• Title/Summary/Keyword: Crown dental

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A comparative biomechanical study of original and compatible titanium bases: evaluation of screw loosening and 3D-crown displacement following cyclic loading analysis

  • Oziunas, Rimantas;Sakalauskiene, Jurgina;Jegelevicius, Darius;Januzis, Gintaras
    • The Journal of Advanced Prosthodontics
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    • v.14 no.2
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    • pp.70-77
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    • 2022
  • PURPOSE. This study evaluated screw loosening and 3D crown displacement after cyclic loading of implant-supported incisor crowns cemented with original titanium bases or with three compatible, nonoriginal components. MATERIALS AND METHODS. A total of 32 dental implants were divided into four groups (n = 8 each): Group 1 used original titanium bases, while Groups 2-4 used compatible components. The reverse torque value (RTV) was evaluated prior to and after cyclic loading (1,200,000 cycles). Samples (prior to and after cyclic loading) were scanned with a microcomputed tomography (micro-CT). Preload and postload files were superimposed by 3D inspection software, and 3D crown displacement analysis was performed using root-mean-square (RMS) values. All datasets were analyzed using one-way ANOVA and Tukey's post hoc analysis. RESULTS. Significant variations were observed in the postload RTV, depending on the titanium base brand (P < .001). The mean postload RTVs were significantly higher in Groups 1 and 2 than in the other study groups. While evaluating 3D crown displacement, the lowest mean RMS value was shown in the original Group 1, with the highest RMS value occurring in Group 4. CONCLUSION. Within the limitations of this in vitro study and under the implemented conditions, it was concluded that the manufacturer brand of the titanium base significantly influenced screw loosening following the fatigue test and influenced 3D crown displacement after cyclic loading.

A Retrospective Study of Sintered Porous-surfaced Dental Implants in Restoring the Edentulous Posterior Mandible: Up to Eight Years of Functioning (하악 구치부에 식립한 sintered porous surfaced implants의 후향적 다기관 연구)

  • Kim, Woo-Sung;An, Kyung-Mi;Sohn, Dong-Seok;Jung, Heui-Seung;Shin, Im-Hee
    • The Journal of the Korean dental association
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    • v.47 no.12
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    • pp.823-829
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    • 2009
  • Purpose : The aim of this study was to evaluate the survival rate of sintered porous-surfaced implants placed in the edentulous posterior mandibles, in relation to implant length and diameter, crown-to-implant ratio, and types of prostheses, for a maximum of eight years of functioning. Material and Methods : The study group consisted of 43 partially edentulous patients who visited Catholic University Hospital of Daegu and one private dental clinic. A total of 122 sintered porous-surfaced implants n $Endopore^{(R)}$ (Inn ova Life Sciences, Toronto, Ontario, Canada) -- were placed in the edentulous posterior mandibles, Two diameter sizes (4.1 mm and 5.0 mm) and four lengths (5.0 mm, 7.0 mm, 9.0 mm, and 12.0 mm) were used. One hundred and three implants were splinted and 21 implants were nonsplinted. The survival rates of the implants in relation to length, diameter, crown-to-implant ratio, and types of prostheses were investigated. Statistical data were analyzed using SPSS Win.Ver 14.0 software with the Chi-square test. Results : The survival rate of the 4.1mm diameter implants was 100% and 91.2% for the 5.0mm diameter implants. The survival rates of the implants of differing diameters were found to be statistically different (p=0.005). The survival rates of both the 5.0mm and 7.0 mm length implants were 100%. The survival rate of the 9.0mm length implants was 97.9% and for the 12.0mm length implants was 95.1%. There was no statistical difference in survival rates for the differing lengths of implants. Of the 103 prostheses that were splinted, the survival rate was 98.0%. The survival rate of splinted prostheses was higher than that of the non-splinted prostheses, but was found to be not statistically different. There were no failed cases when the crown-to-implant ratio was under 1.0. When the crown-to-implant ratio was between 1.0 and 1.5, the failure rate of the implants was 6.7%. No failure was recorded with the ratio range of 1.5 to 2.0. Relative to the crown-to-implant ratio of 1.0, the failure rates were statistically different (p=0.048). Discussion and Conclusion : The cumulative survival rate of the porous-surfaced implants placed in the edentulous posterior mandibles was 97.5%. Short porous-surfaced implants showed satisfactory results after a maximum of nine years of functioning in the edentulous posterior mandibles.

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Dental implant bottom-up cost analysis (치과 임플란트 상향식(bottom-up) 원가산정)

  • Kim, Min-Young;Choi, Ha-Na;Shin, Ho-Sung
    • The Journal of Korean Academy of Prosthodontics
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    • v.52 no.1
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    • pp.18-26
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    • 2014
  • Purpose: The purpose of this study was to estimate the cost of dental implant using the bottom-up approach with the current data from dental clinics. Materials and methods: In this study, direct and indirect costs required for each treatment were calculated using the bottom-up approach. In the bottom-up costing, the average monthly total cost of dental clinic includes labor and material costs, administrative expenses, medical malpractice costs, and opportunity costs of invested capital. For the dental implant cost components, those include direct costs (labor costs, laboratory costs, material costs, depreciation or other operating costs), indirect costs (administrative costs), and the opportunity costs of investment for dental clinic. Results: Dental implant costs of metal crown, porcelain crown and over-denture were 1,449,000 won, 1,583,000 won, and 2,471,000 won respectively. The proportion of cost components was as follows. The labor cost were 50%, and material, administrative and other cost were 33%, 15% and 2%, respectively. For direct, indirect and investment cost, the ratio were 83%, 15% and 2%, respectively. Conclusion: The labor costs were evaluated to comprise largest proportion (about 50%, 730,000 won). Dental implant cost using Bottom-up costing was 1,450,000 won for metal crown and 1,580,000 won for porcelain crown.

A Study on How Cyclic Casting of Base Metal Alloy for Dental Ceramic Crown May Effects upon Its Mechanical Properties and Microstructure (치과 도재용착 주조관용 비귀금속 합금의 반복주조가 기계적 특성 및 미세조직에 미치는 영향)

  • Choi, Un-Jae;Shin, Moo-Hak;Chung, Hee-Sun;Koh, Myoung-Won
    • Journal of Technologic Dentistry
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    • v.25 no.1
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    • pp.9-20
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    • 2003
  • Using a nickel-chrome casting alloy called 'Rexillium V' which is also available as base metal alloy for dental ceramic crown, 4 types of mixtures(A, B, C, D) with old and new metal were prepared for cyclic casting. The results of cyclic casting can be outlined as follows: 1. For Vickers hardness after casting, specimen A and D tended to have lower hardness in the course of cyclic casting, while specimen B and C tended to higher hardness. 2. The results of X-ray diffraction analysis showed that major crystal phase contained nickelchrome compounds and carbide. 3. The observation results of SEM photographs after cyclic casting show that there was a significant tendency to have similar structures among experimental groups. 4. The results of EDX analysis after cyclic casting showed that there were little differences in chemical composition between parent metal and base metal alloy. Although industrial nickel-chrome cast alloy did not show any significant change in material properties even through cyclic casting over several times, it is recommended that more there be more in-depth studies on how to detect any potential corrosion, discoloration and toxication of dental ceramic crown implanted in patient's oral cavity.

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Management of complicated crown fracture by tooth fragment reattachment with fiber post: a case report (섬유 강화형 포스트를 이용한 치관 파절된 치아의 재부착: 증례보고)

  • Kim, Yu-Ri;Jung, Kyoung-Hwa;Son, Sung-Ae;Park, Jeong-Kil
    • Journal of Dental Rehabilitation and Applied Science
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    • v.37 no.4
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    • pp.251-258
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    • 2021
  • Dental trauma is very common in children and relatively young people, with the line of treatment depending on the time elapsed, age of the child, and tooth maturity. If the fractured segment is available and there is close approximation of the segment to the remaining tooth, reattachment of the fractured segment is a feasible option. This treatment offers several advantages, including the reestablishment of function, aesthetics, shape, shine and surface texture, in addition to the original contour and alignment of the teeth. The following cases present two different complex crown fracture cases that were treated using tooth fragment reattachment with fiber-reinforced composite post.