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The conversion prosthesis.

Perio-prostheses that have failed can often be salvaged after abutment teeth are extracted to be "converted" to immediate provisional removable prostheses. Beyond convenience, such prostheses can often be superior to conventional laboratory constructed immediate temporary prostheses.

Aged↗

Case report: a tale of two dentures.

A case is presented where loss of an incisor tooth in a partial denture wearer created an aesthetic emergency. It was not possible to solve this simply by addition of a tooth to the existing denture. Reference to the previous dental history suggested that a further immediate solution might be unwise. The design of the existing denture lent itself to the novel solution of a second denture, retained by elements of the first.

Denture Design↗

Technique for an immediate temporary fixed tooth replacement.

A clinical technique for the immediate replacement of an extracted anterior tooth was presented. The clinical crown of the patient's extracted tooth was used as a pontic by attaching it to the adjacent teeth with acid-etch bonded resin. This technique provides a practical and esthetic immediate fixed tooth replacement that requires minimum materials and time.

Acid Etching, Dental↗

Protection of recent extraction sites when fabricating immediate acrylic interim fixed restorations.

Protection of all soft tissues is an early and integral component of the total treatment plan involving any dental restoration. A procedure is presented to provide protection of recent extraction sites by using adhesive Burlew foil when making an immediate fixed restoration. The foil provides protection, at the extraction site, from both mechanical and chemical irritation.

Acrylic Resins↗

The immediate provisional restoration: a review of clinical techniques.

For each patient who requires removal of anterior teeth, there are a multitude of treatment considerations. Cosmetic demands, functional needs, treatment sequencing, timeliness, and affordability are some primary concerns that must be addressed on an individual basis. A patient will generally want a cosmetic and functional prosthesis at the earliest possible opportunity. Providing the most appropriate interim prosthesis for a given patient is both challenging and rewarding. The numerous clinical techniques for immediate interim tooth replacement are reviewed, and previously unreported methods are presented to assist the clinician in the selection of interim prosthesis design.

Acrylic Resins↗

An interim denture technique and case reports.

An interim denture technique is presented describing the fabrication of an esthetic prosthesis that is used for short periods of time. The prosthesis conditions the patient for the acceptance of an artificial substitute for missing natural teeth until more definitive prosthodontic therapy can be provided. All the teeth in the arch are extracted simultaneously, and the interim prosthesis is inserted immediately thereafter. The prosthesis duplicates the morphology, color, and position of the extracted teeth. This technique satisfies a great need of socially and business-active patients because there is no interruption in their activities and no change in facial esthetics. Two case histories are presented.

Dental Restoration Failure↗

Immediate provisional and long-term anterior prosthodontics: a comprehensive approach.

The success of any anterior prosthodontic restoration depends on many factors. Considering those multiple influences during treatment planning can profoundly affect the long-term success of such cases. Comprehensive dental care involves evaluating all available restoration options for treating any given patient's condition. The dentist is obligated to present all of these options to the patient without bias. The following case reports provide a perspective from which decision-making occurs before treatment planning is accomplished.

Adult↗

An innovative approach to chairside provisional replacement of an extracted anterior tooth: use of fiber-reinforced ribbon-composites and a natural tooth.

Immediate chairside replacement of an extracted anterior tooth may contribute to a patient's comfort, treatment acceptance, and expectations of treatment; however, fabrication of a custom restoration in the anterior region of the mouth may result in an esthetic compromise for patients during the fabrication period. Chairside tooth replacement is an excellent application of fiber-reinforced composite resin technology. This article presents an innovative, affordable chairside procedure in which Ribbond Multi-Purpose Bondable Reinforcement Ribbon is used to replace a single extracted anterior tooth using the patient's own tooth.

Adult↗

Immediate, provisional postextraction pontic placement.

A rapid technique is described for placement of a temporary pontic to provide immediate esthetics after extraction of an anterior tooth. It requires no laboratory facilities, no natural tooth preparation, and uses only a few dental materials. Being functional and practical, it allows the patient time to seek further care from a general practitioner at a time convenient to them both. Additionally, the psychological distress associated with removal of an anterior tooth is minimized, if not eliminated. Because no natural teeth are involved with any dental preparations, further prosthetic treatment is not compromised. Addition of this technique to the surgeon's treatment regimen is cost effective, and it will improve the relationship between patient and surgeon.

Denture Design↗

A 12-month study on changes in the barrier properties of denture-loaded palatal mucosa in immediate denture wearers.

The changes of barrier properties and surface cytology of the palatal mucosa during a denture-wearing period of 12 months has been studied in 18 adult subjects. Transmucosal rates of water transport and that of a 1.10 osmol sucrose solution were registered gravimetrically before denture treatment, after 3 months and after 12 months of denture wearing according to procedures described earlier. The keratinization pattern and the leukocyte migration were evaluated from scrapings taken from the palate and the fitting surface of the denture. The clinical appearance was recorded photographically. After 3 months of denture wearing only minor changes in permeability and surface cytology were observed. After 12 months a distinct grouping of the material was possible with regard to permeability reactions, as seven subjects showed no changes, five subjects demonstrated an increased osmotic activity in the palatal mucosa, and six subjects exhibited a severely decreased barrier function. The color photos revealed inflammatory reactions of the palatal mucosa in the latter group. The cytologic observations showed after 12 months a significant decrease in the proportion of anucleated cells in the inflammatory group, but only minor changes in the remaining material.

Adult↗