scholarly journals A Survey On Dental Implant Loading Among Undergraduate Dental Students

Author(s):  
Dhanraj Ganapathy ◽  
Author(s):  
Dennis Flanagan ◽  
Alessandro Fisher BS ◽  
Carmen Ciardiello ◽  
Vito Moreno ◽  
Alen Uvalic ◽  
...  

When planning an implant supported restoration the dentist is faced with the surgical and prosthetic technical issues as well as the patient’s expectations. Many patients wish an immediate solution to an edentulous condition. This is especially may be true in the esthetic zone. The extent of the zone is determined by the patient. The dentist may consider when it is feasible to load the supporting implants with definitive or provisional prosthetics. For the work herein, consideration of many parameters were theoretically assessed for inclusion: bone density, cortical thickness, seating torque, parafunction, bite load capacity, number of implants under load, implant/crown ratio, implant diameter and length. After assessment, the most influential parameters were selected. An iteration, using patient age, implant diameter, bite load capacity and cortical thickness, is now presented to aid the implant dentist in determining the feasibility for immediate functional loading of a just placed dental implant in a healed site. Extensive testing is required to develop this concept. According to this iteration, most immediate functional loaded implants would fail. A future refined and definitive formula may enable the clinician to safely immediately functional load an implant with a definitive prosthesis.


2017 ◽  
Vol 8 (2) ◽  
pp. 49-54
Author(s):  
Adel Pirjamalineisiani ◽  
Mohsen Sarafbidabad

Background. Improving the implantation conditions in order to reduce the failure is always desirable for researchers. The aim of this study was to compare two different types of dental implant materials from biomechnical viewpoint in order to introduce a novel simulation method to select suitable materials for dental implants. Methods. In this research, drilling process was performed in the cortical bone of the mandible by finite element analysis simulation. Then, a 3D model of the produced hole in the drilled site was derived and a dental implant model by ITI design was inserted into the cavity. The space remaining between the implant and cavity was considered as a newly formed cortical bone area. Implant loading was performed on two dental implants with different types of material. The change in the volume of the cortical bone around each implant was considered a criterion for evaluating bone damage. Additionally, the micromotion of dental implant in the mandible after implantation was used for investigating dental implant stability. Results. After implant loading, the volume changes in newly formed cortical bone around Ti and Zr-2.5%Nb dental implants were measured at 0.010809 and 0.010996 mm3 , respectively. Furthermore, micromotion of Ti and Zr-2.5%Nb dental implants were measured at 0.00514 and 0.00538 mm, respectively. Conclusion. This study showed that Ti dental implant creates better conditions than Zr-2.5%Nb dental implant in the maxillofacial region


2021 ◽  
Vol 10 (21) ◽  
pp. 5006
Author(s):  
Luc Van Doorne ◽  
Ben De Backer ◽  
Carine Matthys ◽  
Hugo De De Bruyn ◽  
Stefan Vandeweghe

Background: Mini dental implant (MDI) overdenture rehabilitation for the edentulous maxilla is a valuable, less invasive and affordable treatment alternative for complete removable dentures (CRD). However, comparative quantification of masticatory performance in different oral conditions are scarce. Purpose: This study compares objective masticatory performance of dentate groups, maxillary CRD and MDI overdentures and subjective masticatory performance in maxillary CRD and MDI overdentures. Materials and Methods: Four groups were defined, age 20+ dentate dental students (DS), age 50+ complete dentate subjects (DP), age 50+ maxillary CRD or MDI overdentures/dentate mandible. Objective masticatory performance was evaluated by measuring circular Variance of Hue (VOH) or the mixture degree of two-color chewing gum (Hue-check View Gum® Test). Additionally, subjective masticatory comparison was investigated in the CRD and MDI groups, with a visual analogue scale (VAS) for different food consistencies and the Oral Health Related Quality of Life (OHRQL) OHIP-14 questionnaire. Results: The mean VOH was 0.11 (SD 0.50, range 0.05–0.27) for the dentate dental 20+ students, 0.13 (SD 0.08, range 0.03–0.31) for the 50+ dentate group (p = 0.774), 0.41 (SD 0.41, range 0.14–0.76) for the CRD group and 0.39 (SD 0.18, range 0.07–0.76) for the MDI group (p = 0.725). Based on the VAS scores, no improvement was found between the CRD and the MDI overdenture group (p > 0.050). The mean OHIP-14 total score was 12.10 (SD 15.87, range 0–56) for CRD, while the MDI group (p = 0.039) saw a significant improvement to 2.85 (SD 2.85, range 0–15). Conclusion: Comparable results in objective masticatory performance were registered in dentate 20+ and 50+ subjects with a remarkable inferior outcome for the CRD and MDI group. Compared to CRD, MDI overdentures revealed no substantial improvement in subjective and objective masticatory performance. However, for MDI a significant increase in OHRQL was apparent.


2020 ◽  
Vol 7 (2) ◽  
pp. 144
Author(s):  
Miguel Peñarrocha-Diago ◽  
Ugo Covani ◽  
Luis Cuadrado

Author(s):  
Imran Aziz ◽  
Waleed A. Khan ◽  
Faisal Moeen ◽  
Imran Akhtar ◽  
Wasim Tarar

The life of dental implant depends on various parameters such as insertion torque, implant diameter and cortical and cancellous bones thickness. The thickness of the cortical and cancellous bones varies from patient to patient and for each thickness, the corresponding studies are required to determine the favorable implant loading. In this study, stress analysis on various dental implant fixtures inserted in compromised bony ridges is performed using three dimensional finite element analyses. Initially, the modeling and analysis of previously analyzed structure is done to validate the solution procedure. After successful validation, three dimensional linear elastic analysis of bone implant bone assembly is performed. The implant material is treated as isotropic whereas the bone materials are taken as anisotropic materials. The parametric study finds the effect of insertion torque and variation of implant diameter on stress induced in the compromised bony ridge. Further, the implant bone assembly was analyzed using various cortical bone thicknesses. It has been observed that the increase in torque results in increased stress and deformation in the bone. With increasing bone thickness, the similar variation of torque produces less stress and deformation in dental implants. The study is helpful in prediction of favorable implant loading and implants diameters for compromised bony ridges. The study provides useful knowledge in improving the performance and life of dental implants.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Ting-Mao Sun ◽  
Huey-Er Lee ◽  
Ting-Hsun Lan

Abstract Background This study evaluated the operating performance of an implant navigation system used by dental students and dentists of prosthodontic background with varying levels of experience. A surgical navigation system and optical tracking system were used, and dentists’ accuracies were evaluated in terms of differences between the positions of actually drilled holes and those of the holes planned using software before surgeries. Methods The study participants were 5 dental students or dentists who had studied in the same university and hospital but had different experience levels regarding implants. All participants were trained in operating the AqNavi system in the beginning of the study. Subsequently, using 5 pairs of dental models, each participant drilled 5 implant holes at 6 partially edentulous positions (11, 17, 26, 31, 36, and 47). In total, each participant conducted 30 drilling tests. Results In total, 150 tests among 5 dentists at 6 tooth positions (11, 17, 26, 31, 36, and 47) were conducted. Although a comparison of the tests revealed significant differences in the longitudinal error (P < .0001) and angular error (P = .0011), no significant difference was observed in the total error among the dentists. Conclusions A relatively long operating time was associated with relatively little implant experience. Through the dental navigation system, dental students can be introduced to dental implant surgery earlier than what was possible in the past. The results demonstrated that the operational accuracy of the dental implant navigation system is not restricted by participants’ implant experience levels. The implant navigation system assists the dentist in the ability to accurately insert the dental implant into the correct position without being affected by his/her own experience of implant surgery.


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