Background: The ability of modern implant dentistry to achieve goals such as normal contour, function, comfort, esthetics, and health to totally or partially edentulous patients guaranteed it to be more effective and reliable method for the rehabilitation process of many challenging clinical situations. In regard to this, the current study evaluates the effect of changing implant shape design parameters on interface stress distribution within the mandible bone. Materials and Methods: A numerical procedure based on finite element (FE) method was adopted to investigate the influence of using different body design and thread depth of the inserted implant on the final stress situation. For the purpose of evaluation, a three-dimensional realistic FE models of mandible bone and inserted implant were constructed and analyzed using a pack of engineering software (Solidworks, and ANSYS). Six different commercial implant models (cylindrical and tapered) with three different V-shaped thread depths (0.25 mm, 0.35 mm, and 0.45 mm) were designed to be used in this study. The suggested implants used in this study were threaded in two different locations of mandible bone; the anterior region (Type I model) and posterior region (Type II model). A vertical static load of 250 N was directly applied to the center of the suprastructure of the implant for each model. Results: For both models, evaluations were achieved to figure out the stress distribution patterns and maximum equivalent von Mises. The results obtained after implementation of FE dental-implant models show that the highest stresses were located at the crestal cortical bone around the implant neck. In addition, the simulation study revealed that taper body implant had a higher peak value of von Mises stress than that of cylinder body implants in all types of bones. Moreover, a thread depth of 0.25 mm showed highest peak of maximum von Mises stresses for Type I and Type II models. Conclusion: The simulation results indicate that all models have the same von Mises stress distribution pattern and higher peak von Mises stresses of the cortical bone were seen in tapered implant body in contrast to the cylindrical body.

The objective of this study was to evaluate the biomechanical and thermal behavior of a proposed preparation design as a conservative treatment option that aims to preserve both gingival and tooth health structures through a comparative finite element analysis with non-preparation and conventional designs. 3D solid models of laminate veneers with different preparation designs were obtained using cone-beam computed tomography (CBCT) scanning of the maxillary incisor. A 100-Newton load was applied with angulations of 60° and 125° to the longitudinal axis of the tooth to determine the stresses during mastication. In addition, transient thermal analysis was performed to compare the temperature and thermal distribution of the restored tooth models when subjected to thermal loads of 5 °C and 55 °C. Teeth prepared with the proposed design showed lower stress distributions and a repairable failure mode, followed by the non-preparation design, while teeth prepared with the conventional design showed the highest stress concentrations. Furthermore, cold thermal loading yielded larger thermal stress distributions than hot thermal loading, independent of the preparation type, and the effect of temperature changes were within the critical limit near the pulp and dentin regions. Thus, the preparation design geometry affects the long-term success of laminate restoration, and the proposed design yields more uniform and appropriate stress distributions than the other techniques.

Context: The ability of implant dentistry to be a successful alternative for edentulous patients has increased in the last decade. Clinical features such as osseointegration and stability, in addition to the endurance of the integration urged the researchers towards a better understanding of the design parameters that control long term success of the implants. It is therefore necessary to quantify the effect of changing implant design parameters on interface stress distribution within the maxilla bone. Methods and Materials: A 3D-finite element study was conducted to investigate the effect of changing implant shape parameters (implant body design and implant thread depth) on stress distribution while insertion of the implant in two different regions of maxilla bone (anterior (type III bone) and posterior (type IV bone)). A 3D-CAD geometry of implant-maxilla bone was created through importing digitally visualized CT skull images of a human adult, and then converted into a workable solid body through using a collection of engineering software. Tapered and cylindrical implant models with three different implant V-shaped thread depths (0.25 mm, 0.35 mm, 0.45 mm) were threaded into maxilla bone to investigate the design parameters effect on the final stress status. The proposed implant was of commercial dimensions of 10 mm length and 4 mm in diameter. A vertical static load of 250N was directly applied to the center of the suprastructure of the implant for each model. Results: Evaluations were performed for stress distribution patterns and maximum equivalent Von Mises (EQV) stresses for implants in two regions of maxilla bone under 250N vertical static loading. The obtained results throughout this work showed that, for all models, the highest stresses were located at the crestal cortical bone around the implant neck. The von-Mises stress distribution patterns at different models were similar and higher peak von-Mises stresses of cortical bone were seen in tapered implant body compared to cylinder body in all models. Conclusions: Within the restrictions of the current model, the results obtained can be applied clinically to select properly both implant thread depth and body shape design for a foreseeable success of implant therapy.

Purpose: The aim of this study was to compare the effect of rotary (air-driven, electric-driven) and oscillating (piezoelectric ultrasonic) handpieces on the quality of crown preparation, marginal integrity, and internal adaptation of monolithic zirconia crowns. Materials and Methods: Seventy-two standardized premolar preparations were performed using the air-driven handpiece with a guide pin-ended tapered fissure diamond bur on a modified dental surveyor. The finishing process utilized three handpiece types (n = 24/group) with fine/superfine diamond burs under controlled force with a fixed number of rotations and controlled advancement time. Marginal/internal adaptation was evaluated via the triple-scan technique; defects (marginal, axial, and occlusal) were quantified based on predefined criteria through the inspection of the Standard Tessellation Language (STL) file. Results: One-way ANOVA with Tukey HSD and Kruskal–Wallis with Dunn–Bonferroni tests were utilized. The marginal gap showed no significant differences (p > 0.05, η² = 0.04). The electric handpiece outperformed the ultrasonic (p = 0.023, η² = 0.105) in internal adaptation, while the air-driven showed no differences (p > 0.05). The ultrasonic handpiece produced fewer marginal defects than the air-driven (p = 0.039, ε² = 0.132), but more axial defects (median 9 vs. 6, p = 0.014, ε² = 0.168) than the electric handpiece and occlusal defects (5 vs. 3, 4 p = 0.007, p = 0.015, ε² = 0.227) than rotary handpieces. The air-driven handpiece exhibited comparable defect numbers to the electric handpiece without statistical significance (p > 0.05). Conclusions: Handpiece selection had a small effect on marginal adaptation but more pronounced effects on overall defect formations and internal adaptation. The ultrasonic handpiece’s decreased marginal defects but variable axial/occlusal results reveal technological constraints, whereas rotary handpieces’ consistency reflects their operator-dependent nature.

Purpose. This study evaluates the effect of bleaching before or after veneer preparation and the depth of preparation on color masking ability of laminate veneers. Methods. Sixty extracted premolars were artificially stained to vita shade A4, verified by digital spectrophotometer (Vita Easy Shade V), and then divided into three groups: NB = nonbleached, BBP = bleaching before preparation, and BAP = bleaching after preparation. Based on the preparation depths, each group was further divided into two subgroups: S1 = 0.5 mm and S2 = 1.0 mm. BBP and BAP were subjected to one session of in‐office bleaching using 35% hydrogen peroxide. IPS e‐max CAD veneers of 0.5 and 1.0 mm thickness (corresponding to the preparation depths) of the same shade and translucency (HT A1) were cemented immediately to the bleached surfaces. Immediately after cementation, the color change ΔE between the baseline (after staining) and the resulted shades was measured using the Vita Easy Shade V digital spectrophotometer and CIELab color system. Results. Bleached groups exhibited a significant ΔE value compared to the nonbleached group (p < 0.05). BAP showed the highest ΔE value. No significant difference was found between BBP and BAP. S2 revealed a significant ΔE value than S1 (p < 0.05). No significant difference was found between S1of BAP and S2 of NB, BBP, and BAP (p > 0.05). Regarding the color coordinates, the difference between the tested groups was highly significant in lightness (ΔL∗) (p < 0.001), while no significant differences were found in green/red value (Δa∗) and yellow/blue value (Δb∗) (p > 0.05). Conclusions. In cases of severe tooth discoloration, one session of in‐office bleaching before or after veneer preparation and the preparation depth do not influence the color masking ability of laminate veneers.

This study aimed to assess the biomechanical behavior of endocrown-restored mandibular molars according to “margin design” and “coverage extent” using finite element analysis (FEA). Six 3D solid models were fabricated, namely, those with complete occlusal coverage: A (butt joint), B (anatomic margin); partial coverage (two mesial cusps): C (butt joint), D (anatomic margin); and partial coverage with mesial class II cavity: E (butt joint), F (anatomic margin). All models received lithium disilicate endocrowns (2.0 mm thickness and 4.0 mm central retainer cavity depth). A 300 N vertical load was applied to the occlusal surface, while a 250 N oblique load was applied at 45° to the lingual inclined planes of the buccal cusps. The maximum von Mises stress (VMS) distribution patterns were calculated for the endocrown, tooth structure, and cement layer. The VMS on the prepared teeth and cement layer showed subtle differences between the tested models under vertical loads. The anatomic margin (partial and complete coverage) exhibited a more homogeneous stress distribution and offered a more adhesive area of the tooth structure. Under oblique loading, the anatomic margin (complete and partial), except Model D, exhibited the lowest VMS in the cement layer. An anatomically based endocrown could be a promising alternative to the butt joint design, providing better-devised endocrown restorations, which could potentially yield a more benign stress dissipation.