Initial orthopaedic displacement compared with longitudinal displacement of the maxilla after a forward force application. An experimental study in dogs.
The aim of this study was to compare the initial orthopaedic displacement of the maxilla in vivo and the longitudinal changes after a forward force application. The sample consisted of five 1-year-old dogs. An anterior force of 5 N on the maxilla was applied by a coil spring system pushing between Branemark implants and a maxillary splint. The initial displacement of the maxilla after force application was measured by means of speckle interferometry. The longitudinal displacement of the maxilla after a force application during 8 weeks was measured by superimposing standardized lateral cephalograms. The initial, as well as the longitudinal, displacement of the maxilla of the dogs was in a forward direction with some counterclockwise rotation. There was no statistical difference between the initial and longitudinal displacement. The biological response after force application during 8 weeks can be predicted by the initial orthopaedic displacement. (+info)
A modified technique for direct, fibre-reinforced, resin-bonded bridges: clinical case reports.
This article presents new modifications to the clinical technique of fabricating directly applied resin-bonded fibre-reinforced bridges. Torsional and flexural strength is achieved by means of a reinforced polyethylene fibre ribbon substructure surrounded by laminated layers of microhybrid and microfilled resins. The modifications provide a simple method for creating a better pontic-ridge relation and improved overall esthetics. Early clinical experience suggests that this technique has the potential to give patients a relatively conservative, esthetic and periodontally noninvasive alternative for anterior tooth replacement. (+info)
The marginal-ridge rest seat.
Natural canine crowns are preferred as abutments for removable partial dentures because of their root morphology and bony support. However, preparing the rest seat on the lingual surface of a mandibular canine risks perforating the enamel. An alternative rest-seat preparation, on the marginal ridge of the canine crown, conserves tooth structure and provides a rest seat of adequate length and depth to ensure support for a cast framework. To illustrate why this little-discussed rest-seat preparation has endured locally, the rationale and preparation of the marginal-ridge rest seat is discussed from both historical and clinical perspectives. (+info)
The Procera abutment--the fifth generation abutment for dental implants.
The Branemark dental implant has undergone progressive development in terms of both the implant body itself and the components connecting the implant to the prosthesis. Many screw and abutment designs have been developed, with various degrees of success. About 15 years ago, CAD (computer-assisted design)-CAM (computer-assisted manufacture) technology was introduced to dentists. More recently CAD-CAM has been used in the manufacture of abutments for implants. This article reviews currently available techniques for creating the Procera custom abutment (Nobel Biocare, Goteborg, Sweden) and outlines appropriate applications for this type of implant. (+info)
This article explains the mechanism of indirect retention for RPDs and discusses the factors which determine its effectiveness. Examples are given of designs which incorporate indirect retention. (+info)
Changing paradigms in implant dentistry.
This review focuses on five paradigms of implant dentistry which have undergone considerable modifications in recent years. An attempt was made to select and include all the relevant citations of the past 10 years. These five paradigms document the debate in the clinical and scientific community and include the aspects of (1) smooth vs. rough implant surfaces, (2) submerged vs. non-submerged implant installation techniques, (3) mixed tooth-implant vs. solely implant-supported reconstructions, (4) morse-taper abutment fixation vs. butt-joint interfaces, and (5) titanium abutments vs. esthetic abutments in clinical situations where esthetics is of primary concern. (+info)
Esthetic option for the implant-supported single-tooth restoration -- treatment sequence with a ceramic abutment.
A single implant-supported restoration is one treatment alternative to consider for the replacement of a missing tooth. Technological advances in materials and machining have led to the development of a densely sintered aluminum oxide ceramic abutment, designed and machined using CAD/CAM technology. This manufacturing method improves management of the subgingival depth of the crown/abutment interface and enhances the esthetic qualities of the restoration. However, since this ceramic abutment has less mechanical resistance than metal abutments, its use should be confined to the restoration of incisors and premolars not subjected to excessive occlusal forces. (+info)
Occlusal stability in implant prosthodontics -- clinical factors to consider before implant placement.
The success of any prosthetic design depends on proper management of the occlusion. The clinical variables influencing occlusal stability must be determined and considered in the design of the final prosthesis. This paper outlines some of these variables. (+info)