Diagnostic provisional restorations in restorative dentistry: the blueprint for success.
There is no question that patients today demand a sophisticated level of restorative dentistry, in terms of both esthetics and function. No elective restorative dentistry should be undertaken without a clear understanding of the patient's expectations and the limitations of restorative therapy. The dentist should have a clear picture in mind of the final results before initiating irreversible therapy. The use of mounted diagnostic casts, diagnostic wax-ups and provisional restorations permits patient acceptance to be obtained before the definitive phase is initiated. Too often the dentist does not take advantage of this important restorative option, with disastrous results when definitive restorations are viewed by the patient for the first time. By following the plan of treatment outlined in this article, such disasters can be avoided. (+info)
Anterior esthetic crown-lengthening surgery: a case report.
The theoretical concepts underlying crown-lengthening surgery are reviewed, and a patient who underwent esthetic crown-lengthening surgery is described. An overview of the various indications and contraindications is presented. (+info)
Crowns and other extra-coronal restorations: porcelain laminate veneers.
Porcelain veneers are resin-bonded to the underlying tooth and provide a conservative method of improving appearance or modifying contour, without resorting to a full coverage crown. The porcelain laminate veneer is now a frequently prescribed restoration for anterior teeth. The sums spent by the Dental Practice Board on this type of treatment increased from quarter of a million pounds in 1988/89 to over seven million in 1994/95, representing some 113,582 treatments. Since that time the number has stabilised at over 100,000 veneers prescribed each year. The objective of this paper is to give a practical guide on providing these restorations. (+info)
Effect of eugenol and non-eugenol containing temporary cement on permanent cement retention and microhardness of cured composite resin.
This present study had three aims: 1) to evaluate the bond strengths of carboxylate and resin cements in cementing cast Co-Cr crowns to pretreatment of composite resin cores with eugenol and non-eugenol containing temporary cements, 2) to determine the microhardness of composite resin treated with temporary cement, 3) to view the surface differences of composite resin with SEM. The composite cores were divided into three experimental groups for the following pretreatments: Group 1, No treatment was provided, Group 2, The external walls of the composite cores were covered with eugenol-containing temporary cement, Group 3, The external walls of the composite cores were covered with non-eugenol containing temporary cement. Analysis of variance results showed that there was a significant difference between all three groups. Temporary cement with eugenol was significantly reduced the bond strength of full crown casting with resin cement compared with non-eugenol. The resin specimens treated with the eugenol-containing temporary cement showed the lowest microhardness values, the non-eugenol-containing temporary cement was not significantly different from those of the control groups. (+info)
Histomorphometric evaluation of new bone formation in diabetic rats submitted to insertion of temporary implants.
This study aimed to quantify new bone formation in the femurs of diabetic Wistar rats. Over an eight-week period, MTI-MP implants were evaluated in control rats and in diabetic rats. At several points during this period, various markers for bone deposit were introduced. The material was observed under fluorescent light microscopy. New bone formation in periosteal and cortical regions linked to the implant did not vary significantly between the groups. However, there were significant differences in total new bone formation in the medullar canal and in bone/implant contact area in the medullar portion. Bone deposits attached to the surface of the temporary implants demonstrated that they are biocompatible and capable of osseointegration. (+info)
Influence of temporary cement remnant and surface cleaning method on bond strength to dentin of a composite luting system.
The aim of the current study was to evaluate the influence of polycarboxylate temporary cement remaining on the dentin surface on the bond strength of a composite luting system. An acrylic resin plate was luted to bovine dentin with a polycarboxylate temporary cement (HY-Bond Temporary Cement Hard, HYB). The temporary cement was not used for the control groups. After removing the temporary cement with an excavator, dentin specimens were divided into five groups; 1) no subsequent treatment, 2) cleaning with a rotational brush (RTB), 3) cleaning with a rotational brush and non-fluoridated flour of pumice, 4) sweeping with an air scaler, and 5) treated with a sonic toothbrush. A silane-treated ceramic disk (IPS Empress) was bonded to each dentin specimen with a composite luting system (Panavia F). Shear testing results showed that the RTB groups exhibited the highest bond strength regardless of the use of temporary cement (P < 0.05). The use of a rotational brush with water coolant is recommended to achieve ideal bond strength between the Panavia F luting system and dentin to which HYB temporary cement was primarily applied. (+info)
Various options are available for restoring anterior teeth. Their choice is dictated by the severity of infection of the teeth to be extracted and the pocket depth. Immediate single-stage implant placement proved to be the least traumatic option, which best preserved the soft tissue. A differential use of surgical and prosthodontic techniques is indispensable to account for conditions in the individual case. Given an adequate amount of hard tissue, soft tissue contours can be expected to return to normal. Immediate implants combined with a soft tissue support have been found to ensure that the depth of even larger pockets is stable for years. (+info)
Evaluation of wear and subsequent dye penetration of endodontic temporary restorative materials.
This study evaluated the wear resistance and sealing property of endodontic temporary restoratives by means of functional stressing using a wear simulator. The pulp chamber of 28 extracted molars was opened and filled with cotton, and then the cavity was filled with a temporary material--Caviton, Temporary Pack, Neodyne-alpha, or TERM. Specimens were subjected to a wear test, and data for wear and dye penetration were analyzed by one-way ANOVA independently (p < 0.05). Wear values of Neodyne-alpha (0.09 +/- 0.05 mm) and TERM (0.24 +/- 0.06 mm) were significantly less than those of Caviton (1.79 +/- 0.15 mm) and Temporary Pack (1.02 +/- 0.40 mm). In terms of dye penetration, Neodyne-a leaked significantly less than the other materials at 0.40 +/- 0.32 mm. On the other hand, there were no significant differences between TERM (1.30 +/- 0.57 mm) and Temporary Pack (2.10 +/- 0.12 mm), and between Caviton (2.60 +/- 0.41 mm) and Temporary Pack. (+info)