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PURPOSE: To compare the stress distribution of mandibular full dentures supported with implants according to the bar materials and manufacturing techniques using a qualitative photoelastic analysis. MATERIAL AND METHODS: An acrylic master model simulating the mandibular arch was fabricated with four Morse taper implant analogs of 4.5×6mm. Four different bars were manufactured according to different material and techniques: fiber-reinforced resin (G1, Trinia, CAD/CAM), commercially pure titanium (G2, cpTi, CAD/CAM), cobalt­chromium (G3, Co-Cr, CAD/CAM) and cobalt­chromium (G4, Co-Cr, conventional cast). Standard clinical and laboratory procedures were used by an experienced dental technician to fabricate 4 mandibular implant-supported dentures. The photoelastic model was created based on the acrylic master model. A load simulation (150N) was performed in total occlusion against the antagonist. RESULTS: Dentures with fiber-reinforced resin bar (G1) exhibited better stress distribution. Dentures with machined Co-Cr bar (G3) exhibited the worst standard of stress distribution, with an overload on the distal part of the posteriors implants, followed by dentures with cast Co-Cr bar (G4) and machined cpTi bar (G2). CONCLUSION: The fiber-reinforced resin bar exhibited an adequate stress distribution and can serve as a viable alternative for oral rehabilitation with mandibular full dentures supported with implants. Moreover, the use of the G1 group offered advantages including reduced weight and less possible overload to the implants components, leading to the preservation of the support structure.

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AIMS: This study used finite element analysis to compare the biomechanical performance of splinted (SP) and nonsplinted (NSP) prostheses to regular and short length Morse taper implants in the posterior side of the mandible. METHODS: The authors used 3-dimensional geometric models of regular implants (∅4 × 11 mm) and short implants (∅4 × 5 mm) housed in the corresponding bone edges of the posterior left mandibular hemiarch involving tooth 34. The 8 experimental groups were: the control group SP (3 regular implants rehabilitated with SP), group 1SP (2 regular and 1 short implants rehabilitated with SP), group 2SP (1 regular and 2 short implants rehabilitated with SP), group 3SP (3 short implants rehabilitated with SP), the control group NSP (3 regular implants rehabilitated with NSP), group 1NSP (2 and 1 short implants rehabilitated with NSP), group 2NSP (1 regular and 2 short implants rehabilitated with NSP), and group 3NSP (3 short implants rehabilitated with NSP). Oblique forces were simulated in the molars (365 N) and premolars (200 N). Qualitative and quantitative analysis of the distribution of Von Mises equivalent stress (implants, components, and infrastructure) was performed using the AnsysWorkbench10.0 software. RESULTS AND CONCLUSIONS: The results showed that the use of SP provides several advantages and benefits, reducing the stresses placed on the implant surface, on the transmucosal abutment areas and on the interior region of the infrastructure. The use of NSP was advantageous in reducing the stresses on the abutments and in the distal interproximal area of connection between the crowns.

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OBJECTIVES: To evaluate the effect of thermal cycling and inner surface treatment with aluminum oxide at different granulations on the tensile strength of Ni-Cr copings cemented with different cementing agents. MATERIALS AND METHODS: Ninety-six metal copings were manufactured and divided into two groups: before and after thermal cycling (n = 48). The copings of both groups were internally treated by sandblasting with aluminum oxide particles of 100 (n = 24) and 320 (n = 24) mesh. The copings were cemented on previously manufactured metal cores using zinc phosphate (n = 8), conventional glass ionomer (CGIC) (n = 8) and resin-modified glass ionomer (RMGIC) (n = 8) cements. The tensile strength before and after thermal cycling was then determined (Newtons). RESULTS: The tensile strength before and after thermal cycling was significantly higher in copings cemented with RMGIC compared to CGIC (p < 0.05) and was similar to that for zinc phosphate (p > 0.05). Thermal cycling and sandblasting of the inner surface of the metal copings with different granulations did not influence retention (p > 0.05). CONCLUSIONS: Zinc phosphate cements and RMGIC showed similar retention. Additionally, the retention of the cements was not influenced by either thermal cycling or the particle size of the aluminum oxide.

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Comunicações ou fístulas bucossinusais são espaços patológicos criados entre o seio maxilar e a cavidade bucal, geralmente associadas a exodontias em região posterior de maxila. A literatura cita inúmeros fatores etiológicos e métodos de fechamento, que dependem do bom diagnóstico e de indicação adequada, variando tais comunicaçõesem relação a tamanho, duração, associação com patologias sinusais e localização. O objetivo do presente artigo é relatar uma comunicação bucossinusal de difícil diagnóstico, através do ligamento periodontal do primeiro molar, após tentativas de enxerto gengival no local.

Communications or oroantral fistulas are pathological spaces created between maxillary sinus and the oral cavity, which are usually associated with tooth extraction in the area of posterior maxilla. The literature suggests several etiological factors and of hard diagnosis through the first molar periodontal ligament, after attempts of methods torepair it, that rely on an appropriate diagnosis and indication. Change according to the size, duration and association with sinus conditions and location. The purpose of this current report is to relate an oroantral communication gingival graft in the affected site.

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