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At least 19 recordsLinked to original sources
PubMed1994

The periodontal-restorative interface in fixed prosthodontics: tooth preparation, provisionalization, and biologic final impressions--Part II.

The delicate dento-gingival attachment apparatus must be treated with utmost care during all phases of preparation in the crevicular region. There is little room for error within these minute dimensions. The learning objective of this article is to encourage the dentist to be ever vigilant when approaching the subcrevicular tissues during biomechanical tooth preparation, provisionalization, biologic final impressions, and final cementation. Part I, published in the January/February, 1994, issue of PP&A, discussed the emergence profile, retraction, preparation modalities, and provisionalization. Part II discusses final impressions and casts derived from information provided by morphologically correct provisionals, surgically directed provisionalization, and final functional and aesthetic rehabilitative results.

Adult↗
PubMedDate not supplied

The periodontal-restorative interface in fixed prosthodontics: tooth preparation, provisionalization, and biologic final impressions. Part I.

The delicate dento-gingival attachment apparatus must be treated with utmost respect during all preparational maneuvers in the crevicular region. There is little room for error within these minute dimensions. To avoid irreparable harm during chemo-mechanical manipulation of the attachment apparatus, the dentist must always think on a histologic level in order to respect the cellular integrity of the periodontium. The learning objective of this article is to encourage the dentist to be ever vigilant when approaching the subcrevicular tissues during biomechanical tooth preparation, provisionalization, biologic final impressions, and final cementation. Part I discusses the emergence profile, retraction, preparation modalities, and provisionalization; it is presented in this issue. Part II will cover final impressions and casts, derived from information provided by morphologically correct provisionals, surgical provisionalization, and final rehabilitative results; it will appear in the April, 1994, issue of PP&A.

Crowns↗
PubMed1999

Foundation restorations in fixed prosthodontics: current knowledge and future needs.

PURPOSE: The Ad Hoc Committee on Research in Fixed Prosthodontics established by the Academy of Fixed Prosthodontics publishes a yearly comprehensive literature review on a selected topic. The subject for this year is foundation restorations. METHODS: Literature of various in vitro and in vivo investigations that included technical and clinical articles was reviewed to provide clinical guidelines for the dentist when selecting methods and materials for restoration of structurally compromised teeth. Topics discussed and critically reviewed include: (1) desirable features of foundation restorations, (2) foundations for pulpless teeth, (3) historic perspectives, (4) cast posts and cores, (5) role of the ferrule effect, (6) prefabricated posts, (7) direct cores, (8) foundation restorations for severely compromised teeth, (9) problems and limitations, (10) future needs, and (11) directions for future research. CONCLUSION: This comprehensive review brings together literature from a variety of in vitro and in vivo studies, along with technique articles and clinical reports to provide meaningful guidelines for the dentist when selecting methods and materials for the restoration of structurally compromised teeth.

Dental Casting Technique↗
PubMed1997

Effect of different surface textures on retentive strength of tapered posts.

STATEMENT OF PROBLEM: Tapered posts allow for the preservation of tooth substance in the fragile apical area and are advantageous in clinical situations where they conform to the root and canal configuration of endodontically treated teeth. However, their lower retention compared with passive parallel-sided or active threaded posts is a disadvantage. PURPOSE: This study determined the retentive strength of tapered titanium posts with different surface textures and examined the effect of roughening dentinal walls of the prepared post space. MATERIAL AND METHODS: Posts with four surface configurations (smooth, with and without grooves, and sandblasted, with and without grooves) were examined when cemented in extracted anterior teeth. RESULTS: The smooth post showed the lowest retentive strength. Sandblasting the smooth post more than doubled its retentive strength. The retentive strength of both smooth and sandblasted posts could be further increased by the addition of circumferential grooves. Roughening the dentinal walls of the prepared post space increased the retentive strength of sandblasted posts with and without grooves even more. CONCLUSIONS: These findings indicated that, when a tapered post is used, roughening the dentin canal wall, as well as sandblasting and grooving the post, can provide statistically significant additional resistance to dislodgment.

Analysis of Variance↗
PubMed1998

Tooth structure loss apical to preparations for fixed partial dentures when using self-limiting burs.

STATEMENT OF PROBLEM: Burs with guide pins may be used to limit the depth of tooth preparation for fixed partial dentures. The effects of guide pins on tooth structure apical to the finish line after tooth preparation for fixed partial dentures has not been recorded. PURPOSE: This in vitro study recorded loss of tooth structure within 1.0 mm apical to the finish line of teeth prepared with straight cylinder and tapered cylinder self-limiting burs and one conventional bur. MATERIAL AND METHODS: Forty-five extracted human teeth were randomly divided into three groups. The facial surface of each tooth was prepared with two types of diamond burs with guide pins and a conventional diamond for the control. The surface was profiled before and after tooth preparation. Profiled surfaces were analyzed and the groups were compared using analysis of variance and the Tukey-Kramer HSD test (alpha = 0.05). RESULTS: No significant difference was recorded between the control group and the group prepared with a round-ended tapered cylinder self-limiting pin. However, there was a statistically significant difference between the control and cylindrical pin groups, and between the two groups prepared with self-limiting diamonds. CONCLUSION: This study revealed abrasion apical to the finish line of the preparation in all groups. The cylindrical guide pin group exhibited the greatest loss of tooth surface.

Analysis of Variance↗
PubMed1999

Survival of Dicor glass-ceramic dental restorations over 14 years. Part II: effect of thickness of Dicor material and design of tooth preparation.

STATEMENT OF PROBLEM: The influence of different restorative design features on the long-term survival of Dicor glass-ceramic restorations is not well understood. PURPOSE: This study examined the relationship of different types of restorations and methods of preparation with the survival of Dicor glass-ceramic restorations functioning in vivo. MATERIAL AND METHODS: A total of 1444 Dicor glass-ceramic restorations were placed on the teeth of 417 adults. Failure was defined as a restoration that required remake because of material fracture. Survival of restorations of different types and with different methods of preparation was described by using Kaplan Meier survivor functions. Statistical significance between restoration type and preparation method was determined with the log rank test. RESULTS: Probability of survival of a typical partial coverage restoration was 92% at 11.3 years. There was no statistically significant difference between the survival of inlay or onlay restorations. For the 91 cores used for pulpless teeth, none failed over a total cumulative monitoring period of 419 years. There was no significant difference in survival of acid-etched Dicor restorations that were placed on shoulder or chamfer preparations. Thickness measured at the midpoint of the labial, lingual, mesial, distal, and midocclusal surfaces did not relate to risk of failure. CONCLUSIONS: The majority of Dicor glass-ceramic partial coverage inlay and onlay restorations and cores survived over time. Survival of restorations with either chamfer or shoulder preparations did not differ whether the restoration was acid-etched. Thickness of the restoration measured at the midaxial point of each surface did not relate to survival.

Acid Etching, Dental↗
PubMed2000

Pulp reactions to different preparation techniques on teeth exhibiting periodontal disease.

To evaluate the histopathological outcome of two preparation techniques (featheredge preparation/shoulder preparation) on teeth exhibiting pulp reactions due to age and periodontal disease, 11 teeth were prepared for full veneer crowns. Laboratory made resin crowns were fixed with a zinc phosphate cement for a period of 90 days. After extraction, adjacent pulpal areas were histopathologically rated according to the BRD criteria comprising the parameters (i) Bacterial invasion, (ii) Regenerative parameters, (iii) Degenerative parameters. Degenerative reactions were more correlated with tooth preparation than with advanced periodontal disease. The severity of endondontal reactions depends more on remaining dentin thickness than on the type of preparation.

Acrylic Resins↗
PubMed1998

Effects of repeated hand instrumentation on the marginal portion of a cast gold crown.

A study was conducted to evaluate the effects of repeated hand instrumentation on the marginal portion of a cast gold crown. Seven extracted periodontally diseased premolars were used. The finishing line of the preparation was placed on the root surface and then the crown was cast and cemented in the usual manner. One proximal surface of each sample was divided into 2 areas: root planing (RP) area and RP plus polishing (RPP) area. The marginal portion of the crown was measured to give a baseline value using a surface roughness- and profile-analyzing system. Then, the marginal portion was painted with a waterproof pen. RP was performed to remove paint in the RP area with the curets. In the RPP area, RP followed by polishing was done by silicone polishing points and a rubber cup with polishing paste. The relevant procedures and measurements were repeated 3 times in each area. Changes in the sample roughness and profile were evaluated and compared between the 2 techniques. The results showed that repeated instrumentation altered the surface of the marginal portion of the cast gold crown, resulting in increased roughness in both areas (P < 0.01). However, the roughness of the RPP area was considerably restored to the baseline value by polishing after RP. Therefore, it is suggested that polishing after RP smoothes the marginal portion of the cast gold crowns and appears to be an efficient prophylactic system.

Bicuspid↗
PubMed1999

[Ready-made crowns in the deciduous dentition].

The following review of the literature on "prefabricated crowns for deciduous teeth" attempts to highlight the benefits and limitations of this treatment modality. The use of prefabricated crowns is indicated in the following situations: severe destruction of the clinical crown, deep approximal cavities, bilateral approximal cavities, circumferential caries, history of root canal treatment, and need for fixed space retention. Compared to amalgam restorations involving two or more surfaces, prefabricated crowns on deciduous molar teeth gave very high survival rates. They consist of a chromium-nickel-steel alloy and are reported to have an acceptable gingival tolerance profile. In contrast to the Anglo-American countries this treatment modality is quite uncommon in Germany. A probable reason for this reservation could be that many clinicians often fail to see the need for a filling in the deciduous dentition. Besides, many dentists are reluctant to use local anesthesia in children, which is inevitable in preparing and fitting a prefabricated crown. In the United States and UK dentists are less frequently confronted with this problem, as complex treatments are often carried out under nitrous oxide sedation or insufflation anesthesia. Modern filling materials have been introduced which have the potential to narrow the indications for prefabricated stainless steel crowns. Against this background, future studies are necessary to compare the survival rates of prefabricated crowns and modern filling materials.

Child↗
PubMed1996

Preformed resin-veneered stainless steel crowns for restoration of primary incisors.

Stainless steel crown forms with bonded resin veneers for primary incisors are commercially available to dentists. This type of preveneered crown was developed to serve as a convenient, durable, reliable, and esthetic solution to the difficult challenge of restoring severely carious primary incisors. This article describes preveneered crowns, reviews their advantages and disadvantages, and details a technique for placement of such restorations.

Child↗
PubMedDate not supplied

Microleakage of cements for stainless steel crowns.

Microleakage is related to recurrent decay, inflammation of vital pulps, and reinfection of previously treated root canals. The purpose of this investigation was to compare the abilities of new adhesive cements and conventional nonadhesive controls to prevent microleakage under stainless steel crowns on primary anterior teeth. Standardized preparations were made, and stainless steel crowns were adapted. Specimens were assigned randomly to cement groups: zinc phosphate (ZP), polycarboxylate (PC), glass-ionomer (GI), resin-modified glass-ionomer (RMGI), RMGI with a dentin bonding agent (RMGI + DBA), adhesive composite resin (ACR) and zinc oxide eugenol (ZOE). Specimens were stored in water, aged artificially, stained, embedded, and sectioned, and the microleakage was measured. Group means and standard errors were calculated. ANOVA discerned differences among groups (P < 0.0001), and Turkey's multiple comparisons testing (P < 0.05) ranked the groups from least to most microleakage as follows: [RMGI + DBA, RMGI, ACR, GI], [ZP], and [PC, ZOE]. The adhesive cements significantly reduced microleakage.

Adhesives↗
PubMedDate not supplied

An immediate-extraction anterior single-tooth replacement utilizing a fiber-reinforced dual-component bridge.

Replacement of a single anterior tooth is an extremely challenging procedure. Numerous objective and subjective factors must be evaluated by the interdisciplinary team in the determination of the appropriate restorative method. This article reviews the restorative options and describes an emerging treatment modality--the fiber-reinforced dual-component bridge--as the option selected in a case requiring an immediate extraction of the maxillary right central incisor. The pertinent technology, indications, contraindications, and current clinical technique of dual-component nonmetallic prostheses are examined.

Adult↗
PubMedDate not supplied

Primary incisor restoration using resin-veneered stainless steel crowns.

The restoration of primary incisors with extensive caries lesions is a clinical challenge of severe dimensions. Not only are these teeth difficult to restore, but the patient's behavior can affect the treatment negatively. Requirements for an acceptable restoration include natural color; durability; adhesive cementation that is biocompatible with the pulp; easily and rapidly placed; requires only one treatment visit. Compared to other options, stainless steel crowns are the easiest to place. The most attractive restoration for these cases today is the adhesively bonded resin-composite crown, made by using acetate crown-form matrices, but this is being surpassed by the stainless steel crown forms (3M Unitek) that can be preveneered. This article describes a step-by-step method of placing preveneered stainless steel crowns for primary incisors.

Child, Preschool↗