[Construction of a temporary crown from a copper cylinder].
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Surgical guides for edentulous patients often lack the stability desired for accurate implant placement. The difficulty is emphasized in the edentulous mandible when implant-supported metal-ceramic restorations, which require precise placement of implants, are planned. A technique is presented for the fabrication of a surgical and radiographic template, supported by transitional implants, that guides the placement of conventional implants. This template can enhance placement accuracy in an efficient way to achieve predictable, esthetic results.
Pilot studies examining the physical and clinical properties of an intracoronal sustained release fluoride delivery system were performed. After testing various percentages of SnF2 incorporated into polycarboxylate, zinc phosphate, and zinc oxide cements, 70% SnF2 polycarboxylate cement was found to have adequate compressive strength while releasing the greatest amount of fluoride in vitro. A 30-day in vivo trial, in which this fluoride cement was used as a temporary intracoronal restoration, produced elevated salivary fluoride levels with only transient elevation in urinary fluoride levels. Plaque scores decreased during the experimental period, suggesting that the released SnF2 affected bacterial growth or attachment. The SnF2-polycarboxylate cement was an adequate temporary restorative material without significant side effects.
Stainless steel bands are commonly advocated to protect posterior teeth against fracture during endodontic treatment and before final restoration. A poorly fitting band, however, may lead to a compromised coronal seal and gingival irritation. This radiographic study assessed the quality of fit and marginal adaptation in the proximal area of stainless steel bands placed during routine endodontic treatment. Clinical radiographs of 120 maxillary and mandibular premolars and molars were evaluated. All radiographs were taken during routine clinical endodontic treatment and randomly selected from cases completed by ten operators. Approximately one-half of cases did not meet the criteria of adequate marginal seal (mesial: 65/120; distal: 49/120). Only 11 teeth were found to have adequate fit of the band on both mesial and distal aspects of the tooth. The most common reason for inadequacy of fit was lack of band adaptation to the tooth contour in the cervical region. Stainless steel bands have a high possibility of poor marginal fit and should be used with the awareness that they may produce other clinical problems.
It is well known that guided soft tissue healing with a provisional restoration is essential to obtain optimal anterior esthetics in the implant prosthesis. What is not well known is how to transfer a record of beautiful anatomically healed tissue to the laboratory. With the advent of emergence profile healing abutments and corresponding impression copings, there has been a dramatic improvement over the original 4.0-mm diameter design. This is a great improvement, however, it still does not accurately transfer a record of anatomically healed tissue, which is often triangularly shaped, to the laboratory, because the impression coping is a round cylinder. This article explains how to fabricate a "custom impression coping" that is an exact record of anatomically healed tissue for accurate duplication. This technique is significant because it allows an even closer replication of the natural dentition.
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Monkey pulpal responses to resin-bonded indirect resin composite inlays were histopathologically evaluated by placing them in either etched-enamel, total-etched, or adhesive-resin-lined cavities. Initial pulpal responses caused by re-exposure of the cut dentin surfaces and luting procedure subsided if a tight marginal seal was secured by final cementation of the inlay. The adhesive resin coating of freshly cut dentinal walls/floors seems to provide a new technique to protect the dentin and pulp in indirect restorations requiring temporary sealing.
STATEMENT OF PROBLEM: Studies have suggested that coating a temporary restoration with varnish material could replace time-consuming polishing procedures needed for achieving an optimally smooth surface. PURPOSE: This study examined the surface roughness of acrylic resins after having been polished or coated with different varnish materials. MATERIAL AND METHODS: A total of 360 cylindrical specimens were fabricated from 9 brands of resin. One surface on each specimen was machined flat and subsequently either polished with rubber polishers or coated with 1 of 9 varnishes. Selected specimens were subjected to thermal cycling (5 degrees C to 55 degrees C, 2000 cycles). Surface quality was assessed by means of a profilometer and by SEM examination. RESULTS: Polished specimens had average surface roughness values (Ra) of 0.8 microm; differences in roughness between materials were small, but statistically significant. Type of coating had a significant influence on surface quality. Depending on the combination of materials used, the coating produced both smoother and rougher surfaces than polishing (0.4 microm < Ra < 4.6 microm). Five coatings were deemed not to be clinically applicable because of poor wetting properties. Thermal cycling did not significantly influence surface quality, but caused minute cracks in the cyanoacrylate coating. CONCLUSION: In regard to surface quality and applicability, the use of varnishes on temporary restorations is not advisable.