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PubMed2006

Immediate dentin sealing using an antibacterial self-etching bonding system.

The pathway to the dental pulp through the cut dentin can lead to pulpal pathology following a crown preparation. While eugenol temporary cements can occasionally reduce dentin sensitivity following tooth preparation, this material can be problematic due to its unfavorable reactivity with composite resin cements. To protect the prepared substrate prior to its definitive restoration and to minimize post-operative sensitivity attributed to thermal changes or bacterial invasion of the dentin tubules, a treatment option that is more effective biologically and chemically is required. This article demonstrates the clinical application of an antibacterial self-etching bonding system.

Anti-Bacterial Agents↗

PubMed1995

The use of cantilever bridges.

Replacement of missing teeth with fixed bridgework often involves producing full crown retainers on teeth on both sides of an edentulous space. Unfortunately, this approach can result in the destruction of much healthy tooth tissue, and the clinician must balance the benefits of replacing missing teeth with the amount of tooth preparation required. Current thinking in restorative dentistry places the preservation of tooth tissue at a premium, and most practitioners are happy to use techniques that embrace this philosophy. Because of this, cantilever bridges have an increasing role in dental practice, where the replacement for a missing tooth or teeth has one or more abutments on only one side of the edentulous space, being unsupported at the other. Cantilever bridges fall into several types, depending on the number of abutments and types of retainers. This article describes the various cantilever bridge designs, considers the biomechanics of these restorations, and provides guidelines for their clinical use.

Biomechanical Phenomena↗

PubMed1988

Cuspal deformation and fracture resistance of teeth with dentin adhesives and composites.

This study investigated the effect of polymerization shrinkage of posterior composite (Herculite) on the dimensions and fracture strength of human maxillary premolars with a phosphonate-ester DBA (Bondlite) and a second DBA comprised of 4-META with MMA/TBB (Superbond). The individual role of etched enamel and nonetched dentin bonding was also studied with high-copper amalgam used as a control. Two sizes of preparation isthmus were designated for evaluation of the effect of the polymerization contraction on weakened teeth. The following conclusions were drawn. 1. Narrow intracoronal tooth preparations were significantly stronger than wider, expansive preparations. There was no difference among the narrow isthmus preparations restored with amalgam or acid etching and composite. 2. There was a significant expansion in tooth dimension when MOD cavities were restored with amalgam. 3. Teeth with narrow isthmus preparations using composite bonded with Bondlite adhesive to etched enamel demonstrated a significant contraction compared with Superbond DBA. 4. Composite restorations using Superbond DBA in wide MOD cavities significantly improved the fracture strength of maxillary premolars. 5. Superbond DBA with composite restorations benefited the tooth in dimensional change and fracture strength. 6. There was a positive correlation between the fracture strength and tooth dimension.

Adhesives↗

PubMed1981

The nickel-chromium crown for restoring posterior primary teeth.

The differences between the recently marketed nickel-chromium crown and other crowns available for primary posterior teeth are compared. Indications for use of preformed crowns are reviewed and techniques of tooth preparation, crown adaptation, and cementation are described.

Cementation↗

PubMed1998

Designs for cast metal restorations.

This article reviewed clinical conditions that assist selection of specific design decisions for the tooth preparation for cast metal restorations. This decision should result in a conservative restoration for a given clinical situation. A paradigm is included to assist the dentist in the decision-making process.

Crowns↗

PubMed1990

[Measuring the accuracy of various elastomeric impression materials using a CNC coordinate measuring device (Part 1)].

This study compares the accuracy of 23 impression materials. With each material seven impressions of a stainless steel master die were taken under standardized conditions. Characteristical dimensions of the master die and of the stone dies as well were determined by means of a CNC coordinate measuring device. Differences in prepared tooth heights ranged between -36 and +19 microns. The occlusal distances between prepared teeth were 2 to 54 microns greater on the stone dies than on the master die. Diameters differed by -89 to +52 microns. The two phase impressions tended to result in stone dies of reduced size, whereas single phase and double mix impression techniques produced larger stone dies than the master die.

Dental Impression Materials↗

PubMed1995

Cuspal coverage with resin-bonded metal onlays.

The use of resin-bonded onlays as a means of cuspal coverage is described with reference to two clinical cases. One distinct feature of this technique is the minimal tooth preparation required compared with that needed for a conventional crown or onlay. Conservation of the already compromised tooth tissue is thus achieved.

Bicuspid↗

PubMedDate not supplied

The effect of core translucency on the aesthetics of all-ceramic restorations.

Recent advances in ceramic technology have revolutionized aesthetic dentistry. When treating a single anterior tooth in need of a full-coverage restoration, a multitude of options in restorative materials and techniques is available to the clinician. The learning objective of this article is to present and evaluate a selection of all-ceramic dental materials currently available for aesthetic full-coverage crown restorations. When selecting an all-ceramic system, there are several major factors to consider, including the inherent translucency of the ceramic material and of the adjacent dentition, the color of the prepared tooth, and the forces anticipated in that region. Preparation and restoration of discolored and nondiscolored tooth structure are reviewed. The techniques presented can be utilized to obtain predictable results in the anterior region for aesthetic all-ceramic full-coverage restorations.

Color↗

PubMed1985

Instrumentation for solving abutment parallelism problems in fixed prosthodontics.

Casts from a number of preparations by dentists with a variety of fixed prosthodontic experience levels were surveyed, and the preparations were commonly found to contain undercuts, overtapered surfaces, and lack of a parallel path of insertion. A new instrumentation for preparing abutment teeth was examined, which eliminated the common inaccuracies caused by traditional techniques of using freely held handpieces and visually assessing the finished preparations. Three clinical preparation procedures were discussed. Each patient posed particularly demanding problems that required precise tooth preparation. Each completed prosthesis was readily inserted in the mouth due to the unobstructed uniform path of insertion. Keyways were not required in any of the prostheses.

Dental Abutments↗

PubMed1993

Provisional restoration of veneer preparations.

The preparation for a porcelain veneer may leave the patient with an unsightly and sensitive tooth. Nevertheless, tooth preparation may be necessary to provide space for a veneer with the desired ceramic shade and opacity. The author describes a technique for the construction of a provisional veneer restoration.

Adult↗

PubMed1992

Cariostatic and ultraconservative sealed restorations: six-year results.

The objective of this clinical study was to determine the ability of an ultraconservative, sealed composite resin restoration, without a traditional cavity preparation and without the removal of the carious lesion, to arrest Class I caries. Tooth preparation was limited to placing a bevel in the enamel. These restorations were compared, over 6 years, with (1) ultraconservative, localized, sealed amalgam restorations with no extension for prevention and (2) traditional, unsealed amalgam restorations with the usual extension for prevention outline form. Caries was arrested by the ultraconservative, sealed composite resin restorations for 6 years. Complete sealant retention on the sealed amalgam restorations was somewhat lower than that on the sealed composite resin restorations; conversely, partial sealant retention was higher for the sealed amalgam group. The marginal integrity of the sealed amalgam restorations was significantly superior to that of the unsealed amalgam restorations. The sealant also protected Class I posterior composite resin restorations against wear.

Adolescent↗

PubMed1989

Technique to disguise the metal margin of the metal/ceramic crown.

When it is necessary to place casting margins subgingivally, it is important that they not violate the biologic width. A technique utilizing nonmedicated retraction cord during preparation is described which has several advantages. It results in bloodless, trauma-free tooth preparation and concealment of the metal margin without biologic width impingement or gingival recession. A resilient, unattached gingival margin free of inflammation is critical for the success of this technique. The physical and chemical properties of healthy gingival collagen and ground substance are briefly discussed along with the disadvantages of using this technique in the presence of gingival inflammation.

Crowns↗

PubMed1995

Shear and tensile bond testing for resin cement evaluation.

OBJECTIVES: The aim of this study was to compare the tensile and shear bond strengths of one experimental and four commercially available resin cements following the ISO document TR 110405 for bond measurement. METHODS: Tensile and shear bond tests were performed using bovine enamel and dentin as the tooth substrate with each of the resin cements. Resin composite rods were cemented to the prepared tooth surfaces. The bond strengths were obtained 24 h after cementation, and mode of failure was classified after fracture of the bonds, both visually and by SEM observation. RESULTS: Significant differences existed between the two bond test methods for all materials with enamel and three of the five cements when bonded to dentin. The shear test results were always the higher of the two test methods. Mode of fracture varied little for the visual classification, but the morphology from SEM observations showed considerable differences. SIGNIFICANCE: Although there are deficiencies in the current test methods these may be outweighed by substrate variables. A test model should be designed to determine which stresses, tensile or shear, are the greatest for different types of restorations. With this information, the type of test selected could provide appropriate information before clinical trials are commenced.

Aminosalicylic Acids↗

PubMed1997

The behaviour of post-retained core materials supported by coronal tooth structure in vitro.

This study was designed to investigate the effect of retaining coronal tooth substance on the performance of post-retained core materials, and to compare the fracture resistance of the system with an intact tooth prepared to similar dimensions. Ten teeth restored with post-retained silver amalgam, and 10 teeth restored with silver-glass cermet, all with a retained single wall of coronal tooth substance, were compared with 10 unrestored teeth prepared to similar dimensions when subjected to a shearing load. The results showed no statistically significant difference between the unrestored teeth and those restored with a silver-glass cermet. Whilst the teeth restored with silver amalgam had a significantly higher fracture resistance (P > 0.01) there was greater tendency to root fracture.

Analysis of Variance↗

PubMedDate not supplied

Evaluation of the desensitizing effect of Gluma Dentin Bond on teeth prepared for complete-coverage restorations.

This clinical trial assessed the ability of Gluma Dentin Bond to inhibit dentinal sensitivity in teeth prepared to receive complete cast restorations. Twenty patients provided 76 teeth for the study. Following tooth preparation, dentinal surfaces were coated with either sterile water (control) or two 30-second applications of Gluma Dentin Bond (test) on either intact or removed smear layers. Patients were recalled after 14 days for a test of sensitivity of the prepared dentin to compressed air, osmotic stimulus (saturated CaCl2 solution), and tactile stimulation via a scratch test under controlled loads. A significantly lower number of teeth responded to the test stimuli for both Gluma groups when compared to the controls (P less than .01). No difference was noted between teeth with smear layers intact or removed prior to treatment with Gluma.

Chi-Square Distribution↗

PubMed2005

Effect of bonding amalgam on the reinforcement of teeth.

STATEMENT OF PROBLEM: Extensively weakened maxillary premolars may be more prone to fracture due to their small size. The weakening may be due to excessive demineralization of supporting tooth structure caused by dental caries or nonconservative or traumatic tooth preparation. PURPOSE: The purpose of this study was to determine the effect of a bonded amalgam restoration on reinforcement of weakened tooth structure. MATERIAL AND METHODS: Forty extracted noncarious maxillary premolars were collected. The teeth were prepared individually with mesio-occluso-distal (MOD) cavities with specific dimensions (cavity width buccolingually, 1.8 to 2.1 mm; palatal cusp width, 1.7 to 2.2 mm; cusp height, 4.7 to 5.0 mm) and divided into 4 groups (n=10). The first group was prepared and not restored (control). The other 3 groups were restored with amalgam (Megalloy), bonding agent (Syntac) with amalgam, and amalgam with an adhesive resin luting agent (Resinomer), respectively. Fracture load (in kg) for specimens in all groups was determined by applying a vertical splitting load through a specially shaped steel rod at a crosshead speed of 1 mm/min. The data were analyzed by 1-way analysis of variance and least significant difference statistical tests (alpha=.01). RESULTS: The mean force and standard deviation values required to fracture the cusp of the control and amalgam groups were 25.2+/-3.27 kg and 26.1+/-3.07 kg , respectively, with no significant difference between the 2 groups (P>.01). Significant differences were found between control and Syntac groups (29.8+/-2.80 kg), as well as between control and Resinomer groups (37.9+/-3.55 kg). Significant difference was also noted between Syntac and Resinomer groups (P>.01) CONCLUSION: It was concluded that the use of resin cement increased the fracture resistance of the tooth with an MOD amalgam restoration.

Analysis of Variance↗

PubMed1981

Restoration of endodontically treated molar with root fracture.

The management of an unusual and extreme tooth and root fracture has been presented and discussed. A somewhat unorthodox approach was used in preparing the fractured root surfaces to fit the cast gold crown instead of making a crown to fit a prepared tooth surface. Diagnosis and treatment planning is a key factor in treating unusual patients. All factors must be carefully considered. Condition of adjacent teeth, periodontal support, size and form of remaining tooth structure, and occlusion are all important considerations. With careful and proper study, simple and conservative restorations can frequently be made that will provide excellent service for extended periods of time.

Adult↗

PubMed1985

Restoration of Class IV and VI defects in anterior teeth with an unfilled resin.

The etched resin technique with unfilled acrylic resin has been successful for Class IV and VI defects on anterior incisor teeth and has proven more useful than alternatives in the immediate treatment of traumatized teeth. The advantages of this approach are ease of operation, excellent retention, conservative tooth preparation, excellent esthetics, lower cost to patient, reduced additional insult to recently traumatized teeth in stabilizing them, stable color, and lack of trauma to opposing teeth (Fig. 10).

Acrylic Resins↗