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"Internal connection implants have been attracting attention in recent years leading to their being adopted for many implant systems and an increase in market share over other connections. However, internal connection implants have only been used clinically for a short period of time resulting in few clinical studies investigating outcomes and a lack of comparative clinical evidence to support their use over external hex systems at this time. Given the fact that clinical evidence is lacking regarding implant connection performance comparisons, it is important to understand what information clinicians use to choose between systems. The purpose of this study regarding implant decision-making was to ask clinicians to provide subjective evaluations of internal connection implants, in comparison with external connection implants. The survey was constructed to cover four aspects of interest; general responder information, surgical procedures and experience, prosthodontic treatments and outcomes, and implant complications. The dentists’ responses indicated that internal connection implants are as user-friendly as external hex implants with respect to implant surgery, but they are favored for prosthodontic handling because impression coping and abutment placement are felt to be easier. In addition, it was revealed that dentists strongly feel that there is a lack of biological and prosthodontic evidence to support the use of internal connection implants. The findings reveal the responding clinicians recognize that they often make decisions without compelling evidence to favor one system over another. Decisions are often based on perceived ease of use or third party (colleague or manufacturer) input. For future investigations, we will seek to better understand the relative influence and validity of all forms of information used (especially third party input), as well as what barriers exist to clinicians’ use of more evidence based data."

"Latar belakang : Kasus kehilangan gigi seringkali menjadi masalah bagi kebanyakan orang. Salah satu perawatan yang dapat dilakukan pada kasus kehilangan gigi adalah dengan penggunaan implan gigi. Tingkat keberhasilan implan salah satunya yaitu dilihat dari osseointegrasi. Berbagai macam modifikasi permukaan implan yang ada merupakan strategi yang telah dilakukan dan dikembangkan untuk mempercepat osseointegrasi. Dengan demikian, peneliti tertarik untuk mengetahui hubungan permukaan implan terhadap proses osseointegrasi. Tujuan: Mengetahui permukaan implan yang paling umum ditemukan pada pasien 40 – 65 tahun, serta hubungan permukaan implan terhadap osseointegrasi. Metode: Penelitian ini menggunakan desain penelitian deskriptif analitik untuk menganalisis korelasi dengan metode pendekatan retrospektif dimana sampel berasal dari data IPKGII sebanyak 3629 pasien pemasangan implan. Sesuai tujuan penelitian, permukaan yang diambil adalah permukaan yang paling umum ditemukan yaitu SLA (merk: Alpha Bio, Dentium, Dentium Superline, TRI, TRI TV), SA (merk: Osstem, Osstem GS, Osstem TS, dll), SLActive (merk: Straumann RN, Straumann WN, dll). Berdasarkan data yang tersedia, osseointegrasi diukur dari rentang waktu tanggal pemasangan implan hingga pemasangan protesa pada pasien. Hasil: Dalam penelitian ini, terdapat hubungan yang bermakna signifikan antara kelompok permukaan implan yang paling banyak ditemukan pada pasien usia 40 – 65 tahun, yaitu permukaan SLA, SA, dan SLA Active (p < 0,05). Kesimpulan: Hasil penelitian sejalan dengan teori bahwa permukaan implan, dalam penelitian ini seperti jenis permukaan SLA, SA, dan SLActive memiliki hubungan dengan proses osseointegrasi melalui stabilitas implan.

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Background : Tooth loss often becomes an issue for most people. One of the treatments that can be done in case of tooth loss is the use of dental implants Implant success rate is measured by osseointegration. Various designs and modifications of existing implant surfaces are evidence of strategies that have been undertaken and developed to accelerate osseointegration. Thus, researcher is interested in discovering the effect of implant surface modification on the osseointegration process. Objective: Discovering the most common implant surfaces found in patients 40 – 65 years old, as well as the correlation between implant surface and osseointegration process. Metode: This study used a descriptive analytical research design to analyze correlation using a retrospective approach method in which sample was from IPKGII data of 3629 implants in patients According to the research objectives, the surfaces taken are the most commonly found surfaces, namely SLA (brands: Alpha Bio, Dentium, Dentium Superline, TRI, TRI TV), SA (brands: Osstem, Osstem GS, Osstem TS, etc.), SLActive (brands: Straumann RN, Straumann WN, etc.). Based on available data, osseointegration was measured from the date of implant placement to the patient's prosthesis installation. Result: In this study, there was a significant correlation between the most common group of implant surfaces used in patients aged 40 – 65 years the length of time until osseointegration occurs (p < 0.05). Conclusion: The research results are parallel with the theory that the implant surface, such as SLA, SA, and SLAactive in this research, has a correlation with the osseointegration process through implant stability."

"Practical Implant Dentistry offers a practical and pragmatic approach to implant dentistry for the discerning practitioner involved in this very exciting field. The second edition of this book describes in detail the clinical procedures required to carry out a broad range of treatments available in implant dentistry today, illustrated by updated full-colour images. Topics addressed range from the management of the failing single tooth to the replacement of hard and soft tissues requiring multiple implants. The book has a methodical and comprehensive approach addressing the diagnostic."

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Latar Belakang: Implan gigi sebagai alternatif perawatan kehilangan gigi dapat mengalami kegagalan akibat distribusi stress yang berlebihan. Desain implan berupa implant thread depth menjadi bagian penting dari struktur implan yang dapat mempengaruhi distribusi stress. Adapun arah pembebanan dan tulang dengan densitas rendah merupakan faktor lain yang dapat mempengaruhi distribusi stress. Tujuan: Untuk mengetahui gambaran distribusi stress pada single implant dengan variasi ukuran thread depth dan arah pembebanan di tulang densitas rendah. Metode: Penelitian ini adalah penelitian observasional deskriptif. Model 3D regio posterior tulang maksila  dan tiga implan dengan komponen implan berupa panjang 10 mm, diameter 4,1 mm, thread pitch 0,8 mm, thread shape berupa V-thread dan kedalaman thread depth yang terbagi menjadi 0,25 mm; 0,35mm; dan 0,45mm dibuat dengan modeling software dan disusun menjadi solid model. Dilakukan simulasi pemberian beban preload 200 N arah axial pada screw dan dilanjutkan dengan pemberian beban mastikasi sebesar 100 N arah axial dan oblique pada molar pertama. Dilakukan analisis dengan metode finite element untuk mengetahui distribusi stress berupa von Mises stress pada komponen implan dan tulang. Hasil : Nilai von Mises stress maksimum tertinggi pada pembebanan axial (abutment = 222,63 MPa, implant body = 179,68 MPa, dan screw = 154,97 MPa), pada pembebanan oblique (abutment = 1086,9 MPa, implant body = 852,46 MPa, dan screw = 628,56 MPa). Pada tulang alveolar, nilai von Mises stress maksimum dengan pembebanan axial pada masing-masing thread depth (0,25 mm = 29,421 MPa; 0,35 mm = 30,201 MPa; 0,45 mm = 31,091 MPa), dan dengan pembebanan oblique pada masing-masing thread depth (0,25 mm = 74,103 MPa; 0,35 mm = 75,102 MPa; 0,45 mm = 76,557 MPa). Kesimpulan : Hasil metode finite element menunjukkan bahwa pada pembebanan axial, abutment mengalami peningkatan stress seiring peningkatan thread depth. Pada pembebanan oblique seluruh komponen implan mengalami peningkatan stress seiring peningkatan thread depth. Nilai von Mises stress terbesar pada tulang ditemukan pada thread depth 0,45 mm dengan pembebanan oblique.

 

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Background: Dental implants as an alternative treatment for tooth loss can fail due to excessive stress distribution. Implant design in the form of implant thread depth is an important part of the implant structure that can affect stress distribution. The direction of loading and low-density bone are other factors that can affect stress distribution. Objective: To determine the overview of stress distribution of a single implant with varying thread depth in low-density bone. Methods: This study was a descriptive observational study. A 3D model of the posterior region of the maxillary bone and three implants with implant components of 10 mm length, 4 mm diameter, 0.8 mm thread pitch, V-thread thread shape, and thread depth divided into 0.25 mm; 0.35mm; and 0.45mm were created with modeling software and compiled into a solid model.  Simulation of 200 N axial preload was applied to the screw and followed by 100 N axial and oblique mastication load on the first molar. Finite element method analysis was performed to determine the stress distribution in the form of von Mises stress on the implant and bone components. Results: The highest maximum von Mises stress values under axial loading (abutment = 222.63 MPa, implant body = 179.68 MPa, and screw = 154.97 MPa), under oblique loading (abutment = 1086.9 MPa, implant body = 852.46 MPa, and screw = 628.56 MPa). In alveolar bone, the maximum von Mises stress value with axial loading at each thread depth (0.25 mm = 29.421 MPa; 0.35 mm = 30.201 MPa; 0.45 mm = 31.091 MPa), and with oblique loading at each thread depth (0.25 mm = 74.103 MPa; 0.35 mm = 75.102 MPa; 0.45 mm = 76.557 MPa). Conclusion: The results of the finite element analysis showed that in axial loading, the abutment experienced increased stress as thread depth increased. In oblique loading, all implant components experienced increased stress as thread depth increased. The largest von Mises stress value in the bone was found at a thread depth of 0.45 mm with oblique loading.

 

 

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"Angiogenesis plays a key role in bone formation and maintenance. Bone formation has been reported to initiate in the concavities rather than the convexities in a hydroxyapatite substratum and the implant threads of dental implants. The aim of the present study was to evaluate the number of the blood vessels inside the concavities and around the convexities of the threads of implants in a rabbit tibia model. A total of 32 thread-shaped implants blasted with apatitic calcium phosphate (TCP/HA blend) (Resorbable Blast Texturing, RBT) (Maestro, BioHorizons®, Birmingham, AL, USA) were inserted in 8 rabbits. Each rabbit received 4 implants, 2 in the right and 2 in left tibia. Implants were retrieved after 1, 2, 4, and 8 weeks and treated to obtain thin ground sections. Statistically significant differences were found in the number of vessels that had formed in in the concavities rather than the convexities of the implants after 1 (p = 0.000), and 2 weeks (p = 0.000), whilst no significant differences after 4 (p = 0.546) and 8 weeks (p = 0.275) were detected. The present results supported the hypothesis that blood vessel formation was stimulated by the presence of the concavities, which may provide a suitable environment in which mechanical forces, concentrations and gradients of chemotactic molecules and blood clot retention may all drive vascular and bone cell migration."

"Latar belakang: Gigi tiruan dukungan implan, salah satu perawatan kehilangan gigi terbaik, diterima luas di seluruh dunia. Namun, penggunaannya di Indonesia masih relatif rendah. Studi terkait kesadaran (awareness), pengetahuan (knowledge), dan sikap (attitude) terhadap implan gigi telah banyak dilakukan di negara lain, tetapi belum pernah dilakukan di Indonesia. Tujuan: Mengembangkan kuesioner kesadaran, pengetahuan, dan sikap pasien terhadap implan gigi yang valid dan reliabel. Metode: Penelitian kualitatif melalui studi literatur pada 9 studi, wawancara semi-struktur 8 pakar implan dan 10 subjek kehilangan gigi, focus group discussion, dan uji-coba kuesioner. Penelitian kuantitatif pada 227 subjek untuk pengujian validitas dan reliabilitas kuesioner. Hasil: Kuesioner final 28 item (domain kesadaran, pengetahuan, dan sikap) berhasil dikembangkan dengan validitas isi (content validity) dan validitas muka (face validity) terpenuhi. Analisis faktor dapat dilakukan pada ketiga domain berdasarkan hasil Uji Kaiser-Meyer Olkin (KMO) dan Uji Bartlett (0,680;P<0,05| 0,922;P<0,05| 0,849;P<0,05). Uji validitas konvergen dan uji konsistensi internal Cronbach’s alpha menghasilkan nilai baik pada domain kesadaran (r=0,736; P<0,05; α=0,848), domain pengetahuan (r=0,616; P<0,05; α=0,922), dan domain sikap (r=0,658; P<0,05; α=0,794). Kesimpulan: Kuesioner kesadaran, pengetahuan, dan sikap pasien terhadap perawatan dengan implan gigi teruji valid dan reliabel untuk mengevaluasi kesadaran, pengetahuan, dan sikap pasien terhadap perawatan dengan implan gigi di Indonesia.

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Background: Implant-supported prosthesis, one of the best treatment for tooth loss, are widely accepted worldwide. However, its utilization is still relatively low in Indonesia. Studies related to awareness, knowledge, and attitude towards dental implants have been conducted in many other countries, but there has been no study in Indonesia. Objective: To develop a valid and reliable questionnaire on patient awareness, knowledge and attitudes towards dental implants. Methods: Qualitative study was done through literature review on 9 studies, semi-structured interviews with 8 implant experts and 10 tooth loss subjects, focus group discussion, and pre-testing. Quantitative study on 227 subjects for validity and reliability test. Results: The final questionnaire of 28 items (awareness, knowledge, and attitude domains) was successfully developed with achieved content validity and face validity. Factor analysis can be performed on all three domains based on the results of the Kaiser-Meyer-Olkin Test (KMO) and Bartlett Test (0.680;P<0.05| 0.922;P<0.05| 0.849;P<0.05). The convergent validity and Cronbach's alpha internal consistency were high in awareness domain (r=0.736; P<0.05; α=0.848), knowledge domain (r=0.616; P<0.05; α=0.922), and attitude domain (r=0.658; P<0.05; α=0.794). Conclusion: The questionnaire developed was valid and reliable to evaluate patient awareness, knowledge, and attitudes towards dental implant treatment in Indonesia."

"Penambahan dopan logam Cu dilakukan dalam modifikasi permukaan permukaan Ti6Al4V, untuk merancang fotokatalitik sistem dengan efisiensi tinggi di bawah cahaya tampak. Mendopankan logam Cu pada permukaan fotokatalis menggunakan metode photo-assisted deposition. Variasi konsentrasi logam Cu (0,05 M; 0,10 M; 0,15 M) dilakukan untuk memperoleh kondisi optimum fotokatalis yang aktif dibawah cahaya tampak. Hasil karakterisasi SEM-EDX dan XRD, menunjukkan bahwa sampel yang dianodisasi dengan elektrolit gliserol memiliki morfologi dan kristalinitas lebih baik dibandingkan sampel yang dianodisasi dengan elektrolit asam. Hasil uji pembentukan biofilm secara in vitro dengan bakteri Streptococcus mutans menunjukkan sampel yang didopankan dengan dopan Cu berkonsentrasi 0,15 M memiliki kinerja fotokatalitik yang paling baik, dengan hasil sebesar 99% persentase disinfeksi bakteri dibandingkan dengan model kontrol pada jam ke-16 pengukuran. Hasil ini menunjukkan sampel yang didopankan dengan dopan Cu berkonsentrasi 0,15 M merupakan kondisi optimum untuk menghambat pembentukan biofilm dalam penelitian ini

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Optimization of morphology and crystallinity of TiO2 nanotubes (TNT) fabricated on the surface of Ti6Al4V with anodizing method using a variation of the type of electrolyte. To design a system with high efficiency photocatalytic under visible light, the addition of a transition metal dopant antibacterial namely Cu (Copper). Cu-doped surface on the dental implat using photo-assisted deposition method. Variations in the concentration of Cu (0.05 M; 0.10 M; 0.15 M) were performed to obtain the optimum conditions photocatalysts active under visible light. Results of SEM-EDX and XRD characterization, indicate that the sample which is anodized with glycerol electrolyte, have better morphology and crystallinity than the sample which is anodized with acid electrolyte. The test results of in vitro biofilm formation test by Streptococcus mutans showed sample of which doped with Cu that have concentration of 0,15 M has the best photocatalytic performance, with percentage of disinfection of bacteria at 99% compared with the control model at 16th hour measurement. These results show the samples TNT/G/0,15 which doped with Cu dopant concentration of 0,15 M is an optimum condition to inhibit biofilm formation in the study"