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The effect of connector design on cement retention in an implant and natural tooth-supported fixed partial denture.

This study investigated the effect of connector design, rigid or nonrigid, on cement retention in a combined implant and natural tooth-supported fixed partial denture. A prepared natural tooth was placed in a Plexiglas block in a manner that it could move approximately the same as a healthy premolar. An endosseous implant was placed in the block so that it was immobile. Joining the prepared tooth and implant was a fixed partial denture that could be made rigid or nonrigid. The natural tooth retainer was cemented to the prepared tooth, and the implant retainer was affixed to the implant fixture with a gold screw. One year of stress was applied to the fixed partial denture by a force simulation machine. Twenty randomly ordered tests were completed, 10 of each connector design. Retentive values for the cemented retainers were recorded and statistically compared by use of Student's independent t test. No significant difference in cement retentive strength between designs was found (p less than 0.05).

Bicuspid↗

Mechanical considerations for the implant tooth-supported fixed partial denture.

The implant tooth-supported fixed partial denture presents a biomechanical design problem, because the implant is rigidly fixed within the alveolus, and the tooth is surrounded by a periodontal ligament that allows movement. Nonrigid fixed partial denture designs are advocated by some dentists as a method of compensating for this differential movement. Rigid fixed partial denture designs, however, are advocated by many clinicians. Studies have failed to show the advantage of one design over the other. This study developed an in vitro method for testing such prosthesis designs and measured movement of a natural tooth abutment during simulated function. The movement of the natural tooth abutment was not found to change substantially with the fixed partial denture designs tested.

Alveolar Process↗

Development of a simplified system for clinical evaluation of occlusal interrelationships. Part I. Acquisition of information.

The development of a standardized method of collecting data from a questionnaire and a simplified, yet relatively complete, occlusal and temporomandibular examination form has been described. The questionnaire and clinical examination form have evolved from earlier forms developed by the author1 which have been used in numerous private offices and institutions for a period of five years. These earlier forms have now been augmented and modified as a result of personal consultation with users of earlier forms and numerous clinical and academic authorites.2-27 The selection of information to be obtained through the use of the questionnaire and clinical examination forms was further influenced by the work of numerous authors.28-63 Part II of this report deals with (1) the development of a companion Data Processing Form and a method of transcribing to this form the data from the Patient Questionnaire and clinical examination forms, as well as (2) key-punch instructions consistent with data processing requirements.

Alveolar Process↗

Sixty-eight years of experimental occlusal interference studies: what have we learned?

STATEMENT OF PROBLEM: Understanding is needed regarding the effect that occlusal interferences have on the teeth, periodontium, and especially on jaw function. PURPOSE: This article summarizes research in which experimental occlusal interferences have been placed on the teeth of animals and human volunteers. MATERIAL AND METHODS: Data from 18 human and 10 animals studies were reviewed. Experimental occlusal interferences were grouped into those that alter intercuspal position and those contacting on lateral jaw movement only. The outcome of these interferences were analyzed according to their local pulpal-periodontal, jaw function, or bruxism effects. RESULTS: Experimental occlusal interferences in maximum intercuspation had a deleterious effect on periodontal and pulpal tissues of the affected tooth; sometimes this produces a disruption of smooth jaw function and occasionally jaw muscle pain and clicking. Experimental occlusal interferences that contact only in a lateral jaw movement are infrequently harmful to jaw function. Furthermore, no reliable evidence demonstrates that occlusal interferences can cause nocturnal bruxism, or stop it. CONCLUSION: Transient local tooth pain, loosening of the tooth, a slight change in postural muscle tension levels, chewing stroke patterns, and sometimes a clicking joint can be induced by an experimental occlusal interference. Because such findings are present in relatively asymptomatic patients, these data do not prove that occlusal interferences are causally related to a chronic jaw muscle pain or temporomandibular joint dysfunction problems.

Animals↗

Nonpainful swelling of the palate and loosening of the maxillary incisors.

Bone lesions in the maxilla have rarely been described in relation to sarcoidosis. This patient exhibited many of the classic signs of sarcoidosis, including lack of symptoms at the time of presentation, which resulted in the diagnosis of sarcoidosis being made serendipitously. The presence of musculoskeletal lesions is often regarded as a poor prognostic sign and, in general, sarcoidosis follows a more virulent course in black patients. Sadly, the course of the disease in this patient continues to march onward despite a 1-year therapeutic trial of corticosteroids.

Adrenal Cortex Hormones↗

Central neurilemmoma of the jaws. Review of literature and case report.

Neurilemmomas presenting as primary central bone tumors are extremely rare. Only 21 cases have been reported to have arisen in the jaws; all except for one have occurred in the mandible. The majority of these have been associated with the inferior dental nerve. A case of a central neurilemmoma arising in the anterior mandible is reported. Its probable origin is from one of the alveolar branches of the incisive nerve--an unusual site in the mandible. The radiographic features include expansion of cortical bone, resorption of roots of teeth, the presence of lace-like bony septa and a spotty calcification within the tumor. The treatment and the prognosis are briefly discussed.

Child↗

Prognosis of teeth involved in the line of mandibular fractures.

The management of teeth positioned in the line of mandibular jaw fractures was studied by a follow-up examination of 132 patients with mandibular fractures involving 185 teeth. The observation period varied from 1 to 3 years. The clinical and radiographic findings revealed complete recovery in 59% of the involved teeth. The degree of periodontal and pulpal complications were closely related to the displacement between the fragments and to the type of fracture. Six different fracture types were classified with regard to the extent of involvement of the tooth supporting tissue; 23% of the teeth which initially responded negatively to electric stimulation showed positive sensibility at the time of reexamination. Thus, a long time observation period is advisable with regard to the final outcome of the pulp damage. Conservative treatment of teeth involved in the line of mandibular fractures has a favorable prognosis especially if optimal reduction of the jaw fragments is achieved.

Dental Pulp Diseases↗

Anchorage and retentive effects of a bisphosphonate (AHBuBP) on tooth movements in rats.

The purpose of this study was to examine the effect of 4-amino-1-hydroxybutylidene-1,1-bisphosphonate (AHBuBP), a potent blocker of bone resorption, on orthodontic tooth movements in rats. In the first experiment, the right and left upper first molars were moved buccally for 3 weeks with a uniform standardized expansion spring under systemic administration of AHBuBP every other day. The total tooth movement during the 3-week experimental period was 40% of that in the control at a dose of 0.5 mg P/kg. In the second experiment, the right and left upper first molars were first moved buccally for 3 weeks without AHBuBP. The spring was then removed and administration of AHBuBP was initiated. The total relapse movement during the 3-week experimental period was 50% of that in the control at a dose of 0.5 mg P/kg. Results of the first and second experiments were both dose dependent. Histologic examination showed that in the experimental animals fewer osteoclasts appeared on the alveolar bone surface, and both bone resorption and root resorption were inhibited. Inhibition of tooth movement was also observed when AHBuBP was applied topically. These results suggest that AHBuBP could be useful in enhancing anchorage or retaining teeth in orthodontic treatment.

Alendronate↗

Orthodontic application of color image addition to visualize differences between sequential radiographs.

A new technique was developed making it possible to visualize changes that take place after premolar transplantation. Three sequential radiographs from a series of standardized control examinations were digitized and registered to the first radiograph in the series using subtraction technique. The digitized radiographs were then transformed into monochromatic images: red, blue, and green. After correction of gray level and contrast, the three radiographs were superimposed. All details that were common in the radiographs were then displayed in black-and-white. Details that were different appeared in color. Red and blue combines into magenta, blue and green into cyan, and green and red into yellow. A procedure was developed to create color-coded radiographs according to the above. The procedure was applied to cases that had been treated by premolar transplantation. The color coding offers the possibility to identify any radiographic changes that take place over time, eg, growth, apposition or resorption of bone, and progression or regression of pathological processes.

Bicuspid↗

Comparison of the flexibility of various splinting methods for tooth fixation.

An experimental model was constructed to test the flexibility of the arch bar splint and the Schuchardt splint as compared with a newly introduced wire-composite splint. Vertical movement in 4 flexible incisors was tested by producing compressive forces between 15-95 Newtons on the incisal edges. The thinnest wire-composite splint was also tested for lateral flexibility by producing palatal forces from 2 angles. Movement without the splint served as the control. The tests showed that a 0.3 mm thick wire-composite splint had the flexibility closest to the control, followed by the arch bar splint, and 0.4 mm and 0.5 mm wire-composite splints, while the Schuchardt splint virtually prevented vertical movement. Lateral movement was markedly reduced by the 0.3 mm wire-composite splint as compared with the control with both a 10 degree and a 45 degree force. The experiments showed that a 0.3 mm wire-composite splint can be regarded as acting as a functional fixation allowing slight vertical movement of the teeth during immobilisation; it should be recommended for tooth fixation whenever possible.

Composite Resins↗