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A three-dimensional finite element analysis of peri-implant bone stress and strain distributionin All-on-4 design
R. Baghai Naini , S. Nokar , Sh. Borghei ,
Volume 23, Issue 2 (23 2010)
Abstract

Background and Aims: The All-on-4 design with its significant advantages is an appropriate model in reconstruction of edentulous mandible. Evaluation of stress and strain distribution in this model is necessary for better judgment. The purpose of this FEA study was to measure stress and strain distribution on peri-implant bone in All-on-4 design in edentulous mandible.

Materials and Methods: Three dimensional finite element model of human mandible was simulated according to data from CT-Scan of a cadaver. The model of 4×13.5 mm Nobel Biocare implant was simulated. Posterior implants were inserted in 452 inclination and anterior implants were parallel and vertical. Implants were splinted with a titanium bar and an acrylic superstructure was then simulated around the bar. Vertical loads of 178 N and 300 N were applied at incisor and left first molar positions, respectively. After meshing, defining boundary conditions and materials properties, analysis was performed with the aid of ABAQUS.

Results: Maximum Von-Mises stress of 38.9 MPa during anterior loading was located in peri-implant bone of anterior implants but maximum strain was observed in peri-implant bone of posterior implants. In posterior loading, maximum stress (77.3 MPa) was in peri-implant bone of posterior implant which was next to the place of load insertion. Maximum strain was found in the same area.

Conclusion: During posterior loading, significant amount of strain was observed in peri-implant bone of posterior angulated implant. As a result, there was a possibility of resorption in this area. During anterior loading, detected stress and strain was absolutely favorable.


Interobserver and intraobserver variability in the histopathologic assessment of oral lichen planus based on modified WHO criteria
Fereshteh Baghai Naini, Shiva Gandomi, Pouyan Aminishakib, Nazanin Mahdavi, Monir Moradzadeh, Mohamad Javad Kharazifard, Maedeh Ghorbanpour,
Volume 31, Issue 1 (6-2018)
Abstract
Background and Aims: In 1978 WHO (World health organization) formulated a histopathological definition for diagnosis of OLP (oral lichen planus). Previous studies showed that diagnosis of OLP with these criteria are not reproducible. In 2003 Van der Meij et al. represented new clinical and histopathologic definition for diagnosis of OLP known as modified WHO criteria. The purpose of this study was to evaluate the interobserver and intraobserver variability in the histopathological assessment of OLP based on the modified WHO criteria.
Materials and Methods: Fifty five microscopic slides which OLP and OLL (Oral Lichenoid Lesion) were recognized in their clinical differential diagnosis were given to 6 pathologists in two phases with 3 months interval. Each reviewing pathologist was asked to apply the modified WHO definition of OLP and to categorize each case as either OLP, or compatible with OLP. Then, the interobserver and intraobserver variability were assessed by calculation of repeatability coefficient and Kappa statistics.
Results: The results of this study demonstrated that interobserver variability based on modified WHO criteria was 0.77 (strong), while the intraobserver variability varied from 0.58 (moderate) to 0.82 (strong).
Conclusion: In the present study, the interobserver and intraobserver variability in the histopathologic assessment of OLP based on modified WHO criteria was stronger than previous studies which assessed WHO criteria. However, in order to propose the replacement of WHO criteria with modified WHO criteria, further studies with more cases and comparing the two methods is required.

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