Incorporating retrievability in fixed implant-supported prostheses by transverse fixation in the ITI abutment system.
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This article describes the use of the ITI implant system in rehabilitation of the maxillary anterior sextant of a 41-year-old patient. The Syn-Octa TS abutment system was used in this case, along with a customized transfer aid for intraoral positioning of these elements. This system offers the advantage of retrievability of the prosthesis in multiunit cases. (+info)
Abutment forms and restorative materials in adhesive prosthesis: a finite element analysis.
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This study evaluated experimental abutment forms utilizing adhesion for clinical treatment by the three-dimensional finite element method. Three experimental abutment forms with no axial wall were evaluated: Form 1 was the occlusal surface reduced by 1.5 mm, Forms 2 and 3 were the crown cut perpendicular to the tooth axis 2 mm or 4 mm from the central groove. The restorations were made of 3 types of materials: composite resin, porcelain, and a gold-based alloy. Restorations were bonded to the abutments with an adhesive resin. A vertical load of 500 N was applied to the center of the inner incline of the buccal cusp. The stresses in the adhesives were largest in Form 1 with composite resin and in Form 3. It was indicated that the stresses were greatly affected by the form of the abutment and the restorative materials. (+info)
Hypohidrotic ectodermal dysplasia: a unique approach to esthetic and prosthetic management: a case report.
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Hypohidrotic ectodermal dysplasia is a rare congenital disease that affects several ectodermal structures. The condition is usually transmitted as an x-linked recessive trait, in which gene is carried by the females and manifested in males. Manifestations of the disease differ in severity and involve teeth, skin, hair, nails and sweat and sebaceous gland. Ectodermal dysplasia is usually a difficult condition to manage. Prosthodontically, because of the typical oral deficiencies, and afflicted individuals are quite young to receive extensive prosthodontic treatment, which restores their appearance and helps them, for the development of positive self-image. This case report describes the management of upper jaw with over denture with copings on existing teeth i.e. two permanent peg shaped centrals as well as lateral incisors. However with adequate of retainer lower denture was provided with a new treatment modality. (+info)
The influence of prosthesis designs and loading conditions on the stress distribution of tooth-implant supported prostheses.
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The aim of this study was to observe the influence of prosthesis design and loading condition on the stress distributions of tooth-implant supported prostheses. Six 2D finite element models, two reference models, and four experimental models were computed to simulate different prosthesis designs. Six different loading conditions were applied to investigate the stress distributions of tooth and implant, respectively. The stresses of reference models were considered as 100%; the stresses of experimental models at the same locations were compared with those of reference models. The stresses around implants were higher than those around teeth. When vertical loading was applied only on the implant, the stresses to both the implant and teeth were at their lowest. The highest stress to the tooth was in the model TTPF and the lowest in the model TPFF. The highest stress to the implant was in the model TPPF and the lowest in the model TPFF. These data indicated that the loading on the tooth-implant supported prosthesis was mainly supported by the implant. Minimizing the loading on the tooth decreased the stress to both the tooth and the implant. Adding fixtures as abutment was more effective in decreasing the stress than adding tooth as abutment in tooth-implant supported prosthesis. (+info)
Advanced restorative techniques.
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Many alternative techniques are available to ensure the best possible outcome for an implant restoration. (+info)
Quantitative evaluation of axial wall taper in prepared artificial teeth.
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The purpose of this study was to quantitatively evaluate the axial wall taper of prepared artificial teeth using a non-contact three-dimensional shape measuring system. A total of 54 artificial teeth prepared by pre-clinical dental students for complete cast restorations were evaluated. For quantitative analysis, five cross sections were computer-graphically placed perpendicularly to the z-axis. The surface coordinate values (x, y, z) of each cross section were converted into polar coordinate values (r, theta), which were then graphically rendered to a two-dimensional plane. At four points, each 90 degrees from the distal center point of the cross section, the axial wall taper was quantitatively calculated using a formula based on the differences in radius between the highest and lowest positions of the cross sections of the prepared tooth. The average calculated taper was 5.8 degrees in the distal region, 21.7 degrees in the buccal region, 14.9 degrees in the mesial region and 12.5 degrees in the lingual region. These results suggest that the axial wall taper of prepared teeth can be quantitatively evaluated using this measuring system. (+info)
Fracture resistance of inlay-retained fixed partial dentures reinforced with fiber-reinforced composite.
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In this study, the effect on the fracture load of inlay-retained composite fixed partial dentures (FPDs) caused by reinforcing them with fiber-reinforced composite (FRC) in different positions was examined. Experimental FPDs were fabricated using Estenia/EG Fiber (Kuraray Medical). Pontic reinforcement was then performed in one of the following three ways: reinforced the central area in a single line or in double straight lines, or reinforced the bottom in a curved line. The finding was that, when the area ranging from the connector to the bottom of the pontic was reinforced with FRC in a curved line, the fracture load of the FPDs tended to become higher. In addition, the FPDs fractured mainly at the veneering composite of the connector area. Based on the results of this study, it was concluded that reinforcement using FRC is effective, and that the veneering composite in the connector area needs to have sufficient strength to prevent the fractures. (+info)
Influence of abutment materials on the resultant color of heat-pressed lithium disilicate ceramics.
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The purpose of this study was to evaluate the influence of abutment materials on the color of IPS Empress 2 ceramic coping with different thicknesses. Ceramic coping specimens (12.0x12.0x0.8-2.0 mm) were fabricated from IPS Empress 2 material (Ingot-100, n=5/group). Abutment specimens were fabricated from a build-up composite, a gold alloy, or a silver-palladium alloy. Color was evaluated using a colorimeter according to the CIE L*a*b* system. The L*a*b* values of the ceramic coping specimens of different thicknesses on each abutment specimen were measured. Following which, the color difference (deltaE*ab) values between the ceramic coping specimens on various abutment specimens were calculated. Significant differences in deltaE*ab value were observed among different abutment specimens at certain ceramic coping thicknesses (P<0.05). Thus, it was concluded that the color of IPS Empress 2 coping material was influenced significantly by both the thickness of the coping and the color of the abutment material. (+info)