scholarly journals Evaluation of the Sealing Capability of the Internal Conical Connections of Implants with Titanium and Zirconia Abutments

2017 ◽  
Vol 18 (10) ◽  
pp. 915-922 ◽  
Author(s):  
Ilser Turkyilmaz ◽  
Damian L Black ◽  
Chol H Chong
Keyword(s):  
P Value ◽  
Colony Forming Units ◽  
Significant Difference ◽  
Implant Abutment ◽  
Level Of Significance ◽  
Torque Values ◽  
Post Hoc ◽  
Positive Controls ◽  
Abutment Screw

ABSTRACT Aim The purpose of this in vitro investigation was to evaluate the sealing capability of the conical implant–abutment interfaces under different abutment screw torque values using titanium and zirconia abutments with Morse taper designs. Materials and methods A total of 42 dental implants (n = 21 for titanium abutments and n = 21 for zirconia abutments) were inoculated internally with three bacteria. These assemblies were divided into four test groups (n = 10) based on screw fixation torques of 35 or 20 Ncm and placed in sterile broth; the remaining abutments were used as positive controls and torqued to 10 Ncm. Microleakage was quantified by enumerating the bacteria from the colony-forming units. An analysis of variance for the estimates of bacteria enumerated and microgaps was used with a post hoc analysis as indicated. A p-value of 0.05 was used as the level of significance. Results There was no statistically significant difference in microleakage among the four test groups; there were no significant effects of screw torque or abutment type on the bacteria enumerated. There was a significantly smaller mean microgap with the zirconia abutments. Conclusion The results of this study indicated no statistically significant difference in the sealing capabilities between titanium and zirconia abutments, having internal conical connections, after increasing the abutment screw torque. Clinical significance It is important for clinicians to follow the guidelines suggested by the implant companies to avoid biomechanical complications over time. How to cite this article Black DL, Turkyilmaz I, Lien W, Chong CH. Evaluation of the Sealing Capability of the Internal Conical Connections of Implants with Titanium and Zirconia Abutments. J Contemp Dent Pract 2017;18(10):915-922.

scholarly journals In Vitro Evaluation of Manual Torque Values Applied to Implant-Abutment Complex by Different Clinicians and Abutment Screw Loosening

2017 ◽  
Vol 2017 ◽  
pp. 1-9 ◽  
Author(s):  
Onur Dincer Kose ◽  
Burcin Karataslı ◽  
Sabit Demircan ◽  
Taha Emre Kose ◽  
Erhan Cene ◽  
...  
Keyword(s):  
Dynamic Loading ◽  
Optical Microscope ◽  
Control Group ◽  
Screw Loosening ◽  
Loading Test ◽  
Torque Wrench ◽  
Implant Abutment ◽  
Torque Values ◽  
Abutment Screw

Preload is applied to screws manually or using a torque wrench in dental implant systems, and the preload applied must be appropriate for the purpose. The aim of this study was to assess screw loosening and bending/torsional moments applied by clinicians of various specialties following application of manual tightening torque to combinations of implants and abutments. Ten-millimeter implants of 3.7 and 4.1 mm diameters and standard or solid abutments were used. Each group contained five implant-abutment combinations. The control and experimental groups comprised 20 and 160 specimens, respectively. Implants in the experimental group were tightened by dentists of different specialties. Torsional and bending moments during tightening were measured using a strain gauge. Control group and implants with preload values close to the ideal preload were subjected to a dynamic loading test at 150 N, 15 Hz, and 85,000 cycles. The implants that deformed in this test were examined using an optical microscope to assess deformities. Manual tightening did not yield the manufacturer-recommended preload values. Dynamic loading testing suggested early screw loosening/fracture in samples with insufficient preload.

Effect of Metal Extension of Crown in the Screw Access Channel of a Posterior Implant Abutment on the Retention of Cement Retained Prosthesis

2015 ◽  
Vol 41 (5) ◽  
pp. 537-541 ◽  
Author(s):  
Rashmi Biyani ◽  
Mohsin Ali ◽  
Donald Belles ◽  
John M. Powers
Keyword(s):  
Testing Machine ◽  
In Vitro Study ◽  
Acrylic Resin ◽  
Instron Testing Machine ◽  
Access Channel ◽  
Significant Difference ◽  
Implant Abutment ◽  
Tensile Forces ◽  
Level Of Significance

Purpose: Reducing the height of the implant abutment due to limited interarch space decreases the surface area for retention of cemented restorations. The purpose of this in vitro study was to see whether engaging the screw access channel with metal extension compensates for the loss of retention of posterior crowns cemented on shorter abutments. Material and Methods: Four identical prefabricated abutments were mounted on implant replicas embedded in acrylic resin blocks. Three of these abutments were reduced in height by 1 mm, 2 mm, and 3 mm respectively and one was left unmodified. Two sets of base metal crowns were fabricated for each abutment, one without and one with the metal extension inside the screw access channel. The crowns were cemented using Tempbond NE. The tensile forces required to separate the cemented crowns from abutments were measured using an Instron testing machine. Statistical analysis of the data was performed using a 2-way analysis of variance and Fisher's protected least significant difference at 0.05 level of significance. Results: An increase of 24% to 261% in retentive forces was observed for the group having metal extension in the screw access channel. Statistically significant differences (P < .001) were found among 2 types of crowns and four heights of abutments. Generally, the retentive forces were reduced in magnitude as the abutment height was reduced. Conclusion: The retention of a casting cemented to posterior implant abutments is influenced by the height of the abutment and the metal extension engaging the screw access channel. The crowns made with a metal extension showed superior retention values.

scholarly journals Estimation of Total Fluoride Concentration, Total Soluble Fluoride Concentration and pH among Various Brands of Toothpastes

2021 ◽  
Author(s):  
Praneetha D Rani ◽  
Vijaya Hegde
Keyword(s):  
Group Analysis ◽  
Fluoride Concentration ◽  
In Vitro Study ◽  
Significant Difference ◽  
The Mean ◽  
The Difference ◽  
Institute Of Technology ◽  
Level Of Significance ◽  
Post Hoc

Introduction: Fluoride toothpastes are a major reason for the decline in dental caries globally. For fluoride toothpaste to be effective, an adequate amount of Total Soluble Fluoride (TSF) must be available in the toothpastes. Aim: To determine and compare the Total Fluoride (TF), TSF and pH among various toothpaste brands. Materials and Methods: An in-vitro study was conducted during October 2019 on 20 toothpaste samples, which belonged to four groups namely, herbal toothpastes group, nonherbal toothpastes group, medicated toothpastes group and kids toothpastes group. Analysis of the samples was done at the Department of Environmental Engineering Laboratory, National Institute of Technology, Surathkal, Karnataka, India. The TF and the TSF concentration was determined using fluoride ion electrode. The pH was determined using pH meter. Statistical analysis was performed using Statistical Package for Social Sciences (SPSS version 19.0). Analysis of variance (ANOVA) was used by Tukey’s post-hoc test to determine the difference between groups. The level of significance was kept at 0.05. Results: The results showed that there was a significant difference between the toothpaste types for mean TF concentration (p=0.004). The post-hoc test showed that there was a significant difference between herbal and nonherbal toothpastes (p=0.041) where the mean TF concentration for nonherbal toothpastes was 1095.20 ppm when compared to herbal toothpastes was 704.40 ppm. The results showed that there was a siginificant difference between the toothpaste types for Mean TSF concentration (p<0.003). There was a significant difference between medicated and kids toothpastes (p=0.024) where the mean total soluble fluoride concentration for medicated toothpastes was 938.60 ppm when compared to the kids toothpastes was 521.20 ppm. Conclusion: The present study showed that pH of all the toothpastes were either neutral or alkaline and the TSF concentration was less when compared to TF concentrations.

scholarly journals Bacterial removal in flattened root canals with different tapers of ProDesign Logic single-file system

2021 ◽  
Vol 10 (9) ◽  
pp. e5910917701
Author(s):  
Vanessa Sandini ◽  
Viviane Godoy ◽  
Marina Carvalho Prado ◽  
Ricardo Ferreira ◽  
Adriana De-Jesus-Soares ◽  
...  
Keyword(s):  
Bacterial Biofilm ◽  
Bacterial Reduction ◽  
Sterile Saline ◽  
Root Canals ◽  
Bacterial Removal ◽  
Colony Forming Units ◽  
Significant Difference ◽  
Before And After ◽  
Level Of Significance ◽  
Post Hoc

Objective: This study evaluated the bacterial removal in flattened root canals after preparation with different tapers of ProDesign Logic instruments. Methodology: Fifty-five mandibular incisors with flattened root canals were contaminated with a pure culture of Enterococcus faecalis ATCC 29212 for 21 days at 37ºC. Root canals preparation was performed using ProDesign Logic and 0.9% sterile saline solution for irrigation. The specimens were randomly allocated to three experimental groups (n = 15) according to the taper of the instrument used: 25.03, 25.04, or 25.06. Intracanal bacteriological samples were taken before (S1) and after (S2) preparation and the number of colony-forming units per milliliter (CFU/mL) was calculated. Differences in bacterial counts before and after treatment, within each group, were analyzed by the paired t-test. Groups were compared by ANOVA with a post hoc test. The level of significance was set at p <0.05. Results: Mature biofilm formation was confirmed at root canal walls by scanning electron microscopy. Bacterial colonies were significantly reduced in all experimental groups at S2 compared to S1 (p <0.001). No significant difference was observed between groups regarding the percentage of bacterial reduction (p >0.05). Conclusion: Preparation of flattened root canals using ProDesign Logic instruments with tapers of 0.03, 0.04 and 0.06 resulted in similar planktonic and bacterial biofilm reduction. None of the instruments rendered root canals completely free of bacteria.

scholarly journals Comparative evaluation of anti-bacterial efficacy of silver nanoparticle, nanoparticle calcium hydroxide and calcium hydroxide against enterococcus faecalis biofilm- An In vitro study

2018 ◽  
Vol 6 (2) ◽  
pp. 57
Author(s):  
Dr.Abirami V. ◽  
Dr.A.Shafie Ahamed ◽  
Dr.Bhavani S. ◽  
Dr.Rajaraman G.
Keyword(s):  
Silver Nanoparticles ◽  
Calcium Hydroxide ◽  
Enterococcus Faecalis ◽  
Silver Nanoparticle ◽  
In Vitro Study ◽  
P Value ◽  
Antibacterial Efficacy ◽  
Significant Difference ◽  
Post Hoc

The purpose of this study was to evaluate the antibacterial efficacy of silver Nanoparticles, Nanoparticle calcium hydroxide and calcium hydroxide as intracanal medicament against Enterococcus faecalis bio film formed on root dentinThe Minimal inhibitory concentration test and Anti microbial test were conducted for silver nanoparticle, Nanoparticle calcium hydroxide. Teeth were inoculated with E.faecalis strains for 1month to establish a standard mono species bio film model. Biofilm formation is confirmed using SEM. The intracanal medicaments were placed inside the canal and colony forming units (CFU) were counted before and 7 days later the placement of the medicament.MIC for AGNP is 25µg/200µl and for NCH is 12.5µg/200µl. The Antimicrobial test conducted shows zone of inhibition about 11mm and 14mm for AGNP and NCH respectively at 500µg. The calcium hydroxides do not show any antibacterial activity at this concentration. In antibacterial efficacy test using CFU count, the AGNP and NCH shows 75% and 61% of antibacterial efficacy respectively whereas calcium hydroxide has exhibited just 11% of antibacterial efficacy. Silver Nanoparticles and nanoparticle calcium hydroxide had statistically significant difference in the reduction in the number of colonies when compared to calcium hydroxide by post hoc turkey test and p-value of <0.01 was considered as significant in this study.

scholarly journals Comparison of the Effect of Four Different Abutment Screw Torques on Screw Loosening in Single Implant-Supported Prosthesis after the Application of Mechanical Loading

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Behnaz Ebadian ◽  
Amirhossein Fathi ◽  
Saba Khodadad
Keyword(s):  
Mechanical Loading ◽  
Screw Loosening ◽  
Group 4 ◽  
Significant Difference ◽  
Torque Loss ◽  
Group 2 ◽  
Torque Values ◽  
Post Hoc ◽  
Single Implant ◽  
Abutment Screw

Background. The complications of implant-supported prostheses can be classified into mechanical and biological ones, one part of which is associated with screw loosening. This study was aimed to compare the effect of four different abutment screw torque techniques on screw loosening in single implant-supported prostheses following the application of mechanical loading. Materials and Methods. In this experimental study, a total of 40 implants in acrylic blocks (6 × 10 × 20 mm) were mounted perpendicular to the surface. They were then randomly divided into four groups: (1) torquing once with 30 Ncm, (2) torquing three times with 30 Ncm and 5-minute intervals, (3) torquing once with 30 Ncm, opening the screw, and retorquing with 30 Ncm, and (4) torquing once with 35 Ncm. The torque values were confirmed by using a digital torque meter. Then, the samples underwent a force (2 cps, 0.453–11.793 kg) for three hours before the measurement of detorque values. The screw loosening force (torque) was then measured and recorded. The obtained data were analyzed by SPSS (version 22) software using one-way ANOVA and Tukey post hoc test at a 5% error level. Results. The maximum mean detorque values of the abutment screws in single implant-supported prostheses were reported for groups 4 (27.8 ± 1.3), 1 (26.8 ± 1.3), and 3 (25.1 ± 1.3), and the minimum mean detorque value was found in group 2 (24.9 ± 1.2). Moreover, no significant difference was observed between groups 2 and 3 ( p > 0.05 ), but a significant difference was found between groups 1 and 3 and other groups ( p < 0.05 ). Conclusion. The increase in the torque value increased the torque loss. However, the detorque value in group 4 showed the least difference with the value recommended by the manufacturer (30 Ncm).

scholarly journals Effect of Wet Field on the DE Torque Values of Abutment Screws

2020 ◽  
Vol 11 (SPL3) ◽  
pp. 843-846
Author(s):  
Pravinya Sam ◽  
Suresh Venugopalan ◽  
Dhanraj Ganapathy
Keyword(s):  
Artificial Saliva ◽  
Blood Clot ◽  
Screw Loosening ◽  
Screw Hole ◽  
Significant Difference ◽  
Implant Abutment ◽  
Torque Values ◽  
Soft Tissue Inflammation ◽  
Plaster Models ◽  
Abutment Screw

Screw loosening is amongst the most prevalent mechanical problems in dental implant prosthetics. Clinicians will know if the reverse Detorque values are compromised by contamination of the implant abutment screw hole either by blood , saliva or saline. Research have shown that the drying of the implant cavity may decrease the preload value when the abutment screw is closed and thereafter increase the likelihood of abutment screw loosening. Mobility of the prosthesis, or screw fracture and increase the risk of peri-implant soft-tissue inflammation. This study aims to assess and compare the effect of wet and dry fields while torqueing the abutment screws on the DE torque values. 40 Nobel bio care implant analogues mounted in plaster models were used in this study. The samples were divided into four groups dry abutment screws, artificial saliva, blood and normal saline. All the abutment screws were tightened till 20 Ncm and left aside for 15 minutes. After 15 minutes the abutment screw were DE torqued, and the DE torque values were noted for tall the groups. When analysed using paired sample t-test there was no significant difference with artificial saliva (p=0.269). There was statistical difference with blood (p=0.00) and with saline (p=0.00). Based on this study, the presence of saliva decreases the DE torque values of the abutment screws, whereas Blood and saline increase the DE torque values of the abutment screws. The presence of blood clot might be the reason for the increase in DE torque values which might decrease once the clot disintegrates. Clinicians should prevent contamination of the screw hole by blood and saliva; if contamination arises, sanitation of the infected screw and also the screw hole until final tightening is advised.

Influence of moderate cigarette-smoking on the peri-implant clinicoradiographic inflammatory parameters around cement- and screw-retained dental implants

2020 ◽  
Author(s):  
Mana Alqahtani
Keyword(s):  
Cigarette Smoking ◽  
Dental Implants ◽  
Smoking History ◽  
Inflammatory Parameters ◽  
Significant Difference ◽  
Implant Retention ◽  
Level Of Significance ◽  
Soft Tissue Inflammation ◽  
Post Hoc ◽  
Adjustment Test

The aim was to assess the influence of moderate cigarette-smoking on the clinical (bleeding on probing [BoP] and probing depth [PD]) and radiographic (crestal bone resorption [CBR]) around cement- and screw-retained dental implants at 5 years’ follow-up. A questionnaire was used to collect information about age, gender, smoking history, duration of implants in function, jaw location of the implant, and daily toothbrushing and flossing. Peri-implant BoP, PD and CBR were measured in all groups. Group comparisons were performed using one-way analysis of variance and for multiple comparisons, the Bonferroni Post hoc adjustment test was performed. Level of significance was set at P&lt;0.05. Forty-eight patients (25 smokers and 23 non-smokers) had cement-retained dental implants; and 48 (24 smokers and 24 non-smokers) had screw-retained dental implants. Among patients with cement and screw-retained dental implants, PD (P&lt;0.05) and CBR (P&lt;0.05) were significantly higher among smokers than non-smokers. The peri-implant sites that demonstrated BoP were statistically significantly higher among non-smokers (P&lt;0.05) than smokers among patients with cement- and screw-retained dental implants. There was no statistically significant difference in peri-implant PD and CBR among smokers with cement- and screw-retained dental implants. Among non-smokers with cement and screw-retained dental implants, there was no statistically significant difference in BoP, PD and CBR. Cigarette-smoking is associated with an increased PD and CBR around cement- and screw-retained dental implants. Cigarette-smoking increases peri-implant soft tissue inflammation as well as loss of crestal bone and this relationship is independent of the type of implant retention protocol used.The author recommends that cement- and screw-retained dental implants are suitable for prosthesis restoration in non-smokers. Further studies on dual-smokers (individuals smoking cigarettes and other forms of tobacco products) are needed related to the clinicoradiographic inflammatory parameters around cement- and screw-retained dental implants

scholarly journals Nanocarriers of Miconazole or Fluconazole: Effects on Three-Species Candida Biofilms and Cytotoxic Effects In Vitro

2021 ◽  
Vol 7 (7) ◽  
pp. 500
Author(s):  
Anne Caroline Morais Caldeirão ◽  
Heitor Ceolin Araujo ◽  
Laís Salomão Arias ◽  
Wilmer Ramírez Carmona ◽  
Gustavo Porangaba Miranda ◽  
...  
Keyword(s):  
Fungal Infections ◽  
Artificial Saliva ◽  
Cytotoxic Effects ◽  
Promising Alternative ◽  
Colony Forming Units ◽  
Mtt Reduction ◽  
Diphenyl Tetrazolium Bromide ◽  
Negative Controls ◽  
Positive Controls

The contribution of different Candida species in oral fungal infections has stimulated the search for more effective therapies. This study assessed the antibiofilm effects of nanocarriers of miconazole (MCZ) or fluconazole (FLZ) on Candida biofilms, and their cytotoxic effects on murine fibroblasts. Three-species biofilms (Candida albicans/Candida glabrata/Candida tropicalis) were formed on 96-well plates, and they were treated with nanocarriers (iron oxide nanoparticles coated with chitosan—“IONPs-CS”) of MCZ or FLZ at 39/78/156 µg/mL; antifungals alone at 156 µg/mL and artificial saliva were tested as positive and negative controls, respectively. Biofilms were analyzed by colony forming units (CFU), biomass, metabolic activity, and structure/viability. The cytotoxicity (L929 cells) of all treatments was determined via 3-[4,5-dimethylthiazol-2-yl]-2,5 diphenyl tetrazolium bromide (MTT) reduction assay. Data were submitted to one- or two-way ANOVA, followed by Tukey’s or Fisher LSD’s tests (p < 0.05). IONPs-CS-MCZ at 78 µg/mL promoted similar antibiofilm and cytotoxic effects compared with MCZ at 156 µg/mL. In turn, IONPs-CS-FLZ at 156 µg/mL was overall the most effective FLZ antibiofilm treatment, surpassing the effects of FLZ alone; this nanocarrier was also less cytotoxic compared with FLZ alone. It can be concluded that both nanocarriers are more effective alternatives to fight Candida biofilms compared with their respective positive controls in vitro, being a promising alternative for the treatment of oral fungal infections.

scholarly journals The Antibacterial Efficacy of Biopure MTAD in Root Canal Contaminated with Enterococcus faecalis

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Blerim Kamberi ◽  
Donika Bajrami ◽  
Miranda Stavileci ◽  
Shuhreta Omeragiq ◽  
Fatmir Dragidella ◽  
...  
Keyword(s):  
In Vitro Study ◽  
Sodium Hypochlorite Solution ◽  
Antibacterial Efficacy ◽  
Human Teeth ◽  
Exact Test ◽  
Hypochlorite Solution ◽  
Root Canals ◽  
Significant Difference ◽  
Level Of Significance

Aim. The purpose of this in vitro study was to assess the antimicrobial efficacy of Biopure MTAD against E. faecalis in contaminated root canals. Materials and Methods. Forty-two single rooted extracted human teeth were inoculated with E. faecalis and incubated for four weeks. The samples were divided in two control and five experimental groups irrigated with 1.5% sodium hypochlorite solution (NaOCl); 3% NaOCl; BioPure MTAD; 1.5% NaOCl/17% EDTA; or 3% NaOCl/17% EDTA. After a one-week incubation, complete disinfection was confirmed by the absence of turbidity in the incubation media. Dentin shavings were taken from samples with no turbidity to verify whether E. faecalis was present in dentin tubules. Results were analyzed statistically using Fisher's exact test, with the level of significance set at . Results. Statistical analysis of the data obtained at Day 7 and after dentin shaving analysis showed that BioPure MTAD had significantly greater antibacterial activity than 1.5% NaOCl, 1.5% NaOCl/17% EDTA and 3% NaOCl/17% EDTA. No significant difference was detected between MTAD and 3% NaOCl. Conclusions. These findings suggest that BioPure MTAD possesses superior bactericidal activity compared with NaOCl and EDTA against E. faecalis.

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