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At least 793 records · Page 44Linked to original sources
PubMed1999

Subgingival access and artificial plaque removal by a sonic cleaning device.

A sonic subgingival cleaning device (soniPick Sonic Interdental Plaque Remover) has recently been marketed with three bristle tips varying in size lengths and bundle diameters. The purpose of this study was to evaluate the ability of these bristle tips to remove subgingival artificial plaque deposits in a laboratory method used for toothbrushes. The laboratory method has been modified for testing the sonic device, to simulate the directions for using the product at home. The dimensions (length x bundle width) of three tips tested were: 0.007" x 0.040"; 0.007" x 0.062"; and 0.009" x 0.062". The tips used with the sonic device were placed on the tooth surface at a 20 degrees angle according to directions, and inserted 3 mm under simulated gingivae. The device was turned on and the tip was moved in a maximum 10 mm stroke for 15 seconds with the brushing machine. For control purposes, a flat, multi-tufted, ADA-accepted manual toothbrush (Oral-B P35) was also tested. The manual toothbrush was tested using the standard methods for evaluating toothbrushes, i.e., with the bristle tips placed at the gingival margin, then brushed at a 45 degrees angle at 250 g weight, using 15 mm strokes for 60 seconds. The depth of subgingival deposit removal was recorded as the maximum depth of the artificial plaque deposit removed from the pressure-sensitive paper under the simulated gingivae over anterior- or posterior-shaped teeth. In the assays conducted, the three bristle tips on the sonic device removed artificial plaque deposits under the simulated gingival at depths of 1.9-2.7 mm. The manual toothbrush had a mean subgingival cleaning depth of 0.6 mm. Differences between the three bristle tips used with the sonic device and the manual toothbrush were significant (p < 0.001 ANOVA). In this laboratory assay, all 3 bristle tips provided with the sonic cleaning device maintained access into and subsequent removal of artificial plaque from the subgingival space.

Analysis of Variance↗
PubMed2001

Indirect posterior restorations using a new chairside microhybrid resin composite system.

A plethora of choices is available as potential tooth-colored restoratives for the posterior dentition. Advances in adhesive technology and esthetic chairside microhybrid composite resins have permitted clinicians to perform inlay/onlay restorations. The use of adhesive indirect procedures offers advantages such as better control of polymerization shrinkage and anatomical form, when compared to conventional, direct restorative techniques. This article describes the use of a new chairside microhybrid composite system as an indirect restorative material, using semidirect and indirect techniques that can be accomplished within the realm of a dental operatory.

Bicuspid↗
PubMed1999

Additive contour of porcelain veneers: a key element in enamel preservation, adhesion, and esthetics for aging dentition.

Esthetics and function are equal concerns when restoring the anterior dentition. Modern concepts in restorative dentistry have brought new solutions through bonded porcelain veneers that are stress distributors and involve the crown of the tooth as a whole in supporting occlusal force and masticatory function. This recovery of the original biomechanics of the intact tooth, the biomimetic principle, is particularly valuable when considering the restoration of an aging dentition. Both function and appearance are affected by the senescent changes of the aging teeth. Erosion and surface wear lead to a progressive thinning of enamel, ultimately leading to increased crown flexibility and higher surface strains. It appears therefore that the restoration of tooth volume will not only re-establish the original and youthful appearance of the smile but will also allow the biomimetic recovery of the crown. The final treatment outcome strongly depends on the therapeutic approach chosen, the driving force of which should be the preservation of the thin remaining enamel. While a number of preparation techniques will expose dentin to a great extent, the principle of enamel preservation can still be fulfilled by the use of a specific approach. This article describes a treatment method which includes the use of a diagnostic template. This type of work strategy, documented with clinical cases, integrates additive wax-ups and acrylic mock-ups. The latter will provide a significant amount of diagnostic information and economy of tooth substrate, the importance of which cannot be overestimated in the completion, functionality, and longevity of the final restoration.

Acrylic Resins↗
PubMed1992

Factors affecting the future need for dental manpower in Canada and Quebec.

During the past decade, dental faculties in North America have reduced class sizes due to a perceived oversupply of dentists. Several schools have been closed outright, and others have been threatened with closure. These actions may have a negative impact on the future supply of dentists. The current beliefs with regards to the oversupply of dentists have inadequately accounted for the dramatic demographic and epidemiologic changes that are occurring in North America. Major changes in population distribution and disease trends point to an increased need for adult dental services in the future. Therefore, models for dental manpower needs should integrate these data to avoid a potential shortage of dental health care personnel in the future.

Adolescent↗
PubMedDate not supplied

Integrating dental anatomy and biomaterials: an innovative use of composite resin.

As part of the new integrated curriculum at the New York University College of Dentistry, a pilot program uses composite resins to teach dental anatomy. The Department of Biomaterials and Biomimetics, in conjunction with the Department of Cariology and Operative Dentistry, has created a teaching module to replicate the morphology of a central incisor through the manipulation and placement of a composite resin.

Biocompatible Materials↗
PubMed2004

Indirect laminate veneers as an indirect bonding method.

Indirect bracket bonding methods that use individual tooth transfer trays offer several benefits compared to direct bonding techniques, as well as to indirect bonding systems that use transfer trays that include all of the teeth. Precise and correct bracket position presents the most significant advantage of all indirect bonding procedures, but this new indirect bracket bonding technique also provides unprecedented enamel protection and caries prevention. In addition, it provides accuracy for the recementation of any loose, broken, or lost brackets at their previous sites. This article presents the rationale and a step-by-step guide for implementing this indirect bracket bonding system.

Dental Bonding↗