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Biomedical subjects

A Pinault

Publications and source records attributed to A Pinault.

17 recordsLinked to original sources
PubMed1993

Smile rejuvenation: a methodic approach.

The innovations in dental restoration materials during the last decade have enabled the clinician to achieve improved aesthetic results. However, dependence on the materials alone does not necessarily produce predictable aesthetic results. As the learning objective, the author discusses the need for a methodic approach, the observation of the intact smile, the dominant position of the maxillary central incisors, and the art of aesthetic integration of the maxillary incisors in proper proportion with the face and stature, thereby producing pleasing sensations in the observer.

Crowns↗
PubMed1991

Microstructural characterization of a foil crown system.

In this study, the microstructural nature of the Renaissance crown system has been characterized in an effort to understand its reported properties and performance. Intergranular cavitation was characteristic of the foil surface. The brazed area joining various pleats was porous and exhibited an equiaxial grain structure. Particles of the interfacial alloy sintered with each other and bonded to the foil. Flow of porcelain into intergranular grooves of the foil and within the porous interfacial alloy network was observed. Tags that formed as a result contributed to the micromechanical retention of porcelain on the foil. No evidence of foil-porcelain chemical bonding was found, nor was there any indication of substantial interlayer diffusion.

Crowns↗
PubMed1990

Divergent post and tube and screw systems for the short crown preparation.

A one-step divergent sliding post incorporated through a crown casting provides effective auxiliary retention for the short crown preparation, especially when interocclusal distance is minimal. With this procedure, retention is gained from the residual walls of both the extracoronal preparation and the canal preparation even though their respective axes may be divergent. A tube and screw attachment may also be incorporated inside and understructure coping to secure a permanently cemented short crown-and-bridge retainer. Both techniques may be used separately or in combination for maximal retention and, despite the additional complexity and cost, will compensate for the short extracoronal walls of the second molar preparation.

Crowns↗
PubMed1990

[Morphology of implant restorations in the cuspid area].

Implant supported posterior restorations must be constructed following established prosthetic principles. The need for screw-retained abutments and the narrow diameter of root form implants dictate additional treatment protocols that fail beyond the scope of conventional prosthetics. Cemented restorations offer simplicity and good control of morphology, but can only be considered if no reservicing and removal of the restoration are anticipated. Screw retained restorations allow for reservicing on remediation but necessitate centering of the fastening screw within the occlusal anatomy. In case of implant misalignment, axis problems are solved with preangled or customized copings, or double frameworks. The diameter of root form implants is significantly smaller than posterior natural teeth and the emergence of the restorations must be progressively flared to achieve proper anatomy. Limited interocclusal space and implant placement may dictate restoring posterior teeth as premolars selecting a short abutment or a UCLA abutment, or overlapping the crowns over the soft tissues. The final selection is best assisted with a diagnostic waxing and with provisional restorations anticipating the completed treatment.

Adhesives↗
PubMed1989

Implant surgical template for partially edentulous patients.

A stable and dimensionally accurate surgical template provides a precise and stable reference for implant placement in the partially edentulous patient. Implant location and axis can be rigidly controlled with calibrated channels incorporated into the template.

Dental Implantation↗
PubMedDate not supplied

Considerations for fabrication of implant-supported posterior restorations.

Implant-supported posterior restorations must be fabricated following established prosthodontic principles. The need for screw-retained abutments and the narrow diameter of root-form implants dictate additional treatment protocols that fall beyond the scope of conventional prosthodontics. Cemented restorations offer simplicity and good control of morphology, but can only be considered if removal or no reservicing of the restoration is anticipated. Screw-retained restorations allow for reservicing or remediation but necessitate centering of the retaining screw within the occlusal anatomy. When the implant is misaligned, axis problems are solved with preangled copings, custom copings, or double frameworks. The diameter of root-form implants is significantly smaller than posterior natural teeth, and the emergence of the restorations must be progressively flared to achieve proper morphology. Limited interocclusal space and implant placement may dictate restoring posterior teeth as premolars, selecting a short abutment or a nonsegmented ("UCLA") abutment, or overlapping the crowns over the soft tissues. The final abutment selection is best assisted with a diagnostic waxing and with provisional restorations anticipating the completed treatment.

Bicuspid↗
PubMedDate not supplied

Adapting fixed prosthodontics principles to screw-retained restorations.

Implant restorations may be visualized clinically using a provisional fixed partial denture and in the laboratory with a fully contoured waxing on the master cast. The benefits of eggshell restorations for provisional restorations are as valid in implant prostheses as in conventional restorations. A technique is presented using the plastic laboratory sleeves to provide reliable anchorage as well as protection and preservation of the abutments. A fully contoured waxing on the master cast predictably determines the most appropriate design for screw-retained restorations. When unfavorable implant placement would create compromised morphology, a retrievable auxiliary substructure is indicated.

Dental Abutments↗
PubMedDate not supplied

Auxiliary substructure for screw-retained prostheses.

A double framework system is indicated when implant location could result in an overcontoured or compromised metal ceramic prosthesis. Precise design of the auxiliary substructure should provide for all necessary reorientations and corrections before constructing the metal ceramic framework. The additional cost and complexity of this technique must be weighed against the esthetic and morphologic requirements of the patient.

Adult↗