Biomedical subjects

Takashi Sawase

Publications and source records attributed to Takashi Sawase.

8 recordsLinked to original sources

PubMed2006

A cast metal core for a deformed implant body: case report.

The present report consists of a clinical evaluation of an osseointegrated implant using a cast metal core instead of abutment for a deformed implant body. The intramobile connector insert for the implant in the mandibular left first premolar region broke 7 years after the superstructure was attached to the implant system. The intramobile connector insert was replaced, and the prosthesis was reattached, but the new intramobile connector insert broke again 2 weeks later. A thorough examination confirmed deformation of the upper section of the implant body in the mandibular left first molar region. Breakage of the new intramobile connector insert in the mandibular left first premolar region was believed to be due to deformation of the implant body in the mandibular left first molar region. Therefore, a cast metal core was used to deal with the deformation of the implant body in this region. Although slight bone resorption was observed around the implant body after 5 years, no major problems were found in the implant body itself.

Adult↗

PubMed2006

Shear bond strengths of four resin bonding systems to two silica-based machinable ceramic materials.

The purpose of this study was to evaluate the bond strength between four bonding systems (GC Ceramic Primer and Linkmax HV (CP+LM), Clapearl Bonding Agent and Clapearl DC (CBA+CL), Clearfil Mega Bond Porcelain Bonding kit and Panavia F2.0 (MB+PF), and RelyX Ceramic Primer and RelyX ARC (RC+RA)) and two machinable ceramics (Vitablocs Mark II, VMII and GN-I ceramic block, GNI). Shear bond strength was determined after 24-hour immersion in water or after thermocycling of 20,000 cycles. It was found that the post-thermocycling bond strength of each bonding system to VMII was significantly higher than that to GNI. VMII showed no significant differences between CP+LM, MB+PF, and CBA+CL--the values of which were higher than that of RC+RA. Regarding GNI, CP+LM showed the greatest bond strength after thermocycling among the four bonding systems used. It was concluded that the crystalline phase of the ceramics used might have an effect on bond strength.

Acrylic Resins↗

PubMed2005

An antibacterial surface on dental implants, based on the photocatalytic bactericidal effect.

BACKGROUND: It is well known that the moderately roughened surfaces of dental implants enhance direct bone-implant contact. However, rough implant surfaces, as compared to smooth surfaces, are thought to pose a higher risk of bacterial infection when exposed to the oral cavity. PURPOSE: This study was focused on evaluating the photocatalytic bactericidal effects of anatase titanium dioxide (TiO(2)) on gram-negative anaerobic bacteria known to be associated with periimplantitis. MATERIALS AND METHODS: A film of photocatalytic anatase TiO(2) was added onto the surface of commercially pure titanium disks by plasma source ion implantation (PSII) followed by annealing. The photocatalytic properties of the film were confirmed by the degradation of methylene blue. Actinobacillus actinomycetemcomitans and Fusobacterium nucleatum cells were incubated anaerobically and seeded on the disk. The disks were then exposed to ultraviolet A (UVA) illumination from black light in an anaerobic environment. After illumination, the number of viable cells was counted in terms of colony-forming units. RESULTS: The anatase TiO(2) film added by the PSII method and annealing exhibited a strong photocatalytic reaction under UVA illumination. The viability of both types of bacteria on the photocatalytic TiO(2) film was suppressed to less than 1% under UVA illumination within 120 minutes. CONCLUSION: The bactericidal effect of the TiO(2) photocatalyst is of great use for sterilizing the contaminated surface of dental implants.

Aggregatibacter actinomycetemcomitans↗

PubMed2005

Retentive strength of metal copings on prefabricated abutments with five different cements.

BACKGROUND: Despite their wide use in implant dentistry, there is insufficient information concerning the retentive strength of cement-retained superstructures. PURPOSE: This study compared the retentive strength of metal copings on prefabricated abutments with five different luting cements. MATERIALS AND METHODS: Eight prefabricated abutments were placed on titanium screw implants torqued to 35 Ncm. Metal copings were cast with Au-Pt-Pd alloy (DeguDent Universal, Degussa, Hanau, Germany) using burnt-out plastic copings. Cements used were zinc oxide-eugenol-free temporary (ZO), zinc phosphate (ZP), glass ionomer (GI), resin-reinforced glass ionomer (RG), and composite resin (CR) cements. Retentive strength was measured with a universal testing machine. The means of each group were compared by one-way analysis of variance and Tukey-Kramer multiple-comparison intervals at a significance level of p < .05. RESULTS: The mean +/- SD retentive strength of the cements in Newtons was ZO 56 +/- 12 (Tukey group C), ZP 158 +/- 79 (Tukey group B), GI 132 +/- 29 (Tukey group B), RG 477 +/- 52 (Tukey group A), and CR 478 +/- 50 (Tukey group A). CONCLUSION: The retentive strength of metal copings on implant abutments is somewhat different from those of conventional cemented restorations on natural teeth. These differences may be influenced by differences in surface roughness and the height of the abutment.

Composite Resins↗

PubMed2005

The physical properties of a machinable resin composite for esthetic restorations.

To investigate the pre-clinical relevancy of a machinable composite, its physical properties were evaluated and compared with a machinable ceramic and two indirect composites. A machinable resin composite (GN-I composite, CO), a machinable ceramic (GN-I ceramic, CE), and two resin composites (Artglass dentin, AG; Estenia dentin, ET) were used. Compressive strength, diametral tensile strength, flexural strength, elastic modulus, and fracture load of standardized, premolar crown-shaped specimens were determined. In terms of compressive strength, diametral tensile strength, and flexural strength, AG showed significantly lower values than the other three materials. In terms of fracture load, specimens with 1.5 mm thick wall showed a higher value than those with 1.0 mm thick wall, and the value decreased in the order of ET, CE, CO, and AG. Marginal tipping was also observed in ET and CE. Within the limits of the current study, CO showed physical properties favorable for constructing esthetic restorations.

Analysis of Variance↗

PubMed2005

Influence of mechanical properties of two resin cements on durability of bond strength to dentin after cyclic loading.

The purpose of this study was to evaluate how the different mechanical properties of two luting agents (acrylic resin cement and resin composite cement) influenced their bond strength to dentin, after cyclic loading that simulated chewing. Stainless steel rods were bonded to the flattened dentin surfaces with each luting agent. After immersion in water for 24 hours, half the specimens of each group were tested for tensile bond strength and the remaining half were subjected to a vertical load (75.6 N, 1.2 Hz) using an acrylic stylus--which upon contact with the specimen would rotate counterclockwise and then counter-rotate. Bond strength of the resin composite cement with self-etching was found to be significantly lower than the other adhesive systems. After 100,000 cycles, the bond strength of resin composite cement was significantly decreased while acrylic resin cement showed no decrease in bond strength.

Acid Etching, Dental↗

PubMed2004

Titanium release from implants prepared with different surface roughness.

OBJECTIVES: There may be a risk of greater ion release for surface-enlarged implants than conventionally turned components. The major aim of the present paper was to investigate whether a correlation exists between ion release and a surface roughness relevant for today's commercial implants. Other aims were to compare ion release after two insertion times and concentration in bone tissue as a function of distance from the implant surface. MATERIAL AND METHODS: Lactic acid aqueous solution (pH=2.3) and phosphate-buffered saline were used for the in vitro investigation. For the in vivo investigation, synchrotron radiation X-ray fluorescence (SRXRF) spectroscopy and secondary ion mass spectroscopy (SIMS) were performed 12 weeks and 1 year after implantation in rabbit tibiae. RESULTS: The average height deviation (S(a)) was 0.7, 1.27, 1.43 and 2.21 microm, respectively, for the four surfaces investigated. No difference in ion release was found in vitro. In vivo, SRXRF demonstrated slightly higher values for the roughest surface up to a distance of 400 microm from the implant surface; thereafter no difference was found. SIMS demonstrated no difference in ion release for the roughest and smoothest surfaces, but slightly more titanium in bone tissue after 1 year than after 12 weeks. Titanium rapidly decreased with distance from the implant surface. CONCLUSION: At a level relevant for commercial oral implants, no correlation was found between increasing roughness and ion release, neither in vitro nor in vivo.

Air Abrasion, Dental↗

PubMed2003

FGF-4 and titanium implants: a pilot study in rabbit bone.

AIM: To evaluate the effect of a local single injection of amino-terminally truncated recombinant human fibroblast growth factor-4 (rhFGF-4s) on titanium implant incorporation in a rabbit bone. MATERIAL AND METHODS: Thirty-six threaded titanium implants were inserted into the femur and tibia of six rabbits. Three weeks prior to implant insertion 10 microg of FGF-4 in an altelocollagen carrier or the carrier alone was injected into the intended implant sites. Biomechanical evaluation by (i) resonance frequency analysis and (ii) peak removal torque measurements was performed after 6 weeks. The implants with surrounding tissue were processed to undecalcified ground sections followed by light-microscopic quantifications of the bone in threaded area and the apical parts of the implants. RESULTS: A general trend, however not statistically significant, with higher mean values obtained in the above-mentioned tests was found. The FGF-4-treated implants revealed a significantly increased bone area in the apical part of the implants compared to the corresponding control implants. CONCLUSION: A local single injection of rhFGF-4 may stimulate bone formation around titanium implants in bone. However, further research is required to confirm these results, understand the mechanisms of FGF, and establish optimal dose and delivery methods.

Animals↗