The accuracy of impressions that transfer the relationship of the implant to the metal framework of the prosthesis continues to be a problem. This study was designed to evaluate the accuracy of the transfer process under variable conditions with regard to implant analog angulations, impression materials, and techniques. Replicas (n = 60) of a metal matrix (control) containing four implants at 90°, 80°, 75°, and 65° in relation to the horizontal surface were obtained by using three impression techniques: T1—indirect technique with conical copings in closed trays; T2—direct technique with square copings in open trays; and T3—square copings splinted with autopolymerizing acrylic resin; and four elastomers: “P”—polysulfide; “I”—polyether; “A”—addition silicone; and “Z”—condensation silicone. The values of the implant analog angulations were assessed by a profilometer to the nearest 0.017°, then submitted to analysis of variance for comparisons at significance of 5% (P < .05). For implant analog at 90°, the material “A” associated with T2 and material “Z” with T3 behaved differently (P < .05) from all groups. At 80°, all materials behaved differently (P < .01) with T1. At 75°, when T1 was associated, materials “P” and “A” showed similar behavior, as well as materials “I” and “Z”; however, “P” and “A” were different from “I” and “Z” (P < .01). When T3 was associated, all experimental groups behaved differently among them (P < .01). At 65°, the materials “P” and “Z” behaved differently (P < .01) from the control group with T1, T2, and T3; the materials “I” and “A” behaved differently from the control group (P < .01) when T1 and T2, respectively, were associated. The more perpendicular the implant analog angulation is in relation to the horizontal surface, the more accurate the impression. The best materials were material “I” and “A” and the most satisfactory technique was technique 3.
20 October 2012 in The Journal of Indian Prosthodontic Society
Titanium is a metallic element known by several attractive characteristics, such as biocompatibility, excellent corrosion resistance and high mechanical resistance. It is widely used in Dentistry, with high success rates, providing a favorable biological response when in contact with live tissues. Therefore, the objective of this study was to describe the different uses of titanium in Dentistry, reviewing its historical development and discoursing about its state of art and future perspective of its utilization. A search in the MEDLINE/PubMed database was performed using the terms ‘titanium’, ‘dentistry’ and ‘implants’. The title and abstract of articles were read, and after this first screening 20 articles were selected and their full-texts were downloaded. Additional text books and manual search of reference lists within selected articles were included. Correlated literature showed that titanium is the most used metal in Implantology for manufacturing osseointegrated implants and their systems, with a totally consolidated utilization. Moreover, titanium can be also employed in prosthodontics to obtain frameworks. However, problems related to its machining, casting, welding and ceramic application for dental prosthesis are still limiting its use. In Endodontics, titanium has been used in association to nickel for manufacturing rotatory instruments, providing a higher resistance to deformation. However, although the different possibilities of using titanium in modern Dentistry, its use for prostheses frameworks still needs technological improvements in order to surpass its limitations.
1 April 2012 in Journal of the Mechanical Behavior of Biomedical Materials
Lipopolysaccharide (LPS) may induce peri-implantitis and implant failure. However, the role of LPS in titanium (Ti) electrochemical behavior remains unknown. We hypothesized that LPS in saliva with different pHs affects Ti corrosion properties. Thirty-six Ti discs (15 mm × 3 mm) were divided into 12 groups according to saliva pH (3, 6.5, and 9) and Escherichia coli LPS concentration (0, 0.15, 15, and 150 µg/mL). Electrochemical tests, such as open circuit potential, potentiodynamic, and electrochemical impedance spectroscopy, were conducted in a controlled environment. Data were evaluated by Pearson correlation and regression analysis (α = 0.05). LPS and pH affected Ti corrosive behavior. In general, lower pH and higher LPS concentration accelerated Ti corrosion. In the control group, the increase of pH significantly reduced the corrosion rate and increased the capacitance of the double layer. In LPS groups, the decrease of pH significantly increased the corrosion rate of Ti. LPS negatively influenced Ti corrosion behavior. Abbreviations: Cdl, capacitance of double layer; Ecorr, corrosion potential; EIS, electrochemical impedance spectroscopy; Icorr, corrosion current density; Ipass, passivation current density; LPS, lipopolysaccharide; OCP, open circuit potential; Rp, polarization resistance; Ti, titanium.