Anticorrosion Behaviour of SS304 Microgroove Surfaces in Saline Water

The 304 Stainless Steel (SS304) is severely affected by salt water corrosion due to its high surface wettability. By reducing its surface wettability, its corrosion can be reduced. To achieve this, topographical modification of the steel surface is an effective route. In this work, SS304 flat surfaces were topographically modified into microgrooves (ridge width 250 μm to 500 μm, groove width 200 μm, width ratio = ridge width/groove width >1). Wire cut electrical discharge machining was used to fabricate the microgrooves. Long-term wetting characteristics and long-term corrosion behaviour of flat surface and microgrooves were studied. The influence of the nature of wetting of the tested surfaces on their corrosion behaviour was examined. The sessile drop method and potentiodynamic polarization tests in sodium chloride (3.5 wt. % NaCl) solution (intermittent and continuous exposures for 168 h) were studied to characterize their wetting and corrosion behaviours, respectively. Topographical modification imparted long-term hydrophobicity and, as a consequence, long-term anticorrosion ability of the steel surface. Micropatterning reduced the corrosion rate by two orders of magnitude due to reduction in interfacial contact area with the corrosive fluid via composite wetting, i.e., solid–liquid–air interface. Microgrooves showed corrosion inhibition efficiency ≥88%, upon long-term exposure to NaCl solution. By comparing the wetting and corrosion behaviours of the microgrooves with those of the previously studied microgrooves (ridge width/groove width <1), it was found that the surface roughness of their ridges strongly influences their wetting and corrosion properties.

A Six-Year Prospective Comparative Study of Wide and Standard Diameter Implants in the Maxillary and Mandibular Posterior Area

Background and Objectives: The aim of our study was to test whether wide diameter (6 mm) implants perform differently from standard diameter (4 mm) implants in terms of marginal bone level and survival rate. Materials and Methods: Our sample comprised 72 patients who underwent surgery; a total of 80 implants were placed in the maxillary or mandibular molar region. Patients were divided into two groups according to the diameter of the implant, and were followed up for six years after the final setting of the prosthetics. In the test group, 40 implants with 6-mm diameter were inserted; in the control group, 40 standard diameter implants were inserted. Using panoramic radiographs, we investigated mesial and distal marginal bone levels around the implant fixtures. Results: After the first implant surgery, three implants, including one wide diameter and two standard diameter implants, failed due to lack of osseointegration. We did not note any fixture fracture during the six-year follow-up. After loading, we observed a six-year survival rate of 97.29% with no statistically significant difference from standard diameter implants, with a survival rate of 94.87%. Conclusions: This study shows that 6-mm diameter implants may be considered in the presence of adequate alveolar ridge width in the posterior maxillary and mandibular regions.

Multi-Layer Technique (MLT) with Porcine Collagenated Cortical Bone Lamina for Bone Regeneration Procedures and Immediate Post-Extraction Implantation in the Esthetic Area: A Retrospective Case Series with a Mean Follow-Up of 5 Years

Background: Augmentation of the edentulous atrophic anterior region is a challenging situation. The purpose of this article was to evaluate the effectiveness of a collagenated cortical bone lamina of porcine origin for horizontal ridge augmentation in patients with inadequate alveolar ridge width undergoing immediate post-extraction implantation in the anterior sites, and to report on implant survival rates/complications. Materials and methods: The cases were extracted electronically from a large database according to these specific inclusion criteria: patients with inadequate alveolar ridge width in the anterior maxilla or mandible, who underwent immediate post-extraction implant placement and simultaneous alveolar bone reconstruction using xenogeneic cortical bone lamina. An additional layer of palatal connective tissue graft was inserted between lamina and the vestibular mucosa, for improving soft tissue healing. A collagenated bone substitute was additionally placed in the gap between the lamina and implant surface in all patients. The main outcomes were implant survival and complications. Results: Forty-nine patients with 65 implants were included. Patients’ mean age at the time of implant surgery was 60.0 ± 13.6 years. The mean follow-up was 60.5 ± 26.6 months after implant placement. The implant survival was 100%. Four postoperative complications occurred in four patients. No specific factor was found to be associated with complication occurrence. Conclusion: The use of collagenated cortical bone lamina can be considered as a successful option for alveolar reconstruction in immediate post-extraction implant insertion procedures in anterior regions with inadequate alveolar ridge width.

Guided Bone Regeneration with Concentrated Growth Factor Enriched Bone Graft Matrix (Sticky Bone) vs. Bone-Shell Technique in Horizontal Ridge Augmentation: A Retrospective Study

Background: The purpose of this study was to compare clinical results of two different horizontal ridge augmentation techniques: guided bone regeneration with sticky bone (SB) and the bone-shell technique (BS). Methods: Records of patients who underwent horizontal ridge augmentation with SB (test) and BS (control) were screened for inclusion. Pre-operative and 6-month post-operative ridge widths were measured on cone beam computer tomography (CBCT) and compared. Post-operative complications and implant survival rate were recorded. Results: Eighty consecutive patients were included in the present study. Post-operative complications (flap dehiscence, and graft infection) occurred in ten patients, who dropped out from the study (12.5% complication rate). Stepwise multivariate logistic regression analysis showed a significant inverse correlation between the occurrence of post-operative complications and ridge width (p = 0.025). Seventy patients (35 test; 35 control) with a total of 127 implants were included in the final analysis. Mean ridge width gain was 3.7 ± 1.2 mm in the test and 3.7 ± 1.1 mm in the control group, with no significant difference between the two groups. No implant failure was recorded, with a mean follow-up of 42.7 ± 16.0 months after functional loading. Conclusions: SB and BS showed comparable clinical outcomes in horizontal ridge augmentation, resulting in sufficient crestal width increase to allow implant placement in an adequate bone envelope.

Implications of virtual CBCT-based immediate implant planning for maxillary and mandibular first molars

The purpose of his study was to investigate the projected ridge-implant dimensions derived from virtual superimposition of implants on intact first molars mimicking immediate implantation in the mandible (Md1) and maxilla (Mx1) using cone-beam computed tomography (CBCT). The CBCT records of 41 patients (19 males and 22 females) with Md1 or Mx1 were collected. 10 mm-long cylindrical implants with different diameters were virtually positioned at prosthetically ideal angles into interradicular septum using CBCT software. Radiographic alveolar ridge height (ARH), alveolar ridge width (ARW), gap distance, and vertical distance from the implant platform to the alveolar crest were measured. Twenty Mx1s (48.8%) and 21 Md1s (51.2%) were included. The mean ARH values were 7.13 ± 4.32 mm and 15.64 ± 1.80 mm for Mx1 and Md1, respectively. 87.8% of mesiobuccal sites had gap distance &gt; 2 mm when 6 mm diameter implants were used. Increasing implant diameter from 6 mm to 9 mm decreased the percentage of sites with ARW &gt; 2 mm from 80.5% to 41.5% buccally and from 86.4% to 26.8% lingually. The mean vertical distance from the implant platform to the alveolar crest was 1.41 ± 1.09 mm buccally and 1.11 ± 1.10 mm lingually. Immediate implant placement of first molars, especially in the maxilla, requires stringent presurgical evaluation. Implants no wider than 6 mm placed into the interradicular septum may meet acceptable running room and alveolar plate thickness criteria if the jumping distance is grafted and further clinical trials are needed to confirm these findings in this virtual study

Experimental Study of Runoff and Sediment Yield Affected by Ridge Direction and Width of Sloping Farmland

Water and soil losses from sloping farmlands potentially contribute to water eutrophication and land degradation. However, few studies explored the combined effects of ridge direction and ridge width on surface runoff and soil losses of sloping farmlands. Twenty-seven experimental plots (8 m long and 4 m wide) with nine treatments (three ridge direction: cross ridge, longitudinal ridge, and oblique ridge; and three ridge width: 40, 60, and 80 cm) were adopted under natural rainfall conditions for two years in the Luanhe River Basin of China. Results indicated that ridge direction had significant effects on runoff and sediment yield (p &lt; 0.05). The ridge width had no significant effect on runoff and sediment yield. No significant interaction effect was found between ridge direction and width on runoff and sediment yield of the sloping farmland based on statistical analyses. Compared with cross-ridge (CR) tillage and oblique-ridge (OR) tillage, longitudinal-ridge (LR) tillage significantly decreased runoff by 78.9% and 64.9% and soil losses by 88.2 and 83.5%, respectively (p &lt; 0.05). The effects of ridge directions on runoff and sediment yield were related to rainfall grade. When the rainfall grade reached rainstorm, the runoff yield under CR, LR, and SR had significant differences (p &lt; 0.05). The runoff under LR and OR treatment was 5.16 and 3.3 times, respectively, of that under CR. When the rainfall level was heavy rain or rainstorm, the sediment yield under LR was significantly greater than that under CR. The sediment yield was 13.45 times of that under CR. Cross-ridge tillage with a ridge width of 40 cm is an optimally effective measure of soil and water conservation on sloping farmland in arid and semiarid regions of China.

Comparing Dual-zone Immediate Implant Placement and Socket-shield Technique for Ridge Width Changes in Maxilla: a Prospective Cohort Study

Background: The socket-shield technique still requires more scientific based evidence to be recommended as everyday clinical practice, the aim of this prospective cohort study was to assess the facial-palatal ridge dimensional changes that occurred after a minimum of 8 months following flapless dual-zone (DZ) immediate implant placement and socket-shield (SS) immediate placement in the maxilla.Methods: A total of 19 patients who received 20 implants were included with 10 implants (MegaGen AnyRidge) were placed for each treatment, DZ and SS. Cast models were made at least 8 months after implant placement to assess the dimensional ridge changes by measuring the facial palatal ridge width on implant sites (T) at six designated points starting from gingival margin (0, 1, 2, 3, 5 and 7) and comparing it with the corresponding measurement on contralateral tooth site (C). Results: All 20 placed implants demonstrated successful osseointegration and survived 9-24 months following implantation (survival rate 100%). Two out of ten cases of SS group presented with minor manageable complications of external shield exposure. DZ group showed an average facial-palatal reduction of nearly 0.3 mm; however, there were no significant differences between T and C (P =.47), while SS group revealed a mean gain in ridge contour of approximately 0.2 mm with also no significant differences existed between T and C (P = .64) in the 8-months follow-up. When comparing between the two treatments, there were significant differences in ridge width changes (P < .05), indicating better preservation of the ridge contour at 8-months for SS treatment.Conclusion: The socket shield immediate implant placement produced better preservation of the ridge contour at 8-months post-extraction; however, the dual-zone technique yielded non clinically significant reduction in the ridge contour at the same follow-up.