0000000000014653
AUTHOR
Carlos Labaig-rueda
Implant treatment in patients with osteoporosis
Osteoporosis is very common, particularly in post-menopausal women and is characterized by a decrease in bone mass and strength. Osteoporosis also affects the jawbone and it is considered a potential contraindication to placement of dental implants. The present paper reviews the literature regarding the effect of osteoporosis on osseointegration of implants. Experimental models have shown that osteoporosis affects the process of osseointegration, which can be reversed by treatment. However, studies in subjects with osteoporosis have shown no differences in survival of the implants compared to healthy individuals. Therefore, osteoporosis cannot be considered a contraindication for implant pl…
Clinical Behavior of Short Dental Implants: Systematic Review and Meta-Analysis
Short implants are an increasingly common alternative to other surgical techniques in areas where bone availability is reduced. Despite the advantages they offer, a variety of biological repercussions have been described in the literature that can even lead to the loss of these. The aim of this systematic review and meta-analysis was to analyze the impact of the use of short implants on their survival and on peri-implant bone loss, evaluating the influence that length, diameter, and crown-to-implant ratio (C/I) have on these parameters. This systematic review was based on guidelines proposed by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). An electronic se…
Influence of Biologically Oriented Preparation Technique on Peri-Implant Tissues; Prospective Randomized Clinical Trial with Three-Year Follow-Up. Part II: Soft Tissues
Purpose: The objective of this prospective randomized clinical trial (RCT) was to analyze and compare the clinical behavior of three types of prosthesis supported by single implants in the posterior region after three years of functional loading. Materials and methods: Seventy-five implants were divided into three groups according to the type of prosthetic restoration: screw-retained crown (group GS); cemented crown without finishing line (biologically oriented preparation technique) (group GBOPT); and conventional cemented crown with finishing line (group GCC). After three years in function, clinical parameters (presence of keratinized mucosa, probing depths, bleeding on probing, and radio…
Post-fatigue fracture resistance of metal core crowns: press-on metal ceramic versus a conventional veneering system
Background The aim of this in vitro study was to compare the mechanical failure behavior and to analyze fracture characteristics of metal ceramic crowns with two veneering systems – press-on metal (PoM) ceramic versus a conventional veneering system – subjected to static compressive loading. Material and Methods Forty-six crowns were constructed and divided into two groups according to porcelain veneer manufacture. Group A: 23 metal copings with porcelain IPS-InLine veneering (conventional metal ceramic). Group B: 23 metal copings with IPS-InLine PoM veneering porcelain. After 120,000 fatigue cycles, the crowns were axially loaded to the moment of fracture with a universal testing machine. …
In vitro preliminary study of osteoblast response to surface roughness of titanium discs and topical application of melatonin
Objectives: To observe human osteoblast behavior cultured in vitro on titanium discs (Ti) in relation to surface roughness and melatonin application. Study Design: Human osteoblasts (MG-63) were cultured on 60 Ti6Al4V discs divided into three groups: Group I: discs treated with dual acid etching; Group II dual acid etching and blasting with calcium phosphate particles; Group III (control) machined discs. Surface roughness and topography of the discs were examined with scanning electron microscope (SEM) and confocal laser scanning electron microscope( CLSM). Osteoblast adhesion, proliferation and cell morphology were determined by means of fluorescence microscopy with Image-Pro Plus software…
Behavior of Human Osteoblast Cells Cultured on Titanium Discs in Relation to Surface Roughness and Presence of Melatonin
The aim of this work was to observe the behavior of osteoblast cells cultured in vitro on titanium discs in relation to disc surface roughness and the addition of melatonin to the culture medium. MG63 osteoblast cells were cultivated on 120 Grade 5 Ti divided into three groups: Group E, treated with dual acid etch; Group EP, treated with dual acid etch and calcium phosphate; and Group M, machined. Surface roughness was examined under a laser scanning confocal microscope (CLSM) and scanning electron microscopy (SEM). The proliferation and morphology of cells were determined under fluorescence microscopy and SEM. Messenger ribonucleic acid (mRNA) of different genes related to osteoblastic dif…
Biologically oriented preparation technique (BOPT) for implant-supported fixed prostheses
A patient of 58 years of age without medical problems came to the clinic due to missing teeth in the upper posterior region and to change the partial fixed prosthesis in the upper anterior area. Proposed treatment: surgical phase of three conical shape tapering implants with prosthetic platform in occlusal direction with mechanize collar tissue level with fixtures to place implant-supported metal-ceramic restorations. In the anterior area, a zirconium oxide fixed partial prosthesis was vertical preparation of the tooth’s. When preparing teeth to receive fixed prostheses, the definition and shape of finish lines has been a subject of endless discussion, modification, and change ever since th…
Implant-supported metal-ceramic and resin-modified ceramic crowns: A 5-year prospective clinical study.
Abstract Statement of problem Because of market demand for innovation, new restoration materials have been introduced without adequate testing; clinical failure may be the consequence, and clinical studies are needed. Purpose The purpose of this clinical study was to evaluate the biological and mechanical clinical behavior of implant-supported resin-modified ceramic crowns compared with that of metal-ceramic crowns. Material and methods Forty-two participants aged between 35 and 65 years received single implants in posterior edentulous sites. After the osseointegration period, half of the implants (selected randomly) (n=25) were restored with metal-ceramic crowns (MC group) and the other ha…
Comparative Analysis of Peri-Implant Bone Loss in Extra-Short, Short, and Conventional Implants. A 3-Year Retrospective Study
Objective: To evaluate the influence of implant length on marginal bone loss, comparing implants of 4 mm, 6 mm, and >
A prospective evaluation of zirconia anterior partial fixed dental prostheses: Clinical results after seven years.
Abstract Statement of problem Because of the high mechanical strength of zirconium dioxide, the metal in fixed partial prostheses can now be replaced. However, the material is susceptible to aging or hydrothermal degradation and to chipping of the feldspathic veneer. Purpose The purpose of this prospective study was to evaluate the survival (without failure) and success (survival without any complication or failure) rate and clinical efficacy of anterior zirconia partial fixed dental prostheses. Material and methods Twenty-seven anterior partial fixed dental prostheses of 3 to 6 units were fabricated. All participants were examined after 1 month and 6 months, then annually for 7 years. Resu…
Effect of two whitening agents on the color of composite dental restorations
Background To evaluate color changes to composite resins used to restore extracted teeth compared with composite discs after whitening with two agents: hydrogen peroxide (HP) and carbamide peroxide (CP). Material and methods Ten human molars with class V vestibular and palatine cavity preparation obturated with Vita hybrid nanocomposite were hemisected to obtain 20 specimens assigned randomly to two groups: O1 and O2. Twenty composite discs were divided into two groups: D1 and D2. The groups O1 and D1 were treated with 16% CP, while groups =2 and D2 were treated with 37.5 % HP. Chromaticity coordinates L*, a* and b* were registered using a spectrophotometer. Results Statistically significan…
Analysis of Predisposing Factors for Rapid Dental Calculus Formation.
Background: Calculus accumulation varies widely between individuals. Dental calculus has been associated with the principal periodontal diseases. The aim of this study was to analyze individual characteristics, and salivary and microbiological parameters among patients considered to be rapid calculus formers and patients who form calculus slowly. Methods: Individual characteristics were recorded in a sample of 74 patients (age, sex, smoking, periodontal diagnosis, and dental crowding), as well as salivary parameters (unstimulated saliva flow, pH, and biochemical analysis of saliva) and microbiological parameters (by means of semi-quantitative polymerase chain reaction (PCR) analysis). Resul…
Clinical outcomes of veneered zirconia anterior partial fixed dental prostheses: A 12-year prospective clinical trial
Abstract Statement of problem Anterior veneered zirconia partial fixed dental prostheses (FDPs) have substituted for metal-ceramic to improve esthetics and biocompatibility. However, the material is susceptible to aging or hydrothermal degradation and to chipping of the feldspathic veneer. Whether these susceptibilities limit the clinical performance of anterior veneered zirconia FPDs is unclear. Purpose The purpose of this prospective clinical study was to analyze the mechanical and biologic behavior of zirconia partial FDPs in the anterior region over a 12-year follow-up period. Material and methods Twenty-seven 3- to 6-unit FDPs fabricated from zirconia veneered with feldspathic porcelai…
A clinical longitudinal study 323 porcelain laminate veneers. Period of study from 3 to 11 years
Objective: The objective of this study was to evaluate the clinical results of 323 porcelain laminate veneers over a period of 3 to 11 years. Material and Methods: This study included 70 patients, aged between 18 and 74 years. Of the 323 total veneers, 124 were of a simple design and 199 were of a functional design. The condition of the soft tissues and hygiene, in addition to the condition of the abutment teeth, the restorations and patient satisfaction were all clinically examined. In carrying out the statistical analysis, a descriptive approach was taken in analyzing the data. The Kaplan Meier method was used for statistically analyzing the survival rates of the porcelain laminate veneer…
Comparative in vitro study of the accuracy of impression techniques for dental implants: Direct technique with an elastomeric impression material versus intraoral scanner.
Background The aim of this study was to compare a conventional technique (elastomeric impression material - EIM) and a digital technique (scanner digital model – SDM) on a six-analog master model (MM) to determine which was the most exact. Material and Methods Twenty impressions were taken of a master model (EIM) and twenty scanned impressions (SDM) (True Definition). A coordinate measuring machine (CMM) was used to measure the distances between adjacent analogues (1-2, 2-3, 3-4, 4-5, 5-6), intermittently positioned analogues (1-4, 3-6) and the most distal (1-6). Reference values were established from the master model, which were compared with the two impression techniques. The significance…
An implant-supported overdenture design with a horizontal path of insertion
The rehabilitation of the atrophic maxilla by means of implant-supported prostheses cannot always be achieved with fixed prostheses because of anatomic, esthetic, or economic issues, so for some patients the treatment of choice is a removable prosthesis. This article analyzes a new design for implant-supported overdentures with horizontal or faciolingual insertion. Its retention system is based on frictional forces or stepped interlocking horizontal surfaces and is appropriate for patients with skeletal Class II or III relationships with severe maxillary atrophies. The design facilitates implant-prosthetic hygiene and improved esthetics in patients with nonparallel implants by hiding abutme…
Maxillary Implant-Supported Overdentures: Mechanical Behavior Comparing Individual Axial and Bar Retention Systems. A Cohort Study of Edentulous Patients.
Background and objectives: To compare the medium- to long-term mechanical behavior of overdentures with two different retention systems: overdentures with Locator®