A Vibratory, Sub-Resonant Diagnostic Device to Measure Dental Implant Stability via Angular Stiffness

2021 ◽  
Author(s):  
Weiwei Xu ◽  
Darwin S. Wood ◽  
Yifeng Liu ◽  
I. Y. (Steve) Shen

Abstract Stability of a dental implant reflects quality of osseointegration between the implant and its surrounding bone. While many methods have been proposed to characterize implant stability, angular stiffness at the neck of the implant has been proven to be a rigorous and accurate measure. Nevertheless, fast and reliable measurements of the angular stiffness in a clinical environment is not yet available. This paper is to demonstrate a novel stability diagnostic device that can measure the angular stiffness accurately in clinical environments. The device consists of a sensing unit, a controller unit, and a user interface. In the sensing unit, a coupler attaches a buzzer motor and a tiny accelerometer to an abutment of an implant, whose angular stiffness is to be measured. The buzzer vibrates at a frequency below the resonance frequency of the implant-bone-abutment system. Meanwhile, the accelerometer measures the abutment's vibration. The controller unit controls the buzzer, reads the accelerometer data, and transmits the data to the user interface. The user interface post-processes the data and extract the angular stiffness through use of a finite element model and a nonlinear regression algorithm. The extracted angular stiffness is benchmarked against that obtained via a force hammer and a laser Doppler vibrometer. The benchmarking shows excellent agreement, with smallest and largest differences being 4% and 20%, respectively.

Author(s):  
Ingrid Kästel ◽  
Giles de Quincey ◽  
Jörg Neugebauer ◽  
Robert Sader ◽  
Peter Gehrke

Abstract Background There is disagreement about the optimal torque for tightening smartpegs for resonance frequency analysis (RFA). Subjective finger pressure during hand tightening could affect the reliability of the resulting values. The aim of the current study was therefore to assess whether or not the insertion torque of a smartpeg magnetic device influences the implant stability quotient (ISQ) value during RFA. Methods Thirty self-tapping screw implants (XiVE S, Dentsply Sirona Implants, Bensheim, Germany) with a diameter of 3.8 mm and a length of 11 mm were inserted in three cow ribs with a bone quality of D1. The RFA value of each implant was measured (Ostell, FA W&H Dentalwerk, Bürmoos, Austria) in two orthogonal directions (mesial and buccal) after tightening the corresponding smartpeg type 45 with a mechanically defined value of 5 Ncm (Meg Torq device, Megagen, Daegu, South Korea) (test). Additionally, 4 different examiners measured the RFA after hand tightening the smartpegs, and the results were compared (control). Insertion torque values were determined by measuring the unscrew torque of hand seated smartpegs (Tohnichi Manufacturing Co. Ltd, Tokyo, Japan). Results The ISQ values varied from 2 to 11 Ncm by hand tightening and from 2 to 6 Ncm by machine tightening. The comparison of hand and machine tightening of smartpegs displayed only minor differences in the mean ISQ values with low standard deviations (mesial 79.76 ± 2,11, buccal 77.98 ± 2,) and no statistical difference (mesial p = 0,343 and buccal p = 0,890). Conclusions Manual tightening of smartpeg transducers allows for an objective and reliable determination of ISQ values during RFA.


2013 ◽  
Vol 70 (6) ◽  
pp. 586-594 ◽  
Author(s):  
Zoran Vlahovic ◽  
Branko Mihailovic ◽  
Zoran Lazic ◽  
Mileta Golubovic

Background/Aim. Flapless implant surgery has become very important issue during recent years, mostly thanks to computerization of dentistry and software planning of dental implants placements. The aim of this study was to compare flap and flapless surgical techniques for implant placement through radiographic and radiofrequency analyses. Methods. The experiment was made in five domestic pigs. Nine weeks following domestic pigs teeth extraction, implants were placed, on the right side using surgical technique flap, and flapless on the left side. Digital dental Xrays were applied to determine primary dental implant stability quality (ISQ). At certain intervals, not later than three months, the experimental animals were sacrificed, and just before it, control X-rays were applied to measure dental implants stability. Results. Radiographic analysis showed that peri-implant bone resorption in the first 4 weeks following placement implants with flap and flapless surgical techniques was negligible. After the 3 months, mean value of peri-implant bone resorption of the implants placed using flap technique was 1.86 mm, and of those placed using flapless technique was 1.13 mm. In relation to the primary dental implant stability in the first and second week there was an expected decrease in ISQ values, but it was less expressed in the dental implants placed using the flapless technique. In the third week the ISQ values were increased in the dental implants placed by using both techniques, but the increase in flapless implant placement was higher (7.4 ISQ) than in flap implant placement (1.5 ISQ). The upward trend continued in a 4- week period, and after 3 months the dental implant stability values in the implants placed using flap technique were higher than the primary stability for 7.1 ISQ, and in the implants placed using flapless technique were higher comparing to the primary stability for 10.1 ISQ units. Conclusion. Based on the results of radiographic and resonance frequency analyses it can be concluded that the flapless technique in surgical implants placemat, leads to better results.


2012 ◽  
Vol 226-228 ◽  
pp. 281-284
Author(s):  
Li Da Zhu ◽  
Xiao Bang Wang ◽  
Tiao Biao Yu ◽  
Wan Shan Wang

The dynamic characteristics of machine tool may directly affect its machining capability, which is analyzed to improve the machining precision and efficiency. In this paper, the 3D finite element model of main components turn-milling center is established by using ANSYS software, and then spindle box of turn-milling center is analyzed and optimized; the natural frequencies and vibration models are obtained after analysis, which guarantee the design requirement of the machining center. Therefore it is significant to improve the design quality of machining center by using FEA software in the design process.


2021 ◽  
pp. 238008442110494
Author(s):  
A. Rudeejaraswan ◽  
P.P. Pisarnturakit ◽  
N. Mattheos ◽  
A. Pimkhaokham ◽  
K. Subbalekha

Introduction: As implant therapy is a widely applied treatment modality, general dentists are in the frontline of maintaining health in patients with implants. It is however unknown to what extent general dentists are competent and feel prepared to deliver maintenance of implants to patients. Objectives: The aim of this study was to investigate the attitudes and self-reported and objectively assessed competences of general dentists with maintenance of dental implants in patients. Methods: A questionnaire designed and validated for the purpose of the study, including attitudes and self-reported and objectively assessed competences, was distributed by means of an online platform. Results: Data from 429 questionnaires were included in the study. Half of the participants were 28 to 33 y old and 78% had been working <10 y. Seventy-eight percent believed that dental implant maintenance should be performed by general dentists, but only 51% were prepared to do this, citing obstacles such as insufficient knowledge and limitations of their working environment. The mean ± SD objectively assessed competence score was 8.97 ± 2.74 of 17. There were significant differences (P < 0.001, 1-way analysis of variance) in the scores among dentists who offered the full range of maintenance and management of complications (10.83 ± 2.45) with those willing to provide comprehensive oral examination and implant maintenance only (9.31 ± 2.73), those offering comprehensive examination but unwilling to conduct maintenance (8.22 ± 2.28), and those who refer all dental implant patients elsewhere (7.2 ± 2.66). Around half of the dentists believed that implants last for life. Conclusions: While general dentists appeared to largely acknowledge the importance of providing implant maintenance care and present with positive attitudes, a large portion was unwilling to engage with maintenance of implants in patients and appeared to lack essential competences to this end. The main obstacles for providing implant maintenance care included insufficient knowledge and lack of a properly equipped clinical environment. Knowledge Transfer Statement: The results of this study can identify deficiencies in the currently available maintenance competences and schemes for patients with implants. These results can also help dental professionals, scientific bodies, and associations to design appropriate education and professional development strategies that can strengthen the confidence and competences of general dentists, thus offering better service to the public.


2016 ◽  
Vol 8 (1) ◽  
pp. 3-10 ◽  
Author(s):  
Bambang Parmanto ◽  
Allen Nelson Lewis, Jr. ◽  
Kristin M. Graham ◽  
Marnie H. Bertolet

Current telehealth usability questionnaires are designed primarily for older technologies, where telehealth interaction is conducted over dedicated videoconferencing applications. However, telehealth services are increasingly conducted over computer-based systems that rely on commercial software and a user supplied computer interface. Therefore, a usability questionnaire that addresses the changes in telehealth service delivery and technology is needed.  The Telehealth Usability Questionnaire (TUQ) was developed to evaluate the usability of telehealth implementation and services.  This paper addresses: 1) the need for a new measure of telehealth usability, 2) the development of the TUQ, 3) intended uses for the TUQ, and 4) the reliability of the TUQ. Analyses indicate that the TUQ is a solid, robust, and versatile measure that can be used to measure the quality of the computer-based user interface and the quality of the telehealth interaction and services.    


Author(s):  
Ezequiel Saretta ◽  
Antonio P. de Camargo ◽  
Tarlei A. Botrel ◽  
Marinaldo F. Pinto ◽  
Geancarlo T. Katsurayama ◽  
...  

ABSTRACT Current meters are equipment widely used for estimating flow velocity in rivers and streams. Periodic calibrations of current meters are important to ensure the quality of measurements, but the required testing facilities are complex and only available in a few institutions. However, advances in electronics and automation may contribute to developing simple and reliable calibration systems. Thus, this study aimed to develop an automated system for testing current meters, which consisted of a trapezoidal channel, a step motor, a tow car and a management system, composed of a supervisory application and microprocessed modules to control the motor and the data acquisition. Evaluations of the displacement velocity showed that it matched the reference value up to 1.85 m s-1 for a vertical-axis current meter and 2.3 m s-1 for a horizontal-axis one. The developed system showed reliability during tests, for both current meter movement and data acquisition. The management of the system based on the developed modules and the supervisory application improved its user interface, turning all the procedure into a simple task.


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