Surgical experiences of complete denture patients.
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This form of tooth implant appears to exhibit great potential since it eliminates the disorganized connective tissue layer present at the implant/bone interface of most other devices. Also, as established for other implants, as long as a tight cuff of relatively immovable tissue exists around the polished cervical collar of an implant, an effective seal against the ingress of oral fluid and toxic irritants appears to be maintained, although the nature of this seal has yet to be determined. In addition, the epimobile superstructure serves to dissipate occlusal stress on the "ankylosed" implant. The prognosis of an implant is determined in part by its associated superstructure. There is a need for research into the loading that can be accommodated by an implant. Further study is required to ascertain the full potential of this implant system.
The retention of posts in tooth roots is vital to the success of the restoration. This study compared the retention of posts of various sizes and diameters cemented with a titanium-reinforced composite cement with that of posts previously reported cemented with zinc phosphate cement. Four groups made up of 10 samples each were used and retention values were compared using a universal testing machine. Two-way analysis of variance and the Newman-Keuls multiple range comparison test were performed. Larger diameter posts cemented with titanium cement had better retention than similar posts cemented with zinc phosphate cement. The statistical increase in retention for the larger size posts is probably the result of the deeper channels (threads) in the dentin and the higher cohesive strength for the titanium-reinforced composite resin.
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Failure of permanent teeth to erupt without any known cause is a seldom occurring phenomenon. However, it brings to light our ignorance of the basic physiologic mechanism of tooth eruption. In this article we present five patients with unerupted permanent molar teeth. In all instances, no obvious cause exists. Indications for operative intervention and management are discussed, but the cases are also presented to focus attention on our lack of knowledge of the physiology of tooth eruption.
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Heretofore unreported, grossly observable structures composed of cementum were found in the superficial alveolar bone--but not attached to the tooth root--in three prehistoric American Indian skeletons from South Dakota. The macroscopic, radiographic, and histologic morphology of these fragments is described and compared with other cemental structures that occur in the alveolar process.
Scanning Electron Micrographs (SEM) and Tensile Bond Strength (TBS) measurements were used to evaluate the influence of three different dentinal pretreatments. A new testing device was developed for the TBS measurements. Human tooth roots were ground with a diamond bur. Tap water, Gluma Cleanser, and Neo-Sabenyl-Tubulicid were used to clean the surfaces before SEM inspection. The adhesion between root dentin and Lumifor Composite restorations was mediated by Gluma Bond. SEM observations revealed that a 30-second application of Gluma Cleanser removes the smear layer totally. Neo-Sabenyl-Tubulicid produced a very smooth surface. Application of Gluma Bond did not alter this appearance. Mean TBS values for surfaces sprayed with tap water, Gluma Cleanser, and Neo-Sabenyl-Tubulicid were 10 MPa, 7.3 MPa, and 10 MPa, respectively. There was a significant difference between group 2 (Gluma Cleanser) and the other groups. From this in vitro study, it is concluded that total removal of the smear layer with opening of the dentinal tubules (e.g., by means of Gluma Cleanser) reduces the TBS of Gluma Dentin Bond-Lumifor restorations to ground root dentin.