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At least 109 records · Page 6Linked to original sources

A simple and predictable direct technique for esthetic provisional veneers.

There are a number of different techniques for fabricating provisional veneers. There are direct and indirect techniques involving acrylic or composite resin veneers made with or without a vacuform matrix. This article describes a direct technique for fabricating removable provisional veneers using an auto-polymerizing urethane dimethyacrylate resin and a thermoplastic matrix that may later serve as a stent to be worn with the provisional veneers.

Adult↗

Dahl appliances used for the restorative management of localized anterior tooth erosion.

Dahl partial bite-raising appliances have been used over the past 30 years for the management of occlusal tooth tissue loss, particularly in patients who have lost normal occlusal vertical dimension. The more recent use of Dahl-type appliances for individual teeth has changed the restorative management of patients with localized anterior tooth erosion. The Dahl treatment principle can be applied to those patients with and without the loss of occlusal vertical dimension. Palatal bite-raising platforms can be used to re-establish anterior tooth guidance for disocclusion of the posterior teeth without occlusal interferences. The treatment principle is illustrated with clinical cases.

Cuspid↗

Effect of glass-fiber reinforcement and water storage on fracture toughness (KIC) of polymer-based provisional crown and FPD materials.

PURPOSE: The effect of glass-fiber reinforcement and water storage on the fracture toughness (KIC) of polymer-based provisional crown and fixed partial denture (FPD) materials was investigated. MATERIALS AND METHODS: Five unreinforced single-edged, notched control specimens and five test specimens reinforced with unidirectional E-glass fibers (Stick) were fabricated from three dimethacrylate-based provisional materials and one monomethacrylate-based provisional material. The specimens were stored in water at 37 degrees C for 1, 7, 30, or 60 days. Specimens were loaded in three-point bending at a cross-head speed of 0.1 mm/s. Mode I plane-strain KIC was calculated using the maximum load, and results of the two groups were compared. The water storage effect on KIC with time was also evaluated. RESULTS: The KIC of provisional materials reinforced with glass fibers (range 7.5 to 13.8 MNm(-1.5)) was significantly higher than that of unreinforced materials (range 1.3 to 3.1 MNm(-1.5)), by a factor of 4.4 to 5.5. A small, gradual decrease of KIC in reinforced specimens occurred with aqueous storage, but it was not statistically significant. CONCLUSION: The KIC of polymer-based provisional crown and FPD materials was significantly increased when they were reinforced with unidirectional E-glass fibers. Water storage for up to 2 months still left the reinforced materials with KIC values in excess of 7 MNm(-1.5). Hence, their performance was satisfactory.

Acrylic Resins↗

Immediate loading with fixed screw-retained provisional restorations in edentulous jaws: the pickup technique.

PURPOSE: This article describes (a) an immediate loading technique in the treatment of edentulous arches with screw-retained provisional restorations and (b) the effort to determine whether the described technique is compatible with the predictable achievement of osseointegration. MATERIALS AND METHODS: Eight patients with either 1 or 2 edentulous arches were treated. A diagnostic tooth arrangement was carried out for each patient and was then duplicated twice to fabricate a provisional template and a surgical guide. Six to 10 solid-screw ITI implants were placed around the dental arch to reach the first molar regions. On the same day, all patients received splinted metal-free screw-retained provisional restorations according to the pickup technique. The provisional prostheses were retrieved every 2 weeks during the healing phase. RESULTS: Seventy-eight implants were placed in 11 edentulous arches. Two implants were not immediately loaded because of inadequate primary stability. In an 8- to 20-month follow-up period (mean 14 months), two 8-mm implants were lost after 5 weeks of functional loading, resulting in an overall survival rate of 97.4%. All implants were assessed by resonance frequency analysis. After 4 months of functional loading, the mean implant stability quotient was 60+/-4.1 units (range 51 to 72 ISQ units) for maxillary implants and 65+/-6.5 units (range 47 to 74 ISQ units) for mandibular implants. DISCUSSION AND CONCLUSION: The immediate loading of implants placed in edentulous arches with screw-retained 1-piece (cross-arch) provisional restorations does not appear to jeopardize the achievement of osseointegration. Neither the metal-free design of the provisional prostheses nor the removal of the provisional prostheses during the healing phase adversely affected osseointegration. The pickup technique for immediate provisionalization represents a reproducible treatment option.

Adolescent↗

Immediate provisional restoration of Osseotite implants: a clinical report of 18-month results.

PURPOSE: The purpose of this study was to assess the survival rates and interproximal bone levels for Osseotite implants that were restored with fixed provisional crowns without occlusion immediately after implant placement. MATERIALS AND METHODS: Ninety-three implants were placed in 38 partially edentulous patients. All implants were immediately restored with prefabricated abutments and cement-retained provisional crowns without centric or eccentric occlusal contacts. The implants were restored with definitive restorations approximately 8 to 12 weeks after implant placement. All patients included in the study were followed for at least 18 months after implant placement (average 20.3 months). RESULTS: Seventy-seven of the 93 implants satisfied the inclusion criteria. Seventy-five implants became osseointegrated. The overall survival rate was 97.4%. Radiographic bone loss 18 months after implant placement (the mean of both interproximal surfaces) was 0.76 mm. The exact binomial confidence interval was 0.32% to 9.07%. For the exact binomial test with the null hypothesis proportion = .05, P was .3334 and was not statistically significant. DISCUSSION: Immediate nonocclusal loading of single-unit dental implants differs from immediate loading of multiple, splinted implants. Unsplinted, restored implants without occlusal loading may still be subject to lateral and occlusal loads secondary to the proximate location of the food bolus. Immediate restoration of dental implants significantly reduces treatment time and may be beneficial in reducing the morbidity associated with loss of teeth, contraction of the alveolus, and loss of interdental papillae associated with the traditional method of treatment following tooth loss. CONCLUSIONS: The results of this study suggest that immediate restoration of Osseotite implants can be accomplished with results that are similar to the results obtained with the traditional 1- or 2-stage surgical, unloaded healing protocols.

Adolescent↗

Intraoperative computerized navigation for flapless implant surgery and immediate loading in the edentulous mandible.

Computerized navigation surgery has evolved to facilitate minimally invasive procedures, the gold standard of surgery today. While flapless implant surgery may be clinically beneficial, it has generally been perceived as a blind procedure limited to straightforward cases that do not pose a risk of cortical plate perforation. The objective of this report is to describe a protocol for flapless implant placement in a completely edentulous mandible using computerized navigation surgery. The Image Guided Implantology system (IGI, DenX Advanced Dental Systems) is described. The IGI system provides real-time imaging of the dental drill and transforms flapless implant surgery into a fully monitored procedure. The highly accurate intraoperative navigation enables precise transfer of the detailed presurgical implant plan to the patient. This is particularly valuable in edentulous jaws lacking any indication of the dental arch. The accurate positioning of the implants, based on the presurgical digital plan, allows fabrication of a provisional fixed prosthesis before the implant surgery for immediate postoperative loading. This innovative protocol can enhance prosthodontic-driven placement of implants in a fully monitored flapless surgery.

Dental Implantation, Endosseous↗

A delayed subopaquing technique for treatment of stained dentition: clinical protocol.

Teeth with severe tetracycline staining can present a restorative challenge to the clinician. While a variety of options facilitate predictable aesthetic treatment of patients with such dentition, they often require significant tooth reduction in order to provide the dentist and the laboratory technician with adequate space for the restorative material to conceal the discoloration. This presentation outlines an alternative to this treatment that uses resin cement to mask the discolorations prior to the cementation of the porcelain laminate veneers.

Anti-Bacterial Agents↗