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[The study of a computer aided artificial teeth arrangement of complete denture].

OBJECTIVE: To develop a system of computer aided complete denture design (CACDD). METHODS: After 3 dimensional measurement, data process and making model of a edentulous model, artificial teeth and the maxillomandibular bite plate, on the position of centric relation, the artificial teeth were arranged according to the principle and demand of the complete denture's teeth arrangement. The relation of teeth and occlusion were adjusted by Affine and Projection transformation. RESULTS: (1) The maxillomandibular visual base on the position of centric relation were made, its mathematics model is B-Spline curve surface of the double third power. (2) The artificial teeth arrangement and 3 dimensional show of the complete denture were achieved. CONCLUSION: This system can provide a feasible tool for a computer aided complete denture design and teaching.

Centric Relation↗

Influence of the buccolingual position of artificial posterior teeth on the pressure distribution on the supporting tissue under a complete denture.

The buccolingual position of artificial teeth is one of the important factors affecting denture stability, chewing efficiency, and pressure distribution on the supporting tissue under a denture. This study compared the pressure values on the supporting tissue under a denture during chewing in denture wearers, each of whom tried three different setting positions of artificial posterior teeth. The pressure on supporting tissue was greater on the working side that on the non-working side during chewing. The difference in mean pressure was found among the buccolingual positions of artificial posterior teeth. When the posterior teeth were set on the crest, the total pressure was the smallest. This strongly suggests that the setting position of artificial teeth should be considered not only for denture stability but also for the avoidance of high pressure on the supporting structures.

Aged↗

Influence of stress simulation parameters on the fracture strength of all-ceramic fixed-partial dentures.

OBJECTIVES: This in vitro study tested the influence of diverse stress simulation parameters on the fracture strength of all-ceramic three-unit fixed partial dentures (FPDs). METHODS: All-ceramic FPDs made of Empress 2 (Ivoclar-Vivadent, FL) were exposed to thermal cycling and mechanical loading (TCML) with varying loading parameters such as chewing force (amount, frequency), thermal loading, lateral jaw motion, abutment material, artificial periodontium or antagonistic denture. To investigate the influence of the abutment material, human teeth, polymer abutments and alloy abutments were used. Two different TCML devices with pneumatic or weight loading were compared. FPDs without aging were used as a control. RESULTS AND SIGNIFICANCE: Combined thermal and mechanical loading significantly reduced the FPD fracture resistance from 1832N to 410N. Duplication of chewing frequency, phase load increase or additional lateral movement did not effect the results. Increasing chewing force, artificial periodontium, and antagonist or abutment material reduced the fracture resistance of the tested FPDs. Different devices with weight or pneumatic loading had no significant influence on the loading capacity of the FPDs. Artificial aging should be performed combining thermal cycling with mechanical loading. Simulation of the artificial periodontium, human antagonists and abutments should be included to achieve a significant aging.

Bite Force↗

Correlation between facial measurements and the mesiodistal width of the maxillary anterior teeth.

UNLABELLED: One of the most difficult aspects during the selection of maxillary anterior teeth for a removable prosthesis is determining the appropriate mesiodistal width of the six maxillary anterior teeth. Many attempts have been made to establish methods of estimating the combined width of these anterior teeth, and improving the esthetic outcome. The proportion of facial structures and the relationship between facial measurements and natural teeth could be used as a guide in selecting denture teeth. The aim of this study was to verify the relation between the combined mesiodistal width of the six maxillary anterior teeth and the facial segments: the width of the eyes, the inner canthal distance (ICD), the interpupillary distance (IPD), the interalar width, and the intercommissural width (ICm). Standardized digital images of 81 dentate Brazilian subjects were used to measure both facial and oral segments when viewed from the frontal aspect through an image processing program. To measure the distance between the upper canines on a curve, accurate casts were made from the upper right first premolar to the upper left first premolar. The Spearman rank correlation coefficient was conducted to measure the strength of the associations between the variables (alpha = 0.05). The results showed a significant correlation between all facial elements and the combined mesiodistal width of the six teeth, when observed from the frontal aspect. The ICD, IPD, and ICm showed the highest probability of being correlated to the mesiodistal width of the teeth (p = 0.000). CLINICAL SIGNIFICANCE: This article considers facial analysis with digital photography as a practical and efficient application to select the mesiodistal width of artificial anterior teeth in an esthetically pleasing and natural appearance during an oral rehabilitation treatment.

Adolescent↗

The effect of artificial saliva on the rheological properties of tooth whitening systems.

This work was undertaken to explore the effect of saliva addition on the rheological properties of two contrasting tooth bleaching systems, one of which was a paste (Colgate Platinum) and the other a gel (Zaris, 3M ESPE). Using a dynamic stress rheometer with cone and plate geometry, it was shown that addition of artificial saliva reduced the apparent viscosity of each material. However, in some cases this was accompanied by an increase in elasticity. It is suggested that saliva may not have a deleterious effect on the ability of the materials to remain in the bleaching tray.

Dentifrices↗

Immediate replacement removable partial dentures with cobalt-chromium frameworks: rationale, technology and a case report.

The advantages of removable partial dentures with cobalt-chromium frameworks over those made entirely of acrylic resin, in oral health and hygiene, are well documented. However, in cases where teeth are to be extracted for fitting the removable partial denture, a difficulty arises because of the need to test the fit of the removable partial denture framework. The advent of two modern technologies-- laser welding and metal bonding agents -- make it possible to test the fit of the major part of the framework prior to adding additional metal components to support artificial teeth. A case is described in which the four lower incisors were extracted. The main part of the framework was constructed and its fit tested. A second casting was laser-welded to the lingual plate of the first casting to support the artificial incisor teeth. This technique avoids the need to make an acrylic resin temporary denture but incurs the cost of the additional technical work and so the advantages may be considered to be economically neutral.

Adult↗

Arranging artificial teeth according to anatomic landmarks.

A system for arranging artificial teeth that satisfies three goals is desirable. These goals are accuracy, speed, and a facility for communication. Such a system, based upon certain anatomic landmarks that can be identified on an edentulous dental cast, has been described in detail. The dentist with the patient present records the anterior determinant of occlusion by placing the four central incisors according to phonetics and esthetics. All remaining teeth are placed at the laboratory according to anatomic landmarks. Then the dentist returns the trial dentures to the patient for verification, personalization, and perfection. It is the responsibility of the dentist to prescribe requirements of tooth placement in detail if he uses the services of a dental laboratory technician.

Bicuspid↗

Laser-welded titanium frameworks for implant-supported fixed prostheses: a 5-year report.

The 5-year results from a multicenter study of implant-supported, laser-welded titanium frameworks are reported here as a complement to earlier reported 2-year results. Implant survival rates were satisfactory for patients with titanium frameworks and for a control group of patients with gold-alloy frameworks. At the 5-year review, more patients with titanium frameworks had lost implants than the patients with gold-alloy frameworks, but this difference was not statistically significant. More fractures of the titanium frameworks occurred, compared to the gold-alloy frameworks; again, this difference was not statistically significant. No significant differences in marginal bone levels were found between the 2 groups of patients. Slightly more fractures of artificial teeth occurred in patients with titanium frameworks than in patients with gold-alloy frameworks. Overall results for the titanium frameworks after 5 years in function are encouraging.

Alveolar Process↗

Quantitative evaluation of axial wall taper in prepared artificial teeth.

The purpose of this study was to quantitatively evaluate the axial wall taper of prepared artificial teeth using a non-contact three-dimensional shape measuring system. A total of 54 artificial teeth prepared by pre-clinical dental students for complete cast restorations were evaluated. For quantitative analysis, five cross sections were computer-graphically placed perpendicularly to the z-axis. The surface coordinate values (x, y, z) of each cross section were converted into polar coordinate values (r, theta), which were then graphically rendered to a two-dimensional plane. At four points, each 90 degrees from the distal center point of the cross section, the axial wall taper was quantitatively calculated using a formula based on the differences in radius between the highest and lowest positions of the cross sections of the prepared tooth. The average calculated taper was 5.8 degrees in the distal region, 21.7 degrees in the buccal region, 14.9 degrees in the mesial region and 12.5 degrees in the lingual region. These results suggest that the axial wall taper of prepared teeth can be quantitatively evaluated using this measuring system.

Computer Graphics↗

Reduction of aerosols produced by ultrasonic scalers.

There is concern with decreased air quality and potential aerosol contamination in the dental operatory. This problem has been addressed by the Centers for Disease Control and Prevention, which recommends that all sources of blood-contaminated splatter and aerosols be minimized. One of the major sources of potential aerosol contamination in the dental setting is the ultrasonic scaler. This study looks at the use of a high volume evacuator attachment for the ultrasonic scaler handpiece. Artificial teeth were mock-scaled for 1 minute with and without the evacuator attachment. The mock scaling was performed within a plastic enclosure that had a 1 cm grid laid out on 4 sides. Scaling was performed 10 times each by 2 operators. An erythrosin solution was used for the ultrasonic scaler coolant with a coolant volume of 17.5 ml/min. The number of squares containing a red erythrosin spot were counted and considered to represent aerosol contamination. The high volume evacuator attachment produced a 93% reduction in the number of contaminated squares (chi squared significant at P < 0.05). There was no increase in heat transfer to a tooth analogue when the high volume evacuator attachment was used with the ultrasonic scaler as compared to the scaler without the evacuator attachment. It is felt that the high volume evacuator attachment is capable of significantly reducing the amount of aerosol contamination produced within the test system without increased heat transfer to the tooth.

Aerosols↗

Removable partial denture education in U.S. dental schools.

PURPOSE: A survey of U.S. dental schools was conducted in 2001 to determine the curricular structure, techniques, and materials used in predoctoral clinical removable partial denture (RPD) programs. MATERIALS AND METHODS: The questionnaire was mailed to the chairperson of the prosthodontic/restorative departments of 54 U.S. dental schools. Of these, 44 schools returned the completed survey, resulting in a response rate of 82%. RESULTS: Results from this survey show that a large majority of schools are using similar materials in clinical RPDs; for instance, using modeling compound for border molding final impression trays (61%) and using a semi-adjustable articulator for mounting preliminary casts (90%) and final casts (98%). In addition, a large majority of schools are using similar techniques in clinical RPDs, such as border molding the edentulous areas of the final impression tray (80%) and using the altered cast impression technique (59%). A set post-insertion protocol is present for patients who receive partial dentures in the majority of the schools (93%). Only 25% of schools reported incorporating new educational materials such as the use of Portrait artificial teeth at the predoctoral level. Eighteen percent of schools are allowing students to graduate without a set number of RPD clinical requirements as has been traditionally the case. CONCLUSIONS: Predoctoral clinical RPD programs vary from school to school, yet a large percentage of schools agree on many topics.

Curriculum↗

Early designs for the occlusal anatomy of posterior denture teeth: part III.

Part III of this series of articles, like Part II, reviews the pioneering efforts in the 19th century to improve the quality of artificial teeth. The focus of this article, unlike that of Part II, is specifically modifications in the design of the occlusal anatomy of the 19th century denture teeth, along with the theories of mandibular movement that inspired those modifications. This article concludes the introductory phase of this project, which seeks to unravel the confusing history of the development of (posterior) denture teeth.

Bicuspid↗

In vitro fracture force and marginal adaptation of ceramic crowns fixed on natural and artificial teeth.

PURPOSE: Artificial teeth made of acrylic resin or alloy are considered substitutes for rare caries-free human teeth in in vitro examinations. The purpose of this study was to compare the fracture strength and marginal adaptation of all-ceramic single crowns fixed to natural teeth with crowns fixed to artificial teeth after artificial aging. MATERIALS AND METHODS: The fracture force and marginal adaptation were investigated in 28 adhesively luted all-ceramic crowns on human molars of different sizes, as well as on alloy and liquid crystal polymer (LCP) artificial teeth. The fracture force was determined using a universal testing machine, and the semiquantitative marginal adaptation was examined using a scanning electron microscope, in both instances after simulating 5 years of clinical service. RESULTS: Fracture force was found to be significantly higher for crowns fixed on substitute materials (alloy = 1,838 N; LCP = 1,392 N) than for crowns on human teeth (888 N). No significant differences in marginal quality could be determined between the groups. All crowns showed marginal gaps of about 10% and perfect margins at about 90%. CONCLUSION: The high in vitro fracture values of all-ceramic crowns on artificial materials may lead to a misinterpretation of the tested restorative materials, overvaluing the material properties in a first preclinical estimation. Human teeth or materials with a comparable modulus of elasticity are therefore preferred in in vitro fracture tests.

Analysis of Variance↗

[Production of denture by preform compression molding method. Part 3. Retentive strength of artificial teeth].

A preform compression molding method to make a polysulfone denture has been reported. Retentive strength of artificial teeth to the denture base was examined to select artificial teeth for the compression molding method. Ceramic teeth with metal pins and polysulfone teeth heated at above 140 degrees C were retained to the denture base by useful retentive strength. Acrylic teeth on which the adhesive was used were also retained by useful strength. Each of the teeth, acrylic teeth, ceramic teeth and polysulfone teeth, could be used in the compression molding method.

Acrylic Resins↗

Technical failure rates of double crown-retained removable partial dentures.

Removable partial dentures (RPD) can be retained using conical crowns or parallel-sided telescopic double crowns. The purpose of this study was to evaluate and compare the technical failure rate of the two retainer systems. One hundred seventeen dentures made by dentists of the medical school were included. Seventy-four RPD were retained with parallel-sided crowns (n = 251) and 43 with conical crowns (n = 160). Following the medical report follow-ups from January 1992 to December 1998, technical RPD failures were noted and analyzed. Technical problems occurred during the observation time in 48.8% of the conical retained dentures and 34.2% of the parallel-sided retained dentures. In both cases, loss of cementation was most frequently noted, while loss of the facings occurred only with conical crowns. Other technical failures did not depend on the type of retainer system used. These were most frequently problems with the denture base, e.g., fracture of artificial teeth or the metal framework. We conclude that there were different technical failures of both double crown retainer systems. These problems were not insignificant in number but treatable.

Cementation↗