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Biomedical subjects

M Fradeani

Publications and source records attributed to M Fradeani.

9 recordsLinked to original sources

Aesthetic restoration of endodontically treated teeth.

The utilization of all-ceramic anterior restorations has been widely advocated by dental clinicians for the creation of a natural appearance, even in teeth that have undergone endodontic treatment. A suitable aesthetic level is generally more difficult to achieve, however, when a post and core system is required in the absence of adequate dental structure. In particular, conventional cast-metallic posts negate light transmission, which has long been considered a vital component in the creation of optimal aesthetics. This article provides an overview of the materials, fabrication methods, and procedures involved in anterior reconstruction using aesthetic alternative systems and solutions.

Ceramics↗

Six-year follow-up with Empress veneers.

This study reports on 6 years experience with IPS Empress laminate veneers. A total of 83 anterior veneers were positioned in 21 patients from January 1991 to December 1996 in the author's private practice. Final evaluation was carried out in May and June 1997. Color match, marginal discoloration, recurrent caries, contour, and marginal integrity were evaluated using the modified U.S. Public Health Service criteria at baseline and subsequent recall appointments. On the basis of the criteria used, a large percentage of veneers were rated Alfa. Only one failure was recorded, resulting in a success rate of 98.8%. A thorough description of clinical procedures and laboratory techniques through which anterior teeth can be successfully treated with ceramic veneers is supplied. A clinical case is presented to demonstrate the satisfactory esthetic results obtained using this very conservative restorative technique.

Aluminum Silicates↗

Longitudinal study of pressed glass-ceramic inlays for four and a half years.

STATEMENT OF PROBLEM: Some restorative materials used in the posterior region of the mouth present conventional problems, such as microleakage, recurrent caries, wear, and poor color stability. PURPOSE: This study determined the reliability of the IPS Empress ceramic material for fabricating inlays and onlays in the posterior region of the mouth. MATERIAL AND METHODS: A total of 125 IPS Empress pressed glass ceramic inlays were placed for 29 patients in a private practice. The restorations were observed for a period of 7 to 56 months, with a mean of 40.3 months. All inlays were constructed in the same dental laboratory and the restorative materials used according to the manufacturers' instructions. The restorations were evaluated clinically according to modified U.S. Public Health Service criteria at the time of insertion and at periodic recall appointments. Kaplan-Meier statistics were used to calculate survival rates. RESULTS: Clinical evaluation revealed that pressed glass ceramic inlays, with the exception of four fractured restorations, were rated from Alpha to Bravo for each criteria. Marginal discoloration recorded the lowest percentage of alpha ratings (65.3%). The estimated survival rate after approximately a 4.5-year follow-up period was 95.63% (95% confidence interval; 90.77% to 99.95%).

Adult↗

Anterior maxillary aesthetics utilizing all-ceramic restorations.

The use of all-ceramic systems has increased significantly during recent years, due to the improved strength and the introduction of a new generation of dental adhesive agents and resin cements. Both factors permit reliable and predictable results in single jacket crown restorations in the maxillary anterior region. Due to their natural appearance, the all-ceramic materials, especially the glass ceramics, blend harmoniously with the oral environment and are particularly appreciated where aesthetics is a priority. The learning objective of this article is to demonstrate a routine utilization of all-ceramic systems in the maxillary anterior region, preceded by a proper case selection. Two clinical cases are used to illustrate the preparation procedure, the importance of well-integrated provisional restorations, and the accuracy in transferring provisional information onto the final jacket crowns.

Adult↗

The restoration of functional occlusion and esthetics.

Severe occlusal destruction, whether it results from attrition, abrasion, or erosion, must be met with definitive diagnosis and treatment. This case report illustrates the step-by-step diagnosis and treatment of a patient with severe occlusal wear. Restoration of a functional occlusion and esthetics involved endodontic treatment, reestablishment of the vertical dimension of occlusion, osseous periodontal surgery, and placement of single-tooth cast glass-ceramic crowns.

Crowns↗

Clinical experience with Empress crowns.

The IPS Empress pressed glass-ceramic system was used in this investigation to restore anterior and posterior single teeth. One hundred forty-four crowns were evaluated over a period of 6 to 68 months (mean period of 37 months). According to the Kaplan-Meier analysis, the estimated success rate after this period was 95.35%. Crowns were also investigated using the modified US Public Health Service criteria. Most of the crowns rated as Alpha for color match, contour, marginal integrity, recurrent caries, and marginal discoloration. The results of this study indicate that this material can be successfully used, especially in the anterior area, when the procedures outlined are carefully followed.

Adult↗