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    Collagen fiber orientation in human peri-implant bone around immediately loaded and unloaded titanium dental implants

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    BACKGROUND: The main factor in determining the mechanical properties of bone is the collagen configuration. METHODS: This study investigated the birefringence in human bone around loaded and unloaded titanium dental implants to evaluate the collagen fiber orientation using circularly polarized light (CPL) and scanning electron microscopy (SEM). A total of 10 titanium dental implants, five immediately loaded and five unloaded, were used. The birefringence measurements were performed on digitized images of both loaded and unloaded implants. All images detected at 50x were measured using a software image analysis. RESULTS: In the bone around loaded implants, the transverse collagen fiber area was 45,481+/-3,037 pixel2 (mean+/-SD), while the area of longitudinal collagen fibers was 13,676+/-2,232 pixel2 (mean+/-SD). In the unloaded implants, the transverse collagen fiber area was 32,174+/-2,554 pixel2 (mean+/-SD), while the area of longitudinal collagen fibers was 89,073+/-1,960 pixel2 (mean+/-SD). The CPL measurements of the birefringence for transverse collagen fibers of loaded versus unloaded implants indicated that the differences were statistically significant (P <0.05). The results for the longitudinal collagen fibers of loaded versus unloaded implants were also statistically significant (P <0.05). CONCLUSIONS: In the bone around loaded dental implants, transverse collagen fibers were more abundant, while in the unloaded implants, collagen fibers run more longitudinally. The load seemed to determine the collagen fiber orientation

    In Vitro Analysis Of Resistance To Cyclic Load And Preload Distribution Of Two Implant/Abutment Screwed Connections.

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    The aim of the present research is an in vitro evaluation of the preload distribution in screw-retained implant systems under cyclic load. Two implant systems with internal connection were tested: fifteen 4.5 × 10 mm implants with internal hexagon and fifteen 4.5 × 10 mm implants with internal octagon. Samples underwent cyclic load that was between 20 N and 200 N for 1 × 10(6) cycles. After mechanical tests, samples were sectioned along the long axis and analyzed under a scanning electron microscope. Five 4.5 × 10 mm implants with internal hexagon and five 4.5 × 10 mm implants with internal octagon were collected for photoelastic analysis. Each fixture was mounted in a wax-made parallelepiped measuring 20 mm × 20 mm × 10 mm. A mold was made for each wax parallelepiped/fixture assembly using a silicone-based impression material, and an epoxy resin was poured in each mold. After setting of the resin, 25° angled titanium abutments were screwed onto each replica; afterwards, assemblies underwent photoelastic analysis. After cyclic load, screw threads and heads were still in contact with internal fixture threads and abutment holes, respectively, suggesting that preload has not been lost during load. During load, SSO and Xsigñ implants behave in a different way. SSO samples revealed the presence of fringes radiating from the base of the abutment. Xsigñ implants showed the presence of fringes radiating from the threads of the retention screw. From the present in vitro research, it is possible to state that screw-retained abutment based on an internal octagonal connection is less likely to come loose after cyclic load

    Residual and inflammatory radicular cysts. Clinical and phatological aspects of 2 cases

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    Inflammatory odontogenic cysts include radicular cysts and its etiological variance, residual cysts. Among these lesions, the radicular cyst is the most frequent. It is caused by the growth of remnants of Malassez cells involved in the development of the dental organ. Clinically, radicular cysts are difficult to diagnose. Histologic diagnosis is of primary importance in order to definitely discriminate the different kinds of periapical lesions. In this paper, the clinical, radiographic, etio-physio-pathological and microscopic features of these pathological formations are described. A case of a large radicular cyst and a case of residual cyst are reported and the surgical treatment and histologic differential diagnosis are presented
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