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Coronal microleakage of temporary restorations in previously restored teeth with amalgam and composite.

AIM: This study evaluated microleakage at the interface between various temporary restorative materials and existing amalgam or composite restorations, and dental tissues in previously restored teeth after partial removal of the restoration. MATERIALS AND METHODS: The distal half of amal gam (Ag) and composite restorations (Co) in 45 teeth were removed, then filled with temporary restorative materials (IRM, Coltosol and CLIP). After thermal cycling, microleakage was measured microscopically as the penetration of basic fuchsine according to a four-unit-scale: The data were evaluated with Friedman and Kruskal-Wallis tests using Bonferroni correction (p < 0.05). RESULTS: In almost all groups except the Co-IRM and Ag-CLIP interface, lower microleakage values were observed in temporary restoration-permanent restoration interfaces compared to temporary restoration-tooth interfaces. For the Ag and Co groups except for the Ag-IRM-b interfaces, the highest microleakage values were observed with IRM for b and c interfaces followed by Coltosol and CLIP. Interestingly, although CLIP was a temporary restoration, CLIP-tooth interface (Ag-CLIP-c) values were lower than amalgam-tooth interface (Ag-CLIP-a) values. CONCLUSIONS: CLIP provided a better seal against microleakage at amalgam and especially composite interfaces. This material also provided a better seal against microleakage at the tooth tissue interface. The use of a resin based temporary restorative material over partially removed resin composite restorations could be beneficial in achieving better resistance to marginal leakage. Within the limitations of this study, maintaining partially removed permanent restorations does not seem to cause a problem with achieving marginal seal.

Acrylic Resins↗

Restorative and orthodontic treatment of maxillary peg incisors: a clinical report.

This clinical report describes a combination treatment approach to an esthetic defect that resulted from diastemata and peg-shaped lateral incisors. Minor tooth movement was achieved through the use of a removable orthodontic appliance and orthodontic rubber band, and full-coverage PFM crowns were placed on the lateral incisors. These complementary orthodontic and restorative procedures successfully corrected the defect.

Adult↗

Surgical-prosthetic correction of dentofacial deformities.

The rehabilitation of optimal masticatory function in many persons who have difficult prosthetic dental conditions can be significantly aided by newer orthognathic surgical procedures. The combined surgical-prosthetic approach for these patients requires close cooperation and communication between the general dentist or prosthodontist and the oral surgeon, particularly because various aspects of the surgical treatment planning for these patients differ greatly from those for patients with complete natural dentitions. A discussion and report of cases illustrate germane aspects of evaluation of conditions, treatment planning, and surgical approaches to the more commonly encountered surgical-prosthetic dental problems.

Adult↗

Accidents happen.

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Cementation↗

Immediate placement and provisionalization of maxillary anterior single implants: 1-year prospective study.

PURPOSE: This 1-year prospective study evaluated the implant success rate, peri-implant tissue response, and esthetic outcome of immediately placed and provisionalized maxillary anterior single implants. MATERIALS AND METHODS: Thirty-five patients (8 men, 27 women) with a mean age of 36.5 years (range 18 to 65) were included in this study. Thirty-five threaded, hydroxyapatite-coated implants were placed and provisionalized immediately after each failing tooth had been removed. The definitive restoration was placed 6 months later. The patients were evaluated clinically and radiographically at implant placement and at 3, 6, and 12 months after implant placement. RESULTS: At 12 months, all implants remained osseointegrated. The mean marginal bone change from the time of implant placement to 12 months was -0.26 +/- 0.40 mm mesially and -0.22 +/- 0.28 mm distally. No significant differences in the Plaque Index scores were noted at different time intervals. The mean midfacial gingival level and mesial and distal papilla level changes from pretreatment to 12 months were -0.55 +/- 0.53 mm, -0.53 +/- 0.39 mm, and -0.39 +/- 0.40 mm, respectively. All patients were very satisfied with the esthetic outcome and none had noticed any changes at the gingival level. DISCUSSION: Although marginal bone and gingival level changes were statistically significant from pretreatment to 12 months of follow-up, they were well within clinical expectations. CONCLUSION: The results of this study suggest that favorable implant success rates, peri-implant tissue responses, and esthetic outcomes can be achieved with immediately placed and provisionalized maxillary anterior single implants.

Adolescent↗

Conservative adjunct to esthetic orthodontic treatment in young patients.

The esthetic effect of orthodontic treatment in young patients may sometimes be incomplete without performing additional procedures related to the form and texture of the anterior teeth. Six young patients, aged 7 to 21 years, presented for orthodontic treatment to improve their dental esthetics. The problems of tooth staining, mutilation, congenitally missing teeth, tooth size/arch length discrepancy, and sequellae of dental trauma neccessitated a combined orthodontic-prosthodontic treatment. Changing morphology and texture by conservative prosthetic procedures proved to be a successful complement to orthodontic treatment.

Adolescent↗

Effect of a preventive program on dental caries and mutans streptococci in Polish schoolchildren.

The effect of a preventive program was studied in Polish schoolchildren. The study was carried out in a group of 133 children, aged 10-12 yr, divided into a test and a control group. Children in the test group were initially treated with temporary restorations and were then given oral health education and preventive treatment by a specially trained chairside assistant. The preventive treatment included prophylaxis and topical fluoride treatment and was carried out at least 10 times a year. The mean 3-yr DFS increment was 1.7 in the test and 10.9 in the control group. The salivary counts of mutans streptococci were similar in test and control group at baseline and after 1 and 2 yr. At the examination after 3 yr, a difference was established between the two groups.

Child↗

Constructing direct porcelain laminate veneer provisionals.

Historically, teeth prepared for indirect restorations are protected by some type of provisional restoration. This is not always the case for teeth prepared for porcelain laminate veneers because construction of temporaries can be time-consuming. This case report illustrates a quick technique for fabricating a direct composite veneer provisional for teeth prepared for porcelain laminate veneers.

Adult↗