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At least 19 recordsLinked to original sources

Implant prosthodontics--an adjunct in periodontal prosthesis. Part I and II. Diagnosis, treatment planning, and sequencing of therapy.

Periodontal prosthesis can be defined as "those restorative and prosthetic endeavors that are absolutely essential in the treatment of advanced periodontal disease". The sequence of therapy is planned so that the basic contributing factors of inflammation and trauma from occlusion are brought under control. Experimental and clinical research over the last decade has shifted the focus of periodontics towards increased use of guided tissue membrane techniques. Today, as a result of the longitudinal studies on the viability of endosseous implantology, implants used as an integral part of Periodontal Prosthesis now offer the patient and dentist a more stable and predictable restoration. These articles focus on the comprehensive treatment of the partially edentulous situation. The first two parts address diagnosis, treatment planning and treatment sequencing in the overall management of the compromised dentition.

Alveolar Process

Pseudogingival prosthesis following periodontal surgery.

A technique for replacing interdental papillae with a prosthesis is described. Emphasis on the accuracy of the master impression is essential to a satisfactory result. Good oral hygiene and removal of the prosthesis at night are of paramount importance.

Gingiva

The processed provisional splint in periodontal prostheses.

A technique has been described whereby a heat-processed provisional splint was fabricated with the factors of esthetics and long-term serviceability being of prime importance. Additional advantages of the use of a well-adapted provisional restoration in a periodontal prosthesis are as follows: (1) They facilitate periodontal treatment by allowing total visibility and access to surgical sites when the splint is removed. (2) The splinting effect may enhance healing and periodontal-ligament reattachment by stabilizing mobile abutments. (3) The patient's ability to render adequate home care for a fixed prosthetic restoration may be evaluated and reinforced before making case restorations. (4) The patient's cooperation is assured during an extended period of restorative care when an esthetic, comfortable, provisional splint is provided.

Acrylic Resins

Strength determination of periodontal splints fabricated from acid-etched retained materials.

Six systems (one polycarboxylate, one polymethyl methacrylate, one unfilled BIS-GMA resin, two combinations of methyl cyanoacrylate and polymethyl methacrylate, and one combination of unfilled BIS-GMA and filled composite resin) were evaluated for in vitro retention to acid-etched human enamel. Also tested were one unfilled-filled resin combination backed by perforated orthodontic band metal and another unfilled resin backed by stainless steel wire mesh. Significant differences in retention were found. Results show that retention depends pril surface and to resist subsequent chemical degradation.

Acid Etching, Dental