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At least 937 records · Page 52Linked to original sources

Replacement of a fractured upper central incisor with an implant-supported crown: a step-by-step approach to achieve acceptable esthetics.

Implant-supported restorations in the upper anterior segment need to meet biological, functional, and esthetic requirements to be successful. Bone availability and soft-tissue characteristics in the area of implant placement are crucial for achieving maximum success. This article describes the steps involved in replacing a fractured upper central incisor with an implant-supported crown. Using surgical techniques involving extraction socket preservation/augmentation and connective tissue grafting, ideal positioning of the implant was possible and gingival contours were idealized. With this multiple step treatment, the final restoration met biological and functional requirements and its esthetic results were maximized.

Bone Matrix↗

[Influence of different convergence angles on the retention of cast metal post and core].

Fifty-four simulated tooth roots made of polymethacrylate (PMMA) were divided into six groups according to the root canal convergence angles of 0 degrees, 3.93 degrees, 5.71 degrees, 7.48 degrees, 11.31 degrees, 14.71 degrees. Cast post and cores were manufactured and cemented with Zinc phosphate cement (ZP). The retention capacities of the posts were tested. The bonding strength of ZP at different convergence angles were tested with some casted wafers, and linear regression was made. So the effect of interlocking and the proportion could be calculated. With these results, we made some curvilinear regressions. The results showed that the retention of cast post declined and the bonding strength of ZP fell with the increase of convergence angles. There were significant differences in the bonding strength and retention among groups, P<0.05. The experiment indicates that the dentists should reduce the convergence angles of posts as much as possible to obtain greater retention.

Cementation↗

Histological and fluorescence microscopic examination of the bone/implant interface in orthodontic miniscrews (Mondeal).

The temporary nature of orthodontic implants demands optimisation of size and design in order to minimise damage and risk to the patient. Slender and shorter miniscrews offer the advantage over conventional implants of easier and more ubiquitous positioning with minimised risk of injury to neighbouring anatomical structures such as tooth roots, nerves or vessels. The question is raised, however, as to what extent these advantages are gained at the price of diminished stability or a more unfavourable bone interface. In order to evaluate the screw/bone interface, 14 orthodontic miniscrews (Mondeal Medical Systems, diameter: 1.5 mm, length: 9 mm) were inserted into the right and left mandibles of 7 pigs (Sus scrofa domestica). Bone fluorochromes were administered in a defined order for polychrome sequencing. The samples gathered after 70 days were analysed using histological techniques and fluorescence microscopy. The lower part of the self-tapping thread displayed undisturbed bone apposition. Fluorescence microscopy revealed remodelling and bone apposition within the thread grooves.

Animals↗

Immediate provisional restoration of postextraction implants for maxillary single-tooth replacement.

The timing of implant placement and loading following tooth extraction has recently undergone substantial reconsideration. The authors tested a protocol of immediate loading of single implants placed at the time of tooth extraction in a consecutive case series. Thirty-three patients received a single implant-supported crown to replace a maxillary anterior tooth at the time of extraction. Regular recalls were planned for the following 4 years. One implant did not integrate, and another became unstable secondary to facial trauma. Overall patient satisfaction and clinical and radiographic parameters were good.

Adult↗

Therapeutic approach to intrusive luxation injuries in primary dentition. A clinical follow-up study.

AIM: This paper reports the results of a fifteen-year study carried out at the Dentoalveolar trauma study Centre of the University of Cagliari Dental Department, on treatment modes utilised for the recovery of periodontal injuries in primary dentition. MATERIALS AND METHODS: The data referred to dental injuries were collected and recorded according to Andreasen's dental trauma classification: clinical signs and symptoms, patient's age and gender, lesion site and extent of the injury, timeframe between trauma and first dental examination. The authors focused their attention on intrusive luxations in primary dentition, which are a very frequent trauma in children between 1 and 4 years of age. It is extremely difficult to treat such injuries and there is an ongoing discussion about the advisability of extracting the intruded teeth, as opposed to wait and assist their natural repositioning using non-invasive techniques aimed at the maintenance of the eruptive space in the dental arch. RESULTS: This careful conservative approach allowed the repositioning of about 60% of the 85 intruded teeth examined. It substantially reduced the number and severity of undesirable sequelae, both local (enamel-hypoplasia) and occlusal (tooth retention), so that only in about 25% of the followed-up cases damages of the successor tooth were found in the permanent dentition. CONCLUSION: The authors conclude their study emphasizing that all those involved in paediatric dentistry must be familiar with periodontal injuries and trained in their treatment, particularly as regards intrusive luxations in primary dentition.

Child, Preschool↗

Traumatic injuries to teeth in Swedish children living in an urban area.

The prevalence of dental injuries in the permanent dentition was studied in a population comprising 1635 Swedish school children aged 7-15 years. A retrospective study of dental injuries in the deciduous dentition was also carried out. A total of 483 (30%) children in the material had experienced dental injuries. Twelve per cent of the injuries had been sustained before the age of 7 years and 18 per cent after that age. The majority of injuries had occurred between the ages 3-10 years. In the permanent dentition, over 75 per cent of the injuries recorded had been sustained before the age of 11 years. Boys had a higher trauma frequency than girls, the sex ratio being 1.2:1 in the deciduous dentition and 1.6:1 in the permanent dentition. Thirty per cent of the injured deciduous teeth required some kind of treatment. The corresponding figure for the permanent dentition was 46 per cent.

Adolescent↗

The radiographic appearance of ameloblastoma in Malaysians.

The radiographs of fifteen Malaysian patients with presenting ameloblastoma aged between 20-55 years (average 35 years) were studied for any peculiar local features. The most common features were cortical plate expansion (80%), corticated scalloped margin (67%), multiloculation (87%), and resorption of tooth roots (47%). The latter two features are constantly found in advanced tumour stage. As pain was not a frequent complaint, many Malaysian patients seek treatment only at a very late stage after the tumours have reached large dimensions. Although ameloblastomas may be diagnosed often through radiographs, it should not be relied upon solely.

Adult↗

Bilateral birooted maxillary primary canines: report of two cases.

X-ray examination disclosed bifurcation of both maxillary canine teeth in two unrelated patients, both four-year-old children. All other dental findings were unremarkable and their medical histories were noncontributory. Bifurcation of primary canines is an extremely rare condition.

Child, Preschool↗

Dilaceration of a primary maxillary incisor associated with neonatal laryngoscopy.

Neonatal laryngoscopy and endotracheal intubation often are required for prematurely born, low birthweight children. Previous studies have shown that these procedures are associated with a high prevalence of enamel hypoplasia of the maxillary anterior teeth. The present case report, which describes dilaceration of a left maxillary primary central incisor probably resulting from laryngoscopy, strongly supports the hypothesis that irreversible trauma to the dentition may result from endotracheal intubation.

Dental Enamel Hypoplasia↗

Benign cementoblastoma: review of the literature and report of a case at an unusual location.

Benign cementoblastoma is a rare odontogenic tumour localized in the jaws of young people. Benign cementoblastoma has characteristic radiologic and microscopic features and it appears to be fused to the tooth roots. The most important differential diagnosis is-with a benign osteoblastoma. The tumor should be enucleated and the teeth extracted. This case represents only the third reported case of a benign cementoblastoma associated with a third molar.

Diagnosis, Differential↗

An overview of removable partial overdentures.

As an alternative to complete dentures, overdentures are well established as a sound therapeutic modality for patients with terminal dentition. By utilizing natural tooth roots and their periodontal structures to aid in support, overdentures maintain proprioceptive mediation and a mechanism for masticatory force vectors that favor bone retention over bond resorption. The degree of stability enhancement and denture retention from retained roots varies with the design and environment of the prosthesis. This article reviews various aspects of removable partial over-denture use.

Dental Abutments↗

[Classification of edentulous mandibles in preventive implantology].

The aim of preventive implantology is to prevent or delay the resorption of edentulous alveolar ridges. The classifications of the resorption stages of the mandible which are now in use, are not applicable to preventive implantology. After anatomic research it was concluded that the resorption of the alveolar ridge of the mandible should be classified in three stages. Loaded as well as unloaded implants can function as tooth root analogues in maintaining the volume of the edentulous ridge.

Alveolar Bone Loss↗