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[Gdansk combined crown with occlusal rest. 1. Clinical and laboratory preparation of combined crown with occlusal rest on the basis of cast crown].

The combined crown used since many years in the Prosthetic Laboratory, Institute of Stomatology, Medical Academy in Gdańsk contains an occlusal rest basis of a cast crown (the metal part is of a gold alloy or chromium-nickel steel, with veneer of acrylateor Colorstat) provides, owing to a special preparation of the abutment tooth and laboratory procedure, full stabilization of the crown, protection of parodontium and good maintenance of the veneer which plays a cosmetic role in this type of crown. The combined crowns with occlusal rest are particularly suitable for supporting bridgeworks. They may be applied onto devitalized or live teeth since they require less extensive grinding of teeth.

Crowns

[The method of esthetic crown restoration with composite resin jacket crown in primary molars].

The term "esthetics" has recently been also used in the dental field, and a field called esthetic dentistry is increasingly being noted. The number of not only adult but also pediatric patients who visit for treatment aiming at esthetic recovery is being increased. Inpedodontics, composite resin of the coronal color is generally used in the restoration of deciduous incisors. However, the method using metal crowns for the deciduous teeth is used for the deciduous molars at present. We applied a composite resin jacket crown to the deciduous molar in a way similar to that of esthetic crown restoration for the anterior teeth. The surgical procedure before crown preparation varied slightly according to the presence or absence of pulpal treatment of vital teeth and with non-vital teeth, but the application was performed as follows: 1) Desensitization of pulp, pulpal treatment and core construction. 2) Preparation of crown. 3) Selection, trial set and occlusal equilibration of a metal crown for the deciduous tooth. 4) Precision impression with a silicone impression material. 5) Removal of the metal crown for the deciduous tooth from the impression material. 6) Making of an under-cut to the abutment tooth on the buccal lingual side. 7) Filling of the impression with chemical polymerization resin. 8) Application of pressure in the oral cavity. 9) Adjustment of edge and crown forms. Thus, the preparation method for the composite resin jacket crown was relatively simple. Since this surgery, the patient has been followed up for 1 year and 6 months, and no specifically troublesome points have been observed clinically. The patient and her parents are satisfied with the results.(ABSTRACT TRUNCATED AT 250 WORDS)

Child

Alternative crown systems. Is the metal-ceramic crown always the restoration of choice?

The metal-ceramic crown system still is selected the most frequently because of its strength and versatility. The ability to select metals for color or strength for single units or fixed partial dentures gives great flexibility, but when esthetics of the anterior region are a prime concern, the all-ceramic crown is still an excellent choice. Choice of which all-ceramic system to use is dependent on the strength demands, esthetic needs, amount of tooth structure that can be preserved, and laboratory support available. Where good tooth structure remains but some color, contour, or incisal length changes are desired, the porcelain laminate veneer is an outstanding esthetic and restorative choice. When good labial tooth structure remains but lingual structure is inadequate, a partial veneer gold crown can be an excellent esthetic choice. If moderate tooth structure is lost or moderate staining is present, the Dicor crown is a superb choice. In those instances in which heavy staining is present, a foil or core system should be considered to completely block out the background colors. As the occlusal forces become more of a factor, selection of a restorative system will depend more on strength than esthetic demands. The aluminous porcelain jacket crown still offers great strength and esthetics at a reasonable price. When most of the color is on the surface of the teeth, or when there is a high translucency to the teeth, Dicor can provide very esthetic results, and the Dicor Plus crown offers the opportunity to develop intrinsic shading. When greater strength is required, selection of a foil and core system is suggested, as might be a system that provides a stronger core material, like Alceram or Inceram. These stronger core materials will render improved flexural and compressive strengths, but some increases in brightness may occur with the increased alumina content of the cores. The future in ceramic restorative dentistry may be in the computer-generated crown if ways to develop internal coloring and layered building can be developed and cost can be controlled. Ceramic crowns are best limited to the anterior region of the mouth where occlusal forces normally are less than those found in the posterior region. In selected cases, in which there is no evidence of parafunctional habits, and when the dentist and technician are well versed in functional occlusion and have maximum restorative control of the occlusion, posterior ceramic restorations will be successful. It is important to remember in these cases that porcelain is harder than enamel and very strong in compression.(ABSTRACT TRUNCATED AT 400 WORDS)

Aluminum Oxide

[Comparison of the three-dimensional behaviour of the relief of the enamel crown and dentine crown in the permanent dentition in the mole (author's trnasl)].

1. As an example for the dentition of the insectivores, the teeth from 20 wholly conserved skulls of moles were investigated and measured before and after electrolytic decalcification. Every crown was described and photographically registered in the calcified and decalcified states. 2. The relief of the enamel crown was compared to that of the dentine crown. Almost without exceptions, the form of the dentine crown narrowly corresponded to that of the enamel crown. 3. The 3rd lower premolar can be an exception: in one case, its dentine crown showed two cusps while its enamel crown demonstrated only one of them. 4. The form of the crown is determined by genetically fixed and not by functionally induced growth-factors.

Animals

The effect of crown length on the fracture resistance of posterior porcelain and glass-ceramic crowns.

This in vitro study measured the changes in the fracture resistance of posterior crowns as a function of crown length. The crowns, 10 for each group, were made of a feldspathic porcelain (Ceramco), a glass-ceramic material (Dicor), and an alumina-reinforced glass (In-Ceram). Three different crown lengths were tested on acrylic resin dies. The restorations were fractured in a testing machine using a steel ball, 12.7 mm in diameter, that contacted the occlusal surface at three distinct points. Statistical analysis was performed using the Weibull distribution. The fracture resistance increased significantly with increasing crown length for all crown materials.

Aluminum Oxide

[Rehabilitation of partially edentulous cases with telescope crowns: modified, fully veneered tapered crowns].

Telescope crowns are well established as prosthodontic retainers for removable partial dentures. After a short review of the advantages and disadvantages of telescope crowns, the specifies of tapered crowns are described. By the use of appropriate tooth preparation and the fabrication of modified, fully resin-veneered tapered crowns, it is possible to improve on the crown contours and the aesthetics provided by conventional tapered crowns. Periodontal prophylactic conditions are also considered.

Aged

Comparison of the fracture strengths of ceramometal crowns versus several all-ceramic crowns.

Fracture resistance to forces applied to the incisal edges of four types of anterior crowns was tested. Ceramometal crowns fractured at significantly higher values (720 psi) than the all-ceramic crowns (approximately 360 psi). No significant difference was found among the fracture values of the Dicor crowns, the aluminous porcelain jackets, and the crowns fabricated from Dicor veneered with aluminous body and incisal porcelain.

Aluminum Oxide

Dimensional accuracy of castable apatite ceramic crowns: the influence of heat treatment on dimensional changes and distortion of crowns.

Castable apatite ceramic crowns are subjected to heat treatment during crystallizing and during coloring after casting. The dimensional accuracy of the heat-treated crowns was investigated with respect to its influence on dimensional changes in castable apatite ceramic crowns and on distortion of the interior of the crowns, using two investment techniques and a three-coordinate measuring machine. Dimensional changes were not influenced by the number of coloring firings. Distortion of the interior of crowns was slightly outward at the gingival plane. Shrinkage because of crystallizing was approximately 20 microns and the shrinkage of the gingival plane was equal to that of the occlusal plane.

Apatites

Dipotassium and sodium/potassium crystalline picrate complexes with the crown ether 6,7,9,10,12,13,20,21,23,24,26,27-dodecahydrodibenzo[b,n]-[1,4, 7,10,13,16,19,22]octaoxacyclotetracosin (dibenzo-24-crown-8).

The crystal structures of the dipotassium and the mixed sodium/potassium picrate complexes with the crown ether dibenzo-24-crown-8 (DB24C8) were solved and found to be nearly identical. (I): NaK-pic2(DB24C8), [NaK(C6H2N3O7)2(C24H32O8)]. Mr = 966.8, triclinic, P1, a = 8.164 (2), b = 9.960 (2), c = 13.368 (3) A, alpha = 103.92 (3), beta = 108.03 (2), gamma = 93.23 (2) degrees, V = 993.0 (7) A3, Z = 1, Dm = 1.54 (T = 298 K). Dx = 1.62 (1) g cm-3, lambda = (Mo K alpha) 0.71069 A, mu = 2.37 cm-1, F(000) = 500, T = 103 K, R = 0.086 for 2904 unique reflections. (II): K2pic2(DB24C8), [K2(C6H2N3O7)2(C24H32O8)]. Mr = 982.9, triclinic, P1, a = 8.231 (4), b = 9.850 (2), c = 13.346 (4) A, alpha = 103.91 (2), beta = 106.82 (3), gamma = 93.37 (2) degrees, V = 995.7 (9) A3, Z = 1, Dm = 1.59 (T = 298 K), Dx = 1.638 (8) g cm-3, lambda (Mo K alpha) = 0.71069 A, mu = 3.30 cm-1, F(000) = 508, T = 163 K, R = 0.042 for 4835 unique reflections. Both structures feature eight-coordinated cations between alternating layers of relatively flat crown ligands and paired picrates. In the mixed-metal system the two cations are disordered between two P1-related sites; these metal sites have a coordination environment only slightly different from that in the dipotassium structure. Na+ is able to occupy an environment similar to that of K+ under the conditions of these crystals, a situation not previously observed in the chemistry of crown ethers or macrocylic multidentates.

Chelating Agents

The degree of zinc phosphate cement coverage of complete crown preparations and its effect on crown retention.

This investigation examined the amount of retentive area covered by cement under complete coverage crowns and its effect on retention. Sixty crowns of self-cured acrylic resin were prepared on 60 identical brass dies and were divided into six groups of 10 crowns each according to different cement applications. The results showed that retention was dependent on the amount of retentive area covered by the cement. The amount of cement in the occlusal part of the cementation space did not affect retention.

Acrylic Resins

[Individual differences in the marginal periodontium of crowned and non-crowned topographically identical teeth].

A comparison was made on 191 crowned teeth in 125 patients altogether with removable partial replacements after average wear of 4.8 years with the corresponding number of contralateral uncrowned teeth. It could be shown that there was no significant difference between crowned and uncrowned teeth in respect of periodontal changes (loosening and deepening of pockets of pockets, periodontal diagnosis). Findings in crowned teeth had a frequent tendency to worsen.

Crowns

[Retention of crowns as affected by film thickness of zinc phosphate cement and taper angle of crowns (author's transl)].

Dependence of the retention of crowns at their axial wall on the film thickness of zinc phosphate cement and the taper angle was investigated. Stainless steel dies, composed of a preparation and an occlusally perforated crown the taper angle of which was 2.9, 5.7, 8.5 and 11.3 degrees respectively (Fig. 1, (a) and (b)), were cemented within three min. after the start of mix with a Shofu Micro Cement having a powder-liquid ratio of 1.5 g/0.5 cc. The thickness of the cement layer at the axial wall was regulated to a given value between 9 and 55 mu through the use of a discrepancy measurer. A Shimazu Autograph tensile test machine was employed to measure 48-hr retention (kg/cm2). The retention of the crowns was strongly dependent on the cement film thickness and the taper angle when the film thickness was below a critical value (15 mu in this experiment), but not when the film thickness was above this value (Fig. 3). This may be explained by the term of mechanical interlocking of either of the unreacted powder grains and the matrix phase in the luting cement, as schematically drawn in Fig. 6. The same findings were more evidently appeared on the semilogarythmic diagram in Fig. 4. In this diagram, the critical value was shown as intersection of two straight lines which could be drawn through all the measurements for four taper angles, using the least squares.

Crowns