Browsing by Subject "Dental implants"

Now showing 1 - 6 of 6
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    3D‐printed shell complete dentures as a diagnostic aid for implant planning and fabricating interim restorations for complete arch rehabilitations: A case series
    (Wiley, 2025) Azpiazu-Flores, Francisco X.; Yang, Chao-Chieh; Lin, Wei-Shao; Polido, Waldemar D.; Morton, Dean; Prosthodontics, School of Dentistry
    3D-printed shell complete dentures generated from a scan of the patient's existing prostheses can simplify and expedite the surgical planning and interim restoration design for complete arch rehabilitations. Three patients were rehabilitated with endosteal implants, and interim restorations were generated from the contours of the 3D-printed shell complete dentures used as diagnostic aids. This case series report presents the recommended protocol and its clinical progression, in addition to clinical and radiographic images of the treatment outcomes.
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    Bone regeneration in novel porous titanium implants
    (2010) Khouja, Naseeba, 1981-; Chu, Tien-Min Gabriel; Brown, David T.; Platt, Jeffery A., 1958-; Blanchard, Steven B.; Levon, John A.
    The objective of this study was to evaluate the in vivo performance of the novel press-fit dental implant fabricated via electron beam melting (EBM, Southern Methodist Univ.) and compare it to a commercially-available porous-coated press-fit dental implant (Endopore, Innova Corp.). Twelve cylindrical shaped implants 3 mm in diameter x 5 mm long were made by EBM (Southern Methodist Univ.) using Ti6Al4V ELI alloy. Twelve commercial implants (Endopore, Innova Corp.) of the same geometry were used as controls. Samples were implanted in rabbit tibia and retrieved six weeks postoperatively. Six specimens from each implant type were embedded undecalcified, sectioned, and stained with toluidine blue (Sigma) for histomorphometry analysis. Bone-to-implant contact (BIC) was measured. On the six remaining samples from each implant type, the mechanical properties were evaluated by pushout test on a material testing machine. The samples were loaded at a loading rate of 1 mm/min. The pushout strength was measured and the apparent shear stiffness was calculated. The results were analyzed with a paired-t test. The histology shows osteointegration of surrounding bone with both implant types. Bone was found to grow into the porous space between the beads. Both the Endopore (Innova Corp.) and the EBM (Southern Methodist Univ.) showed similar BIC. The mean BIC for the Endopore (Innova Corp.) and EBM (Southern Methodist Univ.) implant were 35 ± 6% and 32 ± 9%, respectively. It failed to reach statistical significance (p > 0.05). The peak pushout force for Endopore (Innova Corp.) and EBM (Southern Methodist Univ.) implants were 198.80 ± 61.29 N and 243.21 ± 69.75 N, respectively. The apparent shear stiffness between bone and implant for the Endopore (Innova Corp.) and EBM (Southern Methodist Univ.) implants were 577.36 ± 129.99 N/mm; and 584.48 ± 146.63 N/mm, respectively. Neither the peak pushout force nor the apparent shear stiffness of the implants was statistically different between the two groups (p > 0.05). The results suggest that the implants manufactured by EBM (Southern Methodist Univ.) perform equally well as the commercial implant Endopore (Innova Corp.) in this current animal model.
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    Comparative analyses of the soft tissue interfaces around teeth and implants: insights from a preclinical implant model
    (Wiley, 2021) Yuan, Xue; Pei, Xibo; Chen, Jinlong; Zhao, Yuan; Brunski, John B.; Helms, Jill A.; Otolaryngology -- Head and Neck Surgery, School of Medicine
    Aim: To evaluate the similarities and differences in barrier function of a peri-implant epithelium (PIE) versus a native junctional epithelium (JE). Materials and methods: A mouse model was used wherein titanium implants were placed sub-occlusally in healed extraction sites. The PIE was examined at multiple timepoints after implant placement, to capture and understand the temporal nature of its assembly and homeostatic status. Mitotic activity, hemidesmosomal attachment apparatus, and inflammatory responses in the PIE were compared against a JE. Additionally, we evaluated whether the PIE developed a Wnt-responsive stem cell niche like a JE. Results: The PIE developed from oral epithelium (OE) that had, by the time of implant placement, lost all characteristics of a JE. Compared with a JE, an established PIE had more proliferating cells, exhibited lower expression of attachment proteins, and had significantly more inflammatory cells in the underlying connective tissue. Wnt-responsive cells in the OE contributed to an initial PIE, but Wnt-responsive cells and their descendants were lost as the PIE matured. Conclusions: Although histologically similar, the PIE lacked a Wnt-responsive stem cell niche and exhibited characteristics of a chronically inflamed tissue. Both features contributed to suboptimal barrier functions of the PIE compared with a native JE.
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    Expediting the Rehabilitation of Severely Resorbed Ridges Using a Combination of CAD-CAM and Analog Techniques: A Case Report
    (MDPI, 2024-02-02) Jurado, Carlos A.; Azpiazu-Flores, Francisco X.; Fu, Chin-Chuan; Rojas-Rueda, Silvia; Guzman-Perez, Gerardo; Floriani, Franciele; Prosthodontics, School of Dentistry
    With the life expectancy increasing, there is a growing need for prosthetic dental treatments to restore the oral health, function, and quality of life of edentulous patients. Presently, only a few articles are available describing the oral rehabilitation of patients with severely resorbed ridges with milled complete dentures. This clinical case report provides a straightforward protocol consisting of a combination of analog and digital techniques for the rehabilitation of edentulous patients with severely resorbed ridges with milled fixed and removable complete dentures. This technique permits the minimization of the number of appointments, improves patient comfort, allows for the digital archiving of important clinical data, and permits the manufacture of prostheses with improved mechanical properties. These favorable outcomes were achieved by using the patient’s existing PMMA complete denture as a custom tray for a final impression with light-bodied Polyvinylsiloxane. Subsequently, the resulting models were digitized, and a digital complete denture was designed and manufactured in an expedited manner using CAD-CAM techniques. Therefore, this case report highlights the potential of CAD/CAM technology to predictably restabilize oral functions and improve patients’ quality of life.
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    A NOVEL FURANONE-CONTAINING ANTIBACTERIAL SYSTEM FOR IMPROVED DENTAL RESTORATIVES
    (2012-05-02) Howard, Leah Ann; Xie, Dong; Yokota, Hiroki; Gregory, Richard L.
    The furanone derivatives and their constructed polymers were synthesized, characterized and formulated into dental glass-ionomer cement (GIC) and resin composite for improved antibacterial properties. Compressive strength (CS) and S. mutans viability were used to evaluate the mechanical strength and antibacterial activity of the restoratives. Fuji II LC cement and P60 were used as control. The specimens were conditioned in distilled water at 37 oC for 24 h prior to testing. The effects of loading, saliva and aging on CS and S. mutans viability were investigated. The antibacterial effect of the furanone derivative on other bacteria was also studied. Chapter 2 describes how we studied and evaluated the formulated antibacterial glass-ionomer cement by incorporating the synthesized furanone derivative-containing polymer into the formulation. The results show that all the formulated furanone-containing cements showed a significant antibacterial activity, accompanying with an initial CS reduction. Increasing loading significantly enhanced antibacterial activity but reduced the initial CS of the formed cements. The derivative showed a broad antibacterial spectrum on bacteria including S. mutans, lactobacillus, S. aureus and S. epidermidis. Human saliva did not affect the antibacterial activity of the cement. The long-term aging study indicates that the cements may have a long-lasting antibacterial function. Chapter 3 describes how we studied and evaluated the formulated antibacterial resin composite by incorporating the synthesized furanone derivative into the basic resin formulations. The results show that the modified resin composites showed a significant antibacterial activity without substantially decreasing the mechanical strengths. With 5 to 30% addition of the furanone derivative, the composite kept its original CS unchanged but showed a significant antibacterial activity with a 16-68% reduction in the S. mutans viability. Further, the antibacterial function of the new composite was not affected by human saliva. The aging study indicates that the composite may have a long-lasting antibacterial function. In summary, we have developed a novel furanone-containing antibacterial system for dental restoratives. Both glass-ionomer cement and resin composite have demonstrated significant antibacterial activities. The modified experimental glass-ionomer cement is a promising system because the reduced strength of the cement with addition of the furanone-containing polymer is still above those demonstrated by original commercial cement Fuji II LC. The modified resin composite shows nearly no reduction in mechanical strength after incorporation of the antibacterial furanone derivative. It appears that both experimental cement and resin composite are clinically attractive dental restoratives that can be potentially used for long-lasting restorations due to their high mechanical strength and permanent antibacterial function.
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    The Oxidative Response of Human Monocytes to Surface Modified Commercially Pure Titanium
    (Frontiers Media, 2021-06-02) De Poi, Robert P.; Kowolik, Michael; Oshida, Yoshiki; El Kholy, Karim; Periodontology, School of Dentistry
    Cellular responses to implanted biomaterials are key to understanding osseointegration. The aim of this investigation was to determine the in vitro priming and activation of the respiratory burst activity of monocytes in response to surface-modified titanium. Human peripheral blood monocytes of healthy blood donors were separated, then incubated with surface-modified grade 2 commercially pure titanium (CPT) disks with a range of known surface energies and surface roughness for 30- or 60-min. Secondary stimulation by phorbol 12-myrisate 13-acetate (PMA) following the priming phase, and luminol-enhanced-chemiluminescence (LCL) was used to monitor oxygen-dependent activity. Comparison among groups was made by incubation time using one-way ANOVA. One sample from each group for each phase of the experiment was viewed under scanning electron microscopy (SEM) and qualitative comparisons made. The results indicate that titanium is capable of priming peripheral blood monocytes following 60-min incubation. In contrast, 30 min incubation time lead to reduced LCL on secondary stimulation as compared to cells alone. At both time intervals, the disk with the lowest surface energy produced significantly less LCL compared to other samples. SEM examination revealed differences in surface morphology at different time points but not between differently surface-modified disks. These results are consistent with the hypothesis that the titanium surface characteristics influenced the monocyte activity, which may be important in regulating the healing response to these materials.