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Background and Aim: Considering the increasing use of dental implants in replacing lost teeth, the odds of failure over time in this treatment are inevitable, as with other dental treatments; thus, it requires careful and regular follow-up. Accordingly, the present study aimed to evaluate the awareness and attitude of general dentists about the follow-up of the dental implants to create baseline information to schedule future workshops concerning dental implants.
Methods & Materials: In this analytic cross-sectional study, 98 general dentists of Arak City, Iran were evaluated. Questionnaires were designed in 3 sections, as follows: demographic, awareness, and attitude. After checking the validity and reliability of the questionnaires, they were distributed among the research participants. The obtained data were analyzed using descriptive analysis, Chi-squared test, and Independent Samples t-tests. The significance level was considered 0.05.
Ethical Considerations: This article was approved by the Ethics Committee of Arak University of Medical Sciences (Code: IR.ARAKMU.REC.1397.283).
Results: The average score of awareness of the questionnaires was equal to 10.8 (based on the score of 0-19); the mean score of attitude was measured as 12.8 (based on the score of 7-21). Fifty-Three of the explored dentists had performed implant treatment, whose awareness and attitude toward implants follow-up were significantly higher than those of the dentists who did not perform such treatment (P=0.0001). Work experience presented no significant effect on the examined dentists’ awareness and attitude (P>0.05).
Conclusion: General dentists have low awareness and attitude about implant follow-up. Follow-up plays an important role in the long-term success of implant therapy; therefore, dental education/retraining programs should be reviewed in this field.

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Background and Aim: Different implant angulation, which is unavoidable in clinical situations, can affect the accuracy of impression. The aim of this study was to investigate the effect of fixture position on the accuracy of connecting impression coping to implants with internal hex.
Materials and Methods: A gypsum model with 4 implants with internal hex connection was prepared. The implants were installed in different mesiodistal angles of 0, 15, 25 and 35 degrees to the longitudinal axis in the gypsum model. To simulate the gums, a gingival mask was injected around the implants to a height of 2 mm. After a training session for senior dental students on how to close the impression coping, forty students were asked to close the impression copings on four implants. The correctness of the impression coping was evaluated by an expert prosthodontist. Data were statistically analyzed using Cochran Q test. Significance level was considered 0.05.
Ethical Considerations: this article is approved by ethics committee of Arak University of Medical Sciences.
Findings: The correct performance of students in connecting the impression coping to the implant at angles of 0, 15, 25 and 35 degrees was equal to 85%, 72%, 52%, 35%, respectively. With the exception of 0 and 15 degree groups, a statistically significant difference was observed between different study groups.
Conclusion: The fixture position has a significant effect on the accuracy of connecting impression coping to the implants with the internal hex and by increasing the implant angulation, the accurate connection the impression coping to the implant decreases. 

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Introduction: The sinuosus canal and its branching accessory canals have crucial importance across different races for minimizing neurovascular problems in dental implantation.
Methods: This study was performed as a retrospective analysis, employing Cone beam computed tomography(CBCT) images of 174 patients who attended a private oral and maxillofacial radiology center in Arak from 2018 to 2020. The CBCT images were examined with Romexis software. Quantitative variables were reported as mean ± standard deviation, whereas qualitative variables were presented as frequency percentages. The data were analyzed using the independent T-test. The correlation between quantitative data was examined using Pearson’s correlation coefficient and logistic regression analysis. One-way ANOVA was performed to analyze variables including age groups and the location of accessory canals.
Results: 65.5% of the participants had a canalis sinuosus, demonstrating a considerable prevalence of canalis sinuosus in the studied population. Age and gender did not significantly correlate with the prevalence of accessory and sinuosus canals (P > 0.05). However, a significant difference was observed in the mean diameter of the canalis sinuosus between males and females (P = 0.01). The most common location for the termination of accessory canals on the left side in females was posterior to the lateral incisor (48.3%), whereas in males, it was posterior to the central incisor (45.8%). On the right side, the most common place in females (45.5%) and males (36.4%) was also posterior to the central incisor.
Conclusions: The prevalence of sinuosus and accessory canals in different populations and races is more closely related to sample size and race and requires investigation across different races to reduce neurovascular complications.