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  • Article
    Citation - WoS: 22
    Citation - Scopus: 27
    Influence of prosthesis type and material on the stress distribution in bone around implants: A 3-dimensional finite element analysis
    (Elsevier Taiwan, 2011) Meric, Gokce; Erkmen, Erkan; Kurt, Ahmet; Tunc, Yahya; Eser, Atilim
    Background/purpose: The design and materials of a prosthesis affect the loading of dental implants and deformation of the bone. The aim of the study was to evaluate the effects of prosthesis design and materials on the stress distribution of implant-supported prostheses. Materials and methods: A 3-dimensional finite element analysis method was selected to evaluate the stress distribution in the bone. Three different models were designed as follows: a 3-unit implant-supported fixed partial denture (FPD) composed of a metal framework and porcelain veneer with (M2) or without a cantilevered extension (M1) and an FPD composed of a fiber-reinforced composite (FRC) framework and a particulate composite veneer without a cantilevered extension (M3). In separate load cases, 300-N vertical, 150-N oblique, and 60-N horizontal forces were applied to the prostheses in the models. von Mises stress values in the cortical and cancellous bone were calculated. Results: In cortical bone, the highest von Mises stresses were noted in the M2 Model with a vertical load; whereas, higher stresses were observed in the M1 Model with horizontal and oblique loads. The lowest stress values were determined in the M3 Model for all loading conditions. In cancellous bone, decreased stress values were found with all 3 models under the applied loads. Conclusions: Prosthesis design and materials affect the load-transmission mechanism. Although additional experimental and clinical studies are needed, FRC FPDs can be considered a suitable alternative treatment choice for implant-supported prostheses. Within the limitations of the study, the 3-unit FPD supported by 2 implants with a cantilevered extension revealed acceptable stress distributions. Copyright (C) 2011, Association for Dental Sciences of the Republic of China. Published by Elsevier Taiwan LLC. All rights reserved.
  • Article
    Citation - WoS: 11
    Citation - Scopus: 12
    Histologic and Biomechanical Evaluation of Osseointegrated Miniscrew Implants Treated With Ozone Therapy and Photobiomodulation at Different Loading Times
    (Quintessence Publishing Co inc, 2019) Yucesoy, Turker; Seker, Elif Dilara; Cenkci, Ebru; Yay, Arzu; Alkan, Alper
    Purpose: The aim of this study was to evaluate how continuous heavy orthopedic forces affect the stability of sandblasted, large-grit, acid-etched (SLA)-surfaced miniscrew implants and surrounding bone tissue healing at three different loading periods with treatment of photobiomodulation and ozone therapy. Materials and Methods: Miniscrew implants were applied on the tibias of 9-month-old rabbits (n = 18). The animals were randomly divided into three groups: control, photobiomodulation, and ozone therapy. In all groups, miniscrew implants were loaded with 500 gf at 0, 4, and 8 weeks, respectively (G1, G2, and G3). Several biomechanical and histologic analyses were performed in different centers to measure the implant stability quotient level, bone volume, and bone-to-implant contact. Results: According to the results of the Infinite Focus Microscopy, the ozone therapy group revealed significantly higher scores than the control group and photobiomodulation group at the 4-week loading time, whereas the photobiomodulation and ozone therapy groups revealed significantly higher scores than the control group at the 8-week loading time in terms of bone volume measurements in mm(3) (P < .05). According to the histologic analysis, the ozone therapy and photobiomodulation groups revealed significantly higher scores than the control group at the 4-week loading time, whereas the photobiomodulation group showed the highest scores among the 8-week loading groups (P < .05). Conclusion: This is the first study in the literature that reveals a better osseointegration process in miniscrew implants when treated with photobiomodulation and ozone therapy compared with control groups. Although the photobiomodulation and ozone therapy groups did not reveal significantly higher scores in immediately loaded miniscrew implants (G1), these treatments were significantly more effective when loaded after 4 or 8 weeks of osseointegration (G2 and G3). SLA-surfaced miniscrew implants are successful in the orthopedic forces (500 gf) and can be removed without complications.