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Canal atresia reconstruction with dental school impression material.

Medium-density viscosity dental impression material has recently been used after repair of an atretic canal to stent open the newly created external auditory canal for 2 weeks, followed by a hard acrylic stent. This may provide more benefits than traditional packing, but caution must still be used. We recently have used the dental impression material to help in the reconstruction of seven ear canals. The medium-viscosity impression material hardens quickly and provides a solid, nonmobile stent, which usually pulls out without difficulty. The stent that is removed may then be used by our prosthodontist to fashion a hard, acrylic, removable stent to be worn for the next few months. This hard stent is used to prevent further stenosis. As with any technique, complications may arise and, through experience, common mistakes that can hinder a good outcome can be avoided. We will report six cases with illustrated tips on how to avoid complications when using this technique.

Acrylic Resins↗

Effect of fluoride addition on the properties of dental alginate impression materials.

Fluoride-containing dental alginate impression materials can exert a considerable reduction in enamel solubility. The objective was to evaluate the effects of fluoride addition in the alginate impression materials on the properties and subsequent release of fluoride. Four experimental alginate impression materials were studied. Materials were mixed with distilled water (control) or 100-ppm fluoride solution. One or two percent NaF, or 1% SnF2 was added to the materials, which were mixed with distilled water. Fluoride release, flexibility, recovery from deformation, setting time, compressive strength and elastic modulus were determined in accordance with the ISO 1563 and ANSI/ADA Spec. 18. Fluoride release increased after addition of fluoride, and the released amount was 0.762-14.761 ppm. Addition of NaF or SnF2 resulted in higher fluoride release than the control group (p < 0.05). After fluoride addition, flexibility was 15.45-20.27%, and the recovery from deformation did not change except one material. Compressive strength after fluoride addition was 0.36-1.12 MPa. Addition of NaF or SnF2 in an alginate impression material may result in effective release of fluoride without deteriorating the properties of material itself.

Alginates↗

Changes in the bovine teat canal during the nonlactating period and early lactation, as measured by teat canal impressions.

Changes in dimensions of impressions of the lumen of the teat canals of 13 cows were examined at 17 intervals during the nonlactating period and early lactation. Impressions were made of teats of 2 diagonally opposed quarters of each cow, using dental impression material. Impression length was measured and cross sections of the impressions at the proximal (distal to Furstenburg rosette), distal (proximal to the teat orifice), and middle (midway between the 2), portions of the teat canal were prepared. Cross sections were photographed and enlarged, and circumference and area were determined by use of planimetry. Effects of making repeated impressions during the nonlactating period and early lactation on new infection rates and somatic cell counts were also assessed. Mean length of teat canal impressions decreased between days 0 and 3 of involution and during the prepartum periods. Depending on the level from which they were taken, cross-sectional areas of impressions tended to increase or increased significantly during the period of involution and again in the prepartum period. Significant changes in cross-sectional area were not observed during early lactation. Changes in circumference of proximal, middle, and distal cross sections followed trends similar to area measurements, but were more variable and differences were less statistically significant. On the basis of our findings, we suggest that heightened susceptibility to new infection during mammary involution and the prepartum period may be attributable, in part, to changes in the patency of the teat canal. Making impressions repeatedly throughout the nonlactating period and early lactation did not affect the number of new intramammary infections.

Animals↗

A practical three visit complete denture system.

Standard prosthodontic procedures require five visits to construct a set of complete maxillary and mandibular dentures. Various attempts have been made to reduce these procedures to four or three appointments. However, most of these techniques require the use of visible light polymerized resin as the final denture base materials. Visible light-cured resin materials have inferior physical properties and biocompatibility problems as compared with heat cured polymethylmethacrylate. This paper describes a system of complete denture construction which requires three clinical appointments instead of the usual five visits. This system is made possible by using the VLC base/tray material as the preliminary impression material as well as the application of a new biometric wax occlusion rim. It retains the use of polymethylmethacrylate as the denture base material. This system also utilizes all the procedures used in the conventional five appointment system of complete denture construction.

Biocompatible Materials↗

Management of the flabby ridge: using contemporary materials to solve an old problem.

The presence of displaceable denture-bearing tissues often presents a difficulty when making complete dentures. Unless managed appropriately, such 'flabby ridges' adversely affect the support, retention and stability of complete dentures. Many impression techniques have been proposed to help overcome this difficulty. While these vary in approach, they are similar in their complexity, are often quite time-consuming to perform, and rely on materials not commonly in use in contemporary general dental practice. The purpose of this paper is to describe an impression technique for flabby ridges that makes use of polyvinylsiloxane impression dental materials routinely available in general dental practice.

Alginates↗