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Results for “DENTAL RESTORATION, PERMANENT”

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At least 1,351 records · Page 75Linked to original sources
PubMed2006

The relationship between cigarette smoking and perceived dental treatment needs in the United States, 1988-1994.

BACKGROUND: Although factors affecting perceived dental treatment needs have been investigated, the effect of smoking status on perceptions of dental needs has not been examined. METHODS: The authors examined data on 13,227 dentate people aged 20 to 79 years from the Third National Health and Nutrition Examination Survey (NHANES III). Information was collected information on sociodemographic characteristics, cigarette smoking, perceived dental treatment needs and other factors during a home interview, and clinical oral health information was collected at a mobile examination center. RESULTS: In univariate analyses, current smokers were more likely than nonsmokers to perceive dental needs in all categories, except for the need for a dental cleaning. Multivariate regression results indicate that current smokers were more likely to report a need for periodontal treatment and dental extractions compared with nonsmokers (odds ratio [OR] = 1.40; 95 percent confidence interval [CI] = 1.05-1.87 and OR = 1.61; 95 percent CI = 1.22-2.14, respectively). The authors found an interaction between smoking and race/ethnicity in models describing the need for teeth to be filled/replaced and for orthodontic/cosmetic work. CONCLUSIONS: Current smokers were more likely to have more perceived dental needs compared with nonsmokers. Practice Implications. These results may be important for the advancement of efforts directed toward tobacco-use cessation programs and to understand factors that could affect dental care utilization.

Adult↗
PubMed2006

Occlusion.

Explore the source record for details and available documents.

Dental Occlusion↗
PubMed2006

[Strategic plan for reshaping and using fixed prosthesis].

Fixed prosthodontics is the art and science of restoring defective or damaged teeth and/or replacing missing teeth. The primary objective of a restoration is to recover functional occlusion. Additionally, patients, regardless of their age and sex, have needs related to esthetic restoration. To please patients, the dentist must deliver an esthetic restoration that blends with the patient's natural teeth. These are some of the needs related to "basic research" in fixed prosthodontics. Either ceramic materials or resin composites are used for indirect esthetic restoration. In general, tooth-colored materials require incremental thicknesses to ensure adequate color and sufficient mechanical properties. However, the thick form of a prosthesis contradicts the concept of "minimal intervention". Patients though require restorations that meet their esthetic needs without any significant loss of tooth structure. The strategy for the "new (advanced) research" in fixed prosthodontics should be based on the two concepts of esthetics and minimal intervention. Although these two factors appear inconsistent, patients unquestionably require both to be provided with high quality care that will include both solutions in the context of a well-organized and sequenced comprehensive treatment plan. Consequently, in response to the growing popularity of esthetic dentistry, we dentists should develop a new dentistry field, one that introduces relevant new technologies along with newly developed materials.

Dental Materials↗
PubMed2006

[Interdental papilla reconstruction with prosthodontic treatment of maxillary central incisor: case report].

PATIENT: A 20-year-old female whose chief complaint was esthetic disturbance of a crown placed on the maxillary left central incisor. DISCUSSION: The interdental papilla was reconstructed only by the prosthodontic treatment of maxillary left central incisor. This case suggests that the proximal and subgingival contours of provisional crown is very important to the reconstruction of interdental papilla, and also suggests that the transmission of the information regarding the configuration of a provisional crown to the lab side is very important. CONCLUSION: This case shows that the emergence profile of a single crown, especially of its proximal aspect, is important to reconstruct the interdental papilla.

Crowns↗
PubMedDate not supplied

[Gingival and dental parameters in the evaluation of aesthetic characteristics of fixed restoratons (II)].

This paper is a continuing evaluation of dental and facial parameters in the estimation of aesthetic characteristic of fixed restorations. First of all, attention is paid to the phenomenon describing the tooth tissue's characteristics (translucency, opalescence, and transparency). The paper also discusses tooth colour as a special occurrence, the position of the lower lip line as well as the symmetry of the smile. In addition to these fundamental objective criteria, the paper also deals with subjective criteria (tooth arrangement and position, variation in tooth form, and relative crown length), which play a part in the successful aesthetic integration of fixed restorations.

Crowns↗
PubMedDate not supplied

Use of two surface analyzers to evaluate the surface roughness of four esthetic restorative materials after polishing.

This study had two aims: determine how well four esthetic restorative materials lent themselves to polishing and compare the results obtained using two different techniques for evaluating surface roughness. The four materials used were two composites modified by the addition of resin, Dyract AP (Dentsply) and Dyract Flow (Dentsply); one composite designed for posterior restorations, SureFil (Dentsply) and one universal micromatrix composite, Esthet-X (Dentsply). Five test pieces were made with each product by inserting the material into cylindrical molds and polymerizing it layer by layer. A single operator polished the specimens on the same day using the Enhance system (Dentsply) and two aluminum oxide pastes. The surfaces were studied successively by means of two surface analyzers: a high-resolution optical profilometer (Nanosurf 488, SAS Technology) and a mechanical profilometer (Mitutoyo Surftest-SV 402). These measurements gave the mean roughness of the surface (Ra). Ten zones were examined for each specimen, and the specimens were observed under an optical microscope (PMG3 inverted metallographic microscope) at 50x magnification. The qualitative and quantitative analyses of the results showed good surface states for all materials. However, the composites based on nano- and micro-filler technology gave the smoothest surfaces after polishing. A comparison of the values obtained with each method of observation showed that mechanical profilometry tended to show roughness caused by polishing, while optical profilometry brought out roughness due to the structure of the material itself.

Aluminum Oxide↗
PubMed2005

Need and demand for sedation or general anesthesia in dentistry: a national survey of the Canadian population.

The aim of this study was to assess the need and demand for sedation or general anesthesia (GA) for dentistry in the Canadian adult population. A national telephone survey of 1101 Canadians found that 9.8% were somewhat afraid of dental treatment, with another 5.5% having a high level of fear. Fear or anxiety was the reason why 7.6% had ever missed, cancelled, or avoided a dental appointment. Of those with high fear, 49.2% had avoided a dental appointment at some point because of fear or anxiety as opposed to only 5.2% from the no or low fear group. Regarding demand, 12.4% were definitely interested in sedation or GA for their dentistry and 42.3% were interested depending on cost. Of those with high fear, 31.1% were definitely interested, with 54.1% interested depending on cost. In a hypothetical situation where endodontics was required because of a severe toothache, 12.7% reported high fear. This decreased to 5.4% if sedation or GA were available. For this procedure, 20.4% were definitely interested in sedation or GA, and another 46.1% were interested depending on cost. The prevalence of, and preference for, sedation or GA was assessed for specific dental procedures. The proportion of the population with a preference for sedation or GA was 7.2% for cleaning, 18% for fillings or crowns, 54.7% for endodontics, 68.2% for periodontal surgery, and 46.5% for extraction. For each procedure, the proportion expressing a preference for sedation or GA was significantly greater than the proportion having received treatment with sedation or GA (P < 0.001). In conclusion, this study demonstrates that there is significant need and demand for sedation and GA in the Canadian adult population.

Adolescent↗
PubMed1986

A clinical evaluation of anterior conventional, microfiller, and hybrid composite resin fillings. A 6-year follow-up study.

Anterior resin fillings of seven composite resin materials--two conventional, two hybrid, and three microfiller--were evaluated over a 6-year period. Extrinsic discoloration, color match, marginal discoloration, marginal adaptation, surface roughness, and recurrent caries were investigated. The individual caries increment was compared with an estimation of the expected caries risk of the individuals. The estimation was based on the net effect of microbial counts, oral hygiene, salivary flow rates, buffer values, and fermentable carbohydrate intake. The variation of the investigated factors within each resin group was too great to enable combination of the results. The individual materials are therefore presented and compared. Unacceptable color match scores after 6 years varied markedly among the brands (3.5%-79.7%). Unacceptable marginal discoloration was seen in 1.7% of the restorations, whereas unacceptable marginal adaptation varied between 13.7% and 37.3% for the brands. Recurrent caries occurred at the margins of 18.9% of the composite fillings (range, 9.3%-29.4%) during the period. The cumulative relative frequencies of replaced fillings for the materials varied between 14.8% and 55.1%. Recurrent caries was the major reason for replacement. Patients with many caries risk factors showed clearly a higher increment of caries.

Adult↗
PubMed1997

Simultaneous team approach of a crown-lengthening procedure and an operative restoration: technique and long-term effect.

Traditionally, crown-lengthening procedures to expose subgingival caries for operative restorative work are carried out in a two-stage approach. A disadvantage of this procedure is that the gingival margin associated with the treated tooth moves apically; this may create an esthetic problem. Resin-modified glass-ionomer cement has been demonstrated to have good biocompatibility with dental hard and soft tissues. Surgical and restorative procedures were combined at the same appointment in an effort to achieve a restoration with minimal change in the gingival margin. Four patients have been treated with this one-stage team approach and followed for 8 to 13 months. The clinical results demonstrated this team approach procedure is excellent for the dentition when esthetics is a consideration.

Adult↗
PubMed1999

[Comparison of different finishing methods for composites and compomers. Profilometric analysis].

BACKGROUND: Reconstructions with aesthetical materials neither finished nor polished can be extremely irregular and wrinkled. For this reason they represent an ideal basis for the growing of pigmentation which come from food remainings and the nestle of bacteria on the plaque. The finishing of aesthetical materials is a fundamental step in conservative dentistry. The finishing session regarding the aesthetical restorations should be considered and planned at the moment of their insertion in the prepared hollows. The finishing should not be considered an option, but the conclusion of all the conservative treatment. Purpose of the search is to examine and assess, through a technical equipment measuring the superficial wrinkledness of the materials, the action of 4 systems of finishing and polishing on two aesthetical materials widely used in the daily practice by dental surgeons: a compomer (Compoglass, Vivadent) and a composite (Spectrum, Dentsply). METHODS: For each of these two materials some little slabs model have been prepared, choosing the universal colour in the colorimetric scale. The two types of filling materials have been compared with 4 systems of finishing and polishing: Sof-Lex Pop-on (3M), Enhance system (Dentsply), Hawe Micro Disc (Howe Neos), Heawe Gommini Polisher (Heawe Neos). The total working time did not overcome 1 minute. The little slabs have been obtained, pressing the resin between two slides used in microscopy. In the hope to guarantee in the different samples, a uniform thickness, we have used a technical device. On each covering slide we have put a weight of 0.5 kg for 5 minutes. The thickness of the little slabs obtained was 2 mm. Thus, pressed between the two slides, the aesthetical material has been photopolymerized according to the time suggested by Manufacturing Industries. The sizes concerning the wrinkledness of samples subjected to different treatments have been carried out using a pointed profilometer with high sensitivity. (Tencor-P10). This instrument used in the National Laboratory of Catania, called INFN, is able to graphitize the wrinkledness of a surface "survbeying" it with a diamond ultramicrometric point. RESULTS: All tested systems gradually produce the upper layers of the materials less suitable to resist the assault of plaque bacteria as time passed. The 3M coarse and medium grain Disks are very abrasive and for this reason the surface of the materials is ill-shaped. Those disks with fine and extra fine grain, smooth the tracks left by previous disks. As they have been always used according to their decreasing granulometry, the disks are used only for removing small composite pieces in excess and to improve micromorphology of the restauration. The "Gommini" are less abrasive than Disks. In a few minutes and often with only one step they produce a much regular and polished fillings surface. CONCLUSIONS: The "Gommini" have a preference when the last photopolymerization has left a regular layer, with a very good micromorphology. Actually, "Gommini" do not remove much material, but they continue to smooth the outline of the reconstruction. Disks are not classified as being of first quality in the finishing of composites and compomers.

Composite Resins↗
PubMed1999

Esthetic restoration of primary incisors.

A simple and esthetic technique for restoring cariously involved primary maxillary incisors is described. The technique includes mini-pins, a preformed celluloid crown and resin-based composite.

Child, Preschool↗