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BACKGROUND: In oral implant restoration, patients with single missing maxillary anterior teeth often have alveolar bone absorption and defect due to different reasons. To avoid the risk of bone grafting, inclined implants are often used to avoid the alveolar bone absorption area. The angle abutment is used to restore the normal overcovering relationship of patients. The size and distribution of the influence of different abutment materials on the occlusal force transfer of the implant and the surrounding bone were studied. OBJECTIVE: To compare the influence of time on the peak value of bone stress around the implant with three abutment materials under simulated dynamic loading under three implantation conditions. METHODS: Cone beam CT data of a healthy adult undergoing implant restoration of maxillary central incisor were selected. Minics software was used to cut the jaw bone. Solidworks 2018 was used to establish the implant, jaw bone, and angle abutment (angle 0°, 15°, and 25°). Base stations materials included pure titanium, zirconium dioxide, and alumina), central screw, and zirconium dioxide full porcelain crown model. Assembly was complete, for embedded in the original maxillary fang root cutting direction 0° angle, then simulated palate to tilt 15° and 25°, no implanted implant thread exposure. According to different implant angles, they were divided into 0°, 15°, and 25° groups. Dynamic loading was performed for 0.2 seconds, to obtain the time-dependent relationship between the peak value of equivalent stress of bone around the implant prosthesis of each material abutment. RESULTS AND CONCLUSION: (1) All abutment implant restorations had the same peak distribution of surrounding bone stress when they were subjected to occlusal force, all of which were located in the bone cortex of the implant neck. The fastest time period for the increase of bone stress around abutment implant restorations of each material was within 0.025-0.05 seconds. The range of high stress value of cortical bone in the 15° group was larger than that in the 0° group. The initial stress value of cortical bone of implant in the 25° group was significantly higher than that of the other two groups. The residual stress value of cortical bone was higher after loading. After titanium abutment implantation, the bone stress around the prosthesis had the largest increase, and the range of high stress value was relatively concentrated. (2) In the 15° group, the peak value of bone stress around the implanted prosthesis on the abutment of the three materials was located in the neck of the implant. The increase in bone stress around the titanium abutment implanted prosthesis was relatively large but not obvious, and the distribution range of high stress was relatively consistent. Compared with the other two groups, the high stress value of the 25° group was more concentrated; the initial stress value was higher and the range of change was greater, among which the bone stress around the implanted prosthesis on the dialumina abutment increased the most within 0-0.1 seconds. At 0.2 seconds, the peak value of bone equivalent stress of zirconia abutment decreased to 0, and high residual stress remained in the bone around the implants of the other two abutments. (3) It is concluded that based on the analysis of the distribution of different influences of the implant angle and abutment material on the bone interface, the bone stress of the implants using zirconia abutment was relatively stable at all time points in the three groups. [ABSTRACT FROM AUTHOR]

BACKGROUND: There are many studies on the marginal integrity of all ceramic crowns with different resin adhesives, or different shoulder, different polymerization angles, but there is no research on whether different methods of redundant bonding will affect the marginal integrity of all ceramic crowns. OBJECTIVE: To analyze the effect of removing excess resin adhesive on the marginal integrity of all ceramic crowns with different marginal gaps. METHODS: Totally 40 extracted third molars were prepared with all ceramic crowns and randomly divided into groups A, B, C, and D (10 teeth in each group). After the model scanning was completed, the edges of restoration in groups A, B and C were lifted at 30, 60 and 90 µm respectively by computer control, while those in group D were not raised. Procera alumina CAD-CAM all ceramic crowns were made. Then, the four groups of groups A, B, C and D were randomly divided into two subgroups. In one subgroup, a large amount of excess resin adhesive was removed with a small brush, and then the light was illuminated for 40 seconds after the full crown bonding. Subsequently, a small amount of resin adhesive was scraped off with sickle scalpel (small brush group). The sample in the other subgroup was exposed to light for 2 seconds, scraped off with sickle scalpel, and then illuminated for 40 seconds (sickle group). The marginal integrity and surface quality of the adhesive were observed by scanning electron microscope. RESULTS AND CONCLUSION: (1) Scanning electron microscope showed that the continuity of the bonding interface was better in the small brush group. Different degrees of adhesive defects were found in the sickle group. Under the same marginal gap, the defect rate of cement in the small brush group was lower than that in the sickle group (P < 0.05). Under the same adhesive removal method, there was no significant difference in the defect rate of cement between groups A, B, C, and D (P > 0.05). (2) Results indicate that the method of using small brush to remove excess adhesive, then lighting for 40 seconds, and finally using sickle scalpel to remove the remaining small amount of adhesive is more suitable for clinical practice. [ABSTRACT FROM AUTHOR]