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The importance of properly distributing the occlusal load for the correct biomechanics of implant-supported fixed partial dentures: stress analysis in implants, prosthetic components and infrastructures 合理分配咬合负荷对种植支撑固定局部义齿正确生物力学的重要性:种植体、假体部件和基础设施的应力分析
Pub Date : 2023-01-01 DOI: 10.1590/1981-86372023005520230038
Silvio Pedro da Silva SAKAMOTO, Diogo Henrique Vaz de SOUZA, Andrea Sayuri Silveira Dias TERADA, Alexandre Luiz Souto BORGES, Marcelo Bighetti TONIOLLO
ABSTRACT Objective: The present study analyzed the biomechanical behavior of the generated stress on the external surface of the rehabilitation elements (implants, components and infrastructures) according to different occlusion patterns on a fixed partial denture on osseointegrated implants. Method: The experimental groups varied according to the location of the occlusal load applied to the Fixed partial denture, with a total occlusal load of 750N in all groups, opting for greater loads on the occlusal table of the molar in relation to the premolar. This evaluation was performed by the finite element method with simulations by the AnsysWorkbench 16.0 Software program. Results: The results analyzed for implants and their components showed that the more posterior the occlusal loading, the greater the stress developed (group 4), always in the connection area between the prosthetic component and the implant, as this location can induce greater screw loosening. The results analyzed for the infrastructures showed that the most distributed occlusal loading possible (group 1) is the best situation for generating less stress. However, even in group 3 which obtained the highest stresses in the critical area of the prosthetic connection, the zirconia flexural strength values generated were not worrisome. Conclusion: It can be concluded that the occlusal adjustment of Fixed partial dentures are preponderant and decisive factors for correct biomechanics and preservation of the system in the long term in order to avoid possible damage and/or failures, and exert significant and notorious differences in the behavior of all structures studied herein.
摘要目的:研究骨整合种植体固定局部义齿在不同咬合模式下对修复构件(种植体、构件和基础设施)外表面产生应力的生物力学行为。方法:实验组根据固定局部义齿所施加的咬合负荷的位置不同,各组的总咬合负荷均为750N,选择磨牙的咬合表相对于前磨牙的较大负荷。利用AnsysWorkbench 16.0软件进行仿真,并采用有限元法进行评价。结果:对种植体及其组件的分析结果显示,咬合负荷越靠后,应力发展越大(第4组),并且总是在假体组件与种植体之间的连接区域,因为该位置容易引起较大的螺钉松动。对基础结构的分析结果表明,最大分布的咬合负荷(组1)是产生较小应力的最佳情况。然而,即使在假体连接关键区域获得最高应力的第3组,所产生的氧化锆抗弯强度值也并不令人担忧。结论:固定局部义齿的咬合调节对系统的生物力学和长期保存,以避免可能的损伤和/或失效具有重要和决定性的影响,并且在所研究的所有结构中表现出显著和显着的差异。
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引用次数: 0
Calidad de vida relacionada con la salud bucal y factores asociados en pacientes con bruxismo 磨牙症患者口腔健康相关生活质量及相关因素
Pub Date : 2023-01-01 DOI: 10.1590/1981-86372023004420210047
Ángela María SARRAZOLA-MONCADA, Verónica MURILLO-MORENO, Michelle Stefanie CARBALLO-CASTAÑO, Valentina CÓRDOBA-MUÑOZ, Dayhana María García VARGAS, Duván Mejía FERNÁNDEZ
RESUMEN Introducción: El bruxismo es una actividad parafuncional que puede tener impacto en la calidad de vida de las personas. Su etiología es diversa y por ello puede tener influencia de diferentes factores. Objetivo: Evaluar el impacto en la calidad de vida relacionada con la salud bucal y factores asociados en pacientes con bruxismo, atendidos en clínicas de practica de la Facultad de Odontología sede Medellín-Envigado, de la Universidad Cooperativa de Colombia. Métodos: Estudio observacional transversal y analítico con una muestra no probabilística de 51 pacientes entre 18 y 60 años que acudieron a consulta programada, atendidos en clínicas de practica de la Facultad de Odontología en Envigado, de la Universidad Cooperativa de Colombia, se realizaron exámenes clínicos, anamnesis y encuesta sociodemográfica, posteriormente se aplicó cuestionario OHIP-14 sobre calidad de vida relacionada con la salud bucal. Se realizó un análisis univariado y bivariado. Resultados: en los pacientes con bruxismo el índice OHIP-14 evidenció que la limitación funcional y el dolor físico obtuvieron un valor máximo de 6.00 puntos. Además, los ítems de discapacidad y malestar psicológico presentaban puntuación medianamente alta (4.00 y 5.00 puntos respectivamente). Al evaluar otros factores, solo se encuentran diferencias con significación estadística para los aspectos demográficos y socioeconómicos en algunos dominios (Vp=0,012). Conclusión: Los pacientes con bruxismo tuvieron un impacto negativo en la calidad de vida relacionada con la salud bucal.
摘要简介:磨牙症是一种影响人们生活质量的功能障碍活动。其病因多样,因此可能受到不同因素的影响。目的:评估在哥伦比亚合作大学麦德林- envigado牙科学院诊所就诊的磨牙症患者的口腔健康和相关因素对生活质量的影响。方法:研究跨observacional分析与概率显示不出51病人18至60岁的美国人查询调度,在诊所接受治疗实践Envigado牙医学院,哥伦比亚大学合作,开展了临床检查、病史和人口调查,其后实施问卷OHIP-14口腔健康相关的生活质量。我们进行了单变量和双变量分析。结果:在磨牙症患者中,OHIP-14指数显示功能限制和身体疼痛的最大值为6.00分。此外,残疾和心理不适项目得分中等(分别为4.00分和5.00分)。在评估其他因素时,仅在某些领域发现人口统计学和社会经济方面的差异具有统计学意义(Vp= 0.012)。结论:磨牙症患者对口腔健康相关生活质量有负面影响。
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引用次数: 0
Surgery traction canine of impacted in the maxillary: a case report 上颌阻生手术牵引犬1例
Pub Date : 2023-01-01 DOI: 10.1590/1981-86372023005220230009
Oscar Alejandro Picon PUA, Jefferson Pires da SILVA JÚNIOR, Jorge Henrique de Sousa MARTINS, Bruna Mirely da Silva CAVALCANTE, Pedro Paulo Lopes de ALMEIDA, Flávio Lima do Amaral SILVA, Leandro Coelho BELÉM, Anderson Moreira de MEDEIROS
ABSTRACT Permanent canines are essential for the preservation of the stomatognathic system, as they are part of the occlusal and aesthetic function and balance. During the normal development of occlusion, canines follow a long and complex trajectory until their eruption, that is, they are more likely to suffer disturbances during this process. Removal of the permanent canine should only be considered in extreme cases, where the canine itself is not susceptible to orthodontic traction. Orthodontic traction is the most indicated treatment due to the high morphofunctional and aesthetic value of the permanent canine. The aim of this study is to report a clinical case of traction surgery of the superior permanent canine included in the maxilla. A 13-year-old female patient attended the dental clinic at the Nilton Lins University accompanied by her guardian, referred by an orthodontistfor canine traction surgery. during the examIn the clinical analysis, tooth 13 was absent from the dental arch. The patient had a computed tomography scan, where it was possible to verify the actual position of the toothimpacted with the partially erupted crown on the alveolar ridge. After planning, surgery was performed to install an orthodontic button and adapt the ligature with a 0.30 mm wire. After the 10-month follow-up period, the presence of the tooth in arch, completely erupted, was observed, showing effectiveness in the proposed treatment. Therefore, the procedure for bonding the orthodontic device was performed satisfactorily without complications or intercurrences, making it possible to continue the orthodontic treatment. The patient remains under follow-up.
永久犬齿对于保存口颌系统至关重要,因为它们是咬合和美学功能和平衡的一部分。在正常的咬合发育过程中,犬科动物要经历一个漫长而复杂的发育轨迹,直到它们的爆发,也就是说,在这个过程中,它们更容易受到干扰。只有在极端情况下,当犬本身不容易受到正畸牵引时,才应考虑移除永久性犬。由于永久犬的形态功能和美学价值高,正畸牵引是最适合的治疗方法。摘要本研究报告一例上颌恒牙的牵引手术。一名13岁女患者在监护人陪同下到Nilton Lins大学牙科诊所就诊,由正畸医生推荐进行犬牵引手术。在临床分析中,13号牙弓缺失。患者进行了计算机断层扫描,在那里可以验证牙齿在牙槽嵴上部分爆发的牙冠的实际位置。计划完成后,进行手术,安装正畸按钮并使用0.30 mm的金属丝进行结扎。经过10个月的随访,观察到牙弓的存在,完全爆发,表明所建议的治疗是有效的。因此,正畸装置粘接过程顺利完成,无并发症或偶发,可以继续进行正畸治疗。该患者仍在随访中。
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引用次数: 0
Relationships between spirituality and religiosity in dentistry academics in the state of Bahia 巴伊亚州牙科学者的灵性与宗教信仰之间的关系
Pub Date : 2023-01-01 DOI: 10.1590/1981-86372023003620220012
Ianderlei Andrade SOUZA, Marilei de Melo Tavares e SOUZA, Edgard Michel CROSATO, Sérgio Donha YARID
ABSTRACT Objective: This study aims to evaluate the correlation between religiosity and spirituality in dental students in the state of Bahia. Methods: Cross-sectional study carried out with 266 dental students from the state of Bahia. To measure religious involvement, the Duke Religious Index (DUREL) was used, while the Spirituality Self Rating Scale (SSRS) was used for spirituality. Results: A total of 266 students were evaluated, with a mean age of 32 years (±11.9), most of them female (62.4%), of self-reported race/color (52.3%), with an income greater than three minimum wages (57.1%) and studying/working from the sixth to the tenth semester (41.0%). The correlations evidenced can be classified as weak for organizational religiosity (OR) (r = 0.406), moderate for non-organizational religiosity (RNO) (r = 0.589) and strong for intrinsic religiosity (RI) (r = 0.677). In the multivariate model, the ORN and RI dimensions proved to be predictors of spirituality, and the elevation of the former implies a consequent increase in spirituality. Conclusion: It is concluded that the RNO and RI dimensions are positively correlated with religiosity.
摘要目的:本研究旨在评估巴伊亚州牙科学生宗教信仰与灵性的相关性。方法:对巴伊亚州266名牙科学生进行横断面研究。宗教参与的测量采用杜克宗教指数(DUREL),灵性自评量表(SSRS)。结果:共评估266名学生,平均年龄32岁(±11.9岁),以女性居多(62.4%),自报种族/肤色(52.3%),收入大于三种最低工资(57.1%),第六至第十学期学习/工作(41.0%)。组织宗教信仰(OR)的相关性为弱(r = 0.406),非组织宗教信仰(RNO)的相关性为中等(r = 0.589),内在宗教信仰(RI)的相关性为强(r = 0.677)。在多元模型中,ORN和RI维度被证明是灵性的预测因子,前者的提升意味着灵性的随之增加。结论:RNO、RI维度与宗教虔诚度呈显著正相关。
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引用次数: 0
Demographic characteristics and knowledge about dental trauma by physical education teachers in João Pessoa, Paraíba, Brazil 巴西jo<s:1> o Pessoa Paraíba体育教师的人口统计学特征和牙外伤知识
Pub Date : 2023-01-01 DOI: 10.1590/1981-86372023005120230018
Herbert GHERSEL, Eloisa Lorenzo de Azevedo GHERSEL, Amanda Azevedo GHERSEL, Bruna Letícia de Lima CAETANO, Daniel de Santi GURDIAN
ABSTRACT Objective: To evaluate the demographic characteristics of physical education professionals, their knowledge on dental trauma, and related first aid management. It is well known that physical activities may pose dental trauma risks, and urgent care is essential to minimize damages. Methods: Exploratory research with descriptive nature and quantitative approach. The sample was selected by convenience and comprised 31 physical education professionals. A structured questionnaire developed on Google Forms® system was sent to the participants. The collected data were organized and analyzed. Results: Among the total sample, only 5 (16.1%) had information on the subject. When asked about specific actions to manage dental trauma, only few participants stated to the most appropriate approach. Conclusion: There is a widespread lack of knowledge on dental trauma and the correct and immediate management of such injuries. As these injuries occur frequently in the target population of their daily work, this lack of preparation can hinder and undermine the work of the dentist and cause irreversible harm to the victims.
摘要目的:了解体育专业人员的人口学特征、牙外伤知识及相关急救管理情况。众所周知,体育活动可能造成牙齿损伤的风险,紧急护理是必要的,以尽量减少损害。方法:采用描述性和定量的探索性研究方法。样本采用方便选择的方法,共有31名体育专业人员。在谷歌Forms®系统上开发的结构化问卷被发送给参与者。对收集到的数据进行整理和分析。结果:在全部样本中,仅有5人(16.1%)具有受试者信息。当被问及处理牙齿创伤的具体行动时,只有少数参与者表示最合适的方法。结论:目前普遍缺乏对牙外伤及正确、及时处理的相关知识。由于这些伤害经常发生在他们日常工作的目标人群中,这种缺乏准备可能会阻碍和破坏牙医的工作,并对受害者造成不可逆转的伤害。
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引用次数: 0
Subgingival microbiota and immune response modulation of osseointegrable implants 可骨整合种植体龈下微生物群与免疫反应调节
Pub Date : 2023-01-01 DOI: 10.1590/1981-86372023004820220070
Nicole Serqueira da SILVA, Ana Carolina Rosa de ALMEIDA, Marvin do NASCIMENTO, Bruno Martins de SOUZA, Talita Gomes Baeta LOURENÇO, Aline Tany POSCH
ABSTRACT Osseointegrable dental implants are biomaterials made of titanium or other alloys mixed with titanium, which have high biocompatibility and allow osseointegration. However, this process can be modulated by changes in the complex mechanisms between microbiota, immune response and host. The present study aims to present how the immune system-microbiota-host interaction influences the osseointegration process of titanium dental implants and its alloys. A literature review was performed through electronic and manual searches in several databases, including PubMed, LILACS, Google Scholar, SciELO and Web of Science for articles published in the last 20 years in English and Portuguese. The formation of a temporary fibrin matrix on the implants surface after implantation implies the recruitment, adhesion and activity of immune cells at this site, with the release of pro-inflammatory molecules and recruitment of neutrophils. In the second moment, monocytes and macrophages (M1) are recruited, producing, in this step, reactive oxygen species. In the later stage of inflammation, macrophages (M2) help in tissue regeneration with expression of anti-inflammatory cytokines. In addition, the implants surface provides a site for microbial colonization mediated by salivary pellicle and topographical features. Thus, in symbiosis the modulation of the immune response will be favorable to osseointegration. However, the dysbiotic process exacerbates the inflammatory progression modulating the immune response influencing abnormal tissue healing or scar and fibrosis formation, compromising osseointegration. Different conditions of the subgingival microbiota will influence different immunological cascades, generating different cellular responses and positive or negative modulation of the osseointegration process.
骨整合牙种植体是由钛或其他合金与钛混合制成的生物材料,具有较高的生物相容性和骨整合性。然而,这一过程可以通过微生物群、免疫反应和宿主之间复杂机制的变化来调节。本研究旨在介绍免疫系统-微生物-宿主相互作用如何影响钛牙种植体及其合金的骨整合过程。通过电子和人工检索PubMed、LILACS、Google Scholar、SciELO和Web of Science等数据库,对近20年来以英语和葡萄牙语发表的文章进行文献综述。植入后在植入物表面形成临时纤维蛋白基质,这意味着免疫细胞在该部位的募集、粘附和活性,伴随着促炎分子的释放和中性粒细胞的募集。在第二阶段,单核细胞和巨噬细胞(M1)被招募,在这一阶段产生活性氧。在炎症后期,巨噬细胞(M2)通过表达抗炎细胞因子帮助组织再生。此外,种植体表面提供了一个由唾液膜和地形特征介导的微生物定植的场所。因此,在共生中,免疫反应的调节将有利于骨整合。然而,生态失调过程加剧了炎症进程,调节了影响异常组织愈合或瘢痕和纤维化形成的免疫反应,损害了骨整合。龈下微生物群的不同条件会影响不同的免疫级联反应,产生不同的细胞反应,并对骨整合过程产生积极或消极的调节。
{"title":"Subgingival microbiota and immune response modulation of osseointegrable implants","authors":"Nicole Serqueira da SILVA, Ana Carolina Rosa de ALMEIDA, Marvin do NASCIMENTO, Bruno Martins de SOUZA, Talita Gomes Baeta LOURENÇO, Aline Tany POSCH","doi":"10.1590/1981-86372023004820220070","DOIUrl":"https://doi.org/10.1590/1981-86372023004820220070","url":null,"abstract":"ABSTRACT Osseointegrable dental implants are biomaterials made of titanium or other alloys mixed with titanium, which have high biocompatibility and allow osseointegration. However, this process can be modulated by changes in the complex mechanisms between microbiota, immune response and host. The present study aims to present how the immune system-microbiota-host interaction influences the osseointegration process of titanium dental implants and its alloys. A literature review was performed through electronic and manual searches in several databases, including PubMed, LILACS, Google Scholar, SciELO and Web of Science for articles published in the last 20 years in English and Portuguese. The formation of a temporary fibrin matrix on the implants surface after implantation implies the recruitment, adhesion and activity of immune cells at this site, with the release of pro-inflammatory molecules and recruitment of neutrophils. In the second moment, monocytes and macrophages (M1) are recruited, producing, in this step, reactive oxygen species. In the later stage of inflammation, macrophages (M2) help in tissue regeneration with expression of anti-inflammatory cytokines. In addition, the implants surface provides a site for microbial colonization mediated by salivary pellicle and topographical features. Thus, in symbiosis the modulation of the immune response will be favorable to osseointegration. However, the dysbiotic process exacerbates the inflammatory progression modulating the immune response influencing abnormal tissue healing or scar and fibrosis formation, compromising osseointegration. Different conditions of the subgingival microbiota will influence different immunological cascades, generating different cellular responses and positive or negative modulation of the osseointegration process.","PeriodicalId":30069,"journal":{"name":"RGO Revista Gaucha de Odontologia","volume":"2010 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136202446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Teleodontology as a tool for adolescent oral health care 远牙学作为青少年口腔保健的工具
Pub Date : 2023-01-01 DOI: 10.1590/1981-86372023004120220073
Mariane Nunes de MESQUITA, Jacques Antonio Cavalcante MACIEL, Antonia Rita de Cássia da SILVA
ABSTRACT Adolescence comprises a life cycle with high contact to information and communication technological tools. For this reason, it was decided to incorporate these tools into the oral health work process aimed at this public. The COVID-19 pandemic contextualized the use of digital technological tools in several productive sectors, including oral health care in the Unified Health System. Objective: The objective was to stimulate the use of teledentistry in the oral health care of adolescents in Primary Health Care in the Ceará interior. Methods: The participants were adolescents between 12 and 15 years old from two micro areas of the territory, in total there are 25 participants. The intervention was divided into three stages: application of an electronic form, creation of an instant messaging application group and creation and expansion of a flow for access to the service. Results: The reasons for the dropout in dental consultations by adolescents were the lack of vacancies, long wait and the low number of educational actions aimed at health. In the messaging application group, remote educational activities were carried out, as well as restructuring of the dental care flow with the possibility of scheduling a first appointment through the group. Conclusion: The interaction obtained in the intervention favored the improvement of access to dental appointments.
青少年是一个高度接触信息和通信技术工具的生命周期。因此,决定将这些工具纳入针对这一公众的口腔卫生工作进程。2019冠状病毒病大流行使数字技术工具在若干生产部门的使用成为现实,包括统一卫生系统中的口腔卫生保健。目的:目的是刺激使用远程牙科在初级卫生保健青少年在口腔保健在中国内地。方法:调查对象为国内两个微区12 ~ 15岁的青少年,共25人。干预分为三个阶段:电子表单的应用程序、即时消息应用程序组的创建以及访问服务的流的创建和扩展。结果:青少年退诊的主要原因是缺诊、候诊时间长、健康教育活动少。在消息传递应用程序组中,进行了远程教育活动,并对牙科护理流程进行了重组,从而有可能通过组安排第一次预约。结论:干预所获得的交互作用有利于提高牙科就诊的可及性。
{"title":"Teleodontology as a tool for adolescent oral health care","authors":"Mariane Nunes de MESQUITA, Jacques Antonio Cavalcante MACIEL, Antonia Rita de Cássia da SILVA","doi":"10.1590/1981-86372023004120220073","DOIUrl":"https://doi.org/10.1590/1981-86372023004120220073","url":null,"abstract":"ABSTRACT Adolescence comprises a life cycle with high contact to information and communication technological tools. For this reason, it was decided to incorporate these tools into the oral health work process aimed at this public. The COVID-19 pandemic contextualized the use of digital technological tools in several productive sectors, including oral health care in the Unified Health System. Objective: The objective was to stimulate the use of teledentistry in the oral health care of adolescents in Primary Health Care in the Ceará interior. Methods: The participants were adolescents between 12 and 15 years old from two micro areas of the territory, in total there are 25 participants. The intervention was divided into three stages: application of an electronic form, creation of an instant messaging application group and creation and expansion of a flow for access to the service. Results: The reasons for the dropout in dental consultations by adolescents were the lack of vacancies, long wait and the low number of educational actions aimed at health. In the messaging application group, remote educational activities were carried out, as well as restructuring of the dental care flow with the possibility of scheduling a first appointment through the group. Conclusion: The interaction obtained in the intervention favored the improvement of access to dental appointments.","PeriodicalId":30069,"journal":{"name":"RGO Revista Gaucha de Odontologia","volume":"272 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135502021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Three-dimensional finite element analysis of three internal tapered implant-abutment designs 三种内锥形种植基台设计的三维有限元分析
Pub Date : 2023-01-01 DOI: 10.1590/1981-86372023003120220064
G. Thomé, R. Salatti, L. Trojan, S. Bernardes, M. B. Moura
ABSTRACT Objective: The aim of this study was to compare the stress distribution in internal tapered connection implants with different adaptation geometries submitted to oblique load simulation using the Finite Element Analysis (FEA) method. Methods: Three different internal tapered implant-abutment assemblies were modeled by varying only the diameter of the abutment body in the cone region. The dimensions of the implants were 4.0 mm in diameter and 13 mm in length. Oblique loads of 210 N angled 30 degrees to the long axis of the implant were applied to a hemispherical body positioned over the abutments simulating a dental crown. The stress generated by the implant-abutment assembly was analyzed by the FEA method using the von Mises criterion. Results: A higher concentration of stress in the coronal region (collar) and implant body on the opposite side of the load application was shown, as well as in the body region of the abutments and in the screw threads. The cervical region of the implants showed the highest von Mises stress values, the highest values being observed in G3 (1034 MPa), followed by G2 (841 MPa) and G1 (702 MPa). Conclusion: According to the results presented, it can be concluded that the stress distribution was more homogeneous and less concentrated in the G1 implant-abutment assembly. Therefore, the use of abutments with dimensions standardized by the implant manufacturer is recommended.
摘要目的:采用有限元分析(FEA)方法,比较不同自适应几何形状的内锥形连接种植体在倾斜载荷模拟下的应力分布。方法:通过只改变牙体锥体的直径来模拟三种不同的内锥形种植体-基牙组合。种植体的尺寸为直径4.0 mm,长度13 mm。在模拟牙冠的基台上放置一个半球形体,施加210牛的斜载荷,与种植体的长轴成30度角。采用von Mises准则对种植体-基台组合产生的应力进行了有限元分析。结果:在负荷施加的另一侧冠状区(项圈)和种植体以及基台体区和螺纹处显示出较高的应力集中。种植体颈部von Mises应力值最高,G3 (1034 MPa)最大,G2 (841 MPa)次之,G1 (702 MPa)次之。结论:根据上述结果,G1种植体-基牙组合体的应力分布较为均匀,集中程度较低。因此,推荐使用由种植体制造商标准化尺寸的基台。
{"title":"Three-dimensional finite element analysis of three internal tapered implant-abutment designs","authors":"G. Thomé, R. Salatti, L. Trojan, S. Bernardes, M. B. Moura","doi":"10.1590/1981-86372023003120220064","DOIUrl":"https://doi.org/10.1590/1981-86372023003120220064","url":null,"abstract":"ABSTRACT Objective: The aim of this study was to compare the stress distribution in internal tapered connection implants with different adaptation geometries submitted to oblique load simulation using the Finite Element Analysis (FEA) method. Methods: Three different internal tapered implant-abutment assemblies were modeled by varying only the diameter of the abutment body in the cone region. The dimensions of the implants were 4.0 mm in diameter and 13 mm in length. Oblique loads of 210 N angled 30 degrees to the long axis of the implant were applied to a hemispherical body positioned over the abutments simulating a dental crown. The stress generated by the implant-abutment assembly was analyzed by the FEA method using the von Mises criterion. Results: A higher concentration of stress in the coronal region (collar) and implant body on the opposite side of the load application was shown, as well as in the body region of the abutments and in the screw threads. The cervical region of the implants showed the highest von Mises stress values, the highest values being observed in G3 (1034 MPa), followed by G2 (841 MPa) and G1 (702 MPa). Conclusion: According to the results presented, it can be concluded that the stress distribution was more homogeneous and less concentrated in the G1 implant-abutment assembly. Therefore, the use of abutments with dimensions standardized by the implant manufacturer is recommended.","PeriodicalId":30069,"journal":{"name":"RGO Revista Gaucha de Odontologia","volume":"57 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90710974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Conservative smile enhancement: a case report and brief review on multidisciplinary approach in aesthetic dentistry 保守微笑增强:一例报告和简要回顾多学科方法在牙科美容
Pub Date : 2023-01-01 DOI: 10.1590/1981-86372023004020220030
Aldair Nunes BRASIL, Paulo Cardoso LINS-FILHO, Marlon Ferreira DIAS, Hilcia Mezzalira TEIXERA, Alexandre Batista Lopes do NASCIMENTO
ABSTRACT The gingival contour, the color of the teeth and the presence of interincisal diastema are seen as unsightly factors, being highly harmful from a social point of view. The present study aimed to report a comprehensive and conservative esthetic treatment executed with a multidisciplinary approach in a 20-year-old female patient that presented darkened teeth with poor spacing and excessive gingival display while smiling, as well as present a brief literature review on multidisciplinary approach in esthetic dentistry. After clinical examination and diagnosis, a treatment plan was elaborated to meet the patient’s expectations with a conservative approach. After patient consent, therapy began with supervised home-based tooth whitening with 22% carbamide peroxide applied one hour/daily for 14 days, followed with gingival recontouring surgery and, after a healing period of 30 days, diastemas closure with direct composite resin technique, occlusal adjustment, finishing, and polishing. The multidisciplinary approach was fundamental for the accomplishment of the proposed treatment, achieving satisfactory esthetic and functional results.
从社会的角度来看,牙龈的轮廓、牙齿的颜色和牙内隔膜的存在被视为不美观的因素,是非常有害的。本研究旨在报告一名20岁女性患者在微笑时出现牙暗,牙间距差,牙龈过度显示,采用多学科方法对其进行全面保守的美容治疗,并对多学科方法在牙科美容方面的文献进行简要回顾。经临床检查和诊断,制定治疗方案,以满足患者的期望,采取保守的做法。经患者同意后,治疗开始于有监督的家庭牙齿美白,使用22%过氧化脲,每天1小时,持续14天,随后进行牙龈重塑手术,在30天的愈合期后,使用直接复合树脂技术关闭隔瓣,调整咬合,整理和抛光。多学科方法是完成所建议的治疗的基础,获得令人满意的美学和功能结果。
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引用次数: 0
Study of the cephalometric standards of individuals with normal occlusion and prevalence of the malocclusion in the city of Rio de Janeiro, Rio de Janeiro, Brazil 巴西里约热内卢市正常咬合人群头颅测量标准及错牙合患病率的研究
Pub Date : 2023-01-01 DOI: 10.1590/1981-86372023003820220081
Priscila Pinto Brandão de ARAÚJO, Paulo Roberto Aranha NOUER
ABSTRACT Objective: The accomplishment of this cephalometric objective to evaluate the face characteristics of this cefalometric work individuals had to the city of this cephalometric prevalence, as well as measure the objective of malocclusion. Methods: For this study, 531 sort of individuals of the masculine organizations of Rio de Janeiro had been submitted to the clinical chait of the course of Master in Orthodontics of the Center Research Leopold Mandic, of which if it got prevalence of malocclusion. Results: Of this sample, it was observed that 22 individuals with normal occlusion and that if they had never submitted the orthodontic treatment. In these patients they had been made taken from normal head in lateral cephalometric radiographs and evaluated the cephalometrics largeness: SNA, SNB, ANB, Axle “Y”, NS.Go-Me, FMA, FMIA, IMPA, 1.NA, 1- NA, 1.NB, 1-NB, 1.1, 1.SN, 1.Go-Gn, SN.PLO, AO-BO, Line H, Z angle, P-NB, AFA, AFP and IAF. The gotten date had been submitted to the analysis with a level of significance of 5% (p< 0.05) and used descriptive statistics and the error of Dalbergh. The results showed that of the total of the evaluated sample, the malocclusion of 44.3% of Classroom I; 29.5% of Classroom II; 17.2% of Classroom III and 9.2% of normal occlusion. Conclusion: The individuals with normal occlusion of the city of Rio De Janeiro had presented equal cephalometric characteristics with many standard measures described in literature, except for the superior incisor that were presented vestibulate and the well inclined inferior incisor for vestibular contest.
【摘要】目的:通过完成这一头颅测量的目的,评价这一头颅测量工作的个体对这一城市的面部特征的患病率,以及测量错牙合的目的。方法:本研究将里约热内卢男性组织的531名个体提交给Leopold Mandic研究中心正畸学硕士课程临床讲座,调查其错牙合的患病率。结果:该样本中,22例牙合正常且未接受过正畸治疗的患者。在这些患者中,他们在侧位头颅x线片上取自正常头部,并评估了头颅测量的大小:SNA, SNB, ANB,轴“Y”,NS。Go-Me, FMA, FMIA, IMPA, 1。Na, 1- Na, 1。Nb 1 Nb 1.1 1。锡、1。Go-Gn, SN。PLO, AO-BO, H线,Z角,P-NB, AFA, AFP和IAF。获得的数据已提交给分析,显著性水平为5% (p<0.05),采用描述性统计和Dalbergh误差。结果表明:在全部评价样本中,1班错牙合率为44.3%;二教室29.5%;教室III的17.2%和正常闭塞的9.2%。结论:里约热内卢市正常咬合个体除了上切牙呈前庭形和下切牙呈良好倾斜前庭形外,其余的头颅测量特征均与文献中描述的许多标准测量相同。
{"title":"Study of the cephalometric standards of individuals with normal occlusion and prevalence of the malocclusion in the city of Rio de Janeiro, Rio de Janeiro, Brazil","authors":"Priscila Pinto Brandão de ARAÚJO, Paulo Roberto Aranha NOUER","doi":"10.1590/1981-86372023003820220081","DOIUrl":"https://doi.org/10.1590/1981-86372023003820220081","url":null,"abstract":"ABSTRACT Objective: The accomplishment of this cephalometric objective to evaluate the face characteristics of this cefalometric work individuals had to the city of this cephalometric prevalence, as well as measure the objective of malocclusion. Methods: For this study, 531 sort of individuals of the masculine organizations of Rio de Janeiro had been submitted to the clinical chait of the course of Master in Orthodontics of the Center Research Leopold Mandic, of which if it got prevalence of malocclusion. Results: Of this sample, it was observed that 22 individuals with normal occlusion and that if they had never submitted the orthodontic treatment. In these patients they had been made taken from normal head in lateral cephalometric radiographs and evaluated the cephalometrics largeness: SNA, SNB, ANB, Axle “Y”, NS.Go-Me, FMA, FMIA, IMPA, 1.NA, 1- NA, 1.NB, 1-NB, 1.1, 1.SN, 1.Go-Gn, SN.PLO, AO-BO, Line H, Z angle, P-NB, AFA, AFP and IAF. The gotten date had been submitted to the analysis with a level of significance of 5% (p< 0.05) and used descriptive statistics and the error of Dalbergh. The results showed that of the total of the evaluated sample, the malocclusion of 44.3% of Classroom I; 29.5% of Classroom II; 17.2% of Classroom III and 9.2% of normal occlusion. Conclusion: The individuals with normal occlusion of the city of Rio De Janeiro had presented equal cephalometric characteristics with many standard measures described in literature, except for the superior incisor that were presented vestibulate and the well inclined inferior incisor for vestibular contest.","PeriodicalId":30069,"journal":{"name":"RGO Revista Gaucha de Odontologia","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135502216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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