scholarly journals Nanocomposite for Rapid Prototyped Complete Denture Eighteen months follow-up on clinical performance

2019 ◽  
Vol 70 (2) ◽  
pp. 387-392 ◽  
Author(s):  
Corina Marilena Cristache ◽  
Eugenia Eftimie Totu ◽  
Alexandra Raluca Grosu ◽  
Oana Ene ◽  
Irina Adriana Beuran ◽  
...  

The aim of the present study was to evidence the improved behavior of our modified PMMA-TiO2 nanocomposite material used to obtain 3D printed complete dentures. A protocol for long-term rapid prototyping complete denture manufacturing using our nanocomposite material, completely characterized and the evaluation of the clinical performance and complications after eighteen months of continuous wearing was also described. Thirty-five fully edentulous patients were enrolled in this prospective clinical study and forty-five complete dentures (31 maxillary and 14 mandibular) have been obtained using an additive manufacturing technology. Due to the good performances of the nanocomposite material, no major functional complications for the obtained medical devices occurred and the clinical outcomes for the 3D printed dentures were favorable evaluated at eighteen months follow up.

2020 ◽  
Vol 9 (2) ◽  
pp. 324 ◽  
Author(s):  
Corina Marilena Cristache ◽  
Eugenia Eftimie Totu ◽  
Gabriela Iorgulescu ◽  
Aida Pantazi ◽  
Dorel Dorobantu ◽  
...  

The present study aimed to assess the eighteen month follow-up patient-centered outcomes of a simple and predictable protocol for 3D-printed functional complete dentures manufactured using an improved poly(methyl methacrylate) (PMMA)–nanoTiO2. A detailed morphological and structural characterization of the PMMA–TiO2 nanocomposite, using SEM, EDX, XRD, and AFM, after 3D-printing procedure and post-wearing micro-CT, was also performed. Methods: A total of 35 fully edentulous patients were enrolled in this prospective study. A 0.4% TiO2-nanoparticle-reinforced PMMA composite with improved mechanical strength, morphologically and structurally characterized, was used according to an additive computer-aided design and computer-aided manufacturing (CAD/CAM) protocol for complete denture fabrication. The protocol proposed involved a three-step appointment process. Before denture insertion, 1 week, 12 month, and 18-month follow up patients were evaluated via the Visual Analogue Scale (VAS, 0–10) and Oral Health Impact Profile for Edentulous Patients (OHIP-EDENT), with a higher score meaning poor quality of life. Results: A total of 45 complete denture sets were inserted. OHIP-EDENT scored significantly better after 18 months of denture wearing, 20.43 (±4.42) compared to 52.57 (±8.16) before treatment; mean VAS was improved for all parameters assessed. Conclusions: Within the limitations of this study, we can state that the proposed workflow with the improved material used is a viable treatment option for patients diagnosed with complete edentulism.


2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Motaz Osman ◽  
Hassan Ziada ◽  
Ahmed Suliman ◽  
Neamat Hassan Abubakr

Abstract Background An accurate impression is crucial to the long-term success of dental implants. This investigation evaluated the accuracy of the open and closed implant impression techniques in partially edentulous patients who received two adjacent implants. Material and methods Forty patients received Osstem Implants (Osstem Implant System, Seoul, Korea). Two impressions were made for each patient, one using an open tray and a second with a closed tray technique. The horizontal distances between two impression copings were measured and compared to similar measurements on the master casts. Also, under a stereomicroscope (AmScop14370, Myford Road, #150, Irvine, CA 92606 USA) at a 50-fold magnification, the presence or absence of the marginal discrepancies was evaluated. Results There were no statistically significant differences regarding horizontal measurements and in the marginal relationship for the two impression techniques, except between the anterior and posterior regions, for the closed tray technique. There were also no statistically significant differences in the impression accuracy between maxillary and the mandibular arches. In addition, there were no statistically significant differences for the intraoral horizontal distances, compared to similar horizontal measurements on master casts, between the open and closed tray techniques. Conclusions Within the limitations of the present study, there were generally no differences in the impression accuracy between the open and closed tray techniques in partially edentulous patients with two adjacent implants.


2016 ◽  
Vol 27 (6) ◽  
pp. 523-527 ◽  
Author(s):  
Ana Cláudia M. Melo ◽  
Ingrid M. Ledra ◽  
Rogéria A. Vieira ◽  
Edivaldo R. Coró ◽  
Ivete Aparecida de M. Sartori

2012 ◽  
Vol 65 (3-4) ◽  
pp. 163-167
Author(s):  
Ljiljana Strajnic ◽  
Branka Miskovic

The aim of this study was to provide longitudinal evaluation of the changes after complete dentures therapy and the rate of residual ridge resorption through a six-year period of denture wearing. The authors presented the case of a 76-year-old patient, edentulous for twelve years, wearing complete dentures for six years, with the eugnat jaw relationship. Cephalometric radiograph was carried out in the process of new complete denture production, while the evaluation was carried out after six years. Cephalometric analysis was performed by using ?Dr. Ceph? computer software (FYI Technologies, GA, USA). After six years, the reduction of anterior total facial height was 5.5 mm and the anterior lower facial height was 5.5 mm, the vertical residual ridge reduction of the maxilla was 1.4 mm and the reduction of the mandible was 3mm. The study confirms the reliability and advantages of cephalometric analyses and reveals their application possibilities in prosthetic diagnostics and therapy, as well as in evaluation of rehabilitative results in edentulous patients and longitudinal analysis of changes on the orofacial complex tissues and intemaxillary relationships.


2019 ◽  
Vol 15 (4) ◽  
pp. 295-300 ◽  
Author(s):  
Ofer Kobo ◽  
Ariel Roguin

Recent stent developments aimed to reduce and eliminate the long-term inflammatory response include thinner struts, modifications to stent design and the development of bioresorbable polymers (BP). We aimed to summarize the main findings and to discuss the established and the potential benefits of the Orsiro BP sirolimus-eluting stents in everyday clinical use. We have reviewed the available evidence on the clinical performance of the Orsiro BP drug-eluting stents. Orsiro BP sirolimus-eluting stents is clinically proven and showed noninferiority against major drug-eluting stents and provides high safety and efficacy profile at long-term follow-up. Furthermore, it may be the preferred treatment option in specific subgroups as acute coronary syndrome, as shown in the BIOFLOW V trial.


2018 ◽  
Vol 2018 ◽  
pp. 1-9
Author(s):  
Aleksandra Nitecka-Buchta ◽  
Thomas Proba ◽  
Paulina Proba ◽  
Kamil Stefański ◽  
Stefan Baron

The study compares subjective experiences of patients, wearing complete dentures. Two different methods of determining a centric relation were performed: the traditional method using wax occlusal rims and the Gerber method, based on gothic arch tracings. The success rate of establishing a centric relation in both methods was evaluated (rentgenodiagnostics). The influence of the method used to obtain the centric relation on patients’ stomatognathic system (condyle centralization, pain) was also evaluated. Better results were achieved in gothic arch tracing method. Before every prosthetic treatment of edentulous patients, a functional analysis of the TMJ is necessary. The lack of centric relation, in a long term adaptation patients, does not lead to TMD symptoms. This trial is registered with NCT03343015.


2020 ◽  
Vol 11 (SPL3) ◽  
pp. 1371-1377
Author(s):  
Farhat Yaasmeen Sadique Basha ◽  
Venkatesh Kommi ◽  
Raj S S

There has been an increase in the incidence of complete edentulism among the elder patients. Complete dentures are the most common and preferred treatment of choice. Complete dentures help in masticatory function and restore the facial shape of the edentulous patients. Fabrication of the complete dentures is, therefore, a very important task for the clinician to ensure patient satisfaction. Errors may occur during the denture fabrication and these are called processing errors. It is a multifactorial process. The aim of the survey is to study the errors that occur during processing of a complete denture. It is a questionnaire based study conducted with a batch of 100 dental students. The questionnaire consisted of 16 questions focused on different fabrication techniques, timing, materials used, etc. by various students. The data collected was represented statistically and discussed. Dough technique was the most preferred method adopted by 39% of the students. Shorter curing cycles produced less defects, but majority of the students used longer cycles (41%). Most of them reported fractures (16%) and microporosities (11%) as defects. We can conclude that there are a few areas of error during the processing of dentures by the dental students. The incidence of these errors, however appears to be low. There is a scope for CAD/CAM complete dentures in the future to eliminate the possibilities of errors.


2021 ◽  
Vol 9 (D) ◽  
pp. 47-53
Author(s):  
Reham Tharwat Kamal Elbeheiry ◽  
Gehan F. Mohamed ◽  
Amr Mohamed Ismail Badr

AIM: The study was conducted to evaluate maximum biting force (MBF) in two different attachment systems (bollard a vs. ball and socket attachment) retaining mandibular overdenture using a split-mouth design. SUBJECTS AND METHODS: Twelve completely edentulous patients received complete dentures and after adaption of the patient with the new denture, 24 implants were inserted in the canine region using two-stage surgical technique and conventional loading protocol. Six patients received the Bollard attachment at the right side and the Ball and Socket at the left side. Moreover, the other six patients received the bollard attachment at the left side and the ball and socket attachment at the right side. Each patient was treated according to split-mouth design. Insertion of each of the attachment type was assigned randomly. Using occlusal force meter instrument, MBF was measured immediately after loading (0), after 6 months (6), and after 12 months (12). RESULTS: Significant statistical differences (p < 0.05) were obvious in in MBF between Attachment (1) and Attachment (2) immediately after loading (0 months), after 6 months (6) and after 12 months (12) follow-up visits. CONCLUSION: Mandibular implant retained overdenture received Bollard abutment that retained with the denture by the help of resilient liner “Retention.sil”* without housing have higher biting forces than mandibular implant retained overdenture with ball abutment where the plastic house was picked up by monomer free self-cured acrylic resin.


2021 ◽  
Vol 9 (D) ◽  
pp. 186-189
Author(s):  
Ahmed N. Elsherbini ◽  
Wilhelm Niedermeier

Aim: Aim of this study was the evaluate the retention and biting force of conventional complete denture and after placement of a single implant in the mandible for an implant retained over-denture Material and methods Eight completely edentulous patients were selected. A single implant was inserted at the symphysis of the mandible and left to osseointergrate. During the osseointegration period a conventional complete denture was fabricated and inserted. Retention and biting force was measured at insertion and after 3 months of service. After osseointegration attachment was connected, space was formed in the fitting surface of the existing mandibular denture and retention silicon was placed. Retention and biting force were measured at insertion and after 3 months follow-up. Data were collected and statistically analyzed. Results: The retention mean values for the complete denture was 2.420±0.360, however the retention mean values for the single implant over-denture was 6.395±0.289.  F=3.80 with statically significance difference between the groups of P <0.01. The biting force mean values for the complete denture was 52.62±2.71, however the biting force mean values for single implant over-denture was 71.45±2.73. F= 1.790 with statically insignificance difference between the groups of P >0.01 Conclusion: Single implant overdenture improved the retention and the biting force when compared with the complete denture, this has improved the quality of life and happiness.


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