Jessica Mie Ferreira Koyama Takahashi

Effect of Accelerated Aging on Permanent Deformation and Tensile Bond Strength of Autopolymerizing Soft Denture Liners

PURPOSE The aim of this study was to evaluate the effect of different accelerated aging times on permanent deformation and tensile bond strength of two soft chairside liners, acrylic resin (T) and silicone (MS) based. MATERIALS AND METHODS Different specimens were made for each test of each reliner. The specimens (n = 10) were submitted to accelerated aging for 2, 4, 8, 16, 32, and 64 cycles. Tensile bond strength testing was performed at a crosshead speed of 5 mm/min and permanent deformation with a compressive load of 750 gf. Data were submitted to Mann-Whitney test to compare the materials at different times, and Kruskal-Wallis and Dunn tests were used for comparing aging intervals within a given reliner. RESULTS MS presented a lower percentage of permanent deformation (p < 0.0001) and higher tensile bond strength (p < 0.0001) than T in all time intervals and was not affected by the accelerated aging process, which reduced the permanent deformation and increased tensile bond strength of T (p < 0.05). CONCLUSION MS presented lower permanent deformation and higher tensile bond strength than T. Although T presented changes in those properties after accelerated aging, both materials might be suited for long-term use.

Stress evaluation of implant-abutment connections under different loading conditions: a 3D finite element study.

This study evaluated the effects of axial and oblique occlusal loading on implant-supported partial dentures with different connection systems (external hexagon, internal hexagon, and Morse taper). Upon axial loading, all systems presented similar stress values. Stress values increased under oblique loading. Stress distribution changed for some of the internal connection structures. It can be concluded that oblique load increases stress on bone structures and prosthetic components. Internal connection system implants present more favorable stress distribution patterns than do external connection system implants.

Evaluation of Vickers hardness of different types of acrylic denture base resins with and without glass fibre reinforcement

OBJECTIVE To evaluate the Vickers hardness of different acrylic resins for denture bases with and without the addition of glass fibres. BACKGROUND It has been suggested that different polymerisation methods, as well as the addition of glass fibre (FV) might improve the hardness of acrylic. MATERIALS AND METHODS Five types of acrylic resin were tested: Vipi Wave (VW), microwave polymerisation; Vipi Flash (VF), auto-polymerisation; Lucitone (LT), QC20 (QC) and Vipi Cril (VC), conventional heat-polymerisation, all with or without glass fibre reinforcement (GFR) and distributed into 10 groups (n = 12). Specimens were then submitted to Vickers hardness testing with a 25-g load for 30 s. All data were submitted to anova and Tukeys HSD test. RESULTS A significant statistical difference was observed with regard to the polymerisation method and the GFR (p < 0.05). Without the GFR, the acrylic resin VC presented the highest hardness values, and VF and LT presented the lowest. In the presence of GFR, VC resin still presented the highest Vickers hardness values, and VF and QC presented the lowest. CONCLUSIONS The acrylic resin VC and VW presented higher hardness values than VF and QC resins. Moreover, GFR increased the Vickers hardness of resins VW, VC and LT.

Influence of the casting technique and dynamic loading on screw detorque and misfit of single unit implant-supported prostheses.

Abstract Objective. This study aimed to evaluate the influence of the casting procedure and cyclic loading of prosthetic frameworks on detorque of prosthetic screws and marginal misfit of single unit implant-supported prostheses. Materials and methods. Twenty specimens were obtained, each one consisting of a set of an implant (external hexagon 3.75 × 13 mm – Branemark type), a prosthetic abutment (entirely calcinable or overcasted UCLA) and a prosthetic screw. After the specimens were obtained, the prosthetic screws were tightened with 30 Ncm torque and released 24 h later in order to evaluate initial detorque. The screws were retightened and marginal gaps were assessed. All specimens were submitted to 106 loading cycles, performed with 2 Hz frequency and 130 N load. The specimens were re-evaluated for marginal misfit and detorque after the mechanical loading (final marginal misfit/final detorque). The results were submitted to analysis of variance for repeated measurements, followed by Tukey HSD test (α = 0.05). Results. No statistically significant differences were found on detorque values of the prosthetics screws for all groups and intervals evaluated (p = 0.8922). The entirely calcinable abutments showed higher initial marginal misfit compared to the overcasted ones (p = 0.0438). There was no statistically significant difference on marginal misfit before and after mechanical loading for both groups (p > 0.05). Conclusions. It can be concluded that the overcasted abutments showed lower misfit values when compared to the entirely casted abutments. No difference was observed on detorque values of prosthetic screws. After mechanical loading there was no difference on marginal misfit and detorque between the groups.

Misfit of pure titanium frameworks: Effect of veneer coverage and spark erosion process

Abstract Objective. The purpose of this study was to evaluate the influence of veneer application on the misfit level of implant-supported frameworks. Materials and Methods. Thirty commercially pure titanium (Tritan, Dentaurum, Pforzheim, Germany) frameworks were fabricated from a metallic index containing five Branemark-type multi-unit abutments. Analogs of the abutments were positioned into the framework to manufacture an index for each framework, which permitted the evaluation of the marginal gap caused only by the veneer coverage. The frameworks were grouped (n = 10) in the following manner: (G1) heat-cured acrylic resin (Clássico, Clássico, São Paulo, Brazil); (G2) light-cured resin (Versyo.com, Heraeus Kulzer, Brazil); and (G3) porcelain (Triceram, Dentaurum, Pforzheim, Germany). Marginal refinement with spark erosion was then conducted. The marginal gap was verified before and after the veneer coverage and the spark erosion procedure, following the single screw test protocol (tightening force of 10 Ncm). Data were submitted to an analysis of variance (ANOVA) in a split-plot design for repeated measurements followed by a Tukey test (p = 0.05). Results. The veneer application was associated with a significant increase in the mean misfit values of all groups. The lowest values were presented by G2. After the spark erosion process, the mean misfit value decreased only on G3. Conclusions. Heat-cured acrylic resin and porcelain produced the highest values of marginal gaps, whereas light-cured acrylic resin produced the lowest. In addition, the spark erosion process was effective only in the marginal gap of the porcelain application group.

Radiographic inspection of porosity in pure titanium dumbbell castings

BACKGROUND   Titanium frameworks are frequently indicated for implant supported prostheses; however, voids are usually encountered inside cast titanium. OBJECTIVE   This study aimed to confirm the efficacy of a radiographic technique for inspection of porosity in commercially pure titanium castings with different diameter. MATERIALS AND METHODS   Sixty dumbbell rods (n=20) with a central 1.5, 2.0 and 3.5mm diameter were prepared by lost-wax casting. Cast specimens were finished and polished and submitted to radiographic examination (90kV, 15mA, 0.6s and 10-13mm of distance) using periapical film. The radiographs were visually analysed for the presence of porosity in the extension of the dumbbell or in the central portion of the rods. Data were submitted to Pearson Chi-square test (5%). RESULTS   The tested radiographic method proved to be suitable for the evaluation of cast frameworks. Internal porosities were observed in most of the specimens (91.7%) (p=0.0005); however, only 20% occurred on the central portion of the rods (p=0.612). CONCLUSION   Internal porosities can be visualised through radiographs and occur mostly in small diameter structures. The radiographic evaluation of metal structures can improve the quality of frameworks and thereby potentially increase the longevity of the rehabilitation.

Fit and Stability of Screw-Retained Implant-Supported Frameworks Under Masticatory Simulation: Influence of Cylinder Type

PURPOSE The aim of the study was to evaluate the effect of a prosthetic cylinder and casting on the misfit and loosening torque of screw-retained multiple-unit implant-supported dental prostheses under masticatory simulation. MATERIALS AND METHODS Screw-retained, three-unit fixed dental prostheses (FDP) and screw-retained full-arch FDP frameworks were waxed using calcinable (plastic cylinders) or overcasted (premachined cast-on cylinders) on the dental implant abutments. The cylinders were cast in Co-Cr alloy to obtain four groups according to cylinder type and prosthesis type (n = 10). The screws were tightened with 20 N/cm (abutment) and 10 N/cm (prosthetic) torque according to the manufacturers recommendation. After 24 hours, the initial loosening torque was analyzed. The initial misfit measurements were performed according to the Schiffleger test. The screws were retightened, and the specimens were submitted to 10(6) mechanical cycles (2 Hz/280 N). Loosening torque and misfit were reevaluated (final measurements), and data were submitted to ANOVA, Tukeys HSD, and Pearsons correlation tests (α = 0.05). RESULTS The calcinable three-unit FDP demonstrated greater misfit (initial: 107.53 ± 40.36 μm; final: 99.00 ± 40.85 μm) than did the overcasted three-unit FDP frameworks (initial: 51.50 ± 22.98 μm; final: 44.33 ± 14.14 μm) (initial: p = 0.0005; final: p = 0.0007). No difference was noted between the calcinable and overcasted full-arch FDP frameworks (p > 0.05). Masticatory simulation did not affect the misfit (p > 0.05). The overcasted full-arch FDP presented a lower abutment screw loosening torque (12.05 ± 1.80 N/cm) than did the calcinable ones (14.75 ± 1.72 N/cm) in the final measurement (p = 0.0024). The calcinable groups presented a lower prosthetic screw loosening torque than did the overcasted groups in the final evaluation (p < 0.05). After masticatory simulation, the prosthetic screw loosening torque of the calcinable three-unit FDP decreased (initial: 5.49 ± 1.07 N/cm; final: 3.73 ± 1.15 N/cm; p = 0.0044). Correlation between misfit and loosening was observed only for the prosthetic screws (p < 0.05). CONCLUSIONS The overcasted components provided a better fit in three-unit FDPs but did not influence the fit of full-arch FDPs. Prosthetic screws of overcasted frameworks presented higher stability, whereas masticatory simulation did not influence misfit but did reduce the prosthetic screw loosening torque of calcinable three-unit FDP frameworks.

Radiographic inspection of porosity in Ti-6Al-4V laser-welded joints

Widely used in dentistry, Ti-6Al-4V alloy is difficult to cast and solder, as it frequently exhibits pores inside the structure. This study was conducted to evaluate the effect of joint openings and diameters of laser-welded joints executed in Ti-6Al-4V structures on the presence of pores as checked by radiographic procedures. Sixty dumbbell rods with central diameters of 1.5, 2.0 and 3.5 mm were created from Ti-6Al-4V-wrought bars. Specimens were sectioned and welded using two joint openings (0.0 and 0.6 mm). The combination of variables created six groups (n = 10). Laser welding was executed using 360V/8ms (1.5 and 2.0 mm) and 380V/9ms (3.5 mm), with the focus and frequency set to zero. The joints were finished, polished and submitted to radiographic examination. The radiographs were visually examined for the presence of pores in the joints, qualitatively. The percentage of radiographic presence of pores was calculated without counting pores per joint. Data were analyzed using a chi-square test (α = 0.05). For the 1.5-mm specimens, the incidence of pore presence was significantly higher (p = 0.0001) when using 0.6-mm joint openings (40%) compared to 0.0-mm openings (0%). For the 2.0-mm specimens, there was no significant difference between groups (p = 0.2008). However, for the 3.5-mm specimens, the incidence of pore presence was lower (p = 0.0061) for 0.6-mm openings (50%) compared to 0.0-mm openings (70%). Therefore, laser welding of Ti-6Al-4V structures with thin diameters provides the best condition for the juxtaposition of the parts.

The effect of casting and masticatory simulation on strain and misfit of implant-supported metal frameworks.

The influence of casting and masticatory simulation on marginal misfit and strain in multiple implant-supported prostheses was evaluated. Three-unit screw retained fixed dental prosthesis (FDP) and screw retained full-arch fixed dental prosthesis (FAFDP) frameworks were made using calcinable or overcasted cylinders on conical dental implant abutment. Four groups were obtained according to the cylinder and prosthesis type (n=10). Frameworks were casted in CoCr alloy and subjected to strain gauge analyses and marginal misfit measurements before and after 10(6) mechanical cycles (2 Hz/280 N). Results were submitted to ANOVA, Tukeys HSD and Pearson correlation test (α=0.05). No difference was found on misfit among all groups and times (p>0.05). Overcasted frameworks showed higher strain than the calcinable ones (FDP - Initial p=0.0047; Final p=0.0004; FAFDP - Initial p=0.0476; Final p=0.0115). The masticatory simulation did not influence strain (p>0.05). No correlation was observed between strain and misfit (r=0.24; p>0.05). In conclusion, the marginal misfit value in the overcasted full-arch frameworks was higher than clinical acceptable data. It proved that overcasted method is not an ideal method for full-arch prosthesis. Overcasted frameworks generate higher strain upon the system. The masticatory simulation had no influence on misfit and strain of multiple prostheses.

Relining of prosthesis with auto-polymerizing hard denture reline resins: effect of post-polymerization treatment on flexural strength

BACKGROUND It has been suggested that microwave irradiation and prosthesis immersion in hot water after its polymerization may improve mechanical and viscoelastic properties of acrylic resins. PURPOSE This study was proposed to verify the influence of microwave post-polymerization (PP) treatment over the flexural strength of thermo-polymerizing acrylic resin specimens (QC-20) relined or not with two different composition hard chairside auto-polymerizing reliners [Kooliner (K) and New Truliner (NT)]. MATERIALS AND METHODS For this study, 50 specimens of 64 x 10 x 3.3 mm were polymerized and distributed into five groups. G1 (control) specimens without relining and PP; G2 specimens relined with K, without PP; G3 specimens relined with NT, without PP; G4 specimens relined with K, with PP (microwave irradiation with 650 W for 5 min); G5 specimens relined with NT, with PP. Tests were performed on a universal testing machine Instron 4411 with compression speed of 5 mm/min. RESULTS Specimens of K without PP did not show statistically different results (p < 0.05) when compared with control. However, when submitted to PP these specimens showed a significant increase in flexural strength. Specimens of NT showed the lowest flexural strength of all groups, with or without PP when compared with control and K groups. CONCLUSION Microwave PP (650 W for 5 min) proved to be an effective method of improving the flexural strength of K relined prosthesis. However, it did not seem to affect NT specimens.