Gold alloys for resin bonding including small amount base metals--structural changes of alloy surface by the high-temperature oxidation.
(1/18)
To achieve durable bonding with adhesive resin, the surface roughness and the kinds of oxides, respectively to increase mechanical retention to enhance the chemical affinity of adhesive monomer with the gold alloy, were regulated by high-temperature oxidation together with the addition of small amounts of base metals. Alloys containing 2 mass% of Ni, In, or Cr with Cu were oxidized at 800 degrees C for 20 min in air, pickled in thioglycolic acid, and subsequently oxidized at 500 degrees C for 10 min in air. The morphology of the internal oxidation zone changed markedly according to the added base metals. Although the internal oxide particle composed of only Cu2O was removed by pickling, NiO, In2O3, and chromium oxides could not removed and remained on the alloy surface. The surface roughness was increased by addition of Ni, In, or Cr. Applying the present method can control the roughness and chemical states on a gold alloy surface to increase its adhesive ability with adhesive resins. (+info)
A modified technique for direct, fibre-reinforced, resin-bonded bridges: clinical case reports.
(2/18)
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)
Single-tooth replacement: bridge vs. implant-supported restoration.
(3/18)
Options for restoring a single tooth include fixed partial denture, resin-bonded restoration and single-tooth implant. In this paper, we discuss the advantages and disadvantages of these methods and factors that must be considered when choosing between them for the replacement of a single tooth. Although in some cases a fixed partial denture is the most appropriate choice, implants have the advantage of allowing preservation of the integrity of sound teeth adjacent to the edentulous area. (+info)
The congenitally missing upper lateral incisor. A retrospective study of orthodontic space closure versus restorative treatment.
(4/18)
Orthodontic treatment for patients with uni- or bilateral congenitally missing lateral incisors is a challenge to effective treatment planning. The two major alternatives, orthodontic space closure or space opening for prosthetic replacements, can both compromise aesthetics, periodontal health, and function. The aim of this retrospective study was to examine treated patients who had congenitally missing lateral incisors and to compare their opinion of the aesthetic result with the dentists' opinions of occlusal function and periodontal health. In this sample, 50 patients were identified. Thirty had been treated with orthodontic space closure, and 20 by space opening and a prosthesis (porcelain bonded to gold and resin bonded bridges). The patient's opinion of the aesthetic result was evaluated using the Eastman Esthetic Index questionnaire and during a structured interview. The functional status, dental contact patterns, periodontal condition, and quality of the prosthetic replacement was evaluated. In general, subjects treated with orthodontic space closure were more satisfied with the appearance of their teeth than those who had a prosthesis. No significant differences in the prevalence of signs and symptoms of temporomandibular dysfunction (TMD) were found. However, patients with prosthetic replacements had impaired periodontal health with accumulation of plaque and gingivitis. The conclusion of this study is that orthodontic space closure produces results that are well accepted by patients, does not impair temporomandibular joint (TMJ) function, and encourages periodontal health in comparison with prosthetic replacements. (+info)
Ridge augmentation using mandibular tori.
(5/18)
A 19-year-old female was referred by her dental practitioner for the restoration of missing maxillary lateral incisors and canines. Ridge augmentation was required. This was undertaken using mandibular tori as the sites for harvesting bone. The grafting was successful and the spaces were subsequently restored using resin-bonded bridgework. The case reports that mandibular tori provide a local and convenient source of bone for ridge augmentation procedures. (+info)
Caries incidence following restoration of shortened lower dental arches in a randomized controlled trial.
(6/18)
CONTEXT: Removable partial dentures used to restore the shortened lower dental arch may adversely affect the remaining natural teeth and are associated with a low prevalence of use. OBJECTIVE: To report the findings for caries incidence 2 years after restoration of lower shortened arches with bilateral cantilever resin-bonded bridges (RBBs) and conventional partial dentures (RPDs). DESIGN: Randomised controlled trial. SETTING: Secondary care PATIENTS: 25 male and 35 female subjects of median age 67 years. were randomly allocated to 'bridge' and 'denture' treatment groups of 30 patients each matched for age and sex. Caries incidence was recorded during dental examinations 3 months, 1 and 2 years after insertion of new lower prostheses. INTERVENTIONS: Cantilever RBBs and conventional RPDs with cast metal frameworks. RESULTS: There was a highly significant difference in the frequency of new caries lesions, 11 and 51 in the bridge and denture groups respectively (P < 0.01). 20 out of 27 bridge patients and 9 of 23 denture patients had no caries experience. Multivariate modeling identified treatment group as the only significant predictor of caries occurrence. CONCLUSIONS: Two years after restoration of lower shortened arches for an elderly sample of patients, there was a significantly greater incidence of new and recurrent caries lesions in subjects restored with RPDs compared with cantilever RBBs. (+info)
Crowns and other extra-coronal restorations: resin-bonded metal restorations.
(7/18)
Resin-bonded metal restorations is the final part of the series. Cast metal restorations which rely on adhesion for attachment to teeth are attractive because of their potential to be much more conservative of tooth structure than conventional crowns which rely on preparation features providing macromechanical resistance and retention. (+info)
A single-retainer zirconium dioxide ceramic resin-bonded fixed partial denture for single tooth replacement: a clinical report.
(8/18)
This clinical report describes a treatment for the replacement of a missing mandibular anterior tooth using a cantilever single-retainer resin-bonded fixed partial denture (RBFPD), fabricated from zirconium dioxide (ZrO2) ceramic. No clinical complications were observed at the 2-year 6-month follow-up examination after placement of the ZrO2 ceramic RBFPD, and satisfactory functional and esthetic results were achieved. A treatment modality using a cantilever ZrO2 ceramic RBFPD is an alternative for single anterior tooth replacement. Further clinical studies are required to evaluate the long-term potential of cantilever single-retainer ZrO2 ceramic RBFPDs. (+info)