Objective. The aim of this study was to evaluate influence of abutment angulation and restoration material compositions on the stress pattern in dental implants and their surrounding bone. Materials and Methods. In this finite element study, the six different solid 3D models of “mandibular 3-unit fixed implant-supported prostheses” were analyzed. In all of these models, a straight abutment was used for anterior implants at the second premolar site, and in order to posterior implant at the second molar site, abutments with three different angles (straight, 15, and 20°) were used. Also, two different restoration material compositions (porcelain fused to base metal (PFBM) and porcelain fused to noble metal (PFNM)) were considered for fixed implant supported restorations. A 450 N static force was exerted in a straight manner along the longitudinal axis of the anterior implant in a tripod, and the stress distribution was measured based on the restoration materials and abutment angulations of the models in the 3 sites of cortical, cancellous bone, and fixtures. The simulation was performed with ABAQUS 6.13 Software. Results. In all models, stress values in surrounding cortical bone were more than in spongy bone. Maximum stress levels in an anterior abutment-implant complex were seen in models with angled implants. In models with parallel implants, the stress level of a molar straight abutment-implant complex was less than that of premolar straight ones. In an angled posterior abutment-implant complex, less stress level was detected compared to straight ones. In all PFNB models, stress values were slightly more and distributed in a wider area of premolar straight abutments. Conclusion. Increasing an abutment angle, increases stress in surrounding bone and straight implant-abutment combination. It seems that the crown material composition affects stress distribution of the implant-abutment combination but does not affect stress distribution of surrounding bone.
BackgroundOral health is one of the most important factors affecting the general health of the community and families; in this regard, parents, especially mothers, can play an effective role in the oral and dental health of children. This study aimed to evaluate the knowledge of pregnant women on children oral and dental health in the first pregnancy.MethodsThis cross-sectional and descriptive-analytical study was conducted on 200 pregnant women in the second and third trimesters of pregnancy referred to Obstetrics and Gynecology clinics and private offices in Isfahan-Iran from. To assess the knowledge of mothers about oral and dental health, a researcher-made questionnaire including 24 questions was used which was evaluated and verified in terms of validity and reliability. Collected data was analyzed by SPSS software version 22 using Pearson correlation coefficient and Spearman tests. The significance level was considered to be less than 0.05.ResultsThe results of this study showed that the knowledge of mothers on the oral health of the child was 8.66 ± 4.53, so that their knowledge was moderate in 82 (41%) and 109 (54.5%) in poor level And 9 (4.5%) were high. In addition, the relationship between mother’s age (r = 0.288), maternal education (r = 0.497) and family’s economic status (r = 0.182) with the mother’s knowledge of oral health were significant (P <0.05).ConclusionThe level of knowledge of pregnant mothers on their child’s oral and dental health was low, so it seems necessary to hold workshops and provide useful information before or during pregnancy.
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