Multidisciplinary approach to the rehabilitation of a crown fracture with glass-fibre-reinforced composite: a case report.
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Traumatic tooth injuries are common in children. When permanent teeth are involved, it can be a challenge to save these teeth. This clinical case study describes the multidisciplinary treatment of a complex crown fracture and luxation of a right maxillary incisor along with esthetic management. After periodontal surgery including guided bone regeneration and endodontic treatment, we used a glass-fibre-reinforced composite post to increase retention and distribute stress along the root. The restoration was completed using composite in an incremental technique. During follow-up appointments, clinical and radiographic examinations revealed no root canal or periodontal problems, suggesting the efficacy of the treatment in retaining the fractured tooth. Periodontal surgery with endodontic treatment is an alternative treatment for severe trauma in permanent teeth. (+info)
Retentive force of pure titanium konus telescope crowns fabricated using CAD/CAM system.
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The purpose of this study was to investigate the clinical application possibility of pure titanium konus telescope crowns fabricated using a CAD/CAM system. For the CAD/CAM system, Dental Cadim (Advance Co.) was used. For the material, exclusive pure titanium block for this system was used in this experiment. Two types of experimental dies with different heights assumed the konus inner crown and three types of konus outer crowns with different gap widths at the occlusal part were prepared. The outer crown was seated on the inner crown die, and a load was applied perpendicularly to the upper surface of the outer crown for 10 seconds. Pullout test was performed at a crosshead speed of 5 mm/min, and the retentive force was measured. With increase in the height of the inner crown die and the applied load, the retentive force of konus telescope crown increased. Similarly, as the gap width at the occlusal part between the inner crown die and outer crown increased, the retentive force of konus telescope crown also increased. (+info)
Machinability of experimental Ti-Ag alloys.
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This study investigated the machinability of experimental Ti-Ag alloys (5, 10, 20, and 30 mass% Ag) as a new dental titanium alloy candidate for CAD/CAM use. The alloys were slotted with a vertical milling machine and carbide square end mills under two cutting conditions. Machinability was evaluated through cutting force using a three-component force transducer fixed on the table of the milling machine. The horizontal cutting force of the Ti-Ag alloys tended to decrease as the concentration of silver increased. Values of the component of the horizontal cutting force perpendicular to the feed direction for Ti-20% Ag and Ti-30% Ag were more than 20% lower than those for titanium under both cutting conditions. Alloying with silver significantly improved the machinability of titanium in terms of cutting force under the present cutting conditions. (+info)
Vertical alveolar crest bone maintenance around implants in two-stage surgery: an in situ study in dogs.
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Long-term observation of porous sapphire dental implants.
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We used porous sapphire dental implants made of alumina clinically for 4 years 1 month, commencing September, 1984 until September, 1988. Subjects consisted of 18 men and 42 women 20-71 years old (mean age: 35 years). Sixty-five implants were inserted in 60 patients. Of these, 20 were clinical cases of an implant connected with natural teeth and 45 were free-standing cases. We conducted a follow-up study on these patients over a 23-year period. One implant in 1 patient had to be removed because of postoperative infection and 8 implants in 7 patients had to be removed because of fracturing or detachment of the porous-part. This paper reports 3 cases where implants remained in place for 21-23 years. These cases have all shown good long-term clinical progress. (+info)
In vitro integrity of implant external hexagon after application of surgical placement torque simulating implant locking.
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