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At least 1,747 records · Page 97Linked to original sources
PubMed1997

A stent for presurgical evaluation of implant placement.

This article describes a method of fabricating a stent with barium sulfate and stainless steel tubes for the accurate radiographic evaluation of the relationships of the predesigned superstructure, the scheduled implant placement, and the anatomic structure. The barium sulfate in the stent depicts the outline of the predesigned superstructure, and the stainless steel tubes indicate the intended location and inclination of the implants on the computed tomographic scans. In addition, this stent can be used as a surgical stent to guide the pilot drill to the desired site.

Barium Sulfate↗
PubMed1998

A method for true coordinate three-dimensional measurement of casts using a measuring microscope.

Exact 3-dimensional measurements are more useful for researchers and clinicians than are relative distance measurements. Through the use of a measuring microscope and a personal computer, the technique presented in this article provides meaningful and accurate (0.005 mm) 3-dimensional measurements of casts in true coordinates (x, y, z). By fabricating the master cast with reference landmarks, leveling the casts before measurement, removing the cast between repeat measures, and mathematically rotating the data points, this technique places all the landmarks in a standardized reference plane that allows for the comparison of dimensional changes between different casts.

Computer Simulation↗
PubMed1999

Occlusal refinement of mounted casts before crown fabrication to decrease clinical time required to adjust occlusion.

STATEMENT OF PROBLEM: An inordinate amount of time is often required to adjust the occlusion of a newly fabricated crown. PURPOSE: This study determined whether the procedure of "cast adjustment" significantly decreases the time necessary to clinically adjust the occlusion of a newly fabricated crown. MATERIAL AND METHODS: Thirty-eight crowns were fabricated by a commercial dental laboratory for patients of senior dental students at the University of the Pacific School of Dentistry. After master casts were returned from the laboratory and then mounted on semiadjustable articulators by the students, the cases were divided randomly into 2 groups: (1) the control group, for which no further work was performed before fabrication of the restoration; and (2) the experimental group, in which casts were occlusally adjusted by a certified laboratory technician until there was at least 1 cusp tip to flat surface centric contact on each posterior tooth in maximum intercuspation position. After the crowns were delivered, the students filled out a survey. One question on the survey asked the student for the time required to adjust the occlusion on the crown. RESULTS: Of the 19 crowns in the control group, 6 crowns required more than 1 hour for occlusal adjustment. Of the 19 crowns in the experimental group, 1 crown required more than 1 hour for occlusal adjustment. CONCLUSION: Performing a "cast adjustment" before fabricating a single unit casting can significantly decrease the chance of a lengthy clinical occlusal adjustment.

Centric Relation↗
PubMed1997

Coating of silicone-based impression materials in a glow-discharge system by acrylic acid plasma.

OBJECTIVES: The main purpose of this study was to demonstrate an increase in the wettability of silicone-based impression materials after coating them with a hydrophilic film in a glow-discharge system. METHODS: Two vinyl polysiloxane impression materials, Extrude (Kerr) and Accuflex (GC America Inc.) were used. Impression specimens were treated in a glow-discharge reactor at a radio frequency of 13.56 MHz at different discharge powers (5-20 W) and exposure times (5-60 min). Surface analysis of the specimens was done by FTIR. Surface contact angles were obtained by a captive-bubble method. These results were analyzed by ANOVA and Duncan's Multiple Range test (p < 0.05). The total number of voids on the die stone casts was observed microscopically. Linear dimensional accuracy, detail reproducibility, and surface hardness of the die stone casts were also determined. A Student t-test was performed for statistical analysis of these parameters (p > 0.05). RESULTS: FTIR spectra indicated that the number of hydroxyl groups on the surfaces increased (p > 0.05) because of the glow-discharge treatment. Contact angle measurements showed an increase (p < 0.05) in surface hydrophilicity. Total void formation in the stone casts decreased. There were no significant differences in the linear dimensional accuracy, detail reproducibility, and hardness, before and after glow-discharge treatment (p > 0.05). SIGNIFICANCE: It was concluded that the surface wettability of the impression materials may be increased by plasma deposition, and therefore, the formation of voids was reduced in the stone casts.

Acrylates↗
PubMed2001

The design and testing of a force feedback dental simulator.

The Iowa Dental Surgical Simulator is a haptic simulator to train dental students in the haptic skills of dentistry. The initial design emphasizes the detection of carious lesions. This work describes the software and implementation of the prototype system, the design tradeoffs' and the technical issues associated with haptic and graphics subsystems. The work also describes the current system performance, including a formal evaluation by practicing dentists and performance measures. A discussion of the limitations of the current system is followed by an analysis of opportunities to improve the quality of the simulator. The results should be of interest to designers of medical haptic simulation systems and other simulation designers.

Biophysical Phenomena↗
PubMed2000

Splints and stress transmission to teeth: an in vitro experiment.

OBJECTIVE: To determine the influence of hard and soft splints with two thicknesses on the stress transmission to the tooth supporting the splint and the opposite tooth. METHODS: Continuous vertical forces up to 500N were applied to two opposite first molar phantom teeth using a universal loading machine. Deformation was detected by strain gauges attached to the cervical area of the buccal and lingual aspects of the lower tooth. Strain, as a function of force, was collected and the slope, defined as the compliance (in microS/N) of the system, was calculated. RESULTS: The highest compliance was found with hard splints. When splints were constructed on the upper molar, the highest compressive compliance was registered on the buccal side (2.8 microS/N) and tension compliance on the lingual side (-0.35 microS/N). When constructed on the lower tooth, the opposite was found. Soft splints resulted in compression on both the buccal and lingual sides when adjusted to the upper or lower tooth. A higher compliance was found on the buccal side (1.26 microS/N), while on the lingual side, the values varied (0.48-0.78 microS/N). CONCLUSIONS: Soft splints are more efficient in protecting teeth against the damage of bending forces although there is an increase of compression forces. The tooth opposing a hard splint is exposed to a higher risk of bending forces.

Analysis of Variance↗
PubMed1996

The curve of Spee revisited.

Through the use of a sophisticated measuring device and support computer technology, accurate arch circumferences were determined for 27 casts that exhibited moderate to severe curves of Spee. Arch circumference differences were subsequently obtained by comparing the measured arch length to a planar projection formed by the center of the incisal tips anteriorly and the distobuccal cusp tips of the second molars distally. A general relationship has been derived for the arch circumference differential, resulting from the elimination of the curve of Spee, versus the severity of the curve. The arch circumference reduction is considerably less than that found by earlier investigators, implying that the incisor protrusion often associated with leveling the curve of Spee is not primarily due to the aforementioned differential, but rather more directly due to the mechanics used in leveling the curve of Spee.

Algorithms↗
PubMed2003

Comparison of the replicability of routinely used centric relation registration techniques.

PURPOSE: This study was conducted to determine statistically the most repeatable mandibular position of 3 centric relation methods. MATERIALS AND METHODS: Three centric relation recording methods commonly reported in the literature were selected: bimanual mandibular manipulation with a jig, chin point guidance with a jig, and Gothic arch tracing. Fourteen healthy adult volunteers (7 males and 7 females), with an average age of 26.61 +/- 4.20 years and no history of extractions, temporomandibular joint dysfunction, or orthodontic treatment, were selected for the study. Accurate casts were mounted on an articulator (Denar D4A) by means of a facebow and maximum intercuspation silicone registration record. A mechanical 3-dimensional mandibular position indicator was constructed and mounted on the articulator enabling the operator to analyze the mandibular positions in 3 spatial axes (x, anteroposterior; y, superoinferior; z, mediolateral shift). Each centric relation method was recorded four times on each subject (at baseline, 1 hour, 1 day, and 1 week at approximately the same time of day). Records were transferred to the articulator, and data were extracted using a stereomicroscope modified to accept the mandibular position indicator. RESULTS: Variability within subjects ranged from 0.03 mm (left-side z axis for the bimanual method) to 1.6 mm (left-side y axis for the Gothic arch method). To indicate the least variable (most repeatable) method a comparison was made using the F test. The bimanual method was the most consistent, showing between 10.11 (p = 1) and 0.438 (p = 0.005) times less variation than the Gothic arch method (the least consistent). The repeatability of the chin point guidance method was somewhere between the other 2 methods. CONCLUSIONS: The results of this study showed that of the 3 centric relation methods evaluated, the bimanual manipulation method positioned the condyles in the temporomandibular joint with a more consistent repeatability than the other 2 methods, whereas the Gothic arch was the least consistent method.

Adult↗
PubMed2003

Efficiency of rotary nickel-titanium K3 instruments compared with stainless steel hand K-Flexofile. Part 1. Shaping ability in simulated curved canals.

AIM: To compare the shaping ability of K3 rotary nickel-titanium instruments with stainless steel K-Flexofiles manipulated by hand. Part 1 of this two-part report describes the efficiency of these two instruments in simulated curved root canals. METHODOLOGY: Simulated canals with 28 degrees and 35 degrees curves in resin blocks were prepared by K3 instruments with a rotational speed of 250 r.p.m. using a crown-down preparation technique, or by K-Flexofiles using a reaming motion -i = 24 canals in each case). All canals were prepared up to size 35 at the end-point of preparation. Pre- and postinstrumentation images were recorded, and assessment of canal shape was completed with a computer image analysis program. Material removal was measured at 20 measuring points, beginning 1 mm from the apex. Incidence of canal aberrations, preparation time, changes of working length and instrument failures were also recorded. RESULTS: In comparison with stainless steel K-Flexofiles, rotary K3 instruments achieved better canal geometry and showed significantly less canal transportation (P < 0.05) Eleven K3 instruments and none of the K-Flexofiles fractured during preparation (P < 0.05). Between both the canal types, K3 was significantly faster (P < 0.001) than K-Flexofiles. Both instruments maintained a good working distance. CONCLUSIONS: K3 instruments prepared curved canals rapidly and with minimal transportation towards the outer aspect of the curve. Fractures occurred significantly more often with K3.

Acrylic Resins↗
PubMed2001

Force-deflection properties of superelastic nickel-titanium archwires.

This in vitro study compared the force-deflection behavior of 8 superelastic nickel-titanium orthodontic wires (0.017 x 0.025 in) under controlled moment and temperature. To simulate leveling a lateral incisor, brackets and first molar tubes without tip and angulation were used. The wires (n = 5) were ligated into stainless steel brackets attached to a plastic jig to simulate a mandibular arch. A testing machine (Instron) applied deflections of 0.2 to 2.0 mm at 35 degrees C in the lateral incisor area. Force-deflection diagrams were determined from the passive position to an activation of 2 mm and then during deactivation. Forces on deactivation at a deflection of 1 mm were compared by analysis of variance. Significant differences (P < .05) in forces were observed among wires. All wires exhibited superelastic behavior, but in stratified loading levels.

Analysis of Variance↗