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At least 1,135 records · Page 63Linked to original sources
PubMed2000

Long-term clinical results of galvano-ceramic and glass-ceramic individual crowns.

STATEMENT OF PROBLEM: Alternatives to metal-ceramic restorations should possess clinical durability before being recommended to the dentist. Longitudinal clinical studies are required for evaluation so innovative types of restorations can meet the expectations of dentists and patients. PURPOSE: This study compared the performance of galvano-ceramic restorations (Auvo Galvano Crown [ACG]) and glass-ceramic individual crowns (Dicor) based on longitudinal clinical trials. MATERIAL AND METHODS: A total of 769 galvano-ceramic single crowns (AGC) in 322 patients and 173 glass-ceramic individual crowns (Dicor) in 88 patients were reviewed for 8 years and a maximum of 11 years, respectively, after cementation. Risk of fracture was determined with use of a survival analysis (Kaplan and Meier). RESULTS: Partial ceramic cracking was observed at the time of the last recording of data in 11 galvano-ceramic crowns, 8 of the units remained in place. Two crowns became dislodged and 1 tooth exhibited a fractured root, despite an intact crown. One restoration was removed because of hypersensitivity and 1 with partial ceramic fracture. Forty-two of the glass-ceramic crowns were completely fractured. After a comparable 7 years under risk, 96.5% (+/-3.4; 95% confidence interval) of the galvano-ceramic premolar and molar crowns and 92% (+/- 8.5) of crowns placed on incisors and canines crowns were intact. The corresponding data for the glass-ceramic restorations were only 70% (+/- 10.6) in posterior and 82.7% (+/- 8. 1) in anterior quadrants. CONCLUSION: Long-term results of electroformed individual crown restorations were superior to glass-ceramic restorations.

Adult↗
PubMed2000

Fit of titanium and a base metal alloy metal-ceramic crown.

STATEMENT OF PROBLEM: Titanium has been widely used in dental implantology. However, problems remain for use of titanium in prosthodontics. PURPOSE: This study evaluated the marginal and inner fit of metal-ceramic restorations and frameworks made with a nickel-chromium alloy (Remanium CS) and a commercially pure titanium (Rematitan). Fit was compared with SEM before and after firing of ceramic materials. MATERIAL AND METHODS: Sixteen metal frameworks were cast with each casting material, 8 frameworks were used directly to evaluate measurements for fit (RCS: Remanium CS frameworks and TI: Rematitan frameworks). Porcelain was applied on the other 8 frameworks (RCSP: Remanium CS-porcelain and TIP: Rematitan-porcelain), fired, and then the fit was measured. Measurements were recorded at 3 points for marginal fit evaluation and at 3 points for inner fit. RESULTS: Significant differences were recorded among the occlusal (JK) values of groups tested (P <.05). Marginal fit and inner fit of Remanium CS frameworks were better than Rematitan frameworks. However, there were no substantial differences detected among groups after firing the ceramic superstructures. CONCLUSION: The fit of the base metal alloy metal-ceramic crowns was better than the commercially pure titanium metal-ceramic crowns. However, both artificial crowns were clinically acceptable.

Analysis of Variance↗
PubMed1995

Clinical performance of resin-retained fixed partial dentures bonded with a chemically active luting cement.

A clinical study was undertaken to review resin-retained fixed partial dentures bonded with a chemically active luting cement during a 4-year period. One hundred thirty-seven fixed partial dentures were reviewed of which five had failed because of a nonbonding failure (esthetics, trauma, fracture) and 47 (36%) had failed after a bonding failure, of which 72% were rebonded. The mean time of failure was 10.9 months (SD 9.8). The failure rate appeared to be affected by position, use of a rubber dam, and the fixed partial denture design, although no one factor reached conventional statistical significance.

Chi-Square Distribution↗
PubMed1996

Clinical and laboratory parameters in fixed prosthodontic treatment.

Prosthodontic treatment demands competence from each member of the professional team; this includes the staff of the dental office and the dental laboratory. Members of the dental team should understand their responsibility to each other and their patients to ensure optimal prosthodontic care. Knowledge of individual limitations are critical, as are two specific attributes of technical success, quality and communication. The dentist and dental technician should provide services in concert, practice mutual respect, and encourage each other to critique results. Successful prosthodontic treatment also represents a collaborative effort between the patient and attending dentist. Because specific limitations exist with various treatment options, patients need to make decisions concerning their treatment on the basis of detailed informed consent comprehensively presented by the dentist. This article illustrates examples of fixed prosthodontic treatments and demonstrates collaborative, professional responsibilities of the dentist and dental laboratory technicians.

Crowns↗
PubMed1996

Survey lines revisited: finding nonundercut surfaces for retainers that approach from the occlusal surface.

This study investigated survey lines on abutments in the partially edentulous mouth. Various methods that were used to determine the path of insertion had little impact on the position of survey lines except on tooth surfaces with minimal undercuts. Typical survey lines are described and according to the survey lines, few tooth surfaces could accommodate the rigid portion of an occlusally approaching retainer and permit it to be positioned on a nonundercut tooth surface. Although some degree of enameloplasty to improve the situation on some tooth surfaces is possible, the degree to which this can be done is limited by the thickness of the enamel and considerations of tooth conservation.

Dental Abutments↗
PubMed1997

Surveying removable partial dentures: the importance of guiding planes and path of insertion for stability.

STATEMENT OF PROBLEM: Although removable partial dentures are a favored option for the restoration of many situations that involve partial tooth loss, some patients are not satisfied with a removable partial denture, especially when it is not stable during mastication. A dental surveyor can be used to prevent countless problems related to the production of removable partial dentures. Many professionals working with oral rehabilitation fail to take advantage of the many uses of a surveyor in planning and designing chromium alloy and other metal removable partial denture frameworks. PURPOSE: This article uses an academic approach to describe the criteria used to determine the path and removal of a removable partial denture. A fundamental requirement for understanding the correct use of the dental surveyor is to prevent indiscriminate use of a path of insertion perpendicular to the occlusal plane, and extreme inclinations of the cast in the attempt to create undercuts on some teeth.

Chromium Alloys↗
PubMed1997

In vitro failure load of metal-collar margins compared with porcelain facial margins of metal-ceramic crowns.

PURPOSE: This in vitro study compared the load necessary to cause porcelain failure on traditionally fabricated metal-ceramic crowns cemented to metal tooth analogs with two different types of margins. MATERIAL AND METHODS: Metal-ceramic crowns were constructed with either metal facial collars or porcelain facial margins. The metal tooth analogs were embedded in polymethyl methacrylate resin blocks, so that a load applied to the lingual surface compressed the facial margins. Increasingly greater loads were applied to specimens until failure occurred and the failure load values of all specimens were statistically evaluated. RESULTS: The load required to cause porcelain fracture in the crowns with porcelain facial margins was statistically significantly greater than the load required to cause porcelain fracture for crowns with metal collars (p < 0.02).

Cementation↗
PubMed1997

An alternative method for direct custom tray construction using a visible light-cured resin.

The use of a properly made tray is highly desirable for impression making. To avoid the extra time required for tray fabrication, the alternative techniques of the putty wash or "reline" technique and intraoral fabrication of a custom tray by relining a stock tray with self-curing resin are proposed. This article illustrates a new technique of direct custom tray fabrication used for impression making for fixed prosthodontics. The proposed technique allows the direct fabrication of custom trays with light-cured resin and is time-saving, efficient, and inexpensive.

Acrylic Resins↗
PubMed1997

Alternative method of conservative esthetic treatment for gingival recession.

The health and appearance of gingival tissue play an essential role in esthetics. The esthetic function of the tissue is enhanced when it frames the restoration. With gingival recession, the effect of natural gingiva is created with pink composites or ceramics on the cervical part of the crown, as described in this clinical report. This goal depends on the absence of adverse effects on the color, shape, and health of the surrounding tissue. The new composites are more color stable and wear resistant, and the latest generation of dental bonding agents allows the bonding of composites to dentin, various metals, and porcelain. The application of soft-tissue colored composite on dentin cementum, enamel, or porcelain is a good solution for correcting gingival recessions.

Acid Etching, Dental↗
PubMed1997

Enhanced permeability of acid-etched or ground dental enamel.

STATEMENT OF PROBLEM: Acid etching creates retentive microcraters on enamel surfaces. Designing of a partial denture often involves reshaping the supporting and retentive teeth by grinding the enamel. Unfortunately, both these procedures damage the enamel surface. In vivo such surface damage takes several months to recover. PURPOSE: This study evaluated the effect of 1-minute etching, prolonged etching, and grinding on the permeability of dental enamel for water-soluble molecules. MATERIAL AND METHODS: With the electron paramagnetic resonance and a two-chamber diffusion cell, the influence of etching and grinding on the diffusion of spin label molecules through the enamel was studied quantitatively. The enamel permeability was measured in 30 sound enamel samples, of which 10 samples were exposed to 1-minute etching with 37% phosphoric acid, 10 samples were etched for 5 minutes, and 10 samples were ground with a diamond bur. RESULTS AND CONCLUSIONS: All procedures significantly increased the permeability of dental enamel. These results demonstrate that in vivo the acid-etched and ground dental enamel surfaces are less protected and consequently, unless the tooth is properly protected, are more susceptible to carious lesions. Therefore ground or accidentally etched enamel should be protected.

Acid Etching, Dental↗
PubMed1997

Facial approach to stabilization of mobile maxillary anterior teeth with steep vertical overlap and occlusal trauma.

The necessity for splinting and the advantages of some types of permanent, semipermanent, and temporary splinting are given. Specific step-by-step instructions are given for a special purpose splint that can be used for stabilizing mobile maxillary teeth when the patient has thin teeth faciolingually and a steep vertical overlap. This can be the treatment of choice for such patients.

Acid Etching, Dental↗
PubMed1998

Nontraumatic immediate complete denture placement: a clinical report.

This clinical report presents a treatment procedure that makes immediate denture placement a more predictable and less stressful procedure. It provides greater control over the prosthodontic aspects of denture delivery by the restorative dentist, and the convenience of performing the placement procedures in a clean, blood-free environment. The delivery of the prosthesis is less traumatic because extractions and/or surgery are deferred. In addition, by the time the remaining roots are extracted, all denture adjustments will have been made and the patient will have accommodated to the prosthesis.

Denture Design↗