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Use of polyethylene ribbon to create a provisional fixed partial denture after immediate implant placement: a clinical report.

Provisional restorations are generally necessary to restore lost function and esthetics during the implant integration period. This article describes the fabrication of an esthetic, economic, and conservative bonded provisional fixed partial denture for a patient restored with implants. A reinforcing polyethylene ribbon was used to bond the natural lateral incisors to the adjacent teeth. An acceptable esthetic outcome was obtained, and the result was satisfactory to the patient.

Dental Bonding↗

Case report: a glass fibre reinforced composite resin bonded fixed partial denture.

A 55-year-old man was treated with a glass fibre reinforced composite resin bonded fixed partial denture with an increased bonding surface area. The abutments for replacing two maxillary premolars were not prepared and the bonding surface was expanded to the regions of undercut and the labial/buccal surface of the abutments. This was possible by tailoring the mechanical properties of the fibre reinforced composite frame of the resin-bonded fixed partial denture. Two and half years follow-up demonstrated good clinical success for the restoration. This experience encourages development of non-invasive prosthodontic treatment options for transitional fixed partial denture restorations.

Bicuspid↗

Collarless metal ceramic fixed partial denture: a clinical report.

A case of a collarless metal ceramic fixed partial denture with preparations made at a slightly supragingival level is reported. The absence of the metal collar in the buccal portion of the abutments provides an excellent esthetic appearance. The use of a collarless metal ceramic fixed partial denture is a viable approach for restoring dentition where the esthetic quality is the primary concern.

Adult↗

Laser welding of a cobalt-chromium removable partial denture alloy.

STATEMENT OF PROBLEM: The electric alloy brazed joints of removable partial denture alloys have failed frequently after routine usage. PURPOSE: A technique providing higher joint strengths was investigated. This investigation compared the tensile strengths of electric-brazed and laser-welded joints for a cobalt-chromium removable partial denture alloy. MATERIAL AND METHODS: Twenty-four cobalt-chromium standard tensile testing rods were prepared and divided into three groups of eight. All specimens in the control group (group 1) were left in the as-cast condition. Groups 2 and 3 were the test specimens, which were sectioned at the center of the rod. Eight specimens were joined by using electric brazing, and the remaining specimens were joined by using laser welding. After joining, each joint was ground to a uniform diameter, then tested to tensile failure on an Instron universal testing machine. Failure loads were recorded and fracture stress calculated. Statistical analysis was applied. RESULTS: The student-Newman-Keuls test showed a highly significant difference between the joint strengths of the as-cast control specimens, the electric-brazed and laser-welded joints. CONCLUSIONS: The tensile strengths of the as-cast joints were higher than those for the laser-welded joints, and both were higher than the electric-brazed joint strengths.

Analysis of Variance↗

Factors affecting displacement of free-end saddle removable partial dentures.

Tissueward movement of the free-end saddle of a removable partial denture during function takes place around the most distal fulcrum created by the most mesial rests. Displacement because of sticky foods takes place around the fulcrum created by the most distal rests. These and other factors affecting displacement of the free-end saddle removable partial dentures are discussed, and designs intended to increase retention are presented. The forces applied to the most anterior and posterior axes of rotation can be calculated mathematically to reveal the hazards of a too-short lever arm in combination with a strong retentive clasp system.

Dental Stress Analysis↗

Temporization of abutment teeth preparations for existing removable partial dentures.

An important aspect of restoring an abutment tooth for an existing removable partial denture is the construction of a temporary crown that fits an existing clasp so that the removable partial denture can be worn during the treatment procedures. A technique is illustrated that used a soft adjustable temporary metal crown for that purpose.

Crowns↗

Effects of two preparation designs and pontic distance on bending and fracture strength of fiber-reinforced composite inlay fixed partial dentures.

STATEMENT OF PROBLEM: Joint fractures observed in Targis/Vectris inlay adhesive fixed restorations may be related to the preparation design. PURPOSE: This in vitro study investigated the effects of the proximal tooth preparation design and the pontic distance on the fracture strength and the amount of bending of fiber-reinforced inlay adhesive fixed partial dentures. MATERIALS AND METHODS: Forty extracted premolars and 40 molars were embedded in a PMMA resin to represent a premolar and molar mesiodistal separation distance of 7 mm and 11 mm, respectively. Two preparation designs were used (proximal box and tub-shaped). The sample size was 10 for each group. Fiber-reinforced inlay adhesive fixed partial dentures were fabricated by use of the Targis/Vectris system and luted adhesively to the teeth with Variolink luting agent. A vertical force was loaded to the center of the fixed partial dentures at a crosshead speed of 1 mm/min. The initial bending (mm) prior to fracture was evaluated by measuring the distance the test rod moved from a 10 N preload to fracture. The differences in the mean fracture strength and the average amount of bending as a function of the preparation designs and pontic distances were compared by use of a 2-way analysis of variance (alpha=.05). The specimens were examined optically for the type of failure with a stereomicroscope. The fracture surface of the specimens was examined by scanning electron microscopy, and radiography was used to investigate the surface morphological features at the failure sites and to determine the fracture mode. A chi-square test was used to identify the differences in the debonding rates between the types of preparation designs and the pontic distance (alpha=.05). RESULTS: The mean fracture strength and the standard deviation of the fiber-reinforced inlay retained adhesive fixed partial denture group was 1368+/-212 N for the 7-mm tub group, 885+/-109 N for the 11-mm tub group, 1779+/-317 N for the 7-mm box group, and 1336+/-281 N for the 11-mm box group. The fracture strength was significantly higher in the 7-mm pontic distance (P<.001) and for the box-shaped tooth preparation (P<.001). The amount of bending was significantly greater in the 7-mm pontic distance (P=.025) and the box-shaped tooth preparation (P=.002). Debonding was observed only in premolar teeth and tub-shaped design groups. CONCLUSION: The box-shaped tooth preparation may be considered for restoration of a missing single posterior tooth with fiber-reinforced inlay adhesive fixed partial dentures.

Adhesiveness↗

Fit of unit-cast fixed partial dentures related to casting ring size and shape.

Four types of casting rings were tested for producing accurate-fitting fixed partial dentures. None of the casting rings tested produced ideal results, but the larger oval and round rings produced fixed partial dentures cast as a single unit with more complete seating than those produced in smaller round casting rings when phosphate bonded investment and Type III gold were used. Fixed partial denture seating was affected by the casting ring size but not because of its shape. While distortion of the wax and dimensional change in the gold alloy do affect the seating qualities of castings, this was not statistically significant in this study.

Dental Casting Investment↗

The replacement of a unilateral partial denture with an implant-supported fixed prosthesis: a clinical report.

Various treatment options have been advocated to restore short span edentulous spaces. For a single edentulous space, some clinicians have advocated the use of a unilateral removable partial denture because this design has certain advantages for the patient, and it does not require the preparation of adjacent teeth for the fabrication of a fixed partial denture. However, potentially serious consequences associated with this design type have been reported. The unilateral partial denture can become dislodged, swallowed, or aspirated, which can result in hospitalization, perforation of the gastrointestinal tract, possibly followed by surgical intervention to retrieve the prosthesis. Although an implant-supported single tooth replacement has been widely accepted and documented as a predictable treatment alternative, few clinical cases present have been presented in which potential severe iatrogenic damage can be so easily avoided. A treatment alternative that avoids potential hazards inherent in the design of a unilateral partial denture has been presented in this article.

Aged↗

Assessing the quality of clinical procedures and technical standards of dental laboratories in fixed partial denture therapy.

PURPOSE: This study was conducted to assess the quality of impressions and tooth preparations sent to dental laboratories in Jordan and to determine the technical capabilities of these laboratories to construct fixed partial dentures. MATERIALS AND METHODS: A sample of 136 impressions and stone casts were examined for clinical errors in 35 laboratories that construct fixed partial dentures. They were sorted into unusable, unsatisfactory, acceptable, or satisfactory categories. The type of impression material and tray, opposing arch impressions, and occlusal records were noted. Instructions to technicians were assessed for completeness and clarity. Information regarding laboratory staff and equipment were collected. RESULTS: Half of the specimens inspected were categorized as unusable or unsatisfactory; these were found in commercial laboratories. They showed at least one clinical error such as drags or indefinite finishing lines in impressions and inadequate reduction, undercuts, or obvious taper on stone casts. Alginate impression material was used for 65% of the cases. Only 27% of specimens were accompanied with instructions; of these 22% were graded poor. No occlusal records were available with 54% of the specimens and no articulators were used except in dental school laboratories. The dental schools and some commercial laboratories had the best staff and equipment and were more capable of fabricating fixed partial dentures than those of the Ministry of Health and the Royal Med cal Services. CONCLUSION: The quality of abutment preparation and impressions were unsatisfactory or unusable in 50% of cases. Of the 37 available instructions 8 were not clear. The dental schools and some commercial laboratories were technically capable of producing good quality fixed partial dentures.

Dental Abutments↗

Constructing cast crowns to fit existing removable partial denture clasps.

A step-by-step procedure has been presented for fabrication of a cast crown to fit an existing partial denture clasp. The procedure can be accomplished in two appointments, and the patient need not be subjected to the incovenience of being without the partial denture between office visits. It is an accurate and easy technique which gives uniform results and eliminates the need for remaking an adequate removable partial denture.

Crowns↗

Use of natural teeth in an interim partial denture.

A clinical case is presented in which the patient's natural teeth were used in an interim partial denture. The patient accepted this treatment despite his reluctance to have the periodontally hopeless anterior teeth extracted. This technique may be used when the patient is emotionally unprepared for tooth loss, when the teeth to be replaced are highly characterized, or when no suitable denture tooth is available.

Adult↗

Discuss before fabricating: communicating the realities of partial denture therapy. Part II: clinical outcomes.

The premise of this review is that patients' satisfaction (and hence compliance) with partial denture therapy may be better if they are more fully informed about the limitations of the prosthesis they are to receive. Neither the dentist nor the patient should assume that all of their respective expectations will be mutually understood and inherently met. By discussing patient-centred issues and predictable clinical outcomes, both dentist and patient will be better prepared to determine whether a removable prosthesis is appropriate. Searches of the Cochrane Collaboration and MEDLINE databases were conducted to identify issues pertaining to patient compliance in wearing cast removable partial dentures. In addition to the 2 most frequent patient concerns, esthetics and mastication, discussed in the first article of this series, additional aspects of concern to the dentist and the patient when considering a removable partial denture include overeruption, post-insertion care, comfort, longevity of the prosthesis, effect on speech and biologic consequences are discussed here.

Adaptation, Psychological↗

Using removable partial denture framework as matrix for pin-retained restoration.

A quick and easy method can restore a broken-down partial denture abutment with a pin-retained amalgam restoration. It has a high degree of patient acceptance as only one appointment is required, eliminating the need for the patient to leave a partial denture for adaptation to a wax pattern. The cost can be minimal. This technique can be used for Class II restorations; however, the practitioner must ensure sufficient clearance for the condenser to pass between the tooth and the partial denture, so all areas can be properly condensed.

Dental Abutments↗

Sectional impressions for mandibular distal extension removable partial dentures.

STATEMENT OF PROBLEM: Corrected impression procedures provide the best possible support to be gained from an edentulous ridge for a removable partial denture, but they are time-consuming and technique-sensitive. PURPOSE: An experimental mandibular distal extension removable partial denture was used to measure the vertical movement of denture bases during biting. MATERIAL AND METHODS: Five patients participated for whom vertical movement of denture bases was measured by comparing the thickness of plaster interocclusal records made with the denture at rest and under biting pressure. Denture bases were processed on master casts formed from final impressions made in full arch custom trays. Secondly, bases were readapted using sectional relining impressions with the same regular body polysulfide impression material. RESULTS: Statistical analysis of the vertical movement of denture bases during biting at 4 points on the right and left denture bases showed a significant decrease in vertical movement with sectional impression. The reduction was less than a 0.1 mm, a result that questions the routine use of sectional impression for every distal-extension mandibular removable partial denture. CONCLUSION: Supportive form of distal-extension edentulous ridges can be recorded successfully by full arch impressions in custom trays.

Adult↗