Plastic trays and accurate impressions.
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A new system for measuring three-dimensional deformation has been developed. The main components of the system are a fixed TV camera and vertically scanning projectors. The advantages of the system are: (1) since there is no mechanical contact between the object and the sensing unit, hardness and form of the object do not have to be considered; (2) the system does not need any precise geometry except for the reproducibility of the vertical scanning stage; (3) the time required for one measurements is extremely short; and (4) the system is not expensive. From the basic experiments for testing accuracy, this system has about +/- 30 microns range deviation against 1000 microns deformation of the object. The system has been applied to investigate the influence of various impression procedures for a removable partial denture on the displacement of the simulated soft mucosal tissue. It is revealed that deformation forms are expressed precisely. Our results suggest that this measurement system is quite useful for research in dentistry and that it could be widely applied.
Tooth preparation designs advocated for posterior resin-bonded porcelain restorations were evaluated for clinical application. This study examined the design of tooth preparations from stone dies for individual posterior resin-bonded porcelain onlays and complete porcelain crowns placed in a specialist practice, and compared features that provided retentive and porcelain fracture-resistance with those in the dental literature. Stone dies of tooth preparations for 57 onlay and 46 crown preparations were provided. Measurements were recorded for the tooth preparations with the aid of interocclusal silicone impressions. Proximal boxes, grooves and occlusal steps resulting from removal of amalgam restorations were common. These retentive features were more evident with onlays, and appeared larger on the distal than the mesial surfaces. Internal tooth preparation tapers or convergence angles were frequently greater than 20 degrees, leading to relatively-wide occlusal isthmus widths, especially for onlays. There were wide variations in occlusal surface reductions for the central fossae and supporting cusps. Tapers for tooth preparations were frequently more extensive, and occlusal surface reductions were often less than recommended. The implications of these differences for long-term clinical success should be resolved.
The use of a custom tray is highly desirable for accurate impression making in situations with multiple abutments. This article describes a modified custom tray fabrication method using autopolymerizing acrylic resin. The custom tray is fabricated by intraoral relining with autopolymerizing resin that is polymerized extraorally. The final impression is obtained during the same session after tray polymerization at 100 degrees C for 5 minutes. Relined areas are refined by trimming excess resin with burs of a known diameter to create a 2-mm clearance for the elastomer. For areas with subgingival finish lines, only 0.5 mm of resin is removed to direct the elastomer into the gingival sulcus. The procedure is time-saving because it reduces the need for a retraction cord and minimizes inaccuracies that would necessitate another impression.
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Everyone who participates in any step of the fabrication of a removable partial denture must share in the success or failure of the restoration. Some seemingly innocuous deviations can be accumulative and cause serious problems, so everyone should review the procedures that they use on a regular basis. Parts I through III of this article present a personal and generic (but by no means comprehensive) list of errors that can occur when a removable partial denture is fabricated. Results that can be attributed to these errors are identified, and a possible solution for each error is described. This information is useful to the entire dental team: the dentist, dental assistant, office manager, and dental technician. The articles also include 18 notes that may be beneficial to personnel in the office and/or in the laboratory.
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In patients with partial or total soft palatectomy, an interim prosthesis generally is inserted as soon as possible after surgery. Over the average postoperative healing period of 3 months, numerous clinical appointments are needed to shape the prosthesis. When the definitive prosthesis is completed, reshaping the pharyngeal portion of the speech aid unnecessarily involves duplication of work by the clinician. A laboratory procedure is described that can save clinic time, increase cost-effectiveness, and shift work normally performed by the maxillofacial prosthodontist to the maxillofacial laboratory technician. This technique is particularly useful with prostheses that are difficult to shape because of trismus or lack of residual lateral and posterior pharyngeal movement.
This article describes the intraoral preparation of healing abutments for use as prefabricated abutments for a cement-retained, implant-supported prosthesis. After the healing abutments are prepared, an impression is made with irreversible hydrocolloid, and the provisional restoration is fabricated indirectly. This technique is an easy and economical alternative for the fabrication of provisional fixed partial dentures or crowns but may be contraindicated for severely misaligned implants.
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This clinical report describes the treatment of an edentulous patient who had undergone resection of an acoustic neurinoma and subsequently developed neurological problems. A replacement maxillary denture combined with a mandibular denture placed in the neutral zone was selected as the treatment of choice. A simple procedure for recording the neutral zone is presented.
This article describes the fabrication of a screw-retained, implant-supported wax pattern that enables the restorative dentist to predict the outcome of the final prosthesis. The wax pattern also affords the patient an opportunity to evaluate and approve the design of the planned prosthesis, thereby enhancing communication between the dentist and patient.
This article describes a time-saving method for impression making and abutment preparation performed as a laboratory procedure on multiple cement-retained ITI implants.
This article describes a simple technique in which a custom impression coping is fabricated with flowable composite and used to reproduce peri-implant soft tissues on the master cast. This procedure is designed to generate an accurate reproduction of the gingival contours surrounding the implant, thus contributing to a final restoration with favorable esthetics.
There appears to be no convenient method for fabricating an optimal emergence profile for the definitive restoration of an ITI solid abutment when the implant is installed subgingivally. This article describes an efficient technique to solve this problem and reviews its advantages and disadvantages.