Fabrication of a maxillary prosthesis using dental implants and an "overdenture" attachment. A clinical report.
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Biomedical subjects
Publications and source records attributed to L L Sowinski.
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Avulsion of natural teeth caused by trauma may present an unusual problem for the general practitioner. Endodontic therapy and replantation of the tooth into the socket have a relatively low long-term prognosis because of internal or external root resorption. Dental implants can provide proper support and function for missing teeth with excellent esthetic results without preparation of natural dentition. In this case report, an implant system is used to restore an anterior space created by the loss of endodontically treated central and lateral incisors.
This research quantitatively compared the retention and resistance of various designs of maxillary premolar partial veneer crown preparations. Crowns were evaluated with and without proximal boxes and occlusal pins. In the absence of boxes or grooves, pins markedly enhanced both retention and resistance. In the presence of proximal boxes, pins contributed only to retention and had no significant effect on resistance. If pins are used, the cement should be spiralled into the pin hole. As resistance is usually the more crucial parameter in preparation designs, it seems that wherever efficient axial modifications can be incorporated, the pinhole modification may be of little advantage.
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