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[Quality of the marginal seal of spark-eroded crowns using different modes of preparation].

Six acrylic tooth stumps were prepared for an evaluation of the marginal quality of crowns produced by spark erosion. Four different methods were used for preparation of the crown margins. Each stump had two different margin preparations. The crowns were fabricated with the aid of spark erosion. Serrated sections were then made for an analysis of marginal defects. The results have shown that the mean size of marginal openings is highly dependent on the preparation method used.

Acrylic Resins↗

Fracture strength of tooth roots following canal preparation by hand and rotary instrumentation.

The study aimed to determine fracture loads in tooth roots after canal preparation using different techniques. Mesiobuccal roots of 39 extracted mandibular molars were used. Three groups each of 13 roots were prepared by stainless steel hand files (K-files), and two rotary nickel-titanium techniques (Lightspeed and Greater Taper files). After obturation, a vertical load was applied by means of a spreader inserted into the canal until fracture occurred. The mean fracture load was 10.2 +/- 4.4 kg for K-files, 15.7 +/- 9.1 kg for Lightspeed and 13.2 +/- 6.1 kg for Greater Taper files, but differences were not statistically significant (p > 0.05). Most fracture lines were incomplete fractures on the buccal surface, followed by proximal and compound fractures. Greater apical enlargement (Lightspeed) or increased canal taper (Greater Taper files) did not increase fracture susceptibility of tooth roots.

Analysis of Variance↗

An investigation of the polymerization of orthodontic adhesives by the transillumination of tooth tissue.

Prepared samples of light-activated composite were cured by transillumination of tooth tissue in healthy volunteers. Positioning of the samples and the direction of illumination was designed to simulate curing during direct bonding. The effectiveness of curing was investigated by determination of surface microhardness. The degree of polymerization of the specimens cured by transillumination was found to be reduced compared to the control samples cured by direct exposure to the light source.

Adult↗

Tooth structure removal associated with various preparation designs for anterior teeth.

STATEMENT OF PROBLEM: The conservation of sound tooth structure helps preserve tooth vitality and reduce postoperative sensitivity. Innovative preparation designs, like those for porcelain laminate veneers, are much less invasive than conventional complete-coverage crown preparations. However, no study has quantified the amount of tooth structure removed during these preparations. PURPOSE: The purpose of this study was to quantify and compare the amount of tooth structure removed when various innovative and conventional tooth preparation designs were completed on different teeth. MATERIAL AND METHOD: . A new comprehensive tooth preparation design classification system was introduced. Typodont resin teeth representing the maxillary left central incisor, maxillary left canine, and mandibular left central incisor were prepared with the following designs: partial (V1), traditional (V2), extended (V3), and complete (V4) porcelain laminate veneer preparations; resin-bonded retainer preparation with grooves (A1) and with wing/grooves (A2); all-ceramic crown preparation with 0.8 mm axial reduction and tapering chamfer finish line (F1), all-ceramic crown preparation with 1.0 mm axial reduction and rounded shoulder finish line (F2), and metal-ceramic crown with 1.4 mm axial reduction and facial shoulder finish line (F3). After tooth preparations (10 per group), the crown was separated from the root at the CEJ. The removed coronal tooth structure was measured with gravimetric analysis. Means and standard deviations for tooth structure removal with different preparation designs were calculated and analyzed with analysis of variance at a significance level of P<.05. RESULTS: Significant differences in the amount of tooth structure removal were noted between preparation designs. Ceramic veneers and resin-bonded prosthesis retainers were the least invasive preparation designs, removing approximately 3% to 30% of the coronal tooth structure by weight. Approximately 63% to 72% of the coronal tooth structure was removed when teeth were prepared for all-ceramic and metal-ceramic crowns. For a single crown restoration, the tooth structure removal required for an F3 preparation (metal-ceramic crown) was 4.3 times greater than for a V2 preparation (porcelain laminate veneer, facial surface only) and 2.4 times greater than for a V4 preparation (more extensive porcelain laminate veneer). CONCLUSION: Within the limitations of this study, tooth preparations for porcelain laminate veneers and resin-bonded prostheses required approximately one-quarter to one-half the amount of tooth reduction of conventional complete-coverage crowns.

Crowns↗

The effect of handpiece spray patterns on cutting efficiency.

BACKGROUND: High-speed handpieces' spray ports direct coolant at the cutting interface. The authors evaluated the effect of the number of ports and their positions on cutting rates, or CRs. METHODS: The authors performed cutting studies on a machinable ceramic block using an established testing regimen. One-port, three-port and four-port handpieces from one manufacturer were operated at maximum torque and rotation speed under a water flow of 25 milliliters per minute. The authors made 6-millimeter long edge and groove cuts in 13-mm cross-section blocks using six medium-grit diamond burs for each handpiece. Each bur cut a total of 78 mm. The authors determined CR as the time to transect the block and analyzed the data by two-way analysis of variance with post hoc Scheffé tests. RESULTS: CRs varied by the type of cut and the number of spray ports. No differences were found in CRs for the three handpieces during edge cutting. The one-port handpiece cut significantly slower (P < .001) than did the three- and four-port handpieces during groove cutting. CONCLUSION: The data indicate that the number of handpiece spray ports, and their positioning relative to the bur affect water supply to the cutting interface and, consequently, the CR under these study conditions. CLINICAL IMPLICATIONS: Optimal cutting efficiency requires good coolant access, especially within restricted areas. A multiple-port handpiece may be advantageous when preparing the interproximal region for a crown or a proximal box, owing to the better water spray pattern. Dentists should consider the influence of the number of spray ports when selecting handpieces for cutting procedures.

Analysis of Variance↗

The quality of dental casts used in crown and bridgework.

OBJECTIVE: To assess the quality of dental casts used in crown and bridge construction. DESIGN: Observational cross-sectional study of dental casts. SETTING: Commercial dental laboratories and a university dental hospital laboratory in the UK. MATERIALS AND METHODS: A sample (n = 150) of working and opposing casts used for crown and bridgework prescribed by general dental practices and a dental hospital were sampled from two commercial dental laboratories and an 'on-site' university dental hospital laboratory respectively. A simple '3 point' assessment scale of quality (good, fair and poor) was used to categorise the casts depending on the clarity of reproduction of soft and hard tissues. RESULTS: The quality of opposing casts used for articulation purposes was significantly better (P<0.001) than that of the working casts. In addition it was found that for working casts the quality in the preparation area(s) was significantly better (p<0.001) than that in areas remote from preparation(s) in the same arch. In general, the quality of casts in the incisal or occlusal surfaces was better than the buccal and lingual surfaces. CONCLUSIONS: This study has demonstrated that variation exists in the quality of casts used in crown and bridgework, specifically those used in the construction of indirect restorations and also those used for articulation purposes. This study highlights the need for clinicians to exercise continued vigilance with crown and bridge impressions, and casts, particularly in areas away from the prepared teeth.

Analysis of Variance↗

Comparison of sample preparation and signal evaluation methods for EPR analysis of tooth enamel.

In dose reconstruction by EPR dosimetry with teeth various methods are applied to prepare tooth enamel samples and to evaluate the dosimetric signal. A comparison of seven frequently used methods in EPR dosimetry with tooth enamel was performed. The participating Institutes have applied their own procedure to prepare tooth enamel samples and to evaluate the dosimetric signal. The precision of the EPR measurement and the dependence of the estimated dosimetric signal with irradiation up to 1000 mGy were compared. The obtained results are consistent among the different methods. The reproducibility of the dosimetric signal and its estimated relation with the absorbed dose was found to be very close for the applied methods with one possible exception.

Dental Enamel↗

Foundation restorations in fixed prosthodontics: current knowledge and future needs.

PURPOSE: The Ad Hoc Committee on Research in Fixed Prosthodontics established by the Academy of Fixed Prosthodontics publishes a yearly comprehensive literature review on a selected topic. The subject for this year is foundation restorations. METHODS: Literature of various in vitro and in vivo investigations that included technical and clinical articles was reviewed to provide clinical guidelines for the dentist when selecting methods and materials for restoration of structurally compromised teeth. Topics discussed and critically reviewed include: (1) desirable features of foundation restorations, (2) foundations for pulpless teeth, (3) historic perspectives, (4) cast posts and cores, (5) role of the ferrule effect, (6) prefabricated posts, (7) direct cores, (8) foundation restorations for severely compromised teeth, (9) problems and limitations, (10) future needs, and (11) directions for future research. CONCLUSION: This comprehensive review brings together literature from a variety of in vitro and in vivo studies, along with technique articles and clinical reports to provide meaningful guidelines for the dentist when selecting methods and materials for the restoration of structurally compromised teeth.

Dental Casting Technique↗

Endodontic management of dens evaginatus of maxillary central incisors: a rare case report.

Dens evaginatus is a disturbance in tooth development that produces a tubercle of hard tissue on the surface of the tooth. While prophylactic pulp capping is recommended for vital teeth, teeth with necrotic pulps require endodontic therapy or extraction. This rare case of a 24-yr-old Indian male with affected maxillary central incisors demonstrates the clinical consequences of dens evaginatus.

Adult↗

An ex vivo study of the effects of retained coronal dentine on the strength of teeth restored with composite core and different post and core systems.

AIM: To investigate the fracture resistance and fracture patterns of teeth restored with composite cores supported by different pre-fabricated post systems and different heights of remaining coronal dentine. METHODOLOGY: Four groups of 30 single rooted teeth were used. Each group was divided into three subgroups of 10 teeth each and restored with carbon fibre, glass fibre, or Radix titanium posts luted with dual cure resin cement. The control group A had no retained coronal dentine. Groups B, C and D had 2, 3 and 4 mm of retained buccal and lingual coronal dentine, respectively. Teeth were tested to failure using an Instron Universal Testing Machine. Subsequently, the fracture mode of specimens was recorded. RESULTS: Teeth with retained dentine were more resistant to fracture (P = 0.001). Tooth fracture resistance was not significantly different between groups B, C and D. Within group A, titanium posts were associated with higher fracture resistance than fibre posts. Within the other groups, tooth fracture resistance was not related to post material. Within groups C and D, fracture resistance of teeth restored with carbon fibre posts was significantly higher than those restored with glass fibre posts. The dominant fracture mode in group A was core and vertical oblique root fracture whilst a combination of core, coronal dentine and root fracture occurred in the other groups. CONCLUSIONS: Fracture resistance of teeth increased with the presence of retained coronal dentine. The use of glass and carbon fibre posts did not improve the fracture resistance or the fracture pattern of teeth when compared with metal titanium posts regardless of the presence of retained coronal dentine. The dominant fracture pattern of teeth was not related to the amount of retained dentine if it was >2 mm high.

Carbon↗

Pulpal death.

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Crowns↗