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At least 1,675 records · Page 93Linked to original sources
PubMed2005

Modeling the surface contamination of dental titanium investment castings.

OBJECTIVE: The objective of this study was to develop a computational tool for assisting the design of titanium dental castings with minimal defects and to compare computational simulations with casting experiments. METHODS: Modeling. An in-house cellular-automata solidification and finite-difference diffusion program was coupled with a commercial casting program and applied to (a) simple geometric wedge models and (b) a 3D-laser scan of a molar crown casting. Experimental. Wedges and molar crowns were hand-waxed and investment cast in commercial purity grade 1 (CP-1) titanium by a commercial dental laboratory. The castings were sectioned and analyzed using light and scanning electron microscopy, X-ray microanalysis, and microhardness testing. RESULTS: In the wedge sample, contamination with impurities (Al, Si), including intermetallic precipitates, was found to extend to a depth ranging from 30 to 120 microm depending on the section thickness and hence the local cooling rate. Microstructural and mechanical (hardness) effects were found to a depth ranging from 80 to 250 microm. The coupled micro/macro model predictions showed reasonable agreement for the pattern of contamination. SIGNIFICANCE: Dental and medical applications demand close dimensional tolerance and freedom from surface impurities and structural flaws in castings having unique shapes. The ability to predict the structural, mechanical, and chemical changes resulting from the casting process will help to design the casting and post-casting processes to minimize these problems.

Aluminum↗
PubMed2003

Computed tomography as a diagnostic aid for extracanal invasive resorption.

A case of multiple extracanal invasive resorption is reported. The patient had a history of hypothyroidism for approximately 1 yr before the dental visit. Utilization of computed tomography and a rapid prototyping tooth model in diagnosing the exact location and the size of the resorption area are discussed.

Female↗
PubMed2006

Bone microvascular pattern around loaded dental implants in a canine model.

The vascularity of the implant bed is a very important parameter in both bone formation and maintenance after dental implants insertion. The relationship between bone and vessels network organization is still unknown. The aim of this study was to investigate the three-dimensional bone vascular canals of the peri-implant bone after loading. A total of ten implants with sandblasted and acid-etched surface were placed in the mandible of a beagle dog. Three months later, the implants were connected and loaded. The dog was killed after 12 months. The specimens were embedded and processed for scanning electron microscopy (SEM) analysis. After a 1-year loading period, a very intricate vessel network could be seen around the implants. The vessels, with neighbouring soft tissues, were round in shape and showed a lot of anastomoses with a mesh-like appearance. They ran circularly around the dental implant. In the bone, the majority of the vessels appeared to ran parallel to the mandibular canal. After a 1-year loading period, the peri-implant bone vasculature looked like a mesh that surrounded the implants. Nevertheless, the presence of many thick vessels inside the peri-implant crestal bone indicates a high metabolic need and also a different bone organization, as no osteons were noted. The crater-like bone loss around the marginal part of the implant could be related to the microvasculature "strain". A high strain level could continuously activate the osteocyte-vessel syncytium, producing a net bone loss.

Alveolar Bone Loss↗
PubMed2003

Variations among the primary maxillary dental arch forms using a polynominal equation model.

This study identifies arch symmetry and describes arch form variations in normal primary maxillary dental casts. Sixty-two percent of casts had asymmetrical arches, and 38% had symmetrical arches. Six types of arch form were identified according to the ratio of arch width to length. There were more long types than short types. The rounded and short types tended to have a more-symmetrical arch than did the long type.

Cephalometry↗
PubMed1990

Effects of zirconia addition on fracture toughness and bending strength of dental porcelains.

Zirconia dispersed composite porcelains with glass and aluminous porcelain as matrix were prepared as models of dental porcelains. The bending strength and fracture toughness of the composite porcelains were examined. The bending strength and fracture toughness of composite porcelains containing 50 wt% zirconia were 20 to 80% greater than in glass alone. However, bending strength and fracture toughness decreased upon the addition of zirconia at more than 50 wt%. Moreover, in the case of aluminous porcelain as matrix, fracture toughness increased to a maximum value of 2.6 M Pa.m1/2by addition of 23 wt% zirconia, twice the toughness of glass alone. On the other hand, no increase of bending strength was observed in this case. Deflection and bowing of cracks as well as microcracking effects were related to these increases of mechanical properties in zirconia dispersed composite porcelains.

Aluminum Oxide↗
PubMed2007

Development of a three-dimensional finite element model of a human mandible containing endosseous dental implants. II. Variables affecting the predictive behavior of a finite element model of a human mandible.

The purpose of this study was to propose a systematic approach to validate a finite element model (FEM) of the human mandible and to investigate the effects of changing the geometry and orthotropic material properties on the FEM predictions. Thirty-eight variables affecting the material properties, boundary conditions, and the geometry of a FEM of a human mandible, including two dental implants, were systematically changed, creating a number of FEMs of the mandible. The effects of the variations were quantified as differences in the principal strain magnitudes modeled by the original FEM (gold standard), prior to the sensitivity analyses, and those generated by the changed FEMs. The material properties that had the biggest impact on the predicted cortical principal strain were the shear moduli (up to 31% in difference from the unchanged state), and the absence of cancellous bone (up to 34%). Alterations to the geometry of the mandibular cross section, such as an increase in corpus dimensions, had the greatest effect on principal strain magnitudes (up to 16%). Changes in the cortical thickness in relation to the width of the corpus section modified strain more than alterations to the corpus depth (14% and 5%, respectively). The relatively small difference (up to 13.5%) between the predicted and measured interimplant distances indicates the accuracy of the FEM. Changes in geometry and orthotropic material properties could induce significant changes in strain patterns. These values must therefore be chosen with care when using finite element techniques for predicting stresses, strains, and displacements.

Dental Implantation, Endosseous↗
PubMed1992

An improved intra-oral enamel demineralization test model for the study of dental caries.

The intra-oral enamel demineralization test (IEDT) was introduced by Brudevold et al. (1984). This caries model involves human subjects wearing palatal appliances each holding eight bovine enamel blocks covered by a bacterial cell layer prepared by the harvesting of cultures of Streptococcus mutants (test plaque). The original model used the iodide permeability test for assessment of the extent of demineralization of bovine enamel blocks resulting from acid production by the test plaque after dietary substrate challenge. The IEDT model has been expanded and improved by us in the following ways: (1) Based on encouraging findings from an in vitro study (Zero et al., 1990), the surface microhardness test has been adopted to measure the extent of demineralization occurring at three sites on the enamel blocks corresponding to an area over which the effective plaque thickness is 0.5, 1.5, and 2.5 mm; (2) intra-oral pH of the test plaque is measured by means of a Beetrode miniature pH electrode at baseline, then at five, 10, 15, 30, and 45 min after the start of a test; (3) plaque samples are collected at the end of a test and analyzed for organic acid content by means of HPLC; (4) the bacterial test challenge has been expanded to include different cariogenic bacteria which are grown under various growth conditions. The improved model has the capability of studying fundamental aspects of the caries process, namely, the relationships among dietary substrate challenge, plaque pH change, plaque organic acid profiles, microbial virulence properties, and enamel demineralization. Furthermore, the model has the potential for use in more applied research on caries-preventive agents such as fluoride.

Adult↗
PubMed1990

Social inequalities in dental health. Towards a theoretical explanation.

The analysis of social inequality is one of the predominant concerns of sociology. Inequalities in general health or utilization of health care services are nearly universal. The purpose of the paper is to describe inequalities in dental health in Denmark. Recent empirical findings are reviewed. Longitudinal data on the number of adults with few or no teeth left show remarkable differences between low and high social classes in 1976 and 1986. Among the younger individuals some reduction in the social differences has been observed over time. This was ascribed to the establishment of a public child dental health service. The level of dental caries and unmet treatment need is higher among workers than officials. Studies of industrial workers also indicate that dental illness or diseases are induced by environmental working factors. The association between health-related behavior and dental health status has been demonstrated as well as the effects of social network relations and lifestyle. Finally, theoretical explanations of the inequalities in dental health are outlined: artefact explanations, theories of natural or social selection, materialist or structuralist explanations, and cultural/behavioral explanations. Arguments for the relevance of the materialist/structuralist and the cultural/behavioral approaches are given and a combined model on dental health is presented. The practical implications of the various models are discussed.

Adult↗
PubMed1992

The holodent system, a new technique for measurement and storage of dental casts.

A system for producing holograms and for three-dimensional measuring on holograms is described. The precision of the system was evaluated when three-dimensional measurements were made on (1) a holographic image superimposed on the corresponding object and (2) two superimposed holographic images of the same object. When a metal test object with sharp well-defined contours, easy to reorientate was used, the precision was 0.02 to 0.11 mm for x, y, and z coordinates (transverse, longitudinal, and vertical planes). When dental casts that have less distinct contours were used, precision was reduced to 0.03 to 0.43 mm. Precision was high for the x and y coordinates and satisfactory for the z coordinate. The system has a precision that is equal to that of previously reported methods and may be well-suited for studies of dental positional changes in longitudinal materials of study models. Holograms of dental casts may solve storage problems by replacing space consuming plaster models.

Dental Records↗
PubMed2006

Efficient 3D finite element analysis of dental restorative procedures using micro-CT data.

OBJECTIVES: This investigation describes a rapid method for the generation of finite element models of dental structures and restorations. METHODS: An intact mandibular molar was digitized with a micro-CT scanner. Surface contours of enamel and dentin were fitted following tooth segmentation based on pixel density using an interactive medical image control system. Stereolithography (STL) files of enamel and dentin surfaces were then remeshed to reduce mesh density and imported in a rapid prototyping software, where Boolean operations were used to assure the interfacial mesh congruence (dentinoenamel junction) and simulate different cavity preparations (MO/MOD preparations, endodontic access) and restorations (feldspathic porcelain and composite resin inlays). The different tooth parts were then imported in a finite element software package to create 3D solid models. The potential use of the model was demonstrated using nonlinear contact analysis to simulate occlusal loading. Cuspal deformation was measured at different restorative steps and correlated with existing experimental data for model validation and optimization. RESULTS: Five different models were validated by existing experimental data. Cuspal widening (between mesial cusps) at 100 N load ranged from 0.4 microm for the unrestored tooth, 9-12 microm for MO, MOD cavities, to 12-21 microm for endodontic access cavities. Placement of an MOD adhesive restoration in porcelain resulted in 100% cuspal stiffness recovery (0.4 microm of cuspal widening at 100 N) while the composite resin inlay allowed for a partial recuperation of cusp stabilization (1.3 microm of cuspal widening at 100 N). SIGNIFICANCE: The described method can generate detailed and valid three dimensional finite element models of a molar tooth with different cavities and restorative materials. This method is rapid and can readily be used for other medical (and dental) applications.

Bite Force↗
PubMed1989

Ibuprofen and acetaminophen in the relief of acute pain: a randomized, double-blind, placebo-controlled study.

To determine the relative analgesic efficacy of ibuprofen 400 mg and acetaminophen 1000 mg, we conducted a single-dose, double-blind, placebo-controlled, randomized clinical trial using a standard assay for analgesic agents, the dental pain model. At regular intervals over 6 hours, 184 patients who had undergone dental impaction surgery rated pain intensity and relief on categorical scales and pain half-gone on a dichotomous nominal scale; a categorical overall evaluation was completed at the end of 6 hours. Both active agents were effective compared to placebo. Ibuprofen 400 mg was more effective than acetaminophen 1000 mg for Sum Pain Intensity Difference (SPID), Total Pain Relief (TOTPAR), sum pain half-gone, and overall evaluation (P less than .05 to P less than .001). The time-effect curves demonstrated a greater peak effect and longer duration of action for ibuprofen 400 mg compared to acetaminophen 1000 mg. Side effects were reported in five ibuprofen patients, 11 acetaminophen-treated patients, and seven placebo patients. Based on the results of this clinical study, we conclude that ibuprofen 400 mg is a safe and more effective analgesic than acetaminophen 1000 mg for patients with acute pain.

Acetaminophen↗
PubMed1998

The force module for the bending art system. Preliminary results.

The force module for the bending art system (BAS) is used to calculate the initial forces and moments expected to act on a tooth after changing arch wires. The present study analyses the accuracy of the force module on the basis of 10 patients treated with the BAS (with an average observation period of 10 months). An average of 6 arch wires (0.16" x 0.016" steel) were used on each jaw. The approximate pressure in the periodontium was determined and statistically evaluated from the force module readings. The resulting average pressure values for the molars ranged between 0.26 N/cm2 and 0.54 N/cm2. The value in the area of the incisors, cuspids and bicuspids ranged between 1.03 N/cm2 and 2.83 N/cm2. Maximum pressure was 8.02 N/cm2. The results are discussed from a clinical point of view on a case-to-case basis. They are plausible in and for themselves. The more severe the initial state of misalignment, the higher the pressure values. These forces can be reduced by increasing the number of arch wires or by altering the form of the archwire correspondingly. The computer-generated values should be confirmed by taking a direct measurement on the tooth. The force module is just the first step in providing a reproducible estimation of the forces acting on a tooth. Even if the calculated absolute values should still be judged with reservation, they are nevertheless suitable for providing a comparative evaluation of various treatment concepts with reference to the forces acting on the periodontium and can serve clinicians as a rapidly available decision-making aid.

Adolescent↗
PubMed1991

[The importance and technic of temporomandibular joint positioning in the sagittal splitting of the mandible].

The rigid fixation of segments in orthognathic surgery offers the advantage of avoiding long-term rigid intermaxillary immobilisation and reducing in-hospital treatment time and the entire clinical course. Nevertheless, it is difficult or even impossible to correct postoperatively osteotomy segments. Therefore the exact transfer of the preoperative position of the condyle to the postoperative situation is essential for the use of this technique and its use in bimaxillary surgery. The presented technique, which has been successful in the cooperation of orthodontics and orthognathic surgery for many years, is a prerequisite for an up-to-date treatment of dentofacial anomalies.

Dental Articulators↗
PubMed1994

[Retraction of the upper incisors with pseudoelastic treatment elements. Their computational and biomechanical testing and clinical use].

Based on the favorable results achieved by the application of pseudoelastic T loops in the course of canine retraction, this study investigates their application to the retraction of maxillary incisors. A modified Burstone T loop was made of a pseudoelastic orthodontic nickel titanium wire and then subjected to experimental testing. The results obtained were compared with extensive numerical studies. The results of the tests showed that forces and moments generated by the T loop are suitable for the retraction of upper incisors. The clinical application of the pseudoelastic spring was performed using an individualized retraction arch enclosing the whole front segment. Whereas during canine retraction the experimental and clinical results corresponded very well, such was not observed during the retraction of upper incisors. This result implies that the location of the center of resistance of the upper incisors has not been completely clarified. It is thus recommended that this matter should be given further study.

Biomechanical Phenomena↗