BackgroundTo evaluate oral health related quality of life (OHQoL) in edentulous patients treated with immediately loaded implants in the maxilla.MethodsFifty-one edentulous patients in two centers received six maxillary implants each were loaded within 24 h with provisional restoration. Definitive restoration was delivered 20–24 weeks later. OHQoL was evaluated preoperatively with the Oral Health Impact Profile 49 questionnaire (OHIP-49) and on five subsequent occasions. OHIP-49 includes seven domains representing functional limitation, physical pain, psychological discomfort, physical disability, psychological disability, social disability, and handicap. A reduction in OHIP scores indicated an improved OHQoL.ResultsForty-five patients reached the three-year follow up. OHQoL improved after treatment. A plateau of OHQoL improvement was observed at 12 months after surgery. The seven domains improved at different pace, 12 weeks to 12 months after treatment. OHIP showed continuously low scores with no significant changes at consecutive visits 12 months to three years after treatment. Dental status with removable prosthesis in the mandible had a negative impact on OHQoL prior to and during treatment, but did not affect OHQoL after permanent restoration was placed. Patients age or gender did not affect OHQoL.ConclusionsPatients with edentulous maxilla who received prosthetic rehabilitation on immediately loaded implants experienced the highest improved OHQoL 12 months after implant installation. Quality of life related to oral health continued to be high after three years. Edentulous patients with atrophy of the maxilla experience an improved OHQoL after implant treatment with immediate loading protocol.Trial registration ClinicalTrials.gov Identifier NCT00711022.

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Two matrix resins for fiber composites that remain in a fluid state during storage and handling before polymerization were evaluated. The resin mixtures, based on methyl methacrylate (MMA), were produced with two different cross-linking agent systems: 1,4-butanediol dimethacrylate and ethylene glycol dimethacrylate or diethylene glycol dimethacrylate. Water sorption, water solubility, water uptake and residual MMA monomer were determined. Thermomechanical analysis was used to determine linear dimensional changes as a function of temperature. Flexural strength and modulus as well as fracture work and the maximum stress intensity factor were determined. The results revealed similar values for both matrix polymers regarding water sorption, water solubility, water uptake, residual MMA monomer (0.5 wt% (+/- 0.03)) and coefficient of linear thermal expansion. Flexural strength for polymer B was 68.7 MPa (+/- 9.8) compared to 56.0 MPa (+/- 13.3) for polymer A when tested dry and 64 MPa (+/- 6.1) compared to (54 MPa (+/- 3.3) when water-saturated. Fracture toughness tests showed higher maximum stress intensity factor values for polymer B (0.75 +/- 0.17) MPa x m1/2 than for polymer A (0.55 +/- 0.12) MPa x m1/2. The resin binders showed an appropriate consistency while remaining in a fluid state during storage and manipulation.

The aim of this study was to determine water sorption, water solubility, dimensional change caused by water storage, residual monomers, and possible cytotoxic effects of heat-polymerized carbon-graphite fibre-reinforced composites with different fibre loadings based on methyl methacrylate/poly(methyl methacrylate) (MMA/PMMA) and the copolymer poly (vinyl chloride-co-vinyl acetate). Two different resin systems were used. Resin A contained ethylene glycol dimethacrylate (EGDMA) and 1,4-butanediol dimethacrylate (1,4-BDMA); the cross-linker in Resin B was diethylene glycol dimethacrylate (DEGDMA). The resin mixtures were reinforced with 24, 36 and 47 wt% surface-treated carbon-graphite fibres. In addition, polymer B was reinforced with 58 wt% fibres. Water sorption was equal to or below 3.34±1.18 wt%, except for the 58 wt% fibre loading of polymer B (5.27±1.22 wt%). Water solubility was below 0.36±0.015 wt%, except for polymer B with 47 and 58 wt% fibres. For all composites, the volumetric increase was below 0.01±0.005 vol%. Residual MMA monomer was equal to or below 0.68±0.05 wt% for the fibre composites. The filter diffusion test and the (3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide) (MTT) assay demonstrated no cytotoxicity for the carbon-graphite fibre-reinforced composites, and residual cross-linking agents and vinyl chloride were not detectable by high-performance liquid chromatography (HPLC) analysis.