Juan Felipe Isaza

Evaluation of the structural behavior of three and four implant-supported fixed prosthetic restorations by finite element analysis

PURPOSE There is much controversy about the minimum number of implants and maximum cantilever length in mandible prosthetic restoration. Finite elements analysis of three and four implant-supported prostheses was performed to determine the stresses in the superstructure, implants and cortical bone and, therefore, the failure prediction for each restoration. METHODS An edentulous mandible was modeled from CT scan images. Two finite element models of three and four implant-supported prostheses with cantilever lengths of 10 and 15 mm were created. Occlusal loads in different parts of the superstructure were applied and shear and normal stresses were calculated. RESULTS Two failure criteria were analyzed: the von Mises criterion for isotropic materials (superstructure and implants) and the Tsai-Wu criterion for transversely isotropic material (cortical bone). Both criteria predict failure in the three implant-supported prosthesis for all cases analyzed. The same applies for the four-implant prosthesis of 15 mm cantilever length. However, four implants and a cantilever length of 10mm passed the failure criteria and were considered safe. CONCLUSIONS The results from the patient analyzed showed that fixed support prostheses on three implants are not recommended from a structural point of view because they do not adequately support occlusal loads. Excessive stress in the superstructure and the cortical bone can be expected, which would anticipate the failure of the restoration. Fixed support prostheses on four implants with a cantilever length of 10mm properly resist occlusal loading.

Design and construction of a transducer for bite force registration

This study describes the development of a system for quantification of human biting forces by (1) determining the mechanical properties of an epoxy resin reinforced with carbon fiber, (2) establishing the transducers optimal dimensions to accommodate teeth of various widths while minimizing transducer thickness, and (3) determining the optimal location of strain gages using a series of mechanical resistance and finite element (FE) analyses. The optimal strain gage location was defined as the position that produced the least difference in strain pattern when the load was applied by teeth with two different surface areas. The result is a 7.3-mm-thick transducer with a maximum load capacity beyond any expected maximum bite force (1500N). This system includes a graphic interface that easily allows acquisition and registration of bite force by any health-sciences or engineering professional.

Are maximum bite forces of subjects 7 to 17 years of age related to malocclusion

OBJECTIVE To determine the effects of occlusion on maximum bite force of growing subjects. MATERIALS AND METHODS Incisor and first molar bite force of children and adolescents was evaluated. Four cohorts were measured annually for 3 years, starting at approximately 7, 9, 12, and 15 years of age, respectively. The initial sample included 182 females and 198 males; there were 130 subjects with normal occlusion, 111 with Class I malocclusion, and 139 with Class II malocclusion. Multilevel analyses were performed to model the growth changes and compare groups. RESULTS Maximum bite force increased significantly (P < .05) over time. Incisal forces peaked at 14.3 and 15.3 years of age for females and males, respectively. Maximum molar bite force peaked at 16 years for both males and females. Subjects with normal occlusion had significantly higher bite force than subjects with malocclusion. Maximum molar bite force exhibited a significant testing effect, with forces increasing 2.6 kg each year that the tests were repeated. CONCLUSIONS Malocclusion has a detrimental effect on bite force. Changes in maximum bite force are also due to age, sex, and repeated testing.

Ejecución de un sistema piloto de tele-radiología en Medellín, Colombia

Objetivo: Aplicar un sistema piloto de tele-radiología en la ciudad de Medellín con software de acceso remoto que permita la comunicación e interpretación a distancia de imágenes biomédicas. Materiales y métodos: Se utilizaron imágenes de estudios de resonancia magnética y tomografía computadorizada almacenados en formato DICOM. Los datos se transmitieron en una red punto a punto mediante líneas de red digital de servicios integrados (RDSI) entre dos centros de diagnóstico radiológico. El sistema se llevó a cabo bajo arquitectura PC basada en Intel x86 con sistema operativo Windows® 2000. Resultados: Para la lectura y visualización local de imágenes almacenadas en formato DICOM, se desarrolló una aplicación en Java con funciones que permiten su manipulación y la opción de exportar a otros formatos como JPEG, TIFF y BMP. Conclusiones: El sistema permitió en modalidades como tomografía computadorizada (TC) e imagen por resonancia magnética (RM) un diagnóstico e interpretación remota clínicamente confiables, con tiempos de respuesta aceptables para las necesidades y modo de actuar reales de los centros radiológicos participantes.

Diseño y manufactura de un implante personalizado de cráneo

This paper describes the methodology used to design a custom-made cranial implant for a 26 year-old patient, who suffered a lesion in the left frontoparietal region of the skull caused by a fibrous dysplasia. The design of the implant was carried out from the 3D reconstruction of the skull of the patient, obtained by a CT- Scan, using Rapid Form 2006. Once the preliminary design was obtained, 3D models of the injured region of the skull and implant were fabricated in a Rapid Prototyping (RP) machine using the Fused Deposition Modeling Technology (FDM) with the purpose of making a functional and dimensional validation of the implant. Subsequently, the implant was fabricated in titanium alloy (Ti6Al4V). With the methodology, the prosthesis was successfully implanted. The surgical time decreased by 50 with the same type of surgery in which standard commercial implants and titanium meshes are used; due, principally, to the need of implementing trial and error procedures, which intend to achieve a good fit of the implant increasing the risk of the patient. Finally, the aesthetic appearance of the patient was recovered, allowing the patient to safely perform daily activities.