Rafael Leonardo Xediek Consani

Comparison of silorane and methacrylate-based composite resins on the curing light transmission

The aim of this study was to investigate the influence of different composite resins - Filtek P90 (silorane-based composite) and Heliomolar (methacrylate-based composite) - on light transmission and decrease in Knoop hardness between the bottom and top of cured specimens. The irradiance of a light-curing unit (LCU) was measured with a power meter (Ophir Optronics; 900 mw/cm2) and spectral distributions were obtained using a spectrometer (USB 2000). Twenty standardized cylindrical specimens (2 mm thick x 7 mm diameter) of each composite resin were obtained by curing using the LCU for 40 s. Light energy transmission through the composite was calculated (n=10). The Knoop hardness number for each surface was recorded as the mean of 3 indentations. The difference in Knoop hardness between the top and bottom (DKH) of the same specimen was calculated (n=10). The irradiance of light that passed through Filtek P90 (272 mW/cm2) was not significantly greater than that the passed through Heliomolar (271 mW/cm2). The DKH of Filtek P90 (25%) was significantly higher than that of Heliomolar (12%). There was a greater degree of subsurface polymerization of the methacrylate-based composite compared to the silorane-based composite.

Influence of Material of Overdenture-Retaining Bar with Vertical Misfit on Three-Dimensional Stress Distribution

PURPOSE This study evaluated the effects of different bar materials on stress distribution in an overdenture-retaining bar system with a vertical misfit between implant and bar framework. MATERIALS AND METHODS A three-dimentional finite element model was created including two titanium implants and a bar framework placed in the anterior part of a severely reabsorbed jaw. The model set was exported to mechanical simulation software, where displacement was applied to simulate the screw torque limited by 100-microm vertical misfit. Four bar materials (gold alloy, silver-palladium alloy, commercially pure titanium, cobalt-chromium alloy) were simulated in the analysis. Data were qualitatively evaluated using Von Mises stress given by the software. RESULTS The models showed stress concentration in cortical bone corresponding to the cervical part of the implant, and in cancellous bone corresponding to the apical part of the implant; however, in these regions few changes were observed in the levels of stress on the different bar materials analyzed. In the bar framework, screw, and implant, considerable increase in stress was observed when the elastic modulus of the bar material was increased. CONCLUSIONS The different materials of the overdenture-retaining bar did not present considerable influence on the stress levels in the periimplant bone tissue, while the mechanical components of the system were more sensitive to the material stiffness.

The Effect of Aging by Thermal Cycling and Mechanical Brushing on Resilient Denture Liner Hardness and Roughness

PURPOSE The purpose of this study was to investigate the effects of aging on resilient denture liners. The aging effects were produced by using thermal cycling and mechanical brushing and were quantified as changes to surface hardness and roughness of resilient denture liners. MATERIAL AND METHODS A plasticized acrylic resin (Dentuflex) and two silicone-based (Molloplast-B, Sofreliner MS) resilient denture liners were examined. Pre- and post-test roughness and hardness measurements were recorded using a Surfcorder SE 1700 and Shore A durometer Teclock GS-709, respectively. Sixty specimens were manufactured; half were subjected to 3000 cycles in the thermal cycler (5 and 55 degrees C). The remaining specimens received 30,000 strokes applied by a mechanical brushing machine followed by 3000 thermal cycles. Representative specimens from each group were observed under scanning electron microscope (SEM). Data were examined by multiple ANOVA, split-plot analysis, and Tukey test (alpha= 0.05). RESULTS Shore A hardness values for Dentuflex, Molloplast-B, and Sofreliner MS soft liners were different from each other (p < 0.05) before (79 +/- 2.9; 40 +/- 1.4; 33 +/- 0.7) and after (80 +/- 3.1; 40 +/- 1; 34 +/- 0.9) thermocycling. The surface roughness (in mum) of the same soft liner materials was significantly different (p < 0.05) at the start (2.2 +/- 0.4; 1.6 +/- 0.6; 0.2 +/- 0.1) but it was not different (p > 0.05) after tooth brushing (1.7 +/- 0.3; 1.7 +/- 0.4; 1.9 +/- 0.8) or thermocycling (1.6 +/- 0.5; 1.6 +/- 0.6; 1.5 +/- 0.5). CONCLUSION Thermal cycling promoted increased hardness for Sofreliner MS and Dentuflex. Mechanical brushing promoted wear abrasion in Sofreliner MS and Dentuflex materials. Molloplast-B experienced no deleterious effects from either of the tests.

Effect of retorque on loosening torque of prosthetic screws under two levels of fit of implant-supported dentures

This study evaluated the influence of retorque on loosening torque (Lt) of prosthetic screws in implant-supported dentures with different fit levels. Ten mandibular implant-supported dentures were fabricated and then 20 cast models were then prepared using prosthetic structures to create 2 fit levels: passive fit (Pf) and misfit (Mf). Two tightening techniques were also evaluated: initial torque only (T1); and initial torque and retorque after 10 min (T2). Gold or titanium screws were used, resulting in 4 groups to each one: Pf/T1, Pf/T2, Mf/T1, Mf/T2. The Lt was measured 24 h after the tightening torque using digital torque meter. Data were analyzed statistically by two-way ANOVA and Tukeys test (alpha=0.05), separately for each screw material. For titanium screws, no significant difference (p>0.05) was found between Pf/T1 and Pf/T2, or between Pf/T2 and Mf/T2. However, statistically significant difference (p<0.05) was found between Pf/T1 and Mf/T1, and between Mf/T1 and Mf/T2. Mf reduced the Lt using T1, while and T2 increased the Lt for Mf. Retorque and fit were shown to have no significant influence on the Lt of the gold screws. Retorque application made insignificant the misfit effect on the Lt of the titanium screws, suggesting that this procedure should be performed routinely during the screw tightening in multi-unit dentures.

Effect of framework material and vertical misfit on stress distribution in implant-supported partial prosthesis under load application: 3-D finite element analysis

Abstract Objective. This study evaluated the influence of framework material and vertical misfit on stress created in an implant-supported partial prosthesis under load application. Materials and methods. The posterior part of a severely reabsorbed jaw with a fixed partial prosthesis above two osseointegrated titanium implants at the place of the second premolar and second molar was modeled using SolidWorks 2010 software. Finite element models were obtained by importing the solid model into an ANSYS Workbench 11 simulation. The models were divided into 15 groups according to their prosthetic framework material (type IV gold alloy, silver-palladium alloy, commercially pure titanium, cobalt-chromium alloy or zirconia) and vertical misfit level (10 µm, 50 µm and 100 µm). After settlement of the prosthesis with the closure of the misfit, simultaneous loads of 110 N vertical and 15 N horizontal were applied on the occlusal and lingual faces of each tooth, respectively. The data was evaluated using Maximum Principal Stress (framework, porcelain veneer and bone tissue) and a von Mises Stress (retention screw) provided by the software. Results. As a result, stiffer frameworks presented higher stress concentrations; however, these frameworks led to lower stresses in the porcelain veneer, the retention screw (faced to 10 µm and 50 µm of the misfit) and the peri-implant bone tissues. Conclusion. The increase in the vertical misfit resulted in stress values increasing in all of the prosthetic structures and peri-implant bone tissues. The framework material and vertical misfit level presented a relevant influence on the stresses for all of the structures evaluated.

Effects of Horizontal Misfit and Bar Framework Material on the Stress Distribution of an Overdenture-Retaining Bar System: A 3D Finite Element Analysis

PURPOSE To evaluate the influence of horizontal misfit change and bar framework material on the distribution of static stresses in an overdenture-retaining bar system using finite element (FE) analysis. MATERIALS AND METHODS A 3D FE model was created including two titanium implants and a bar framework placed in the anterior part of a severely resorbed jaw. The model set was exported to mechanical simulation software, where horizontal displacement (10, 50, 100, and 200 μm) was applied simulating the settling of the framework, which suffered shrinkage during laboratory procedures. Four bar materials (gold alloy, silver-palladium alloy, commercially pure titanium, and cobalt-chromium alloy) were also simulated in the analysis using 50 μm as the horizontal misfit. Data were qualitatively evaluated using von Mises stress, given by the software. RESULTS The misfit amplification presented a great increase in the stress levels in the inferior region of the bar, screw-retaining neck, cervical and medium third of the implant, and cortical bone tissue surrounding the implant. The higher stiffness of the bar presented a considerable increase in the stress levels in the bar framework only. CONCLUSION The levels of static stresses seem to be closely linked with horizontal misfit, such that its amplification caused increased levels of stress in the structures of the overdenture-retaining bar system. On the other hand, the stiffness of the bar framework presented a lower effect on the static stress levels.

Effects of Thermocycling on the Tensile Bond Strength of Three Permanent Soft Denture Liners

PURPOSE This study investigated the effect of in vitro accelerated aging reproduced with thermocycling on the bond strength of three commercially available permanent denture soft liners (PermaSoft, Dentuflex, Ufi-gel) with one heat-polymerized polymethyl methacrylate resin denture base (QC-20) by tensile test. MATERIAL AND METHODS Ten specimens were prepared for control and test groups of each material for a total of 60 specimens. All controls were stored in water (37 degrees C) for 24 hours before testing. All test groups received 3000 thermal cycles consisting of 1 minute at 5 degrees C and 1 minute at 65 degrees C. All specimens were submitted to a tensile test using a universal testing machine at a crosshead speed of 5 mm/min. Results were statistically analyzed (ANOVA, p < or = 0.05, Tukeys post-hoc test). RESULTS The mean bond strength of control specimens was (MPa): 0.32 (Ufi-gel), 0.49 (PermaSoft), and 1.19 (Dentuflex). There was no statistical difference (p > 0.05) between Ufi-gel and PermaSoft, but both were statistically different (p < 0.05) when compared to Dentuflex. After thermocycling, the mean bond strength was (MPa): 0.18 (Ufi-gel), 0.81 (PermaSoft), and 3.32 (Dentuflex). All materials were statistically different (p < 0.05). Ufi-gel had the lowest value and Dentuflex the highest in both control and test groups. Dentuflex presented only adhesive failure; in the remaining groups, there was no predominant failure mode, except Ufi-gel control with no adhesive failure. CONCLUSIONS Despite presenting greater bond strength, thermocycling had a deleterious effect in Dentuflex; Ufi-gel may be adequate for short-term use.

Incidence of sleep bruxism among children in Itanhandu, Brazil

PurposeSleep bruxism (SB) in children may be related to headaches and causes extensive damage of primary teeth. This paper evaluates the incidence of SB in children from Itanhandu, MG, Brazil.MethodsThe presence of teeth wear facets was verified through clinical examinations on a sample of children, whose parents answered a questionnaire about their children’s behavior and habits. Analysis of variance and chi-square tests (p = 0.05) were applied to identify possible correlations between the presence of SB and the parents’ responses to the questionnaire.ResultsThe sample comprised of 170 children, 51.76% (n = 88) of which were girls, while the average age was 4.37 (±1.69) years. A total of 15.29% (n = 26) had been diagnosed as bruxers, 46.47% displayed restless behavior, and only 10% used medication. The average duration of breastfeeding was 4.4 (±0.25) months. A positive correlation was found between restless behavior and the presence of SB (p < 0.001). No correlation was found between SB and medication (p = 0.573), or between the duration of breastfeeding and restless behavior (p = 0.102), SB (p = 0.565) and medication (p = 0.794).ConclusionRestless behavior was positively correlated with SB, although no correlation was found between SB and medication or duration of breastfeeding.

Three‐dimensional finite element analysis of stress distribution in peri‐implant bone with relined dentures and different heights of healing caps

The purpose of this study was to evaluate the influence of height of healing caps and the use of soft liner materials on the stress distribution in peri-implant bone during masticatory function in conventional complete dentures during the healing period by using finite element analysis. Three-dimensional models of a severely resorbed mandible with two recently placed implants in the anterior region were created and divided into the following situations: (i) submerged implants, (ii) healing cap at gingival level and (iii) 1·5-mm supragingival. All these situations were also analysed for a conventional complete denture and a denture relined with a 3-mm-thick layer of soft liner material. The models were exported to mechanical simulation software that presented two simulations, one with load in the inferior right canine (35 N) and the other in the inferior right first molar (50 N). Data were evaluated using Maximum Principal Stress provided by the software. All models showed a stress concentration in the cortical bone corresponding to the cervical part of the implant. The simulations with non-submerged implants showed higher values of stress concentration than those that were submerged. Likewise, soft liner materials presented better results than when the denture base was not relined. The height of the healing caps seems to have a direct influence on the stress distribution in the peri-implant bone during the healing period. Considering the values obtained in this study, the use of soft liners with submerged implants seems to be the most suitable method to use during the period of osseointegration.

Evaluation of Stress Distribution in Overdenture-Retaining Bar with Different Levels of Vertical Misfit

PURPOSE To evaluate the effects of different levels of vertical misfit between implant and bar framework on distribution of static stresses in an overdenture-retaining bar system using finite element analysis. MATERIAL AND METHODS A 3D finite element model (11,718 elements and 21,625 nodes) was created and included two titanium implants and a bar framework placed in the medial region of the anterior part of a severely reabsorbed-jaw. All materials were presumed to be linear elastic, homogenous, and isotropic. Mechanical simulation software (NEiNastran 9.0) was used, where displacements were applied on the end of the bar framework to simulate the closure of the vertical misfits (5, 25, 50, 100, 200, and 300 μm) after tightening of the screws. Data were qualitatively evaluated using Von Mises stress given by the software. RESULTS The models showed stress concentration in cortical bone, corresponding to the cervical part of the implant, and in cancellous bone, corresponding to the apical part of the implant; however, in these regions few changes were observed in stress to the misfits studied. While in the bar framework, retaining-screw neck, and implant platform, a considerable stress increase proportional to the misfit amplification was observed. CONCLUSIONS The different levels of vertical misfit did not considerably influence the static stress levels in the peri-implant bone tissue; however, the mechanical components of the overdenture-retaining bar system are more sensitive to lack of passive fit.