Aim:To evaluate and compare the correlation between sagittal condylar guidance obtained by protrusive interocclusal records mounted on semi-adjustable articulator with panoramic and Lateral cephalogram radiograph tracings in dentulous population.Materials and Methods:One-hundred twenty dentulous subjects between age group of 20–40 years, free of signs and symptoms of any temporomandibular diseases were selected. The sagittal condylar guidance was determined by protrusive interocclusal records and transferred to a semi-adjustable articulator through a face bow. The condylar guidance angles obtained were tabulated. The sagittal outline of the articular eminence and glenoid fossa were traced on panoramic and lateral cephalogram radiographs. The sagittal condylar path inclination was constructed. This was related to the Frankfurt's horizontal plane on radiograph to determine the radiographic angle of sagittal condylar guidance. The comparison of protrusive interocclusal records was done with the angles obtained by panoramic and lateral cephalogram radiograph tracings.Results:The mean difference between the condylar guidance values obtained using panoramic and lateral cephalogram radiographs was 0.13° and 0.67° on right side and 1.0° and 1.54° on left side with the radiographic values being higher. A Significant positive correlation was observed with P values 0.001 and 0.005 in left and right respectively.Conclusion:This study highlighted on the correlation between protrusive interocclusal records and the lateral cephalogram radiograph tracings which were more positively related than the panoramic radiograph. The values of lateral cephalogram radiograph tracings are closer as separate radiographs for left and right side were taken, causing the amount and quality of image distortion less. Lateral cephalogram radiograph may be taken as an important tool to rely on for recording the Sagittal condylar guidance angle.
Background: Tapered implants imitate the natural form of the root. They are known to enhance primary stability by providing pressure on the cortical bone of regions with poor bone qualities and also has a good survival rate as it directs stresses away from the crestal cortical bone while transferring it to the cancellous bone. Purpose: Maxillary anatomic constraints sometimes make it necessary to surgically position implants at angles that are not optimal for prosthetic restorations or by positioning the implant in the area with the greatest available bone, with the intention of correcting the implant alignment at the time of prosthetic restoration. This is made possible, in carefully planned cases with the use of angulated abutments. Materials and Methods: Three tapered implants with triangular, square, and buttress thread designs having a 15° and 25° angulated abutment were created. The implant models were positioned in anterior maxillary bone D2 and D3 and clinical loading conditions simulated. The maximum equivalent von Mises stress values were recorded and analyzed using ANSYS software. Results: The finite element analysis carried out showed less stresses from tapered implant square thread design in D2 and D3 bone with 15° angulated abutment, while buttress thread design performed better in D2 and D3 bone with 25° abutment angulation on axial and nonaxial loading. Conclusion: Bone type is an important factor that affects stress distribution. More stress occurred in D3 bone compared to D2 bone type. Thus, bone type should be carefully considered when choosing the most appropriate implant design.
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