[Periapical re-ossification in apicoectomized teeth using silver cones].

The aim of this study was to simulate the stress response in the periodontium of the maxillary first molar to different moment to force ratios, and to determine the moment to force ratio for translational movement of the tooth by means of the finite element method. The three-dimensional finite element model of the maxillary first molar consisted of 3097 nodes and 2521 isoparametric eight-node solid elements. The model was designed to dissect the periodontal ligament, root, and alveolar bone separately. The results demonstrate the sensitivity of the periodontium to load changes. The stress pattern in the periodontal ligament for a distalizing force without counterbalancing moments showed high concentration at the cervical level of the distobuccal root due to tipping and rotation of the tooth. After various counterrotation as well as countertipping moments were applied, an even distribution of low compression on the distal side of the periodontal ligament was obtained at a countertipping moment to force ratio of 9:1 and a counterrotation moment to force ratio of 5:1. This lower and uniform stress in the periodontal ligament implies that a translational tooth movement may be achieved. Furthermore, high stress concentration was observed on the root surface at the furcation level in contrast with anterior teeth reported to display high concentration at the apex. This result may suggest that the root morphology of the maxillary first molar makes it less susceptible to apical root resorption relative to anterior teeth during tooth movement. The stress patterns in the periodontal ligament corresponded with the load types; those on the root appeared to be highly affected by bending and the high stiffness of the root.

Alveolar Process↗

PubMed1999

Bone classification: clinical-histomorphometric comparison.

This study was aimed to correlate the hand clinical assessment of the bone quality to the histologic structure quantified by histomorphometric evaluation of bone density. Small bone biopsies were harvested in 56 patients during oral implant surgery, and were utilized for histomorphometric evaluation. The bone scoring was recorded during drilling of the implant bed, based on the hand-felt perception of the drilling resistance. The bone biopsies were then processed to obtain thin ground sections. The results of histomorphometric analysis were expressed as percentage of bony trabeculae over the total biopsy area, and the Spearman's rank correlation test, was applied to calculate the statistical differences of the clinically assessed classes of bone density and linear regression was calculated. Samples from the D1 showed a mean histomorphometric density of 76.54% +/- 16.19. Samples from D2 showed a mean value of 66.78% +/- 15.82. D3 specimens had a mean histomorphometric density scoring 59.61% +/- 19.55%. D4 samples had a mean value of 28.28% +/- 12.02. The interclass correlation analysis of the variance, showed that the clinically assessed classes D1 (P = 0.01) and D4 (P = 0.0006) were significantly different from the population. On the other hand, the classes D2 (P = 0.6) and D3 (P = 0.4) were not significantly different. This study demonstrated that hand feeling allows to distinguish, with statistically significant confidence, D1 and D4 bone, but failed to distinguish between the intermediate classes of bone quality.

Alveolar Process↗

PubMed1999

Further aspects of design for distal extension removable partial dentures based on the Kennedy classification.

A supplement to the Kennedy classification of partially edentulous arches for restoration with removable partial dentures has been suggested. Factors affecting denture design relating to the position of the abutment teeth, the symmetry of the edentulous distal extensions, the arch form and the cross-sectional shape of the residual ridges have been discussed and classified. An understanding of the movement of the denture bases in relation to the influence of these factors makes for a rational approach to removable partial denture design and the treatment of complications observed clinically in removable partial denture wearers.

Alveolar Process↗