1,721,012 research outputs found
In vitro evaluation of five root canal sealers
No full textAn adequate film thickness is an important property of an endodontic sealer, when used in combination with gutta-percha, to eventually fill minimal voids between gutta-percha and the root canal walls, ensuring an hermetic three-dimensional root canal obturation. The goal of the present study was to evaluate the film thickness of the following five root canal sealers: RSA, Rocanal R4, N2, Bioseal and Acroseal.
METHODS:
The testing procedures strictly followed ANSI/ADA spec. no. 57 for endodontic filling materials. All root canal sealers were mixed at room temperature strictly following mixing procedures advised by manufacturers. A small amount of sealer was placed between two glass plates and load of 147 N was applied vertically on the top glass plate. After 10 min, the thickness of sealers was measured by a micrometer assembled on a stereomicroscope (Lomo MBC 10). Data were collected and statistically analysed.
RESULTS:
Results (expressed in micron) were the following: RSA=9,3 (+/-1), Rocanal R4 95 (+/-12), N2 50 (+/-23), Bioseal 41 (+/-13) and Acroseal =9 (+/-2.55).
CONCLUSIONS:
RSA and Acroseal showed the best results (a statistically significant difference was noted among these sealers and the others). On the other hand Bioseal and (partially) N2 showed values compatible with a valid clinical use, while Rocanal R4 showed values higher than minimum standard values allowed by ANSA/ADA spec. no. 57
Riabilitazione orale con impianti bicomponenti: successo clinico in relazione al sito anatomico
No full text
Endoscopic management of the Schneiderian membrane perforation during transcrestal sinus augmentation: A case report
No full textPurpose. In this article the Authors describe a procedure aimed to restore under endoscopic control, the continuity, of the Schneiderian membrane (SM) incidentally teared during a sinus lift with transcrestal approach. Materials e methods. In a 44-year-old male, due to aforementioned complication, the SM was gently detached via transcrestal approach, with a customized small ball burnisher, in order to facilitate the placement of a collagen sponge, to close the communication with the sinus, followed by the subsequent insertion of a graft material. All the procedure was endoscopically controlled and, considering the successful grafted area elevation, was simultaneously followed by implant placement. After 6 months the second stage was performed always under endoscopic control. Results. The endoscopic view of the grafted area showed a dome-shaped elevation sited on the top of the implant, the SM was apparently normal with no signs of inflammation, the antrum was empty and normally functioning. Periapical Xrays were performed: immediately after the surgery; at both 14 days and 6 months post-operative; at 6 months post prosthetic finalization. The volume of the grafted area progressively decreased over the time while its radiopacity, on the contrary, gradually increased, as expected after graft integration and remodelling. The implant was submitted to no functional load for 4 months by means of a temporary screwable acrylic crown inserted on a peek abutment and then finalized with a cementable metal-ceramic crown on a preformed titanium abutment. Conclusion. The Authors recommend the use of endoscope to repair the SM incidentally teared during transcrestal sinus lift
The influence of "conical plus octagonal" internal connection on implant survival and success rate: A retrospective study of 66 fixtures
No full textImplant oral rehabilitation has become one of the most successful dentistry techniques over the last 30 years. However, peri-implantitis is the most important complication in implant dentistry. Peri-implantits can be caused by inadequate implant-abutment connections (IAC). The aim of our study is to evaluate the influence of conical plus octagonal (i.e. I-Fix connection) on implant survival and success rate. All the implants included in this study were of a completely new type (I-Fix implants and abutments by FMD Falappa Medical Devices S.p.A. Rome, Italy). Sixty-six implants were inserted in males and females. The implants were of different diameters and lengths, inserted both in the mandible and in the maxilla with immediate or delayed loading, with guided bone regeneration (GBR), and post-extractive surgery. All implants were provided with I-Fix connection, 64 abutments using passing screws and 2 using full screws. None of the 66 implants were lost (i.e. survival rate - SVR = 100%). Cox-regression analysis demonstrated that diabetes (p=0.0074), GBR (p=0.0115), maxilla (p=0.0117) and smoking (p=0.0194) have a statistical significant impact on clinical outcome (i.e. greater bone resorption around implant neck). Our data show that I-Fix connection did not influence SVR. This finding demonstrates that I-Fix design seemed to significantly affect the survival rate of the implants in a recent meta-analysis. In spite of the limits of our study, I-Fix connection has been demonstrated to be efficient in closing the gap between implant and abutment and maintaining a good connection over time.Implant oral rehabilitation has become one of the most successful dentistry techniques over the last 30 years. However, peri-implantitis is the most important complication in implant dentistry. Peri-implantits can be caused by inadequate implant-Abutment connections (IAC). The aim of our study is to evaluate the influence of "conical plus octagonal" (i.e. I-Fix connection) on implant survival and success rate. All the implants included in this study were of a completely new type (I-Fix implants and abutments by FMD Falappa Medical Devices S.p.A. Rome, Italy). Sixty-six implants were inserted in males and females. The implants were of different diameters and lengths, inserted both in the mandible and in the maxilla with immediate or delayed loading, with guided bone regeneration (GBR), and post-extractive surgery. All implants were provided with I-Fix connection, 64 abutments using passing screws and 2 using full screws. None of the 66 implants were lost (i.e. survival rate - SVR = 100 %). Cox-regression analysis demonstrated that diabetes (p=0.0074), GBR (p=0.0115), maxilla (p=0.0117) and smoking (p=0.0194) have a statistical significant impact on clinical outcome (i.e. greater bone resorption around implant neck). Our data show that I-Fix connection did not influence SVR. This finding demonstrates that I-Fix design seemed to significantly affect the survival rate of the implants in a recent meta-Analysis. In spite of the limits of our study, I-Fix connection has been demonstrated to be efficient in closing the gap between implant and abutment and maintaining a good connection over time
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