Kirbycase2231
With 3 exceptions out of a total of 14 comparisons for peri-implant strain and prosthesis displacement, the use of the prototype attachments always led to significantly lower mean values compared to the use of cylindrical telescopes (P < .00).
The individual retention force of telescopic crowns on implants should be set at a lower level compared to telescopic crowns on natural abutments. Incorporating a nickel-titanium element into attachment systems for implant-supported removable prostheses reduces peri-implant strain and may facilitate the use of telescopic crowns.
The individual retention force of telescopic crowns on implants should be set at a lower level compared to telescopic crowns on natural abutments. Incorporating a nickel-titanium element into attachment systems for implant-supported removable prostheses reduces peri-implant strain and may facilitate the use of telescopic crowns.
To evaluate the application of chitosan as a cleanser in the control of biofilm formation on cobalt-chromium (Co-Cr) alloy and acrylic resin surfaces.
In total, 172 Co-Cr discs and 172 acrylic resin discs (14 mm x 3 mm) were contaminated with Streptococcus mutans, Staphylococcus aureus, Candida albicans, or Candida glabrata and incubated for 48 hours. Then, specimens were randomly divided into groups and immersed in the following solutions for 15 minutes WC = solution without chitosan (control); CH = chitosan solution (5 mg/mL); CN = chitosan nanoparticle solution (3.8 mg/mL); and ET = effervescent tablet. Biofilm recovery rates (n = 9) were evaluated by counting the colony-forming units (CFU/mL). Biofilm morphology was evaluated using scanning electron microscopy. see more Data were compared with Kruskal-Wallis or analysis of variance followed by Tukey post hoc tests.
For acrylic resin, ET showed the lowest number of CFU for S aureus and S mutans (P < .001). CH exhibited intermediate values for S mutans, S aureus, and C albicans, and CN exhibited intermediate values for S mutans and S aureus. For C glabrata, there was no statistical difference between the solutions (P = .264). For Co-Cr, ET showed the highest level of antimicrobial action against all microorganisms (P < .001), and CH showed an intermediate level of action against S mutans and S aureus. Against C albicans and C glabrata, there was no significant difference among CH, CN, and WC.
Although ET had a broader spectrum of antimicrobial action, the chitosan solution showed promise as a denture cleanser.
Although ET had a broader spectrum of antimicrobial action, the chitosan solution showed promise as a denture cleanser.
To evaluate the effects of overnight storage conditions on the dimensional stability and retention of prostheses, as well as the participant's subjective perception of these interventions.
Subjects with maxillary complete prostheses (CRPs) were randomly assigned to receive two interventions in a crossover design storing the CRPs overnight in a dry or wet environment with a cleansing tablet. The denture intaglio surface was scanned, and outcome measures were collected before each intervention (BLN), post ntervention (PIS), and after immersion in water for 15 minutes after the intervention (WOC). Dimensional changes were analyzed for the total surface, anterior flange, palate, and tuberosities. Retention force was measured using a dynamometer, and the participants' subjective assessment of comfort, fit, and retention of their CRPs were collected. After verifying normal distribution, paired t and Wilcoxon signed-rank tests were used to check for any statistical significance (α = .05).
Ten participants (mean age 76.5 ± 5.9 y) were recruited in this study. Between BLN and PIS, the dimensional changes after dry intervention were significantly less than when stored wet for total surface (P = .009), anterior flange (P = .028), and the palate (P = .005). No difference was found between the effects of storage or washout interventions on objectively measured CRP retention. However, after WOC following dry storage, participants perceived a lower retention (P = .021), and a more comfortable palate after WOC following the wet intervention (P = .018).
For dimensional stability, dry overnight storage of removable prostheses can safely be recommended when indicated. Immersion in water for 15 minutes does not seem to add advantages.
For dimensional stability, dry overnight storage of removable prostheses can safely be recommended when indicated. Immersion in water for 15 minutes does not seem to add advantages.
To determine the effects of tooth brushing on the surface roughness (Sa) and morphology, maximum relative depth (Rv), gloss (GU), and microhardness (MH) of four esthetic restorative materials and enamel.
A light-curing composite resin (Filtek Supreme Ultra [FSU], 3M ESPE), two hybrid resin/ceramic CAD/CAM materials (Lava Ultimate [LAV], 3M ESPE, and VITA Enamic [VEN], VITA Zahnfabrik), and a CAD/CAM feldspathic ceramic (VITA Blocs Mark II [VMA], VITA Zahnfabrik) were evaluated. Bovine enamel (ENA) was used as a control group. All surfaces were polished in accordance with the manufacturer's instructions. Samples were analyzed before and after brushing (30,000 cycles) regarding Sa and Rv using a 3D laser-measuring microscope. GU was evaluated every 10,000 tooth brushing cycles. MH was also measured before and after tooth brushing. The surfaces were observed using scanning electron and laser measuring microscopies to determine the wear patterns. Data were analyzed by paired t test, one-way or two-way repeated measures analysis of variance, and Tukey test (α = .05), depending on the method performed.
The Sa increased significantly after brushing for all materials, except for VMA, which showed the opposite effect. ENA and VEN showed higher Rv than VMA. After 30,000 tooth brushing cycles, VMA showed the highest GU, while FSU showed the lowest. Also, little surface topography changes were observed for VMA. MH did not change significantly after 30,000 brushing cycles, except for LAV.
Brushing caused surface alterations in all tested materials except for feldspathic ceramic. The changes were more evident in resin-based materials.
Brushing caused surface alterations in all tested materials except for feldspathic ceramic. The changes were more evident in resin-based materials.