Rodrigo
González Terrats

Autores · Rodrigo González Terrats, María Bonnín Liñares, Miquel Punset, Meritxell Molmeneu, José Nart Molina, Vanessa Ruíz Magaz, Matteo Albertini, José María Manero, Javier Gil

Background: Scientific literature lacks strong support for using narrow diameter implants (NDI) in high masticatory force areas, especially in molars. Implant splinting in cases of multiple missing teeth reduces lateral forces, improves force distribution, and minimizes stress on implants. However, no studies have evaluated the fatigue load resistance of unitary or splinted implants. Methods: This in vitro study compares five groups of new metal alloy implants, including unitary and splinted implants with varying diameters. Mechanical characterization was assessed using a BIONIX 370 testing machine (MTS, Minneapolis, MN, USA) according to ISO 14801. For each of the five study sample groups, (n = 5) specimens underwent monotonic uniaxial compression at break testing and (n = 15) cyclic loading to determine the maximum force (Fmax) and the fatigue life (LF) values. Scanning electron microscopy (SEM) was employed for the fractographic analysis of the fractured samples. Results: The Fmax values for unitary samples ranged from 196 N to 246 N, whereas the two-splinted samples displayed significantly higher values, ranging from 2439 N to 3796 N. Similarly, the LF values for unitary samples ranged from 118 N to 230 N, while the two-splinted samples exhibited notably higher values, ranging from 488 N to 759 N. Conclusions: The observed resistance difference between sample groups in terms of Fmax and LF may be due to variations in effective cross-sectional area, determined by implant diameter and number. Additionally, this disparity may indicate a potential stiffening effect resulting from the splinting process. These findings have significant implications for dental clinical practice, suggesting the potential use of splinted sets of small-sized NDI as replacements for posterior dentition (premolars and molars) in cases of alveolar bone ridge deficiencies.

Autores · Blanca Paniagua Cotonat, Cristina Vallès Vegas, José Nart Molina, Beatriz de Tapia Pastor, Rodrigo González Terrats, Soledad Domínguez Torres, Carolina Mor Reinosa, Andrés Pascual Laroca

Se presenta un caso clínico centrado en la integración de la regeneración ósea guiada y las técnicas de provisionalización en la rehabilitación implantoprotésica estética. El artículo aborda la planificación terapéutica orientada a recuperar los tejidos duros y blandos, así como el papel de los provisionales en el modelado del perfil de emergencia y la optimización del resultado final. Su interés clínico radica en destacar la coordinación entre cirugía regenerativa y rehabilitación provisional para favorecer resultados funcionales y estéticos predecibles.