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Biomedical subjects

L W Blank

Publications and source records attributed to L W Blank.

15 recordsLinked to original sources

Clinical evaluation of castable ceramic veneers.

Laboratory fabricated veneering of discolored or malformed anterior teeth is becoming a widely used technique. Etched Dicor and Dicor Plus ceramic veneers cemented with Dicor Light Activated Cement with Fluoride is one technique available to the practitioner. The purpose of this study was to evaluate the clinical effectiveness of castable ceramic veneers and the cementation system. Forty-three Dicor and 18 Dicor Plus veneers were placed in 12 patients. An intraenamel preparation was completed with a bullet-nosed diamond bur in an ultra-speed handpiece with air-water spray, and a polyvinylsiloxane impression was made. All veneers were fabricated on dies by the same laboratory technician and placed by one practitioner. The restorations were examined by two evaluators at baseline, 3 months, and 1 year, using modified Ryge criteria.

Ceramics

A 5- and 8-year clinical evaluation of a posterior composite resin.

Class I and II posterior composite resin (Ful-Fil) restorations were placed and were clinically evaluated, according to the US Public Health Service criteria, at baseline, 6 months, 5 years, and 8 years. At 5 years/8 years, alpha scores were assigned to the following percentages of restorations: 16%/31% for color match; 65%/62% for marginal discoloration; 74%/54% for cavosurface marginal discoloration; 100%/100% for axial contour; and 81%/65% for anatomic form. At 5 years/8 years, 56%/33% of Class II restorations had tight proximal contacts; 45%/44% had light contacts; and 0%/22% had no contacts. Transient postoperative sensitivity was reported in 6% of the restorations. Indirect evaluation indicated that there was an average of 64 +/- 35 microns of wear at baseline (because of overfinishing), 105 +/- 67 microns at 6 months, 217 +/- 76 microns at 5 years, and 253 +/- 82 microns at 8 years. At 5 years, three of the restorations, and at 8 years, four additional restorations, were clinically unacceptable because of recurrent caries and/or excessive wear. Final success rates of 90% and 77% at 5 and 8 years, respectively, were calculated.

Adult

Urgent treatment in operative dentistry.

This article has described the treatment for a variety of restorative situations requiring urgent treatment. Successful management of these situations begins with a thorough knowledge of their possible causes and is reinforced by a careful history and a complete examination using all available diagnostic tools. By applying modern treatment modalities we have the ability to reduce the pain and discomfort associated with urgencies classified as restorative in nature.

Dental Occlusion

The gingival response to well-finished composite resin restorations.

Within the limits of this study, the following conclusions are made: 1. Well-finished and contoured composite resin restorations do not adversely affect the health of the gingiva. 2. The gingiva exhibits less inflammatory response to a well-finished and contoured composite resin restoration than to an open carious lesion. 3. The gingival inflammatory changes which do occur are independent of the presence of well-finished and contoured composite resin restorations. 4. Observation over an extended period of time is necessary to determine if composite resin restorations ultimately become gingival irritants.

Adult