Search Results (312)

Background: Distalization is a fundamental orthodontic strategy for correcting Class II and Class III malocclusions, particularly in cases where specific dental or skeletal conditions favor its application. Recent technological advances have enabled complex dental movements to be performed using clear aligners, aided by digital planning platforms such as ClinCheck^®. Methods: This retrospective study aimed to evaluate the accuracy of ClinCheck^® in predicting molar and canine distalization outcomes with the Invisalign^® system and to identify clinical factors influencing treatment predictability. Thirty patients with complete permanent dentition and at least 2 mm of programmed distalization were selected. Planned movements were extracted from the Invisalign^® Doctor Site and compared to achieved outcomes using Geomagic^® Control X™ software. Occlusal improvements were assessed using the Peer Assessment Rating (PAR) index. Results: The results revealed significant discrepancies between the programmed and achieved distalization, with mean deviations greater than 1 mm in both arches. Skeletal anchorage with mini-screws significantly improved distalization outcomes in the maxillary arch; however, no significant effect was observed in the mandibular arch. Additionally, no significant associations were found between distalization outcomes and skeletal pattern (ANB angle) or facial biotype. Conclusions: Clear aligners are effective in achieving substantial occlusal improvements, particularly when combined with personalized digital planning and supplementary strategies such as skeletal anchorage. Mandibular cases demonstrated greater reductions in PAR scores, emphasizing the potential of aligners in complex distalization treatments. Full article

Background/Objectives: Anterior open bite (AOB) is a complex malocclusion characterized by the lack of vertical overlap between the upper and lower teeth during maximum intercuspation. It often results in functional impairments and aesthetic concerns. Traditional treatments for adult patients, including orthognathic surgery, are effective but invasive. Temporary anchorage devices (TADs) have emerged as a minimally invasive alternative. The aim of this systematic review and meta-analysis was to evaluate the effectiveness of TADs for molar intrusion in the correction of AOB. Methods: A systematic review was conducted according to the PRISMA 2020 guidelines. An electronic search was performed in PubMed and Scopus until March 2025. The inclusion criteria comprised clinical studies in humans published in English or Spanish in the last 10 years. The risk of bias was assessed using RoB 2, ROBINS-I, and the Joanna Briggs Institute tools. A random-effects meta-analysis was carried out to estimate pooled intrusion values, and heterogeneity was evaluated using Cochran’s Q test and the I² statistic. Results: Twelve studies were included. Molar intrusion using TADs achieved significant overbite improvements, with a pooled mean intrusion of 1.70 mm (95% CI: 0.53–2.87 mm). The heterogeneity among studies was high (I² = 88.5%). Despite variability in force magnitude and TAD type, lighter forces were generally associated with similar outcomes and fewer adverse effects. Conclusions: TADs offer a predictable and less invasive alternative to orthognathic surgery for AOB correction. When appropriately indicated and biomechanically managed, they provide effective vertical control and short- to medium-term stability in adult patients. Full article

Background: The aim of this retrospective study was to conduct an in vivo evaluation of the accuracy of surgical guides obtained via 3D printing technology that were used to transfer the 3D software-planned position and axis during palatal miniscrew placement. Methods: Twenty-four Caucasian subjects with permanent dentition underwent a CBCT examination to plan palatal skeletal anchorage using two miniscrews in the anterior palatal arch. A specific software function capable of identifying and displaying all CBCT scans passing through the planned miniscrew axis was used to identify the scan showing the maximum discrepancy between the planned and final miniscrew placement. The maximum insertion angle discrepancy and the maximum linear difference between the head and tip of the miniscrew were measured on the overlaid 3D STL models of the planned miniscrew position at CBCT with the final clinical position of the miniscrew. Results: Descriptive and inferential statistics were performed. On average, there was a discrepancy between the planned insertion axis and the final insertion axis of 2.95° (SD ± 1.13°), with a 10 mm miniscrew length. Conclusion: Three-dimensional I.-printed surgical guides for palatal miniscrew placement show a mean deviation of 2.95° from the planned position, indicating good but improvable accuracy in placement. Full article

This paper outlines a structural qualification process to assess the use of newly developed high-modulus (HM) glass fiber-reinforced polymer (GFRP) bars with headed ends in the joint between concrete bridge barriers and decks. The main goals of the study are to evaluate the structural performance of GFRP-reinforced TL-5 barrier–deck systems under transverse loading and to determine the pullout capacity of GFRP anchorage systems for both new construction and retrofit applications. The research is divided into two phases. In the first phase, six full-scale Test-Level 5 (TL-5) barrier wall–deck specimens, divided into three systems, were constructed and tested up to failure. The first system used headed-end GFRP bars to connect the barrier wall to a non-deformable thick deck slab. The second system was similar to the first but had a deck slab overhang for improved anchorage. The third system utilized postinstalled GFRP bars in a non-deformable thick deck slab, bonded with a commercial epoxy adhesive as a solution for deteriorated barrier replacement. The second phase involves an experimental program to evaluate the pullout strength of the GFRP bar anchorage in normal-strength concrete. The experimental results from the tested specimens were then compared to the factored applied moments in existing literature based on traffic loads in the Canadian Highway Bridge Design Code. Experimental results confirmed that GFRP-reinforced TL-5 barrier–deck systems exceeded factored design moments, with capacity-to-demand ratios above 1.38 (above 1.17 with the inclusion of an environmental reduction factor of 0.85). A 195 mm embedment length proved sufficient for both pre- and postinstalled bars. Headed-end GFRP bars improved pullout strength compared to straight-end bars, especially when bonded. Failure modes occurred at high loads, demonstrating structural integrity. Postinstalled bars bonded with epoxy performed comparably to preinstalled bars. A design equation for the barrier resistance due to a diagonal concrete crack at the barrier–deck corner was developed and validated using experimental findings. This equation offers a conservative and safe design approach for evaluating barrier–deck anchorage. Full article

The use of both structural steel and reinforced concrete is common in civil and military infrastructure projects. Anchorage plays a crucial role in these systems, serving as the key element that connects structural components and secures attachments within complex composite structures. This research focuses on evaluating the performance of steel–concrete column connections under the combined effects of lateral loading and fire exposure. Additionally, the study investigates the use of carbon fiber-reinforced polymers (CFRP) for strengthening and repairing these connections. The research methodology combines experimental testing and finite-element modeling to achieve its objectives. First, experimental investigation was carried out to test two groups of steel-reinforced concrete column specimens, each group made of three specimens. The first group specimens were designed based on special moment frame (SMF) detailing, and the other group specimens were designed based on intermediate moment frame (IMF) detailing. These two types of design were selected based on seismic demands, with SMFs offering high ductility and resilience for severe earthquakes and IMFs providing a cost-effective solution for moderate seismic zones, both benefiting from ongoing innovations in connection detailing and design approaches. Then, finite-element analysis was conducted to model the test specimens. High-fidelity finite-element modeling was conducted using ANSYS program, which included three-dimensional coupled thermal-stress analyses for the six tested specimens and incorporated nonlinear temperature-dependent materials characteristics of each component and the interfaces. Both the experimental and numerical results of this study show that fire has a more noticeable effect on displacement compared to the peak capacities of both types of specimens. Fire exposure results in a larger reduction in the initial residual lateral stiffness of the SMF specimens when compared to IMF specimens. While the effect of CFRP wraps on initial residual lateral stiffness was consistent for all specimens, it caused more improvement for the IMF specimen in terms of post-fire ductility when compared to SMF specimens. This exploratory study confirms the need for further research on the effect of fire on the concrete–steel anchorage zones. Full article

Negative Poisson’s ratio (NPR) reinforcement offers a novel solution to the usual trade-off between strength gains and ductility loss. Incorporating NPR into ultra-high-performance concrete (UHPC) effectively overcomes the ductility limitations of structural elements. However, the interfacial bonding between NPR reinforcement and UHPC is not sufficiently studied, especially its patterns and mechanisms, impeding the application of the materials. In this paper, the effects of nine design parameters (rebar type, prestrain, etc.) on the bond performance of NPR-UHPC through eccentric pull-out tests are investigated, and a quantitative discriminative indicator K_c for NPR-UHPC bond failure modes is established. The results showed that when K_c ≤ 4.3, 4.3 < K_c ≤ 5.64, and K_c ≥ 5.6, the NPR-UHPC specimens undergo splitting failure, splitting–pull-out failure, and pull-out failure, respectively. In terms of bonding with UHPC, the NPR bars outperform the HRB400 bars, and the HRB400 bars outperform the helical grooved (HG) bars. For the NPR bars, prestrain levels of 5.5%, 9.5%, and 22.0% decrease τ_u by 5.07%, 7.79%, and 17.01% and s_u by 7.00%, 15.88%, and 30.54%, respectively. Bond performance deteriorated with increasing rib spacing and decreasing rib height. Based on the test results, an artificial neural network (ANN) model is developed to accurately predict the critical embedded length l_cd and ultimate embedded length l_ud between NPR bars and UHPC. Moreover, the MAPE of the ANN model is only 53.9% of that of the regression model, while the RMSE is just 62.0%. Full article

Polyethylene storage tanks are widely used for storing water and chemicals due to their lightweight and corrosion-resistant properties. Despite these advantages, their structural performance under seismic conditions remains a concern, mainly because of their low mechanical strength and weak bonding characteristics. In this study, a method of external strengthening using fiber-reinforced polymer (FRP) laminates is proposed and explored. The research involves a combination of laboratory testing on carbon fiber-reinforced polymer (CFRP)-strengthened polyethylene strips and finite element simulations aimed at assessing bond strength, anchorage length, and structural behavior. Results from tensile tests indicate that slippage tends to occur unless the anchorage length exceeds approximately 450 mm. To evaluate surface preparation, grayscale image analysis was used, showing that mechanical sanding increased intensity variation by over 127%, pointing to better bonding potential. Simulation results show that unreinforced tanks under seismic loads display stress levels beyond their elastic limit, along with signs of elephant foot buckling—common in thin-walled cylindrical structures. Applying CFRPs in a full-wrap setup notably reduced these effects. This approach offers a viable alternative to full tank replacement, especially in regions where cost, access, or operational constraints make replacement impractical. The applicability is particularly valuable in seismically active and densely populated areas, where rapid, non-invasive retrofitting is essential. Based on the experimental findings, a simple formula is proposed to estimate the anchorage length required for effective crack repair. Overall, the study demonstrates that CFRP retrofitting, paired with proper surface treatment, can significantly enhance the seismic performance of polyethylene tanks while avoiding costly and disruptive replacement strategies. Full article

This paper proposes a steel-ECC ordinary concrete composite continuous bridge deck structure to address the cracking problem of simply supported beam bridge deck continuity. Through theoretical and experimental research, a high-performance ECC material was developed. The ECC material has a compressive strength of 57.58 MPa, a tensile strain capacity of 4.44%, and significantly enhanced bending deformation ability. Bonding tests showed that the bond strength of the ECC-reinforcing bar interface reaches 22.84 MPa when the anchorage length is 5d, and the splitting strength of the ECC-concrete interface is 3.58 MPa after 4–5 mm chipping treatment, with clear water moistening being the optimal interface treatment method. Full-scale tests indicated that under 1.5 times the design load, the crack width of the ECC bridge deck continuity structure is ≤0.12 mm, the maximum deflection is only 5.345 mm, and the interface slip is reduced by 42%, achieving a unified control of multiple cracks and coordinated deformation. The research results provide a new material system and interface design standards for seamless bridge design. Full article

Given the critical role of electrical cabinets in the post-earthquake recovery and emergency response of nuclear power plants (NPPs), a comprehensive assessment of their seismic performance is essential to ensure operational safety. This study analyzed seismic behavior by fabricating an electrical cabinet model based on the dynamic characteristics and field surveys of equipment installed in a Korean-type NPP. A shaking table test with simultaneous tri-axial excitation was conducted, incrementally increasing the seismic motion until damage was observed. A numerical model was then developed based on the experimental results, followed by a seismic response analysis and comparison of results. The findings verified that assuming fixed anchorage conditions in the numerical model may significantly overestimate seismic performance, as it fails to account for the nonlinear behavior of the anchorage system, as well as the superposition between global and local modes caused by cabinet rocking and impact under strong seismic loading. Furthermore, damage and impact at the anchorage amplified acceleration responses, significantly affecting the high-frequency range and the vertical behavior, leading to substantial amplification of the in-cabinet response spectrum. Full article

To investigate the anchorage performance of an innovative assembled joint with large-diameter steel bar grout lapping in a concrete reserved hole, the effects of anchorage length and high-strength grouting material types on the failure mode, load–displacement curve, ultimate bond strength and strain variation were analyzed through the pull-out tests of 15 specimens. On this basis, the calculation formulae of critical and ultimate anchorage length were established and the applicability was verified, and then the recommended value of minimum anchorage length was provided. The results showed that the failure modes included splitting-steel bar pull-out failure and UHPC-concrete interface failure. With the increase in anchorage length, the bond strength showed a trend of increasing first and then decreasing. Increasing the grouting material strength can effectively improve the bond performance. When the anchored steel bar is HRB400 with a diameter not less than 20 mm, the recommended minimum anchorage length is 15.0d~18.3d. When the grouting material strength is larger than or equal to 100 MPa, the anchorage length should not be less than 15.0d. Full article

In order to reduce the self-weight of steel sheet–concrete composite slabs and fully apply the superior performance of the composite slabs, this paper proposes a kind of open-profiled steel sheet–hollow concrete composite floor slab. Flexural behavior tests are conducted to five pieces of composite floor slabs with different parameters, and numerical simulation methods were applied to perform finite element analysis on the composite slabs with different hollow rates, reinforcement ratios, and steel sheet thicknesses. At the same time, the calculation methods were discussed for the flexural bearing capacities under different anchorage conditions. The results indicate that, when the profiled steel sheet is in a low anchorage degree, end debonding is one of the important failure modes for the composite floor slabs, and the flexural bearing capacity of the composite floor slabs is significantly reduced. The reinforcement arrangement in the tensile zone has a significant impact on the bearing capacity, deflection, and ductility coefficient of the composite floor slabs. When the reinforcement ratio increases from 0% to 0.6%, the ultimate bearing capacity is increased by 182.5%, and the ductility coefficient is increased by 246.0%. The ultimate deflection of specimens with a reinforcement ratio of 0.6% is 22.4 times of that of the specimens without reinforcement arrangement. When the hollow rate is less than 20%, the influence of the concrete hollow radius on the flexural bearing capacity, ductility coefficient, and maximum crack width is relatively small. As the thickness of the steel sheet increases, the increasing range in ultimate bearing capacity gradually decreases, the deflection gradually decreases, and the ductility coefficient gradually increases; increasing the thickness of composite floor slabs can help reduce deformation. The theoretical calculation values obtained by applying the flexural bearing capacity calculation method proposed in the paper match with the test results, and the method has a certain reference value for the engineering practice. Full article

Background/Objectives. With a rapid palatal expander (RPE) is reported to be effective in increasing the volume of nasal cavities, with a restoration of physiological nasal airflow. The purpose of this retrospective clinical study was to evaluate, using Cone Beam Computed Tomography (CBCT), the volumetric changes and airflow velocity changes in the nasal cavities, retro-palatal and retro-glossal airways, resulting from the use of RPE with dental anchorage (group A), also comparing these data with patients non treated with RPE (group B). Methods. Sixteen subjects (aged 9.34 years) with transverse maxillary deficiency and unilateral posterior crossbite were treated with RPE with dental anchorage. Additionally, 8 patients (aged 11.11 years) with juvenile idiopathic arthritis, who did not undergo any orthodontic treatment, were selected as a control group. Expansion was performed until overcorrection was achieved, and the device was left in place for 6 months as fixed retention, followed by another 6 months of night-time removable retention. From the retrospective evaluation, all patients presented two CBCT scans at baseline (T0) and 1-year follow-up (T1). The 3D-Slicer software was used for each CBCT to measure the nasal (VN), retropalatal (VRP), and retroglossal (VRG) volumes, while an iterative Excel spreadsheet allowed for a pilot approximated modeling and calculation of airway flow-related data. Results. Regarding mean age, a statistically significant difference (p = 0.01 *) was found between groups, suggesting that group B is closer to the pubertal growth peak. Analysis between T0 and T1 revealed: (i) a statistically significant increase for volumes VN, VRP and VRG in group A; (ii) a statistically significant increase for VN in group B; (iii) a statistically significant decrease for all variables related to airflow velocity in both groups. Furthermore, comparison between group A and B, regarding variations between T0 and T1, found a statistically significant difference only for VN. Conclusions. Within the limitations of this pilot evaluation, the treatment with RPE revealed promising outcomes for retro-palatal, retro-glossal and nasal volumes, together with clinical changes in airflow velocities. Full article

Past research has shown that for short-span glulam beams reinforced with a simple tension GFRP fabric can lead to undesirable failure modes at the reinforcement termination point. An experimental programme aimed at investigating alternative reinforcement schemes comprising hoops and tension anchoring as an alternative to fan-type anchorage and full-length confinement was undertaken. Sixteen GFRP-reinforced glulam beams were tested to failure under four-point bending. Overall, the hoops and tension anchoring prevented premature debonding and stress concentration failures observed in beams reinforced with simple tension reinforcement. Improvements in the stiffness and strength were generally observed for all configurations with the average failure strain being on average 1.16 times larger than the unreinforced specimens. While hoops prevented undesirable failure modes, it had limited improvements when using bidirectional fabrics for the hoops. Conversely, the configurations with tension anchoring using bidirectional fabrics only resulted in improved performance with some level of post-peak resistance compared to the unreinforced specimens and those reinforced with simple tension reinforcement. For short-span beams, or any FRP-reinforced glulam beams where flexure is not the dominant failure mode, more robust modelling techniques are required to properly capture the distribution of the reinforcement. Full article

Achieving the appropriate primary stability for immediate or early loading in areas with low-density bone, such as the posterior maxilla, is challenging. A three-dimensional (3D) stabilization implant design featuring a tapered body with continuous cutting flutes along the length of the external thread form, with a combination of curved and linear geometric surfaces on the thread’s crest, has the capacity to enhance early biomechanical and osseointegration outcomes compared to implants with traditional buttressed thread profiles. Commercially available implants with a buttress thread design (TP), and an experimental implant that incorporated the 3D stabilization trimmed-thread design (TP 3DS) were used in this study. Six osteotomies were surgically created in the ilium of adult sheep (N = 14). Osteotomy sites were randomized to receive either the TP or TP 3DS implant to reduce site bias. Subjects were allowed to heal for either 3 or 12 weeks (N = 7 sheep/time point), after which samples were collected en bloc (including the implants and surrounding bone) and implants were either subjected to bench-top biomechanical testing (e.g., lateral loading), histological/histomorphometric analysis, or nanoindentation testing. Both implant designs yielded high insertion torque (ITV ≥ 30 N⋅cm) and implant stability quotient (ISQ ≥ 70) values, indicative of high primary stability. Qualitative histomorphological analysis revealed that the TP 3DS group exhibited a continuous bone–implant interface along the threaded region, in contrast to the TP group at the early, 3-week, healing time point. Furthermore, TP 3DS’s cutting flutes along the entire length of the implant permitted the distribution of autologous bone chips within the healing chambers. Histological evaluation at 12 weeks revealed an increase in woven bone containing a greater presence of lacunae within the healing chambers in both groups, consistent with an intramembranous-like healing pattern and absence of bone dieback. The TP 3DS macrogeometry yielded a ~66% increase in average lateral load during pushout testing at baseline (T = 0 weeks, p = 0.036) and significantly higher bone-to-implant contact (BIC) values at 3 weeks post-implantation (p = 0.006), relative to the traditional TP implant. In a low-density (Type IV) bone model, the TP 3DS implant demonstrated improved performance compared to the conventional TP, as evidenced by an increase in baseline lateral loading capacity and increased BIC during the early stages of osseointegration. These findings indicate that the modified implant configuration of the TP 3DS facilitates more favorable biomechanical integration and may promote more rapid and stable bone anchorage under compromised bone quality conditions. Therefore, such improvements could have important clinical implications for the success and longevity of dental implants placed in regions with low bone density. Full article

This study investigates strengthening reinforced concrete (RC) beams using fiber-reinforced polymers (FRPs). Nine samples were cast and strengthened with varying parameters, including the width, number of laminates, use of anchors, and application of prestressing. A novel device—the easy prestressing machine (EPM)—was developed to apply prestress. The EPM is lightweight and operable manually, enabling up to 10% prestressing. All specimens were tested under three-point bending until failure, and load-displacement curves were recorded. An analytical method based on curvature increment and incorporating material nonlinearities is also proposed to estimate the load-displacement response of RC beams with and without FRP strengthening. Both experimental and analytical results are presented and compared. The analytical model strongly agreed with the experimental results, showing Pearson correlation coefficients exceeding 90% for most specimens. According to the experimental findings, applying FRP, particularly when combined with anchorage and prestressing, increased the load-bearing capacity by up to 45%. Anchorage and prestressing effectively mitigate premature debonding, with prestressing showing a more pronounced impact on enhancing bond performance and load capacity. Based on the results, conclusions regarding the analytical model, structural behavior, and optimal strengthening strategies are discussed. Full article