Esthetic recontouring after surgical and orthodontic treatment of an impacted and developmentally impaired permanent incisor: a case report.
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Biomedical subjects
Publications and source records attributed to A Rehany.
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This paper presents a relatively simple method of repairing a large porcelain fracture in a porcelain-fused-to-metal crown that is part of a multi-unit fixed partial denture. The technique involves fitting a "modified" porcelain-fused-to-metal crown over the original damaged crown following some preparation of the original crown. This technique is of special value when a permanently cemented multi-unit restoration is involved, eliminating the need to replace the entire restoration and providing a durable esthetic result.
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The problem of achieving a common path of insertion for a fixed partial denture when a tilted posterior abutment is involved can usually be solved by well planned tooth preparation in conjunction at times with intentional endodontic therapy. When tooth preparation alone cannot solve the problem, the mechanical solutions of the locked attachment and the telescopic retainer are available and must be considered. Other problems involved with the tilted abutment, adjacent tilted teeth, space reduction, supraversion of the antagonist, and the problem of a long-span fixed partial denture were discussed.
A clinical and laboratory procedure is described for remaking a lost attachment for a removable partial denture rather than remaking the entire denture. This method enables continued use of the removable partial denture while the new attachment is made in the laboratory.
The use of occlusal prostheses is reviewed from the beginning of the twentieth century. The modified Hawley occlusal splint is described as it is used in integrated treatment in oral rehabilitation. The aims of treatment with the modified Hawley occlusal splint are listed and explained in detail. Contraindications and abuse of the Hawley occlusal splint are discussed also.
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Ideally, all finish lines should be placed supragingivally. Due to esthetic and carious considerations, however, subgingival placement of the finish line is preferred. No one type of finish line can be used for all crown preparations. In lower anterior teeth or periodontically-treated teeth, the knife-edge finish line appears to be the treatment of choice. In short teeth and preparations for porcelain and porcelain-gold crowns, the full shoulder bevelled preparation is the treatment of choice. In full gold and acrylic veneered gold crowns, as in endodontically-treated teeth, the chamfer preparation is the treatment of choice.
A simple and efficient method has been described for refacing restorations without removing them from the mouth. The impression technique, fabrication of the facing, and its attachment to the crown were described.