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[Fixed ceramic prostheses without metal support].

The Author, after an excursus about ceramics used in dentistry and recent progress achieved in dental ceramics, explains restoration's aesthetic advantages in ceramic without any underlying metal structure. Description of several clinical cases in which a new type of ceramic, intended for single crowns, but used by the Author experimentally for small three-element prostheses, completes this study.

Adult↗

A technique for the replacement of multiple missing anterior teeth in the presence of a mutilated alveolar ridge.

The intent of this paper is to demonstrate a clinical technique for the replacement of multiple missing anterior teeth in the presence of a mutilated ridge. It also reviews basic rules governing the replacement of multiple adjacent missing teeth. The two cases presented clearly demonstrate that multiple adjacent missing teeth can be esthetically restored and still preserve that which remains; teeth, periodontium and soft tissues. The long-term success or failure of prosthodontic restorations relies heavily upon careful consideration of esthetic and foundational requirements. A technique has been described which incorporates the benefits of both fixed and removable dentures to restore multiple missing teeth in the presence of a mutilated alveolar ridge. The first patient was treated approximately twenty years ago. The anterior teeth and alveolar ridge were lost due to an automobile accident. The entire labial alveolar ridge was lost to the base of the nasal spine, thereby making a simple six-unit anterior fixed partial denture a complex and difficult problem. The second patient was recently treated. This patient's alveolar ridge and buccal plate were destroyed by a horse's hoof, again making a restoration procedure a difficult one.

Alveolar Process↗

[Splinting technique for traumatic luxation of anterior permanent teeth].

Extrusive luxations of both, upper and lower incisors, represent a frequent event in dental traumatology. The Authors present some cases in which elastic splints have been used. In fact recent researches show that, even soon after a traumatic event, is not indicated to immobilize teeth with rigid fixed splints because they don't allow any dental function. It is therefore preferable the use of elastic splints for 2-4 weeks, instead of rigid splints for long periods. The Authors then describe the techniques, the methods and the radiographic controls and pulp tests used in this kind of traumatic pathology, showing the positive long term results obtained by using elastic splints instead of rigid splints which often present as result root resorptions or pulp necrosis. In fact with elastic splints is possible to replace and maintain luxated teeth, allowing at the same time a certain function of teeth and their support tissues.

Dental Pulp Necrosis↗

[Ligature binding by Risdon's method].

Classical and modified Risdon's binding was applied in 165 patients with jaw injuries as permanent immobilization. The method was applied in 79 outpatients and 86 inpatients in cases of: 1) isolated mandibular fractures in 124 cases (without displacement in 88 and with displacement in 36), 2/15 cases of dislocated teeth, 3) 10 cases of alveolar process fractures, 4) 6 cases of maxilla fracture, 5) 2 cases of tooth reimplantation, 6) 8 cases of osteosynthesis. This immobilization was done only in patients with preserved permanent teeth or with only some teeth missing, in recent fractures without displacement or with only slight displacement. In 162 cases (99.8%) good reduction and stabilization with union of fracture was achieved. The method with its modification is highly suitable for the treatment of isolated mandibular fractures as a simple, easy and effective method when the cases are properly qualified.

Fracture Fixation↗

[Use of silanes as bonding intermediates in alloy-adhesive-alloy systems].

The Authors suggest on original appliance of the adhesive bridge on metallic surface of pre-existent fixed prosthesis by means of silanes. In two clinical cases the silanes make it possible to apply on adhesive bridge without damage for contiguous theets and to resolve difficult prosthetic problems with good outcome.

Adhesives↗

The management of dento-alveolar trauma--a review.

The clinician faced with the management of an insult to the masticatory system involving the dentition, its alveolar housing and the investing tissues often faces a formidable task. The restitution of traumatic derangement of oral-facial structures mandates a systematic approach to hard and soft tissue management with particular reference to the unique biological characteristics of this environment. A decidedly improved prognosis may be offered to the patient when basic principles are followed and the indicators for successful long term stabilization are realized. Awareness of these practical principles renders the dentist in general practice able to provide primary or referral care.

Alveolar Process↗

Emergency dental care.

Health care workers in any setting who deal with children should have a basic understanding of the management of dental emergencies. Immediate action is required to reimplant the avulsed permanent tooth while primary teeth are not reimplanted. Dental infections are usually due to pulpal pathosis secondary to caries or trauma. They are managed like any other infection using drainage, antibiotics and removal of the source.

Adolescent↗

[Oral manifestations in the abused child].

In this essay the authors study a problem which has been considered a "social illness" pediatric the one about child abuse, talking under the oral manifestations point of view. In this way due to the relative frequency of this appearance, the odontopediatric, must known before a traumatism orofacial, the possible existence of child abuse.

Burns↗