A technique for repair of a fractured porcelain-fused-to-metal bridge.
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Biomedical subjects
Publications and source records attributed to Gregori M Kurtzman.
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Hemisection of mandibular molars may be a viable treatment option when vertical root fracture has occurred and the other root is healthy. This article discusses a case that presents the techniques involved in hemisection and restoration of the remaining tooth root.
Endodontics has begun to take advantage of the scientific improvements touching other aspects of dental care. Precision instrumentation allows the practitioner to develop better instrumented canals, making obturation easier and more predictable. Treatment predictability from precision-based instrumentation has allowed a leap forward in how we provide endodontic therapy.
When dental implants were first introduced, the emphasis for long-term success was on the surgical phase of treatment. Subsequently, the emphasis changed from a focus on the surgical technique to proper fixture placement, which would be dictated by the prosthetic and aesthetic needs of each patient. In more recent years, implant maintenance and effective patient home care have been emphasized as two critical factors needed for long-term success of dental implants.
To ensure long-term function, endodontic restorations require proper sealing of the root canal system. Recent studies have recognized that microleakage in endodontically treated teeth has negative consequences (ie, apical migration of bacteria) on their prognosis, often resulting in failure. Findings in the dental literature suggest that the innovative technology, consisting of fiber-based obturation and adhesive obturation materials, can minimize this leakage. As demonstrated in this article, the ability to achieve an adequate marginal seal represents a significant advance in endodontic therapy.
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Exostosis, a slow-growing, benign bony outgrowth, is a common clinical finding and not usually a concern for patients. However, when removable prosthetics must sit either adjacent to or over these areas, pressure, food abrasion, ulceration, or limited tongue space can occur. This article describes a surgical technique for excision of exostosis through a case presentation. An 86-year-old woman had soft-tissue irritation caused by abrasion from food in the buccal posterior right quadrant. The removal of the exostosis is illustrated through the use of a device that serves as an alternative to a scalpel, offering a safe, predictable outcome.
Establishing nontension primary wound closure of various soft-tissue flaps is paramount for optimal postsurgical wound healing. Surgical procedures that require clinical flap manipulation such as those used with traditional periodontal therapy, periodontal plastic cosmetic surgery, hard- and soft-tissue regeneration, and the excision of pathologic tissue also require excellence in execution and thorough understanding of the various techniques of surgery, suturing, and the materials currently available to ensure the desired clinical results. This article will discuss the rationale of specific suturing techniques and suture materials to aid the clinician in obtaining optimal wound closure.
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Precise impression-making techniques are critical to indirect restorative success. By ensuring that a concise protocol is implemented during the impression capture phase, clinicians can predictably deliver optimal results. Common complications that may arise during impression making include inaccurate marginal detail, bubbles, tears, pits, and voids. Proceeding with impression making when such damage is evident will reduce the accuracy of restorative fit and integrity. This article discusses potential concerns during impression capture and addresses approaches to improve the overall quality of impressions taken.
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Restoration of single-stage implants with solid abutments traditionally requires the use of an impression index cap, an analog and a lab fee commensurate with a more complex restoration. A technique is discussed that utilizes standard crown and bridge techniques that simplifies the lab procedure and reduces the prosthetic costs involved with fabrication of implant borne crowns.
Fabrication of a temporary crown can consume much chairside time when restoring a single-unit implant. A technique for rapid fabrication of a temporary crown for the ITI implant system is addressed so as to minimize time and provide an accurate-fitting esthetic interim crown.
Divergent implants in the maxilla can make restoration with removable prosthetics difficult when the implants will not be splinted with a superstructure. Attachments to be used with individual implants require that the implants be within 10 degrees of divergence. This article will address a new angled male designed to fit the locator attachment (female component) that can accommodate up to a 40 degrees divergence.