pathway of biological sensing is for the first time presented to realize an accurate and painless approach without injections. The dental implant system mainly consists of an implant fixture and a prosthetic abutment, a biosensor module, a bluetooth 4.0 wireless module and a dc button cell battery. The electrochemical biosensor possesses three electrodes, including working, reference and counter ones, which are arranged to pass through the titanium implant fixture below the biosensor module. The electrodes are exposed to the blood pool inside the maxillary bone marrow and perform oxidation/reduction reactions with the coating of biosensing enzyme. To prove the proposed platform, the immobilization process of glucose oxidase (GOD) enzyme and in vitro detections of glucose levels are successfully carried out, and proven sensitivity, linearity and repeatability of the glucose biosensor system are obtained. Moreover, a preliminary canine animal model adopting the new pathway shows significant consistency with the traditional method through dermal pricks for blood sugar detection. Despite the prospective results, further challenges in engineering implementation and clinical practices are addressed and discussed. In brief, the novel biosensing pathway and intra-oral biosensor platform may increasingly reveal their promising value and feasibilities in current bio-medical analysis, diagnosis, drug

  8. A Novel Scheme and Evaluations on a Long-Term and Continuous Biosensor Platform Integrated with a Dental Implant Fixture and Its Prosthetic Abutment

    Yu-Jung Li

    2015-09-01

    Full Text Available A miniature intra-oral dental implant system including a built-in biosensor device is proposed in this article. The dental implant system, or platform, is replaced over maxilla and allows relatively non-invasive procedures for a novel biosensing scheme for human blood analysis. Due to placement of the implant fixture, periodontal ligaments and the pulp structure, which are regarded as the main origin of pain, are thus removed, and long-term, continuous blood analysis and management through maxillary bone marrow becomes achievable through the dental implant platform. The new pathway of biological sensing is for the first time presented to realize an accurate and painless approach without injections. The dental implant system mainly consists of an implant fixture and a prosthetic abutment, a biosensor module, a bluetooth 4.0 wireless module and a dc button cell battery. The electrochemical biosensor possesses three electrodes, including working, reference and counter ones, which are arranged to pass through the titanium implant fixture below the biosensor module. The electrodes are exposed to the blood pool inside the maxillary bone marrow and perform oxidation/reduction reactions with the coating of biosensing enzyme. To prove the proposed platform, the immobilization process of glucose oxidase (GOD enzyme and in vitro detections of glucose levels are successfully carried out, and proven sensitivity, linearity and repeatability of the glucose biosensor system are obtained. Moreover, a preliminary canine animal model adopting the new pathway shows significant consistency with the traditional method through dermal pricks for blood sugar detection. Despite the prospective results, further challenges in engineering implementation and clinical practices are addressed and discussed. In brief, the novel biosensing pathway and intra-oral biosensor platform may increasingly reveal their promising value and feasibilities in current bio-medical analysis

  9. 可摘局部义齿基牙健康状况的临床观察%Clinic observation on abutment teeth healthily status with the patients wearing removable partial denture

    孙迎春; 高平; 张恩; 陶伟

    2001-01-01

    Objective: To compare the effect of different factors (1) oral hygiene habits (2)designs of dentures (3)material of dentures on abutment teeth of removable partial dentures (RPDs). Methods: Abutment teeth healthily of examined patients status after they had worn RPDs two years with index about the caries, periodontal and oral hygiene habits . Their results were analyzed with χ2 statistics. Results:The patients oral hygiene habits and different designs of dentures are close relation with abutment teeth healthily status but different material of dentures is not significantly. Conclusion: The abutment teeth healthily status are relativei with many factors, but oral hygiene is a most important factor.%目的:对比患者不同的口腔卫生习惯、不同的义齿设计、不同的义齿材料等,以分析可摘局部义齿(RPDs)[摘要]目的:对比患者不同的口腔卫生习惯、不同的义齿设计、不同的义齿材料等,以分析可摘局部义齿(RPDs)对口腔微生态的影响。方法:在病人戴入RPDs 2a后,用龋病、牙周病常用指数及口腔卫生指数,来检查基牙健康状况,用χ2检验分析它们之间的结果有无差异。结果:患者的口腔卫生习惯、义齿的不同设计、均与基牙健康密切相关。而两种不同材料的义齿对基牙的损坏无显著性差异。结论:RPDs基牙的健康与多因素有关,而口腔卫生状况是决定RPDs口腔微生态的重要因素。

  10. The clinical study on abutment dentin hypersensitivity after preparation for crown and bridge%冠桥基牙制备后牙本质敏感的临床治疗研究

    邓文正; 郭庆; 陆辉; 邱伟芳

    2013-01-01

    Objective To evaluate the effects of professional oral allergy desensitization paste for treating abutment dentin hypersensitivity after preparation for Crown and bridge.Methods 226 patients,repaired by porcelain Crown and bridge,were randomly divided into test group and control group,n =113.Test group:Professional oral allergy desensitization paste was used after tooth preparation and before bonding the ceramic Crown and bridge,for 113 cases.Control group:Gluma desensitizer was used after tooth preparation and before bonding the ceramic Crown and bridge,for 113 cases.Adopted cold air blowing,dentin sensitivity was evaluated by recording the value of visual analogue pain scores (VAS).Results The abutment sensitivity of the test group,by using desensitizing paste therapy after tooth preparation,significantly reduced.The abutment sensitivity after desensitizing paste therapy was statistically significant compared with that of before using desensitization paste and control group (P<0.001).The abutment sensitivity of test group was statistically significant compared with that of control group after the ceramic Crown and bridge was bonded (P<O.O01).Conclusion Professional oral allergy desensitization paste has good effect on treating abutment dentin hypersensitivity after preparation for Crown and bridge.%目的:评价抗敏口腔专业用脱敏膏对于烤瓷冠桥基牙制备后牙本质过敏的治疗疗效.方法:选取做烤瓷冠桥修复的226例患者,随机分为实验组和对照组,各113例.实验组:113例备牙后和烤瓷冠桥粘固前使用抗敏口腔专业用脱敏膏进行脱敏.对照组:113例备牙后、烤瓷冠桥粘固前使用Gluma脱敏剂脱敏.牙本质敏感度的评价采用冷空气喷吹法,记录视觉模拟疼痛评分(visual analogue scale,VAS)值.结果:实验组于备牙后使用脱敏膏治疗基牙敏感显著降低,与使用前对照组比较差异有统计学意义(P<0.001);与对照组相比,实验组粘固后基牙敏

  11. 固定桥基牙牙槽骨吸收三维有限元模型的建立%Construction of a three-dimensional finite element model of the absorbed alveolar bone of fixed partial denture abutments

    陈艳; 吴娴; 张一岭; 张翼

    2011-01-01

    目的:通过建立左侧下颌后牙5单位固定桥双基牙侧牙槽骨吸收的有限元模型,为分析双基牙侧牙槽骨吸收对牙周膜应力的影响打下基础.方法:采用多层螺旋CT扫描技术与Mimics、Ansys软件相结合对88张层厚为0.6 mm的CT断层影像进行三维重建,在此基础上建立双基牙侧牙槽骨吸收模型.结果:建立了5单位固定桥有限元模型及双基牙侧牙槽骨吸收的有限元模型,包括牙齿、牙周膜、牙槽骨.结论:所建模型结构完整,单元划分精细,能够较精确地模拟牙槽骨吸收的实体状态,为加载后的基牙牙周膜应力分析提供基础.%AIM : To construct three-dimensional finite element models ( FEMs) of five-unit fixed partial denture of left mandible so as to analyze the effects of double abutments alveolar bone resorption on periodontal ligament stress.METHODS: Eighty-eight CT slice pictures (0.6mm in thickness) were treated with multislice helical computed tomography scanning technology, Mimics and Ansys Software to build the FEMs.Then the alveolar bone of double abutments inordinately absorbed models on the basis of the FEMs was built.RESULTS : A three-dimensional FEMs of five - unit fixed partial denture and al,veolar hone resorption of double abutments model were constructed, including teeth.periodontal ligaments and alveolar bone.CONCLUSION : The constructed models had the advantages of intact structure, precise elements and can simulate the natural situation of alveolar bone resorbtion and can provide basis for further research of periodontal ligament stress induced by loading.

  12. Clinical evaluation of tilted implant and angled abutement.%倾斜种植体与角度基台在种植修复中的临床应用

    铁朝荣; 张文捷; 陈建钢

    2011-01-01

    目的:观察倾斜种植体与角度基台联合应用的临床疗效,探讨相关手术和修复技巧.方法:牙列缺损(失)病例17例,倾斜植入种植体25枚,随访时间0.5~2年,观察种植体稳定性、炎症、X线改变等指标,评价临床疗效.结果:除2例种植体脱落外,其余25枚种植体均获成功,临床成功率92%.结论:倾斜种植体在骨量不足或邻牙倾斜种植修复中可发挥独特的作用.但由于倾斜种植体应力主要集中在其颈部,临床应用应以多枚种植体连冠修复为宜,以便分散应力;在无牙颌修复中,为减轻远中扭力,应尽量减少游离端长度.%Objective: To study the outcome of tilted implant and angle abutement in clinic. Method:17 patients recived 27tilted implant. In 0.5~2 years of follow-up, implant stability, inflammation, and X-rays change were obtained and assessed. Rusult:25 implant were remained, 2 implants were lost, successful rate was 92 %. Conclusion: tilted implant with angle abutement could be used in patients with inadequate bone or inclined tooth. Because the stress was located in the neck of tilted implant, It is recommended that connected tooth-tooth restorations was useful. In edentulous patients, long cantilever should be avoided.

  13. 钛种植体基台和不同合金的体外耐腐蚀性能%In vitro corrosion resistance of titanium abutment and different alloys

    黄伟城; 吴泽键; 陈伟生

    2015-01-01

    背景:各种医用生物材料在应用于口腔环境之前,除了对其机械性能和理、化学性能予以严格的考察之外,还需要进行口腔环境耐腐蚀性实验,以保证材料的生物相容性.目的:分析钛种植体基台和不同钛合金的体外耐腐蚀性能.方法:构建体外人工唾液腐蚀环境,pH=6.0,温度(37±0.5) ℃,利用动电位极化技术、扫描电镜、X射线衍射等方式评估钛合金、金合金、镍铬合金及钛种植体基台在人工唾液中浸泡24 h的耐腐蚀性能.结果与结论:不同合金的稳态电位不同,其中金合金钝化区范围最大,其次为钛种植体基台和钛合金,镍铬合金钝化区范围最小.经过24 h的人工唾液浸泡后,不同材料的表面均开始出现钝化膜,扫描电镜显示,镍铬合金表面可见明显的腐蚀痕迹,出现大量直径较大的深点蚀坑,其余 3 种合金均未出现明显腐蚀现象;镍铬合金表面铬、钼、铝含量均出现减少现象,镍、氧含量增加,其余合金表面未出现明显改变;镍铬合金表面生成 Cr2O3,钛种植体基台及钛合金表面均生成TiO2,金合金表面仍为Au、Pt单相存在,未生成化合物.表明钛合金与钛种植体基台具有相似的耐腐蚀性能,且差于金合金,但优于镍铬合金.%BACKGROUND:Except for mechanical properties and physical and chemical properties, corrosion resistance testing is necessary for a variety of biomedical materials applied in the oral environment to ensure the biocompatibility of materials. OBJECTIVE:To explore the corrosion resistance of titanium abutment and different titanium aloysin vitro. METHODS:Corrosion environment byin vitroartificial saliva was constructed with pH=6.0 at (37±0.5)℃. Potentiodynamic polarization technique, scanning electron microscope and X-ray diffraction methods were employed to assess the corrosion resistance of titanium aloy, gold aloy, nickel-chromium aloy, and titanium abutment immersed in the

  14. Marginal fit at cylinder-abutment interface before and after overcasting procedure Adaptação marginal na interface intermediário-cilindro antes e após as sobrefundições

    Luciana Martins Cres Moraes

    2005-12-01

    Full Text Available The aim of this study was to measure marginal fit at cylinder-abutment interface, before and after overcasting procedure. A hexagonal implant was fixed to a stainless steel base and a Estheticone-like abutment used during all the experiment. Before casting procedure, gold (Group I and Ni-Cr-Be (Group II premachined cylinders were tightened to the abutment with gold and titanium screws (in both groups, with 10Ncm and 20Ncm torque values for the same screw type. Vertical measures were taken at the light microscope (Mitutoyo 5050, Tokyo, Japan three times in six different parts along the abutment-cylinder interface for each torque value. Cylinders were overcast with Ag-Pd (Group I or Ni-Cr-Be (Group II alloy. After casting, the same measures and torque values were repeated. Intragroup differences (10 or 20Ncm torque values, before and after casting and intergroup differences (10 and 20Ncm torque values, before or after casting were analyzed by the Paired t Test; (pO objetivo deste estudo foi medir a adaptação marginal na interface intermediário-cilindro, antes e após a sobrefundição. Um implante do tipo hexágono externo afixado numa base de aço inoxidável e um intermediário do tipo Estheticone foram usados durante todo o experimento. Antes das fundições, cilindros pré-usinados de ouro (Grupo I e de Ni-Cr-Be (Grupo II foram aparafusados ao intermediário com parafusos de ouro e titânio em ambos os grupos, com torques de 10Ncm e 20Ncm para o mesmo tipo de parafuso. As medidas verticais foram feitas num microscópio óptico (Mitutoyo 5050, Tóquio, Japão três vezes em seis locais diferentes ao longo da interface intermediário-cilindro para cada valor de torque. Os cilindros foram encerados e fundidos tanto em liga de Ag-Pd (Grupo I ou liga de Ni-Cr-Be (Grupo II. Após as fundições, as mesmas medidas e os mesmos valores de torque foram repetidos. As diferenças intra-grupo (torques de 10 ou 20Ncm, antes e após as fundições e as

  15. Análisis del comportamiento mecánico de una aleación Ni-Cr-Mo para pilares dentales/Analysis of Mechanical Behavior of Ni-Cr-Mo alloy for Dental Abutments

    Luis Alberto Laguado Villamizar

    2012-12-01

    Full Text Available El presente estudio caracteriza una aleación aplicable al diseño de pilares para implantes dentales. Se propone un material biocompatible y de alta resistencia mecánica como alternativa a las aleaciones de Titanio, disminuyendo los costos de materia prima y procesamiento. Se realizan pruebas mecánicas de tracción y de compresión a la aleación de Ni-Cr-Mo, posteriormente se realiza modelado 3D y simulación de sus propiedades mecánicas por medio de análisis de elementos finitos. Como resultado se obtiene que el material disminuye su resistencia mecánica después del proceso de fundición empleado. El modelo de simulación es válido para análisis de resistencia en pilares dentales.This study presents the characterization of a dental implant alloy for abutments. It proposes a biocompatible material and high mechanical resistance as an alternative to Titanium alloys, lowering costs of raw materials and processing. Mechanical testing of the Ni-Cr-Mo alloy and subsequently perform simulations of its mechanical properties by means of finite element analysis. As a result is obtained that the material reduces its mechanical strength after the casting for electric induction molding process. The simulation model is valid to make analysis of resistance to this type of dental devices.

  16. 单个后牙缺失伴远端基牙倾斜的树脂黏结固定桥修复研究%Restoration of single posterior tooth anodontia accompanied tilted distal abutment with resin bonded fixed partial denture

    宁江海; 高飞; 王燕一; 侯康林

    2009-01-01

    目的 观察树脂黏结固定桥(RBFPD)修复下颌单个后牙缺失合并桥基牙倾斜患者的临床效果,并总结其适应证和设计特点.方法 选择2002-2003年在解放军总医院口腔科就诊的典型下颌单个后牙缺失、远端基牙近中倾斜的患者18例,所有患者基牙倾斜度不超过50°,基牙无明显松动,牙周无异常.根据基牙倾斜和模型观测结果,设计(牙合)支托和固位体的位置和形态,义齿选择普通钛合金烤瓷或钻铬合金烤瓷修复,并在修复体完成后进行5年随访.随访时进行临床检查、X线片检查并询问患者主观感受.结果 远端倾斜基牙平均倾斜33°.随访5年后,2例修复病例修复体脱落,其余义齿功能良好,牙周无明显炎症.基牙以及桥体下方牙龈无明显红肿,X线片示基牙牙周间隙无异常,患者对于修复体的外观及使用情况满意.5年期间修复体的成功率为88.9%.结论 对于伴有基牙倾斜的单个后牙缺失,采用树脂黏结固定桥进行修复的效果可靠,并具有磨牙少、基牙无需进行根管治疗等优点.%Objective To evaluate the restorative effects of customarily designed resin bonded fixed partial denture (RBFPD) on single posterior tooth anodontia accompanied by tilted distal abutment, and summarize the indications and characteristics of RBFPD. Methods From 2002 to 2003, 18 outpatients with single posterior tooth anodontia accompanied by tilted distal abutment were selected for the present study in the Department of Stomatology, General Hospital of People's Liberation Army. The gradient of tilted abutment was less than 50°. All the teeth with abutments were vital without obvious loosening or abnormal periodontal condition. The position and configuration of occlusion rest and retainer of denture were designed according to the inclination of abutment and cast survey. Titanium alloy or cobalt-chromium porcelain fused to metal RBFPD was prescribed, and all patients were

  17. Glass fiber composite resin cores used in wedge-shaped defect dew pulp abutment teeth%玻璃纤维桩复合树脂核在楔状缺损露髓基牙中的应用

    胡建江; 姚悦; 李远祥; 熊雷

    2015-01-01

    目的:观察玻璃纤维桩复合树脂核在楔缺露髓基牙修复中的临床疗效。方法:选取101颗经完善根管治疗的楔缺露髓牙(上颌45颗,下颌56颗),经纤维桩修复后患者经过3、6、12个月随访,观察其临床修复效果。结果:修复后3、6、12个月复查随访发现,上颌前牙11颗,前磨牙27颗,磨牙6颗,下颌前牙15颗,前磨牙33颗,磨牙8颗冠桥无脱落,桩核无脱落及折断,牙齿无折断,X线检查无根折;上颌前牙1颗,桩核脱落,牙齿无折断,X线检查根中1/3折断。修复3、6、12个月效果比较,差异无统计学意义(>0.05)。结论:玻璃纤维桩复合树脂核在楔缺露髓基牙修复中的3、6、12个月的临床疗效无显著性差异。玻璃纤维桩在牙体缺损修复中具有抗牙折性、美观效果好等优点。%Objective To observe the glass fiber composite resin cores in wedge of pulp abutment clinical curative effect of repair. Methods Select 101 after perfect root canal therapy of wedge dew pulp teeth (maxillary 44,mandible 56),the fiber pile repair patients after two years after 3,6 and 12 months follow- up,observe its clinical repair effect. Results Repair after 3,6 and 12 months follow- up findings:review of the maxillary anterior teeth 11,27,premolar teeth six, jaw teeth before 15,premolar 33, molar eight crown bridge without, pile nuclear free fall off and break, no broken teeth,X- ray rootless fold;Upper front teeth one pile nuclear fall off, no broken teeth,X- ray check a third break in the root.Repair effect of 3,6 and 12 months the differences of no statistical significance ( >0.05). Conclusion Glass fiber composite resin cores in wedge of pulp abutment repair clinical curative effect of 3,6 and 12 months there was no significant difference.Glass fiber post in tooth defect have fight tooth folding resistance, beautiful effect is good.

  18. 水电工程坝肩高边坡岩体渗透特性的时空变化%Time and Space Change of Permeability for Rock Mass in Dam Abutment High Slopes of Hydropower Engineering

    李宏; 田洪圆; 刘建军

    2015-01-01

    针对中国西南大型水利水电工程坝肩高陡边坡裂隙岩体,其渗透特性随地质历史、爆破削坡、加固、蓄水/泄洪、降雨等自然和施工过程而分布变化的时空特征,介绍了相关实验、理论模型、数值分析成果,评述了研究现状和进展。展示了为促进这个问题由定性向定量发展,众多研究者各自的探索与贡献。提出在应力变形全过程、强卸荷施工、多场耦合、锚固喷浆、尺寸效应、三维模式和深部监测机制等方面,对边坡裂隙岩体的渗透特性随裂隙、节理、断层而损伤破裂演变的规律,亟需进一步深入开展研究。%With regard to the seepage characteristics of the fractured rock mass in the dam abutment high-steep slopes for large scale hydraulic and hydropower engineering in Southwest China,the experimental,theoretical models and numerical simulation study results about its time and space features in the distribution changes due to natural and construction process such as geological history,blasting excavation,support,impounding and flood discharge,rainfall,etc. are introduced. The current research state and progress is assessed. The probing efforts and contributions from researchers in this field,who desire to put this problem forward from qualitative to quantitative stage,are shown in the paper. It is proposed that in aspects of the mechanism like stress-strain whole process,intensive unloading,multiple field coupling,anchorage and shotcrete,scale effect,three dimensional pattern and monitoring in depth,further study is urgently needed in order to make the regularity clear about the evolution of permeability of fracture rock mass in slopes along the damage and failure surrounding cracks,joints and faults.

  19. 柱式桥台前坡改造数值分析与现场检测%Study on buried abutment slope transformation based on numerical simulation and site detections

    朱登元; 姚占勇; 葛守仁

    2015-01-01

    In order to get more traffic clearance under bridge during the road upgrading transformation,an internal and external reinforcement program was proposed to the underpass grade separation.The internal program was the soil rein-forcement by the Soletanche method to active pressure soil and passive pressure soil of the abutment,and the external program was the anchored retaining wall by tie rods.Based on Abaqus6. 10,the nonlinear FEM software,a 3D elastic-plastic numeric model was built to simulate the transformation process from buried abutment slope to anchored retaining wall.Two kinds of the construction processes were simulated,one was the slope soil excavation in layer vertically only and the other was in section horizontally and in layer vertically,and the soil reinforcement area was determined.Based on site detections to the top displacement and the bolt tension force of the retaining wall,stability analysis during the soil excavation and the wall construction were done,and the anchor pull test was carried out.The results indicated that the stability factor of the slope soil excavation program in layer vertically was 1. 61,while the program in layer vertically and in section horizontally was 1. 84,and the latter program was better.The top displacement of the wall increased mainly during the construction process,and the tension forces of the bolt did not change suddenly,and the wall and the soil behind the wall were stable.The soil reinforcement by the Soletanche method could enhance the soil shear strength and the resistance to deformation,and there was no collapse,fall,and slip during the construction process.%为了增加桥下被交道路的通行空间,采取袖阀管劈裂注浆加固柱式桥台台后主动压力区土体及台前被动压力区土体,并在分段分级挖除台前填土过程中增设锚杆钢筋混凝土挡墙的内外部双重加固措施;采用Abaqus6.10非线性分析软件,建立柱式桥台前坡加固改造的三维弹塑

  20. Ingested bony foreign body abutting thoracic aorta

    Leahy, Travis William; Kuthubutheen, Jafri

    2011-01-01

    The authors present the case of a 38-year-old female who presented with an ingested oesophageal foreign body (lamb bone) following consumption of a casserole. The bone was initially not seen on plain x-ray but CT imaging revealed a 21×20 mm pyramid shaped bone distending the proximal oesophageal mucosa and lodged only 2 mm from the aortic arch. Cardiothoracic surgery services were available on standby to perform an emergency thoracotomy in the event of any haemorrhage. However, the bone was r...

  1. 双端固定桥两基牙牙周膜厚度分别不同时的生物力学分析%Biomechanical Analysis of the Stress Distribution of Rigid Fixed Bridge During Different Thickness of Periodontal Membranes Around Abutments

    刘建平; 冯晓刚; 王乐

    2011-01-01

    Objective: To study the effects of the different thickness of periodontal membranes around abutments to stress distribution of rigid fixed bridge. Methods: Two-dimensional images of mandible bones, teeth and periodontal supporting tissue of healthy people were scanned by spiral CT. Three-dimensional digital model was developed by imaging software. The three-dimensional finite element model of fixed denture on mandible posterior teeth was then developed. Stress distribution of fixed bridge loaded with the same vertical and horizontal forces was analyzed during different thickness of periodontal membranes around abutments. Results: There were no apparent differences in stress between the fixed bridge abutments and the surface of alveolar bones when the thickness of periodontal membrane around the abutments were less than 0.1 mm.When the thickness of periodontal membranes were between 0.1 mm and 0.4 mm, the stress of the alveolar bones surface reduced with the increase of the thickness of periodontal membranes, and there was a non-linear relationship between them. There was no change in the stress of the alveolar bones surface with the increase of the thickness of periodontal membranes when the thickness was more than 0.4 mm. Conclusions: Periodontal membranes around abutments exhibited cushioning effect when their thicknesses were in certain area. When it was too thicker or thinner, the cushioning effect will disappear.%目的:研究双端固定桥两基牙牙周膜厚度分别不同时对固定桥各部位应力分布的影响.方法:采用螺旋CT扫描获取健康人下颌骨、牙齿及牙周支持组织的二维图像,通过图像合成软件建立三维数字模型,并应用三维有限元分析软件生成下颌后牙固定桥的三维有限元分析模型.在相同垂直载荷和水平载荷情况下,分析两基牙牙周膜厚度分别不同时固定桥的应力分布.结果:当基牙牙周膜厚度小于0.1mm时固定桥基牙与牙槽骨表面应力大小

  2. Clinical analysis of the influence of temporary crowns on abutment and implant after tooth preparation%牙体制备后临时冠桥修复对基牙及修复体影响的临床分析

    吴启建; 徐敏; 李桂苓

    2015-01-01

    Objective Analysis the effect of temporary crown and bridge repair on the abutment and dental restoration. Methods Randomly selected 80 patients between 2013-2014 a clinical investigation, using retrospective analysis method, the application of direct or indirect method, improve the function, cosmetic repair effect.Results All patients were back on time,within the given time line PFM, casting crown and bridge repair, clinical observation, try effect is good,smooth in place restoration,restoration margin closed closed, try occlusal height is normal, no displacement of abutment teeth, no missing area, elongation polices jaw teeth.Temporary crown bridge can protect the abutment teeth, protect fix clearance and occlusal relationship, avoid teeth mobile embedded plug caused by food, maintain a healthy oral and periodontal tissue. Play a good role.Conclusion The temporary crown and bridge of protect teeth, worth clinical promotion.%目的:分析牙体制备后临时冠桥修复对基牙及修复体的影响。方法选取2013~2014年我院收治的患者80例,采用回顾分析法,应用直接或间接制作方法,提高功能,美观的修复效果。结果本组患者均在规定时间内按时复诊,行烤瓷、铸造冠桥的修复,临床观察,试戴效果良好,顺利就位修复体,修复体边缘封闭密合,试戴咬合高度正常,无基牙移位,无缺失区,対颌牙伸长。临时冠桥的制作能保护基牙,保护修复间隙和咬合关系,避免牙齿移动引起食物嵌塞,维护口腔牙周组织健康。结论临时冠桥所起到的保护牙齿作用,值得临床推广使用。

  3. Glass Fiber Reinforced Composite Resin Post Repair Broken Porcelain Teeth Abutments Clinical Effect%玻璃纤维增强型复合树脂桩核修复基牙折断烤瓷牙的临床效果研究

    刘聪慧

    2015-01-01

    目的:探讨基牙折断烤瓷牙行玻璃纤维增强型复合树脂桩核修复的临床效果。方法:74例患者基牙折断烤瓷牙患者用完全随机数字表法,分为对照组和实验组,各37例。对照组接受铸造金属桩核修复治疗,实验组以推行玻璃纤维增强型复合树脂桩核修复疗法,对比两组临床疗效。结果:实验组总有效率明显高于对照组,并发症发生率显著低于对照组,就诊次数、复诊周期及松动率均低于对照组,咬合力及主观满意度评分均高于对照组,差异具有显著统计学意义(P<0.05)。结论:基牙折断烤瓷牙行玻璃纤维增强型复合树脂桩核修复临床效果确切,并发症少。%Objective: To investigate the abutment teeth broken porcelain broker glass fiber reinforced composite resin post core and the clinical effect of repairing.Methods: 74 patients of abutment teeth broken porcelain teeth patients with completely randomized digital table method, divided into experimental group and control group, each of 37 cases. The control group received metal cast post core restoration treatment, experimental group with the implementation of the glass fiber reinforced composite resin post core restoration therapy, compared two groups of clinical curative effect.Results:The experimental group was better than that in control group, the incidence of complications was significantly lower than the control group, and treatment referral cycle times, and loosening rate was lower than the control group, bite force and subjective satisfaction scores were higher than those in the control group, there was a statistically significant difference (P<0.05).Conclusion:Abutment broken porcelain broker glass fiber reinforced composite resin post and core in the restoration of the exact clinical effect, complication.

  4. 云南沙沙坡水电工程右岸坝肩开挖光面爆破设计%On the Blasting Design of Abutment Excavation on the Right Bank of the Dam at Shapo Hydro-power Station in Yunnan

    黄少鹏

    2014-01-01

    文章介绍了云南沙沙坡水电工程右岸坝肩岩体深孔台阶光面爆破开挖的设计和施工情况,着重对钻孔的设计和布置、装药结构进行了较详实地描述,可为类似工程项目施工提供参考。%This paper introduced the blasting design of the abutment of deep hole bench on the right bank of the dam at Shapo hydro-power station in Yunnan. The author gave a detail description of the design and layout of the driling hole and charge structure offering a reference for similar project construction.

  5. Clinical analysis on removable partial denture in Kennedy Ⅰ dentition defect after Loose abutments were fixed by combined crowns%联冠固定松动基牙后可摘义齿修复肯氏I类牙列缺损的临床疗效观察

    顾斌; 李萍; 刘娜; 刘洪臣

    2012-01-01

    Objective: To evaluate clinical therapeutic effect of removable partial denture on Kennedy I dentition defect after loose abutment were fixed by combined crowns or stabilized by continuous clasp. Methods: Forty patients of Kennedy I dentition defect with loose premolars were collected and divided into 2 groups randomly. Before the restoration with removable partial denture, loose abutments in one group were fixed with combined porcelain fused to metal crowns, while those in the other group were repaired with continuous clasp. Effects of two kinds of treatment were evaluated respectively after 1-5 years follow-up period. Statistic analysis was performed. Results: At 5 years, the success ration of combined porcelain fused to metal crowns group was better than continuous clasp group. The differences of satisfaction rate, plaque control record, probing depth, clinical attachment loss, bleeding on probing and bone support were significant (P<0.05). Conclusion: Good clinical effect of RPD in Kennedy I dentition defect might be obtained after loose abutments were fixed by combined crowns combined with complete periodontal therapy.%目的:分别用烤瓷联冠固定基牙和连续高位卡环稳定基牙,利用可摘局部义齿(removable partial denture,RPD)修复双侧磨牙缺失,比较两者间的临床疗效.方法:选取肯氏Ⅰ类牙列缺损近缺失端基牙I-II度松动病例40例,在进行完善的牙周基础治疗后,分别采用烤瓷联冠固定基牙和连续高位卡环稳定基牙,行可摘局部义齿修复.术后复查,随访1-5年,通过比较患者的主观感受和临床检查结果进行疗效评价.结果:烤瓷联冠组5年临床成功率高于连续高位卡环组,两组患者的满意率、牙周菌斑指数、牙周袋探诊深度、临床附着水平、探诊后出血指数、牙槽骨支持指数差异有统计学意义(P<0.05).结论:对肯氏I类牙列缺损伴前磨牙松动的患牙,经完善的牙周治疗后,烤瓷联冠固定松动

  6. 腹腔镜与CT引导下射频消融治疗横膈下肝血管瘤的对比研究%Radiofrequency ablation for hepatic hemangiomas abutting the diaphragm: a comparison of computed tomography guided versus laparoscopic approach

    牛海刚; 高君; 丁雪梅; 柯山; 孙文兵; 辛宗海; 宁纯民; 国世刚; 李晓龙

    2014-01-01

    目的 比较CT和腹腔镜路径射频消融(radiofrequency ablation,RFA)治疗横膈下方肝血管瘤的安全性和有效性.方法 回顾性分析RFA治疗43例患者的43个膈下肝血管瘤的临床资料,19例接受CT引导下经皮RFA治疗(CT组),24例接受腹腔镜路径RFA治疗(腹腔镜组).结果 43例肝血管瘤的直径为6.0~11.8cm,平均(9.4±1.7 cm).2组患者血管瘤直径差异无统计学意义(t=0.42,P>0.05).所有患者均顺利完成RFA治疗,无技术失败.两组消融时间差异无统计学意义(t=0.07,P>0.05).CT组和腹腔镜组完全消融率分别为94.7%(18/19)和91.7%(22/24)(Fisher,P>0.05).RFA治疗后,15例患者发生21例次胸部并发症,其中CT组13例患者(68.4%,13/19),腹腔镜组2例患者(8.3%,2/24)(Fisher,P<0.05).2例出现严重并发症(胸腔积液和膈肌破裂,Ⅲ级),均发生在CT组,其余为轻微并发症(Ⅰ级).所有轻微并发症经保守治疗痊愈,2例严重并发症分别通过胸腔引流和胸腔镜手术治愈.结论 腹腔镜路径下RFA治疗膈下肝血管瘤可明显降低胸部并发症发生率,是膈下肝血管瘤首选的治疗方案.%Objective To compare the safety and therapeutic efficacy of computed tomography (CT) guided versus laparoscopic RF ablation for hepatic hemangiomas abutting the diaphragm.Methods 43 cases of hepatic hemangiomas abutting the diaphragm were divided into two groups receiving respectively CT guided (19 cases) or laparoscopic RF ablation (laparoscopic ablation group,24 cases).Results The mean diameter of the 43 hemangiomas was (9.4 ± 1.7) cm (6.0-11.8 cm).There was no difference in the diameter of hemangiomas between the two groups (t =0.42,P > 0.05).RF ablation was performed successfully for all patients.There was no difference in ablation times between groups (t =0.07,P >0.05).There were 21 thoracic complications in 15 patients,including 13 (68.4%,13/19) patients in the CT-guided ablation group and 2 (8.3%,2/24) patients in

  7. The fitness of copings constructed over UCLA abutments and the implant, constructed by different techniques: casting and casting with laser welding Adaptação de copings de ritânio ao implante, construídos sobre pilares UCLA por duas técnicas: fundição e fundição com soldagem de bordo laser

    Elza Maria Valadares da Costa

    2004-12-01

    Full Text Available The alternative for the reposition of a missing tooth is the osteointegrated implant being the passive adaptation between the prosthodontic structure and the implant a significant factor for the success of this experiment, a comparative study was done between the two methods for confectioning a single prosthodontic supported by an implant. To do so a screwed implant with a diameter of 3.75mm and a length of 10.0mm (3i Implant innovations, Brasil was positioned in the middle of a resin block and over it we screwed 15 UCLA abutments shaped and anti-rotationable (137CNB, Conexão Sistemas de Próteses, Brasil with a torque of 20N.cm without any laboratorial procedure (control group - CTRLG. From a silicon model 15 UCLA-type calcinatable compounds (56CNB, Conexão Sistemas de Próteses, Brasil were screwed (20 N.cm, received a standard waxing (plain buccal surface and were cast in titanium (casting group - CG and other 15 compounds, UCLA - type shaped in titanium (137 CNB, Conexão Sistemas de Próteses, Brasil received the same standard waxing. These last copings were cast in titanium separated from each other and were laser-welded to the respective abutments on their border (Laser-welding group - LWG. The border adaptation was observed in the implant/compound interface, under measurement microscope, on the y axis, in 4 vestibular, lingual, mesial and distal referential points previously marked on the block. The arithmetical means were obtained and an exploratory data analysis was performed to determine the most appropriate statistical test. Descriptive statistics data (µm for Control (mean±standard deviation: 13.50 ± 21.80; median 0.00, for Casting (36.20±12.60; 37.00, for Laser (10.50 ±12.90; 3.00 were submitted to Kruskal-Wallis ANOVA, alpha = 5%. Results test showed that distorsion median values differ statistically (kw = 17.40; df =2; p = 0.001A reposição de um elemento dentário pode ser feita por um implante osseointegrado sendo que a

  8. Noninvasive method for retrieval of broken dental implant abutment screw

    Jagadish Reddy Gooty

    2014-01-01

    Full Text Available Dental implants made of titanium for replacement of missing teeth are widely used because of ease of technical procedure and high success rate, but are not free of complications and may fail. Fracturing of the prosthetic screw continues to be a problem in restorative practice and great challenge to remove the fractured screw conservatively. This case report describes and demonstrates the technique of using an ultrasonic scaler in the removal of the fracture screw fragment as a noninvasive method without damaging the hex of implants.

  9. Noninvasive method for retrieval of broken dental implant abutment screw.

    Gooty, Jagadish Reddy; Palakuru, Sunil Kumar; Guntakalla, Vikram Reddy; Nera, Mahipal

    2014-04-01

    Dental implants made of titanium for replacement of missing teeth are widely used because of ease of technical procedure and high success rate, but are not free of complications and may fail. Fracturing of the prosthetic screw continues to be a problem in restorative practice and great challenge to remove the fractured screw conservatively. This case report describes and demonstrates the technique of using an ultrasonic scaler in the removal of the fracture screw fragment as a noninvasive method without damaging the hex of implants. PMID:24963261

  10. Abutting Absence : Love Letters from Two Eras / Tiina Kirss

    Kirss, Tiina, 1957-

    2008-01-01

    Irene Lääne ja Toomas Hiio koostatud raamatust "Ühtekuuluvuse teel : Johan Laidoneri kirjad abikaasale" (Tallinn : Varrak, 2008) ja Käbi Laretei raamatust "Kuhu kadus kõik see armastus?" (Tallinn : SE & JS, 2008)

  11. Zirconia abutments and restorations: from laboratory to clinical investigations.

    Ferrari, M; Vichi, A; Zarone, F

    2015-03-01

    In last years the use of zirconia in dentistry has become very popular. Unfortunately, the clinical indications for a dental use of zirconia are not completely clear yet, neither are their limitations. The objective of this review was to evaluate the basic science knowledge on zirconia and to discuss some aspects of the clinical behavior of zirconia-based restorations. In particular, one of the goals was highlighting the possible correlation between in vitro and in vivo studies. The definition of concepts like success, survival and failure was still debated and the correlation between in vitro results and predictability of clinical behavior was investigated. PMID:25576437

  12. The effect of different implant-abutment connections on screw joint stability.

    Michalakis, Konstantinos X; Calvani, Pasquale Lino; Muftu, Sinan; Pissiotis, Argiris; Hirayama, Hiroshi

    2014-04-01

    Dental implants with an internal connection have been designed to establish a better stress distribution when lateral external forces act on the prosthesis and minimize the forces transmitted to the fastening screw. In the present study, 10 externally and 10 internally hexed implants were tested with a compressive force applied with an Instron Universal machine. Four cycles of loading-unloading were applied to each specimen to achieve displacements of 0.5, 1, 2, and 2.5 mm. The mean loads for the first cycle were 256.70 N for the external connection and 256 N for the internal connection implants. The independent t test did not reveal any significant differences among the 2 tested groups (P = .780). For the second cycle, the mean loads needed for a displacement of 1 mm were 818.19 N and 780.20 N for the external connection and the internal connection implants, respectively. The independent t test revealed significant differences among the 2 tested groups (P < .001). In the third cycle, the mean load values for a 2-mm displacement were 1394.10 N and 1225.00 N. The independent t test revealed significant differences among the 2 tested groups (P < .001). The mean loads for the fourth cycle were 1488.00 N for the external connection and 1029.00 N for the internal connection implants. These loads were required for a displacement of 2.5 mm. The independent t test revealed significant differences among the 2 tested groups (P < .001). The results of this in vitro study suggest that the internal connection design of the examined implant system could not prevent screw loosening during overloading. No implant or prosthesis failure was noticed in either group. PMID:24779947

  13. Removable Partial Denture Supported by Implants with Prefabricated Telescopic Abutments - A Case Report

    Kumar, Lalit; Sehgal, Komal

    2014-01-01

    Implants have been designed to rehabilitate edentulous patients with fixed prosthesis or implant supported overdentures. Implant-supported single crowns and fixed partial dentures have become successful treatment alternatives to removable and fixed partial dentures. However, it is common to have clinical situations which make it impossible to use conventional as well as implant supported fixed partial dentures. The implant supported removable partial dentures can be a treatment modality that ...

  14. Investigation of the Effects of Abutment and Implant Length on Stability of Short Dental Implants

    Eda OZYILMAZ; Aykul, Halil; OZYILMAZ, Emre; Dalkiz, Mehmet; M. Burak BİLGİN

    2015-01-01

    The use of dental implants to solve different problems in dentistry has been growing rapidly. The success rates of dental implants are also very important for patients. Depending on the bone level of patients, short dental implants are very popular and widely used by many dentists. Although many dentists are using short dental implants frequently, It can be guessed that there can be stability problems because of crown to implant ratios. In this study, it is aimed to find out...

  15. Free-end saddle length influence on stress level in unilateral complex partial denture abutment teeth and retention elements

    Patrnogić Vesna; Todorović Aleksandar; Šćepanović Miodrag; Radović Katarina; Vesnić Jelena; Grbović Aleksandar

    2013-01-01

    Background/Aim. Different types of dental restorations are used for the therapy of unilateral free-end saddle edentulism. Unilateral complex partial denture is one of the indications for the Kennedy class II partial edentulism. The abscence of major connector and denture plate is an advantage compared to the conventional restorations, because of better comfort and shorter period of adaptation. The aim of the study was to analyse the influence of free-end saddle length change on the beha...

  16. E-glass fiber reinforced composite as an oral implant abutment material. In vitro bacterial adhesion assay and biomechanical tests

    Etxeberria Urra, Marina

    2015-01-01

    [spa] Los materiales compuestos de resina reforzados con fibras de vidrio E (FRC) están aumentando su uso en aplicaciones dentales y ortopédicas como materiales de soporte de carga. Esto es debido a que exhiben una mejor adaptación biomecánica con los tejidos vivos en comparación con los materiales tradicionales, así como por sus propiedades biocompatibles. Recientemente, se ha observado que mejora la formación del tejido gingival peri-implantario. Además, pilares de FRC reforzados unidirecc...

  17. Impact of local and systemic factors on the incidence of failures up to abutment connection with modified surface oral implants

    Alsaadi, Ghada; Quirynen, Marc; Michiles, Katleen; Teughels, Wim; Komárek, Arnost; van Steenberghe, Daniel

    2008-01-01

    Aim: This study aimed to assess the influence of systemic and local bone and intra-oral factors on the occurrence of early TiUnite(trade mark) implant failures. Material and Methods: A total of 283 consecutive patients (187 females; mean age 56.2), who received a total of 720 TiUnite(trade mark) implants, at the Department of Periodontology of the University Hospital of the Catholic University of Leuven, were prospectively followed. The following aspects were particularly assessed: hypertensi...

  18. Percutaneous radiofrequency ablation of hepatocellular carcinoma abutting the diaphragm and gastrointestinal tracts with the use of artificial ascites: safety and technical efficacy in 143 patients

    Song, Inyoung; Rhim, Hyunchul; Lim, Hyo K.; Kim, Young-sun; Choi, Dongil [Sungkyunkwan University School of Medicine, Department of Radiology and Center for Imaging Science, Samsung Medical Center, Seoul (Korea)

    2009-11-15

    The purpose of this study was to assess the feasibility, safety and efficacy of radiofrequency ablation (RFA) with the use of artificial ascites for hepatocellular carcinoma (HCC) adjacent to the diaphragm and gastrointestinal tract. One hundred forty-three patients with 181 HCCs who underwent US-guided percutaneous RFA with the use of artificial ascites were retrospectively reviewed. Among the 181 HCCs, 148 HCCs were defined as problematic nodules for two major reasons: poor sonic window or possible thermal injury. We artificially induced ascites before performing RFA by dripping 5% dextrose in a water solution. We assessed the technical success of introducing artificial ascites, technical feasibility of the use of artificial ascites and complications. The technical success rate, as well as the primary and secondary technique success rate, was assessed by regular follow-up CT examinations. RFA with artificial ascites was successfully achieved in 130 of 143 patients. The primary technique effectiveness was 85.3%. During follow-up (mean, 20.4 months), remote intrahepatic recurrence occurred in 49 patients and local tumor progression occurred in 15 patients. Three (2.1%) of the 143 patients experienced major complications (hemoperitoneum, lobar infarction and biloma) related to the RFA procedure. The use of artificial ascites is a simple and useful technique to minimize collateral thermal injury and to improve the sonic window. (orig.)

  19. Percutaneous radiofrequency ablation of hepatocellular carcinoma abutting the diaphragm and gastrointestinal tracts with the use of artificial ascites: safety and technical efficacy in 143 patients

    The purpose of this study was to assess the feasibility, safety and efficacy of radiofrequency ablation (RFA) with the use of artificial ascites for hepatocellular carcinoma (HCC) adjacent to the diaphragm and gastrointestinal tract. One hundred forty-three patients with 181 HCCs who underwent US-guided percutaneous RFA with the use of artificial ascites were retrospectively reviewed. Among the 181 HCCs, 148 HCCs were defined as problematic nodules for two major reasons: poor sonic window or possible thermal injury. We artificially induced ascites before performing RFA by dripping 5% dextrose in a water solution. We assessed the technical success of introducing artificial ascites, technical feasibility of the use of artificial ascites and complications. The technical success rate, as well as the primary and secondary technique success rate, was assessed by regular follow-up CT examinations. RFA with artificial ascites was successfully achieved in 130 of 143 patients. The primary technique effectiveness was 85.3%. During follow-up (mean, 20.4 months), remote intrahepatic recurrence occurred in 49 patients and local tumor progression occurred in 15 patients. Three (2.1%) of the 143 patients experienced major complications (hemoperitoneum, lobar infarction and biloma) related to the RFA procedure. The use of artificial ascites is a simple and useful technique to minimize collateral thermal injury and to improve the sonic window. (orig.)

  20. Stress distribution of inlay-anchored adhesive fixed partial dentures: a finite element analysis of the influence of restorative materials and abutment preparation design

    Magne, Pascal; Perakis, Nikolaos; Belser, Urs Christophe; Krejci, Ivo

    2002-01-01

    Indirect composite or ceramic fixed partial dentures (FPDs) have become an alternative to conventional metal-ceramic adhesive fixed partial dentures (AFPDs). Little information about the adequate restorative material and tooth preparation design for inlay-anchored AFPDs is available to the clinician.

  1. The Influence of Abutment Surface Treatment and the Type of Luting Cement on Shear Bond Strength between Titanium/Cement/Zirconia

    Beata Śmielak

    2015-01-01

    Full Text Available Objectives. The objectives of this study were to evaluate the shear bond strength of zirconia cylinders on a modified titanium surface using different luting cement types. Material and Methods. Eighty titanium disks were divided into two groups (n=40, which were treated with either grinding or a combination of sandblasting and grinding. Then, each group was subdivided into 4 groups (n=10 and the disks were bonded to disks of sintered zirconia using one of four cement types (permanent: composite cement; temporary: polycarboxylate cement, zinc-oxide-eugenol cement, and resin cement. Shear bond strength (SBS was measured in a universal testing machine. Fracture pattern and site characteristic were recorded. A fractographic analysis was performed with SEM. The chemical analysis of the composition of the fractures was performed using energy-dispersive X-ray spectroscopy (EDS. The results of the experiment were analyzed with two-way analysis of variance and Tukey post hoc test. Results. The highest mean values of SBS were achieved when grinding was combined with sandblasting and when composite cement was used (18.18 MPa. In the temporary cement group, the highest mean values of SBS were for polycarboxylate cement after grinding (3.57 MPa. Conclusion. The choice of cement has a crucial influence on the titanium-cement-zirconia interface quality.

  2. Einfluss von Fluorid-Ionen auf die Dynamik der galvanischen Korrosion im System Titan-Implantat / Abutment / Suprakonstruktion (Titan / Titan und Titan / Co-Cr-Mo-Legierung)

    Herbst, Julia Friederike Jutta

    2015-01-01

    Die Fluoridexposition im Rahmen der täglichen Zahnpflege kann das galvanische Korrosionsverhalten von Implantatmaterialien empfindlich beeinflussen. Von besonderem Interesse ist dabei die Dynamik der Reaktion auf eine spontane Fluoridexposition. Zur Untersuchung dieser Dynamik wurde die Reaktion der Kopplungen Ti/Ti und Ti/CoCrMo auf die Zugabe verschiedener Fluoridkonzentrationen sowohl im neutralen als auch im sauren Milieu mittels elektrochemischer Rauschmessungen aufgezeichnet. Anschließe...

  3. A Novel Scheme and Evaluations on a Long-Term and Continuous Biosensor Platform Integrated with a Dental Implant Fixture and Its Prosthetic Abutment

    Yu-Jung Li; Chih-Cheng Lu

    2015-01-01

    A miniature intra-oral dental implant system including a built-in biosensor device is proposed in this article. The dental implant system, or platform, is replaced over maxilla and allows relatively non-invasive procedures for a novel biosensing scheme for human blood analysis. Due to placement of the implant fixture, periodontal ligaments and the pulp structure, which are regarded as the main origin of pain, are thus removed, and long-term, continuous blood analysis and management through ma...

  4. Using a guide template with a handpiece sleeve to locate the abutment screw position of a cement-retained implant restoration.

    Kang, Hye-Won; Lee, Du-Hyeong

    2015-09-01

    The existing techniques for drilling a screw access hole in cement-retained restorations are limited by inaccurate drill guidance and ineffective cooling of the drilling area. An approach for fabricating a guide template to provide screw retrievability using computer-aided design and computer-aided manufacturing (CAD/CAM) is described. A handpiece sleeve was made by 3-dimensional printing and incorporating it into a vacuum-formed template. The handpiece sleeve not only guides the head of the handpiece accurately but also enables the cooling water to reach the area of drilling directly. PMID:26013071

  5. On the ferrule effect and the biomechanical stability of teeth restored with cores, posts, and crowns

    Mamoun, John S.

    2014-01-01

    An abutment for a fixed partial denture may not contain enough tooth structure, such that the abutment does not provide an adequate ‘ferrule effect’. A crown or bridge dental prosthesis that is cemented onto such an abutment/s may undergo biomechanical failure. Here, the tooth, core, and post complex, on which the crown is cemented, may fracture off from the abutment, causing the crown to separate from the abutment, while the cement that bonds the crown to the tooth, core, and post complex re...

  6. Evaluation of pre-tightening in abutments and prosthetic screws on different implant connections = Avaliação do pré-aparafusamento em pilares e parafusos protéticos em diferentes conexões de implante

    Panza, Leonardo Henrique Vadenal

    2010-01-01

    Conclusão: Os tipos de conexão do implante ou pilar fetaram a manutenção do préaparafusamento. As conexões de hexágono interno e externo foram efetivas para evitar o deslocamento horizontal das coroas

  7. Analysis on the monitoring data of piezometer level of right abutment at a dam%某大坝右岸坝肩测压管水位监测资料分析

    张雪芹

    2011-01-01

    为有效掌握土石坝右坝肩的渗流状态,根据大坝绕坝渗流的监测资料,结合工程实际,考虑库水位、降雨量以及时效等因素的影响,对大坝右岸测压管渗压水位进行统计分析,通过相关性分析来判断右岸绕坝渗流的形态.分析结果表明,大坝右岸绕坝渗流性态正常.

  8. The Reactivity Study of Abutment Peridontal Tissue to Different Porcelain Teeth%基牙牙周组织对不同种类烤瓷牙底冠的反应性初探

    陈碧霞

    2014-01-01

    Objective:To observe the Th17 cytokines changes in gingival crevicular fluid of different kinds porcelain tooth after restoration.Method:96 cases with single-crown repair mandibular molar were divided into co-cr alloy group,galvanized forming group and zirconium dioxide group,the Th17 cytokines level in gingival crevicular fluid after respectively repair 1,3 months were detected.Result:IL-17 and IL-21 level in gingival crevicular fluid of co-cr alloy group after restoration 1,3 months were significantly higher than those before restoration(P0.05).IL-17 and IL-21 level in gingival crevicular fluid of zirconium dioxide group after restoration 1,3 months were as same as before restoration(P>0.05).IL-17 and IL-21 level in gingival crevicular fluid of co-cr alloy group after restoration 1,3 months were higher than those of galvanized forming group and zirconium dioxide group(P0.05);二氧化锆组修复后1、3个月,龈沟液中IL-17和IL-21水平与修复前比较差异无统计学意义(P>0.05);在修复后1、3个月,钴铬合金组的IL-17和IL-21水平高于金合金组和二氧化锆组(P<0.05);金合金组的IL-17水平高于二氧化锆组(P<0.05)。结论:金合金、二氧化锆全瓷冠是理想的烤瓷修复材料,二者均优于钴铬合金。

  9. Screw vs cement-implant-retained restorations: an experimental study in the beagle. Part 2. Immunohistochemical evaluation of the peri-implant tissues.

    Assenza, Bartolomeo; Artese, Luciano; Scarano, Antonio; Rubini, Corrado; Perrotti, Vittoria; Piattelli, Maurizio; Thams, Ulf; San Roman, Fidel; Piccirilli, Marcello; Piattelli, Adriano

    2006-01-01

    Crestal bone loss has been reported to occur around dental implants. Even if the causes of this bone loss are not completely understood, the presence of a microgap between implant and abutment with a possible contamination of the internal portion of the implants has been suggested. The aim of this study was to see if there were differences in the vascular endothelial growth factor (VEGF) expression, microvessel density (MVD), proliferative activity (MIB-1), and inflammatory infiltrate in the soft tissues around implants with screwed and cemented abutments. Sandblasted and acid-etched implants were inserted in the mandibles of 6 Beagle dogs. Ten 3.5- x 10-mm root-form implants were inserted in each mandible. A total of 60 implants (30 with screwed abutments and 30 with cemented abutments) were used. After 12 months, all the bridges were removed and all abutments were checked for mobility. A total of 8 loosened screws (27%) were found in the screwed abutments, whereas no loosening was observed in cemented abutments. A gingival biopsy was performed in 8 implants with cemented abutments, in 8 implants with screwed abutments, and in 8 implants with unscrewed abutments. No statistically significant differences were found in the inflammatory infiltrate and in the MIB-1 among the different groups. No statistically significant difference was found in the MVD between screwed and cemented abutments (P = .2111), whereas there was a statistically significant difference in MVD between screwed and unscrewed abutments (P = .0277) and between cemented and unscrewed abutments (P = .0431). A low intensity of VEGF was prevalent in screwed and in cemented abutments, whereas a high intensity of VEGF was prevalent in unscrewed abutments. These facts could be explained by the effects induced, in the abutments that underwent a screw loosening, by the presence of bacteria inside the hollow portion of the implants or by enhanced reparative processes. PMID:16526575

  10. The change of rotational freedom following different insertion torques in three implant systems with implant driver

    Kwon, Joo-Hyun; Han, Chong-Hyun; Kim, Sun-Jai; Chang, Jae-Seung

    2009-01-01

    STATEMENT OF PROBLEM Implant drivers are getting popular in clinical dentistry. Unlike to implant systems with external hex connection, implant drivers directly engage the implant/abutment interface. The deformation of the implant/abutment interface can be introduced while placing an implant with its implant driver in clinical situations. PURPOSE This study evaluated the change of rotational freedom between an implant and its abutment after application of different insertion torques. MATERIAL...

  11. Fracture mode during cyclic loading of implant-supported single-tooth restorations

    Hosseini, Mandana; Kleven, Erik; Gotfredsen, Klaus

    2012-01-01

    restorations of zirconia abutment-retained crowns with zirconia copings veneered with glass-ceramics (n=8) and feldspathic ceramics (n=8). The control group was composed of 16 metal ceramic restorations of titanium abutment-retained crowns with gold alloy copings veneered with glass (n=8) and feldspathic...

  12. A technique for fabricating single screw-retained implant-supported interim crowns in conjunction with implant surgery.

    McRory, M Eric; Cagna, David R

    2014-06-01

    This article presents an intraoral technique for fabricating single screw-retained implant-supported interim crowns immediately after surgical implant placement in extraction sites. The technique may be used with any implant system that provides a provisional abutment or an open-tray impression coping that can be modified for use as a provisional abutment. PMID:24461941

  13. Angled Screw Channel: An Alternative to Cemented Single-Implant Restorations--Three Clinical Examples.

    Gjelvold, Björn; Sohrabi, Majid Melvin; Chrcanovic, Bruno Ramos

    2016-01-01

    This article presents three cases of single labially tilted implants restored with screw-retained single crowns. Individualized abutments with an angled screw channel were used to avoid an unesthetic vestibular access channel. This individualized abutment allows the dentist and dental technician to use the screw-retained restorations where a cemented reconstruction would otherwise have been needed. PMID:26757334

  14. Oral Abstract Session 3: Orthognathic/Implants

    Hartlev, Jens

    Immediate Placement And Provisionalization Of Single-tooth Implants Involving A Final Individual Abutment. A 3-year Clinical And Radiographic Retrospektive Study......Immediate Placement And Provisionalization Of Single-tooth Implants Involving A Final Individual Abutment. A 3-year Clinical And Radiographic Retrospektive Study...

  15. Precision Attachment: Retained Overdenture

    Jayasree, K; Mrs.M.Bharathi; Nag, V. Dileep; B. Vinod

    2011-01-01

    Precision attachments are small interlocking devices to connect prosthesis and abutments that offer a variety of solutions to the challenge of balance between functional stability and cosmetic appeal. Precision attachments have wide applications, used in fixed removable bridge, removable partial dentures, overdentures, implant retained overdentures, and maxillofacial prosthesis. Attachment retained overdentures helps in distribution of masticatory forces, minimizes trauma to abutments and sof...

  16. The fitness of copings constructed over UCLA abutments and the implant, constructed by different techniques: casting and casting with laser welding Adaptação de copings de ritânio ao implante, construídos sobre pilares UCLA por duas técnicas: fundição e fundição com soldagem de bordo laser

    Elza Maria Valadares da Costa; Luciana Satie Hoçoya; Marco Antônio Bottino

    2004-01-01

    The alternative for the reposition of a missing tooth is the osteointegrated implant being the passive adaptation between the prosthodontic structure and the implant a significant factor for the success of this experiment, a comparative study was done between the two methods for confectioning a single prosthodontic supported by an implant. To do so a screwed implant with a diameter of 3.75mm and a length of 10.0mm (3i Implant innovations, Brasil) was positioned in the middle of a resin block ...

  17. 从模因论视角分析句式“不是A,而是B”--以刘震云小说《一句顶一万句》为例%On the Sentence Not A,but B from the Angle of the Meme Theory--Taking the Novel A Top 10000 for Example

    王娇娇; 李瑞楠

    2016-01-01

    《一句顶一万句》中,句式“不是A,而是B”的重复运用体现了语言模因的特点,但这种句式模因的复制、传播并不是完全常规的,往往伴随一些模因变体的出现。语言模因“不是A,而是B”的复制传播主要有以下三种模因形式:基因型模因、表现型模因和基因表现型。这些模因句式往往能产生预期与反预期效果、零度语言、拧巴与“绕”等特殊的修辞效果,同时这些变体模因也能让读者感悟到另类的生存哲学。%In Liu Zhenyun's novel A Top 10000,Sentence Not A, but B continuous use reflects the char⁃acteristics of language memes,but the spread of the memes copy is not a complete routine.They often appear with the emergence of the memes variant. The copies transmitted form of Language memes"instead of A, B"ba⁃sically has the following three kinds of memes genotype meme, phenotype meme and gene phenotype meme which is based on memetics.Accordingly,these memes sentence often produce special rhetorical effect ,such as expectations and the desired effect, zero language, screw-ups,and comprehension of survival philosophy be⁃hind these sentence patterns.

  18. Influence of all-ceramic and porcelain-fused-to-metal restorations on peri-implant gingival discoloration:a spectrophotometric comparison

    Peng, Min; Fei, Wei; Hosseini, Mandana;

    2013-01-01

    PURPOSE: To compare the gingival discoloration of implant supported all-ceramic and Porcelain-Fused-to-Metal (PFM) restorations in anterior maxillary region by spectrophotometric evaluation. METHODS: Eighteen patients with 29 implant-supported single crowns (11 all-ceramic restorations, 9 PFM...... restorations with titanium abutment and 9 PFM restorations with gold alloy abutment) in anterior maxillary area were recruited. The color difference between peri-implant gingival and contra-lateral/neighboring tooth mucosa were assessed using a spectrophotometer in CIELab coordinates. Subjective gingival...... restorations with titanium abutment (3.5+2.5) as regard to spectrophotometric evaluation of gingival discoloration, and no significant difference was found between the PFM restorations with titanium abutment and PFM restorations with gold alloy abutment (6.3+3.8) either. There was, however, significant...

  19. Effect of Vertical Misfit on Screw Joint Stability of Implant-Supported Crowns

    Assunção, Wirley Gonçalves; Delben, Juliana Aparecida; Tabata, Lucas Fernando; Barão, Valentim Adelino Ricardo; Gomes, Érica Alves

    2011-08-01

    The passive fit between prosthesis and implant is a relevant factor for screw joint stability and treatment success. The aim of this study was to evaluate the influence of vertical misfit in abutment-implant interface on preload maintenance of retention screw of implant-supported crowns. The crowns were fabricated with different abutments and veneering materials and divided into 5 groups ( n = 12): Gold UCLA abutments cast in gold alloy veneered with ceramic (Group I) and resin (Group II), UCLA abutments cast in titanium veneered with ceramic (Group III) and resin (Group IV), and zirconia abutments with ceramic veneering (Group V). The crowns were attached to implants by gold retention screws with 35-N cm insertion torque. Specimens were submitted to mechanical cycling up to 106 cycles. Measurements of detorque and vertical misfit in abutment-implant interface were performed before and after mechanical cycling. ANOVA revealed statistically significant difference ( P titanium exhibited the highest misfit values. Pearson correlation test did not demonstrate significant correlation ( P > 0.05) between vertical misfit and detorque value. It was concluded that vertical misfit did not influence torque maintenance and the abutments cast in titanium exhibited the highest misfit values.

  20. Influence of finish line in the distribution of stress trough an all ceramic implant-supported crown.

    SANNINO, G.; GLORIA, F.; OTTRIA, L.; BARLATTANI, A.

    2010-01-01

    SUMMARY Porpose. The aim of this study was to evaluate, by finite element analysis (FEA), the influence of finish line on stress distribution and resistance to the loads of a ZrO2 crown and porcelain in implant-supported. Material and methods. The object of this analysis consisted of a fxture, an abutment, a passing screw, a layer of cement, a framework crown, a feldspatic porcelain veneering. The abutment’s marginal design was used in 3 different types of preparation: feather edge, slight chamfer and 50°, each of them was of 1 mm depth over the entire circumference. The ZrO2Y-TZP coping was 0.6 mm thick. Two material matching for the abutment and the framework was used for the simulations: ZrO2 framework and ZrO2 abutment, ZrO2 framework and T abutment. A 600 N axial force distributed over the entire surface of the crown was applied. The numerical simulations with finite elements were used to verify the different distribution of equivalent von Mises stress for three different geometries of abutment and framework. Results Slight chamfer on the matching ZrO2 - ZrO2 is the geometry with minimum equivalent stress of von Mises. Even for T abutment and ZrO2 framework slight chamfer is the best configuration to minimize the localized stress. Geometry that has the highest average stress is one with abutment at 50°, we see a downward trend for all three configurations using only zirconium for both components. Conclusions Finite element analysis. performed for the manifacturing of implant-supported crown, gives exact geometric guide lines about the choice of chamfer preparation, while the analysis of other marginal geometries suggests a possible improved behavior of the mating between ZrO2 abutment and ZrO2 coping. for three different geometries of the abutment and the coping. PMID:23285359

  1. Influence of ZOE and formocressol on shear bond strength of composite to the dentin of primary teeth

    Soleymani AA

    2011-02-01

    Full Text Available "nBackground and Aims: Nowadays, removable partial dentures are applied to patients who are not able to use dental implants or fixed prosthesis. Although based on the studies the users of removable partial dentures are in the risk of plaque accumulation and unacceptable changes such as gingivitis, periodontitis and mobility in abutment tooth. It is not clear whether the negative effects of removable partial dentures are more on the isolated teeth which are a kind of abutment adjacent to endentulous area in both sides. The purpose of this study was to investigate the clinical condition of isolated abutment teeth without splinting in comparison to control abutment from the aspects of B.O.P (bleeding on probing, mobility, pocket depth and gingivitis."nMaterials and Methods: In this cross-sectional study, the prepared questionnaires were filled out by 50 patients who received removable partial dentures in department of removable prosthodontics of dental school of Tehran University of Medical Sciences. The patients had isolated abutment tooth and did not have any systemic disease. The obtained data were analyzed. Using Wilcoxon, exact Fisher and Kruskal-Wallis test."nResults: B.O.P (P=0.004, pocket depth (P=0.035, and mobility (P<0.001 in isolated abutments were more than those in control abutments, but there were not significant differences in the degree of caries (P=0.083 and gingivitis (P=0.07."nConclusion: This study showed that clinical condition of isolated abutments is worse than that of control abutments. More attention should be paid to healthiness of isolated teeth without splinting and periodic follow ups should be done in these cases.

  2. Effects of crown retrieval on implants and the surrounding bone: a finite element analysis

    Unal, Server Mutluay; Yurekli, Emel; Güven, Sedat

    2016-01-01

    PURPOSE The aim of this study was to observe stress concentration in the implant, the surrounding bone, and other components under the pull-out force during the crown removal. MATERIALS AND METHODS Two 3-dimensional models of implant-supported conventional metal ceramic crowns were digitally constructed. One model was designed as a vertically placed implant (3.7 mm × 10 mm) with a straight abutment, and the other model was designed as a 30-degree inclined implant (3.7 mm × 10 mm) with an angled abutment. A pull-out force of 40 N was applied to the crown. The stress values were calculated within the dental implant, the abutment, the abutment screw, and the surrounding bone. RESULTS The highest stress concentration was observed at the coronal portion of the straight implant (9.29 MPa). The stress concentrations at the cortical bone were lower than at the implants, and maximum stress concentration in bone structure was 1.73 MPa. At the abutment screws, the stress concentration levels were similiar (3.09 MPa and 3.44 MPa), but the localizations were different. The stress at the angled abutment was higher than the stress at the straight abutment. CONCLUSION The pull-out force, applied during a crown removal, did not show an evident effect in bone structure. The higher stress concentrations were mostly observed at the implant and the abutment collar. In addition, the abutment screw, which is the weakest part of an implant system, also showed stress concentrations. Implant angulation affected the stress concentration levels and localizations. CLINICAL IMPLICATIONS These results will help clinicians understand the mechanical behavior of cement-retained implant-supported crowns during crown retrieval. PMID:27141257

  3. Fixed dental prostheses with vertical tooth preparations without finish lines: A report of two patients.

    Agustín-Panadero, Rubén; Solá-Ruíz, María Fernanda; Chust, César; Ferreiroa, Alberto

    2016-05-01

    Tooth abutments can be prepared to receive fixed dental prostheses with different types of finish lines. The literature reports different complications arising from tooth preparation techniques, including gingival recession. Vertical preparation without a finish line is a technique whereby the abutments are prepared by introducing a diamond rotary instrument into the sulcus to eliminate the cementoenamel junction and to create a new prosthetic cementoenamel junction determined by the prosthetic margin. This article describes 2 patients whose dental abutments were prepared to receive ceramic restorations using vertical preparation without a finish line. PMID:26774314

  4. Movement laws and mechanical characteristics of top coal in blasting face

    SUN Guang-zhong; JIANG Zhi-gang

    2010-01-01

    Measuring the top coal movement and abutment pressure about Teaching Third Mine that belonged to the National Energy Investment and Development. It shows that the top coal's strong compression occurs 6 m in front of the face, the top coal is in front of side abutment pressure concentration increase area at this time, and the top coal horizontal displacement increase rapidly. Also analyzed the top coal mechanical properties, and the top coal under abutment pressure turned into block state. Finally, analyzed the top coal failure mechanism and the structure of the mechanical model, and also made a theoretical analysis of the top coal's ultimate bearing capacity.

  5. A 3-year prospective study of implant-supported, single-tooth restorations of all-ceramic and metal-ceramic materials in patients with tooth agenesis

    Hosseini, Mandana; Worsaae, Nils; Schiødt, Morten;

    2013-01-01

    -up examinations, the biological outcome variables such as survival rate of implants, marginal bone level, modified Plaque Index (mPlI), modified Sulcus Bleeding Index (mBI) and biological complications were registered. The technical outcome variables included abutment and crown survival rate, marginal adaptation...... data and PROC NLMIXED for ordinal categorical data. RESULTS: The 3-year survival rate was 100% for implants and 97% for abutments and crowns. Significantly more marginal bone loss was registered at gold-alloy compared to zirconia abutments (P = 0.040). The mPlI and mBI were not significantly different...

  6. Device having expandable mandrel for making nuclear fuel element storage tubes

    A device for manufacturing containers for storing nuclear materials. The purpose of the device is to maintain angular sheet metals in the precise position required during the welding operation which is performed along the outer edges of their flange portions. The device includes a core, a thrust bearing and a counter-pressure bearing. The core is sub-divided into two separate core portions. Spring means tend to draw the core portions toward each other. Fluid operated cylinder-piston units tend to separate the core portions against the action of said spring means. Adjustment screw means provided with abutment means and screwed into one of said core portions project into the other of said core portions with the abutment means thereof. The second core portion has abutment means cooperating with the abutment means on said adjustment screw means

  7. Bone Anchored Hearing Treatment Procedure

    Full Text Available ... noise. This device also lacks some of the disadvantages of more conventional treatments for that. It used ... snaps on to the abutment. And then we wind a little gauze around, the whole idea being ...

  8. Single tooth replacement using a ceramic resin bonded fixed partial denture: A case report

    Kara, Haluk Baris; Aykent, Filiz

    2012-01-01

    This article describes the use of an all ceramic resin-bonded fixed partial denture as a conservative solution for the replacement of an incisor. It is a minimally invasive technique that does not discolor the abutment teeth.

  9. Composite drill pipe and method for forming same

    Leslie, James C; Leslie, II, James C; Heard, James; Truong, Liem; Josephson, Marvin

    2014-04-15

    Metal inner and outer fittings configured, the inner fitting configured proximally with an external flange and projecting distally to form a cylindrical barrel and stepped down-in-diameter to form an abutment shoulder and then projecting further distally to form a radially inwardly angled and distally extending tapered inner sleeve. An outer sleeve defining a torque tube is configured with a cylindrical collar to fit over the barrel and is formed to be stepped up in diameter in alignment with the first abutment shoulder to then project distally forming a radially outwardly tapered and distally extending bonding surface to cooperate with the inner sleeve to cooperate with the inner sleeve in forming a annular diverging bonding cavity to receive the extremity of a composite pipe to abut against the abutment shoulders and to be bonded to the respective bonding surfaces by a bond.

  10. 30 CFR 717.18 - Dams constructed of or impounding waste material.

    2010-07-01

    ..., DEPARTMENT OF THE INTERIOR INITIAL PROGRAM REGULATIONS UNDERGROUND MINING GENERAL PERFORMANCE STANDARDS § 717... (cases II and III with seismic loading) 1.0 (iv) The dam, foundation, and abutment shall be stable...