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PubMed1998

The effect of the mismatch between the core diameter of self-threading dentine pins and the pinhole diameter.

This laboratory study incorporated the use of three different sized twist drills to prepare pinholes in extracted upper molar teeth. The diameter of each pinhole was measured. A pre-measured self-threading pin was then placed in each pinhole. The amount of strain created during pin placement (placement strain), the temperature rise during pin placement, the amount of strain remaining (residual strain) within the tooth structure after pin placement and the removal force (retention) were recorded for each pin. The results showed that, during the placement of a self-threading dentine pin, the difference between the pincore diameter and the pinhole diameter was an important parameter. This difference determined the amount of strain created during pin placement, the temperature rise during pin placement, the amount of strain remaining within the tooth structure after pin placement and the retention of the pin. The placement strain, temperature rise, residual strain and retention were all greater when the pin core diameter exceeded the pin hole diameter.

Dental Pins↗
PubMedDate not supplied

The effect of multiple layers of die-spacer on crown retention.

The application of die-spacer to crown preparation dies prior to the fabrication of the cast crown is an acceptable procedure to improve the fit of the restoration. Previous studies have shown that the retention of the restoration will be improved, unchanged, or reduced when an appropriate thickness of die-spacer is used. No studies have determined the effect on retention if excessive die-spacer is used. This study evaluated the effect of increasing die-spacer thickness on the retention of cast full crowns. Cast copings were fabricated on dies coated with either 0, 4, 8, 12, or 16 coats of die-spacer, cemented on the respective teeth, and removed using an Instron Universal Testing Machine. There were no statistically significant differences (P < or = 0.05) between the mean force required to remove the cemented copings. It appears that increasing the application of die-spacer up to 16 coats (151 micrometers) does not adversely affect the retention of cemented cast copings.

Analysis of Variance↗
PubMed2003

[The measurement of retentive force of laser-melted and cast post-keepers of Magfit magnetic attachments].

OBJECTIVE: In order to compare the influence of casting and laser welding on magnetic retentive force, the magnetic retentive forces of laser-melted and cast post-keepers of the magnetic attachments were measured in vitro. METHODS: 5 cast and 6 laser-melted post-keeper specimens (Magfit MD800) were formed, respectively. Using untreated keeper as control group, the vertical magnetic retentive forces were measured by a universal testing machine. RESULTS: The average vertical magnetic retentive force of the laser-melted post-keeper group and the cast post-keeper group in vitro were (4.223 +/- 0.217,0)N, (3.792,9 +/- 0.296,4)N, respectively. Compared with the cast post-keeper group, the average vertical magnetic retentive force of the laser-melted post-keeper groups was much higher in vitro (P < 0.05). CONCLUSION: Laser welding had less influence on the magnetic retentive force of the magnetic attachments than casting.

Dental Alloys↗
PubMedDate not supplied

Preliminary evaluation of tin plating for extracoronal restorations: evaluation of marginal quality and retention.

PURPOSE: The influence of tin plating on marginal seating and retention of complete cast crowns was evaluated. MATERIALS AND METHODS: Thirty-six standardized gold-alloy complete crowns were made on extracted human molar teeth prepared with a modified milling machine using conventional laboratory techniques. The crowns were randomly assigned to two groups according to the treatment of the fitting surface (air abraded with 50-micron aluminum oxide for 10 seconds, or tin plated with a microtin system for 3 seconds), and luted with adhesive resin cement (Panavia-EX, J. Morita). Scanning electron microscopy was used to evaluate the variables for the cast alloy. Retention was measured with an instron testing machine after thermocycling (1,500 cycles between 5 degrees C and 55 degrees C with 1 minute dwell times). Marginal adaptation was measured with a Nikon microscope before and after cementation. Results were subjected to one-way analysis of variance and Student's t test. RESULTS: Retention was significantly different (P < 0.001); the highest retention (367 N) was reported in tin-plated crowns. Differences for marginal seating were not statistically significant. CONCLUSION: Tin plating after air abrasion was found to be a predictable and simple technique to roughen the casting surface, increase the surface area for bonding, and significantly improve the retention of cast crowns in vivo.

Analysis of Variance↗
PubMed1996

Effect of two dentinal desensitizing agents on retention of complete cast coping using four cements.

The cementation of artificial crowns is commonly accompanied by sensitivity, so the clinical application of desensitizing agents has become prevalent. This study investigated the effects of Imperva bonding agent and All-Bond desensitizing agent on the retention of artificial crowns. The cements selected for this study were: zinc phosphate, polycarboxylate, glass ionomer, and resin luting agents. Extracted, intact, human molars were mounted in autopolymerizing acrylic resin and prepared for complete cast copings. Thirty-two teeth were treated with All-Bond desensitizing agent, 32 teeth with Imperva bonding agent, and 32 remained untreated. Castings were cemented and tested on an Instron testing machine. The results demonstrated a significant reduction in retention when All-Bond desensitizing agent was used with polycarboxylate cement and some reduction with zinc phosphate cement. Imperva bonding agent demonstrated less retention with glass ionomer cement.

Analysis of Variance↗
PubMedDate not supplied

Effect of core diameter and surface treatment on the retention of resin composite cores to prefabricated endodontic posts.

PURPOSE: With advances in adhesive dentistry and current emphasis on esthetic restorations, dowel systems have been developed to take advantage of these new techniques. Of interest when using these systems is the interaction between core materials and post materials. This investigation compared the tensile retentive force of two resin composite core materials to two metallic and one non-metallic prefabricated endodontic posts. Two dimensions of core build-up and two post-surface treatments were tested. MATERIALS AND METHODS: One hundred twenty posts (stainless steel, titanium alloy, and glass fiber-impregnated resin) were secured in a jig with 4 mm of the post extending into a cylindrical matrix. The matrix formed cylinders with diameters of 3 and 5 mm into which resin composite was inserted. The posts were treated or not treated with a bonding agent. After storage for 24 hours at 100% humidity, five specimens per condition were tested in an Instron testing machine at a crosshead speed of 0.5 mm/min. Failure loads were recorded in kilograms and failure modes were observed under light microscopy (40 x). Four-way analysis of variance and multiple comparison testing were used to compare means at the 0.05 level of significance. RESULTS: The means and standard deviations of tensile loads were calculated. All variables were significant in either main effects or interactions ( p<0.05). Fisher's PLSD intervals for post, core, treatment, and diameter were 2.0, 1.6, 1.6, and 1.6 kg, respectively. In most cases, the retentive force recorded for metallic posts was higher than that of glass fiber posts. Titanium posts had higher retentive forces than did the stainless steel posts. For metallic posts, 5-mm cores provided higher forces than 3-mm cores. In the glass fiber group, core diameter was not significant. For core materials, Build-It gave higher results with stainless steel posts, and FluoroCore gave higher results with the titanium ones. The surface treatment results were mixed. In the metallic post groups the adhesive failure data ranged between 80% and 100%, whereas in the glass fiber post groups, adhesive failures ranged between 60% and 70%. CONCLUSIONS: Within the limitations of this study, the metallic post groups always provided higher tensile retentive forces, with the titanium post groups showing higher retentive forces than the stainless steel ones. In the glass fiber post groups, different core diameters did not affect retention values.

Analysis of Variance↗
PubMed2006

An in vitro assessment of prefabricated fiber post systems.

BACKGROUND: The authors conducted a study to characterize the in vitro retention, fracture and light transmission behavior of four different fiber-reinforced resin-based composite root canal posts. METHODS: The authors divided 44 teeth into four groups according to the type of post they would receive: parallel fiberglass posts, double-tapered fiber quartz posts, tapered fiberglass posts and two different types of parallel fiberglass posts. They prepared teeth and cemented posts with dual-cured resin cement. After the specimens aged, the authors conducted pull-out tests. For fracture testing, they loaded posts at 45 degrees in a universal testing machine. They determined load-to-fracture values and relative stiffness. They measured percentage of light transmission by means of a light microscope coupled with a spectrometer. RESULTS: Both tapered posts showed lower retention than did the parallel posts. Scanning electron microscropic analysis indicated that more cement adhered to the surfaces of the parallel fiberglass post than to those of the tapered fiberglass post. All posts demonstrated some plastic behavior, with the double-tapered fiber quartz post being stiffer than the others. CONCLUSION: Parallel fiber-reinforced composite posts showed better retention than did tapered posts when a dual-cured resin-based cement was used. Translucent prefabricated posts have limited light transmission. CLINICAL IMPLICATIONS: Parallel prefabricated fiber posts luted with dual-cured resin-based cement seem to be suitable for clinical application in endodontically treated teeth that require post-and-core restoration, showing good retention and acceptable fracture resistance.

Analysis of Variance↗
PubMed2003

Effect of thermocycling on the retention of glass-fiber root canal posts.

OBJECTIVE: This study investigated the effects of thermocycling on the retention of glass-fiber and resin posts. METHOD AND MATERIALS: Forty premolar and canine tooth roots were embedded in acrylic blocks shaped to fit into a retention device. The roots were randomly assigned to two groups of 20 to receive either Lightposts or Luscent Anchors which were cemented into 9-mm-deep post spaces, with Panavia F resin cement. Each group was randomly divided into two equal subgroups: one for thermocycling, and the other to serve as a control. The thermocycled specimens were cycled 3,000 times between water baths at 5 degrees C and 55 degrees C, with a dwell time of 60 seconds in each. Control specimens were stored at 37 degrees C. The tensile force required to dislodge each post from its root was recorded and the data analyzed using Student's t tests. RESULTS: There were no significant differences in the forces required to cause post-retention failure between the control and thermocycled specimens. Lightposts were significantly more retentive than Luscent Anchors without thermocycling, but this distinction was not apparent in the thermocycled groups. CONCLUSION: Glass-fiber and resin posts cemented with resin cement offer acceptable levels of retention and are not susceptible to reduced retention from thermocycling. Thermocycling should be given less emphasis in tests for the retention of root canal posts cemented with resin cements.

Bicuspid↗
PubMed2004

[The experimental study of the relationship between preparation height and retention of complete crowns].

PURPOSE: This study was to discuss the influence of preparation height on retention of complete crown. METHODS: In this study we measured the retention of complete crown with the preparation height 2 mm, 3 mm, 4 mm and 5 mm. All crowns had no preparation taper and no bonding agent was used. The retention of crowns was measured and the data was statistically analyzed by t test. RESULTS: The preparation height was directly proportional to the retention of complete crown. And the crown with the height of 2 mm had enough retention when the crown had no preparation taper. CONCLUSION: In order to get enough retention of short height molar, we should induce the preparation taper.

Crowns↗
PubMed1995

Registration of localization, occlusion and occluding materials for failing screw joints in the Brånemark implant system.

This study is based on data from routine follow-up registration following functional loading of a consecutive number of osseointegrated prostheses at the Dental School, University of Oslo. Fifty-six patients with 240 Brånemark implants were examined 2-4 months after the implants were loaded, and a protocol form for collecting information about the status of the treatment was completed. The examinations included registration of oral hygiene, pathological alterations in soft and hard tissues, type of material used in contacting occlusal surfaces, occlusal design and technical and mechanical failures. All superstructures, except CeraOne single-tooth prostheses, were unscrewed for inspection of implant and screw joint mobility. Eighty-three per cent of the implants were found in the upper and lower frontal segments of the jaws. The survival rate for individual implants in this study was 94%, which is well within the generally accepted level for osseointegrated implant systems. Plaque and soft tissue complications were low and could not be associated with the early losses of implants. Group function was the preferred design of the occlusal contact pattern (53.4%), followed by 37% for canine guidance and about 9% for balanced articulation. Fourteen abutment screws and 7 gold screws loosened during the period between permanent loading and the first follow-up registration. A majority of the failures occurred in osseointegrated bridges occluding with complete dentures in the opposite jaw. The failing screw joints were found in 25% of the patients, which means that one fourth of the patients needed extra mending appointments. The failures are assumed to be iatrogenic, and measures to avoid them are discussed.

Adult↗
PubMed2005

In vitro retentive strength of zirconium oxide ceramic crowns using different luting agents.

STATEMENT OF PROBLEM: In contrast to gold crowns, in vitro determination of the retentive strength of all-ceramic crowns is more difficult because components allowing connection to testing apparatus are not as easily integrated into the all-ceramic material. Nevertheless, retentive strength data are crucial for obtaining information about the potential clinical performance of luting cements for all-ceramic restorations. Therefore, a new in vitro model was necessary to evaluate the retentive strength of all-ceramic crowns. PURPOSE: The purpose of this in vitro study was to determine the retentive strength of 4 resin-cement systems, a compomer, a glass-ionomer cement, a resin-modified glass-ionomer cement, and a self-adhesive resin for luting zirconium oxide ceramic crowns. MATERIAL AND METHODS: One-hundred-twenty extracted human teeth were randomly divided into 12 groups (n = 10) and prepared in a standardized manner (5-degree taper, 3-mm occlusogingival height). All-ceramic crowns (Lava) were fabricated in a standardized manner for each tooth. The following cements and corresponding bonding regimens were used to lute the crowns to the teeth according to manufacturers' recommendations: CO, Compolute/EBS Multi; CO/RT, Compolute/EBS Multi/Rocatec; CB, Superbond C and B; CB/RT, Superbond C and B/Rocatec; CB/PL, Superbond C&B/Porcelain Liner M; PA, Panavia F; DC, Dyract Cem Plus/Xeno III; CH/PL, Chemiace II/Porcelain Liner M; RL, RelyX Luting, K/C, Ketac Cem/Ketac Conditioner; K, Ketac Cem; and RU, RelyX Unicem. After thermal cycling (5000 cycles, 5 degrees C-55 degrees C), the outer surfaces of the cemented zirconium oxide ceramic crowns were treated (Rocatec) to improve bonding and then placed into a low-shrinkage epoxy resin block (Paladur). The block/crown and tooth components for each specimen were connected to opposing ends of a universal testing machine so that crown retention could be measured. Crowns were removed from teeth along their path of insertion. The retentive surface area (mm 2 ) was determined individually for each tooth. Statistical analyses were performed using the Wilcoxon exact test, (alpha =.05) and a Bonferroni correction (alpha =.001). RESULTS: The median (minimum/maximum) retentive strength values (MPa) were as follows: CO, 1.7 (0.6/4.3); CO/RT, 3.0 (1.3/5.4); CB, 4.8 (3.7/7.9); CB/RT, 8.1 (4.2/12.7); CB/PL, 5.3 (3.7/10.2); PA, 4.0 (3.3/5.1); DC, 3.3 (2.1/5.6); CH/PL, 4.0 (1.3/6.3); RL, 4.7 (2.8/6.6); K/C, 1.8 (0.6/2.3); K, 1.9 (0.2/4.5); and RU, 4.8 (2.5/6.7). Superbond C&B (+ Rocatec) specimens showed the highest median retentive strength, but were not significantly different from Superbond C&B without Rocatec pretreatment of the all-ceramic crown's inner surface. Compolute specimens also did not benefit significantly from the Rocatec pretreatment. Within the materials used without pretreatment of the ceramic, Superbond C&B, Panavia, Dyract Cem Plus, RelyX Luting, and RelyX Unicem showed the highest median retentive strength values and were not significantly different. CONCLUSION: Within the conditions of this study, the compomer-cement, the resin-modified glass-ionomer cement, and the self-adhesive resin luting agent had the same level of retentive quality as the resin luting agents, Superbond C&B, and Panavia. Rocatec pretreatment of the ceramic surface did not improve the retentive strengths of Compolute and Superbond C&B.

Cementation↗
PubMed2001

Post retention: the effect of sequence of post-space preparation, cementation time, and different sealers.

Many endodontic sealers contain constituents that have been shown to inhibit the polymerization of resin cements. This may be important when prefabricated posts are cemented at the same appointment as root canal obturation. This study evaluated the effects of cementing posts with a resin cement immediately or at a delayed time period after obturation using Roth's 801 Elite Grade or AH26 sealer cements. The contribution of mechanical post-space preparation was also assessed as a critical variable. One hundred twenty extracted canines were randomly divided into eight experimental groups. The variables evaluated were the order of post preparation (either before or after obturation), the type of sealer used, and the time of post cementation. All teeth received a stainless steel #6 Parapost XP cemented with a resin cement, Panavia 21. Each experimental group underwent tensile testing for retention using an Instron universal testing machine. For both sealers posts cemented in teeth in which the canal was obturated before post-space preparation and thus had sealer-contaminated dentin removed by the space preparation procedure had significantly higher retentive values than those obturated after post-space preparation in which contaminated dentin might remain. Sealer used and time of cementation had no specific effect on retention. Achieving a clean, "freshened" dentinal surface during mechanical post-space preparation seems to be a critical variable for post retention when a resin cement is used.

Analysis of Variance↗
PubMedDate not supplied

The effect of recementation on crown retention.

PURPOSE: The object of this study was to evaluate retention of complete cast crowns cemented with different luting cements and to determine whether recemented castings are as retentive as when initially placed. MATERIALS AND METHODS: Thirty standardized Rexillium III complete crowns were made on extracted human molar teeth prepared with a modified milling machine using conventional laboratory techniques. The crowns were randomly assigned into three groups according to the luting cement used: zinc phosphate (Fleck's, Mizzy), adhesive resin (Panavia-EX, J. Morita), and glassionomer (Ketac-Cem, Aplicap, ESPE-Premier Sales). Retention was evaluated by measuring the tensile force required to dislodge the crowns from tooth preparations with an Instron testing machine after thermocycling (1,500 cycles between 5 degrees C and 55 degrees C with 1-minute dwell times). Subsequently, the tooth preparations were scraped clean and polished with flour of pumice (prophylaxis paste), and the fitting surfaces of the artificial crowns were ultrasonically cleaned and air abraded using 50-micron aluminum oxide powder prior to recementation. Results were subjected to two-way analysis of variance and Tukey's Studentized Range test. RESULTS: The analysis showed the highest mean retention for cast crowns cemented with Panavia-EX cement (314 N), but the difference was not statistically significantly different from crowns cemented with glass-ionomer cement (307 N). However, crowns cemented with zinc phosphate cement (233 N) had significantly lower values (P < 0.05). Restorations recemented with zinc phosphate had significantly lower retention (190 N) than their initial cementation (P < 0.05). CONCLUSIONS: Panavia-EX and glass-ionomer cements yielded the highest initial and recementation retentive strength, with values almost 32% higher than those obtained with zinc phosphate cement during the initial cementation and 59% higher than zinc phosphate for recementation. Zinc phosphate cement exhibited significantly lower retention for the initial and second trial of cementation.

Analysis of Variance↗
PubMed1995

Survival rate and failure characteristics for two post designs.

The dental records of 638 patients treated with 788 posts and cores were studied to analyze failure rate and failure characteristics for two post designs. Frequency of the technical failures, loss of retention, root fracture, and post fracture were recorded 4 to 5 years after post cementation. There were two types of posts: custom-cast tapered posts and parallel-sided serrated posts. The cumulative failure rate was 15% for 456 tapered posts and 8% for 332 Para-Post posts. Loss of retention was the most frequent reason for failure for both types of posts, whereas root fractures had the most serious consequences, and all resulted in extraction. A significantly higher success rate was recorded for parallel-sided serrated posts, compared with custom-cast posts, regarding the total failure rate and the severity of the failure (p < 0.05).

Dental Abutments↗
PubMed2007

A mini dental implant-supported obturator application in a patient with partial maxillectomy due to tumor: case report.

Following a partial maxillectomy in a patient, the oral and nasal cavities remain open, providing a passageway for transmission of air and fluids between the 2 cavities. In such cases the primary aim should be the construction of an implant-supported obturator prosthesis with adequate retention, stability, and peripheral seal. In this case report, a 34-year-old female patient who underwent a class II (according to Okay et al.) partial maxillectomy 14 years before was fitted with an obturator that was supported by 5 mini dental implants. The reason for the preference of mini dental implants is the lack of adequate bone tissue for conventional implant placement in the resected area and the placement of mini dental implants with a simple surgical procedure. The treatment achieved restoration of the lost functions, which satisfied the patient, restoring her self-confidence and enhancing her quality of life. Thus, applying obturators supported by mini dental implants was successful and may be considered as an alternative to more complicated surgical techniques. Although the presented case is promising, further clinical research is needed to draw more definite conclusions.

Adult↗
PubMedDate not supplied

Implant treatment in partially edentulous patients: a report on prostheses after 3 years.

There has been an increasing interest in the use of implants for partially edentulous patients. This introduces other biomechanical situations than those experienced in completely edentulous patients. In a prospective multicenter study, 521 implants in 154 patients were loaded with 197 free-standing prostheses. The patients have been followed for 3 years. The cumulative success rate for the prostheses was 94.8% and for the implants it was 93.9%. Most of the lost prostheses were only supported by two implants. A frequent technical complication was fracture and loosening of gold screws, which was more frequent in prostheses supported by only two implants.

Adolescent↗
PubMed2005

Comparative study of the surface characteristics, microstructure, and magnetic retentive forces of laser-welded dowel-keepers and cast dowel-keepers for use with magnetic attachments.

STATEMENT OF PROBLEM: Information regarding the merits and problems associated with connecting a keeper to a dowel and coping using a laser welding technique has not been explored extensively in the dental literature. PURPOSE: This in vitro study compared the surface characteristics, microstructure, and magnetic retentive forces for a dowel and coping-keeper mechanism fabricated using a laser welding process and a cast-to casting technique. MATERIAL AND METHODS: Five cast-to and 6 laser-welded dowel and coping-keeper specimens were tested. Using 5 freestanding keepers as the control group, the surface characteristics and microstructures of the specimens were examined by means of stereomicroscopy, metallographic microscopy, and scanning electron microscopy (SEM). Energy-dispersive spectroscopic (EDS) microanalysis with SEM provided elemental concentration information for the test specimens. The vertical magnetic retentive forces (N) of the 3 groups were measured using a universal testing machine. The results were statistically compared using 1-way analysis of variance and the Newman-Keuls multiple range test (alpha =.05). RESULTS: The laser-welded dowel-keeper generally maintained its original surface smoothness as well as the original microstructure. Elements diffused readily through the fusion zone. The surface of the cast dowel-keeper became rough with the formation of an oxide layer, the microstructure changed, and there was only limited elemental diffusion in the fusion zone. The average vertical magnetic retentive force of the laser-welded group, the cast group, and the control group were 4.2 +/- 0.2 N, 3.8 +/- 0.3 N, and 5.6 +/- 0.3 N, respectively. Statistically significant differences in vertical magnetic retentive force were found between the control group and both the laser-welded and cast groups (P <.01). Compared with the cast dowel-keepers, the average vertical magnetic retentive force of the laser-welded dowel-keepers was significantly higher (P <.05). CONCLUSION: The laser welding technique had less influence on the surface characteristics, the microstructure, and the magnetic retentive forces of keepers relative to techniques that incorporate a keeper at the time of cast dowel and coping fabrication.

Dental Prosthesis Retention↗
PubMed2002

Crowns and other extra-coronal restorations: cores for teeth with vital pulps.

Cores for teeth with vital pulps is the seventh in the series of crowns and other extra-coronal restorations. A core is defined as 'that part of a preparation for an indirect restoration consisting of restorative material'. This article questions the need for routine pin placement and addresses the following issues--removal of existing restorations, the need for a core, core materials, core retention, and problem solving.

Composite Resins↗