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Accurately positioning a duplicate cast on the surveying table.

The path of insertion must be registered in such a way that it can be easily transmitted to the dental technician who then should also be able to transfer the original information from the master cast directly to any necessary duplicate casts. A system is presented that fulfills these requirements by means of simple tridimensional markings on the master cast, easily reproducible, and whose accuracy is not affected by the volumetric changes of duplicating and/or cast materials.

Dental Casting Technique↗

A new method for making casts from irreversible hydrocolloid impressions.

This method of making casts from alginate (irreversible hydrocolloid) edentulous impressions is a departure from the usual procedures. It consists of recognizing the weaknesses of the materials being used and handling them to the best advantage to minimize deleterious effects. A proper dental stone mixed with an accelerator is painted over the entire anatomic surface of the impression. A base is added only after the first application of stone sets. This method protects against volume change of the irreversible hydrocolloid impression material and distortion of the unsupported portions of the impression.

Alginates↗

Relationship between contact angles of die stone on elastomeric impression materials and voids in stone casts.

Poor wettability of elastomeric impression materials results in surface defects on stone casts. This study examined the relationship between contact angles of die stone and voids in casts produced from five medium-viscosity impression materials. Contact angles of a die stone material formed against impression specimens made from polyether, addition and condensation silicones were measured by reflex microscope. The contact angle values achieved on the hydrophilic addition silicones were significantly higher than the polyether but lower than other silicone materials. Contact angle values correlated with the number of voids found at margins and line angles of stone casts but not with those on smooth surfaces.

Dental Impression Materials↗

Objective assessment of occlusal and coronal characteristics of untreated normals: a measurement study.

To determine whether tooth shape and position are constant within tooth types, dental casts of 68 Indians (age range, 10-32 years; mean, 18.72 years) were analyzed. The casts were selected from a larger sample and met the following criteria: Class I molar and canine relationships; overjet and overbite within normal limits; well-related vertical, transverse, and anteroposterior relationships with pleasing profiles and well-aligned arches; and no supernumerary teeth or large restorations. None of the subjects had received orthodontic treatment, and all were in good health and exhibited normal growth. Crown angulation, inclination, offset of maxillary molar, curve of Spee, crown facial prominence, horizontal crown contour, and vertical crown contour were assessed. Means, standard deviations, and standard errors were calculated. The measurements were compared with Andrews's data on 120 nonorthodontic normal occlusion casts. The Student t test was used to determine the significance of differences between the 2 sets of data. It was found that teeth of the same tooth type have similar values of horizontal and vertical crown contours. Values for inclination, angulation, and relative prominence were also similar. Hence, we concluded that tooth shape and position are constant for each tooth type. The data from this study were comparable with Andrews's findings. However, from this study, it would be safe to presume that all teeth except the maxillary second molars require alterations in the bracket base inclination value, and that the maxillary lateral incisor, canine, second premolar, and second molar, and the mandibular canine, require alterations in angulation values.

Adolescent↗

Effect of wet and dry cellulose ring liners on setting expansion and compressive strength of a gypsum-bonded investment.

Effective setting expansion of gypsum-bonded investments is influenced by many variables. The purpose of this study was to determine the effect of using either water-saturated or dry cellulose ring lining material on (1) the fit of castings on a steel die and (2) the compressive strengths of investment cores using either type of liner. The mean gingival space in the water-saturated liner group was 0.241 +/- 0.048 mm and was 0.071 +/- 0.029 mm in the dry liner group (p < 0.001). The compressive strengths of investment cores from the dry liner group were 36.5% greater than those of cores from the water-saturated liner group. The results demonstrated that the use of dry liners may improve the fit of castings to dies.

Calcium Sulfate↗

The effect of storage time of removable partial denture wax pattern on the accuracy of fit of the cast framework.

STATEMENT OF PROBLEM: Situations may arise in dental laboratories that could result in a time lapse between preparing the wax pattern of the removable partial denture framework and its casting into the cobalt-chromium alloy. PURPOSE: This study investigated the effect of storage time of the wax pattern before casting and the influence of the palatal major connector design on the accuracy of its fit on the master casts. MATERIAL AND METHODS: Forty-two frameworks were prepared with two designs of major connectors, which were divided into three subgroups according to the storage time of the wax patterns: 24 hours, 1 week, and 1 month. Discrepancies in the fit of the connectors to their respective casts were measured at specific locations for both connector designs. RESULTS: In both framework design groups, there was a significant deterioration in fit (p < 0.0005) of the major connectors with the increase in storage time of their wax patterns on their respective refractory casts. Gap discrepancies were more pronounced towards the center of the palate. CONCLUSIONS: The greatest discrepancies appeared at the middle sections of the connectors more than at the lateral section (p < 0.0005). Furthermore, frameworks with modified palatal plate major connectors exhibited greater inaccuracies in their fit than those with the anterior posterior palatal strap design, as evidenced by the increase in mean gap discrepancies under the palatal plate design (p < 0.0005).

Analysis of Variance↗

Alternative complete-arch cement-retained implant-supported fixed partial denture.

Early implant prostheses designs, which used screw-retained metal and acrylic resin structures, frequently left a space between the prosthesis and the soft tissue. Common deficiencies of this design included phonetic and esthetic problems and screw loosening. Cement-retained implant prostheses are also used in partially and completely edentulous patients, and are thought to have optimal occlusion and esthetics. Moreover, cement-retained prostheses may induce less stress on the implant, thereby maximizing the possibility of a passive fit. Porcelain fused to metal prostheses have been used mostly in partially edentulous situations. Recently, complete-arch porcelain fused to metal prostheses that replace hard and soft tissue have been used and, although this restoration can have excellent esthetics, there are disadvantages such as high cost, potential framework distortion during fabrication, and difficulty in repairing fractures of in-service porcelain. This article describes an alternative technique for the fabrication of a complete-arch, cement-retained, metal-acrylic resin implant-supported fixed partial denture. When compared with porcelain fused to metal complete-arch restorations, this prostheses is esthetic, has excellent retention and stability, yet is relatively inexpensive to fabricate, and requires less laboratory skill.

Acrylic Resins↗

Comparison of two ultrasonic units in shaping simulated curved canals.

The effects of ultrasonic instrumentation on the preparation shape of curved simulated canals were investigated. Measurements of the displacement amplitudes of the files were made to examine the possible relationship between displacement amplitude and the cutting ability of the file. Twenty-five simulated canals in clear resin blocks were instrumented using a Cavi-Endo unit at a power setting of 1 with differing times of instrumentation and with water as irrigant. Another group of 25 canals received similar treatment but were instrumented with an Enac unit at a power setting of 1. The canal shape and the incidence of elbow formation were evaluated using various measurements taken from photographic prints of the canals. All canals exhibited unequal removal along the canal with more removal occurring coronally. The Enac group exhibited a higher incidence of elbows which occurred further apically than those in the Cavi-Endo group. There was no significant difference between groups in the amount of apical canal enlargement. Coronally, the Enac appeared to cut significantly better. The Enac also caused significantly greater apical deviation and change in width. In both units more elbows were formed following instrumentation, with less flexible files having smaller displacement amplitudes.

Dental Cavity Preparation↗