MyMedR

A denture replication technique following partial maxillectomy: a case report

Haider KG, Lewis GR

Quintessence Int, 1994 Jan;25(1):23-6.

PMID: 8190877

A variety of problems faces the prosthodontist attempting reconstruction of maxillary defects. There are various treatment options for patients requiring a partial maxillectomy and an obturator prosthesis. Reduced adaptability makes it difficult for the patient to learn to use a new appliance, unless existing skills can be employed. It is therefore helpful to reproduce familiar features of a patient's existing obturator, especially if this has been used successfully over a transition period.

Matched MeSH terms: Dental Prosthesis Design/methods*

A case report of reattachment of fractured root fragment and resin-composite reinforcement in a compromised endodontically treated root

Lui JL

Dent Traumatol, 2001 Oct;17(5):227-30.

PMID: 11678543

The composite reinforcement technique has been used clinically to salvage damaged root-filled teeth compromised by caries, trauma, developmental abnormalities, internal resorption and iatrogenic causes. This clinical case report describes the use of the technique to reattach a fractured fragment in a compromised endodontically treated root besides reinforcing it for continued function in the mouth. Factors of clinical importance related to this additional application; including reattachment of tooth fragments, post crown retention, coronal microleakage and fracture resistance and strength, are also briefly discussed.

Matched MeSH terms: Dental Prosthesis Design

Remaining tooth structure associated with various preparation designs for the endodontically treated maxillary second premolar

Seow LL, Toh CG, Wilson NH

Eur J Prosthodont Restor Dent, 2005 Jun;13(2):57-64.

PMID: 16011232

Existing literature suggests a relationship between the amount of remaining tooth structure and the fracture resistance of the restored endodontically treated tooth. This study investigated the amount of tooth structure remaining following various tooth preparations used in the restoration of the endodontically treated maxillary second premolar. Illustrations of the maxillary second premolar in buccopalatal, mesiodistal and occlusal sections were drawn to scale. Outlines of various intra- and extracoronal preparations were superim-posed on the illustrations to reveal the amount of tooth tissue remaining in each case. Preparations for a ceramic inlay, inlay with palatal cusp coverage and onlay left 2.0-2.5mm of tooth structure buccally and palatally. Following preparation for a metal-ceramic crown, approximately 1.0mm of tooth structure remained buccally, and between 1.6mm-1.8mm palatally. Preparation for an all-ceramic crown was observed to leave 1.0mm-1.2mm of tooth structure surrounding what remained of the endodontic access cavity. It was concluded that decisions as to the type of definitive restoration to restore the endodontically treated maxillary second premolar may be influenced, amongst other factors, by information on the amount of tooth tissue remaining following preparation.

Matched MeSH terms: Dental Prosthesis Design*

Comparison of the load at fracture of Turkom-Cera to Procera AllCeram and In-Ceram all-ceramic restorations

AL-Makramani BM, Razak AA, Abu-Hassan MI

J Prosthodont, 2009 Aug;18(6):484-8.

PMID: 19694015

PURPOSE: This study investigated the occlusal fracture resistance of Turkom-Cerafused alumina compared to Procera AllCeram and In-Ceram all-ceramic restorations.

MATERIALS AND METHODS: Sixmaster dies were duplicated from the prepared maxillary first premolar tooth using nonprecious metal alloy (Wiron 99). Ten copings of 0.6 mm thickness were fabricated from each type of ceramic, for a total of thirty copings. Two master dies were used for each group, and each of them was used to lute five copings. All groups were cemented with resin luting cement Panavia F according to manufacturer's instructions and received a static load of 5 kg during cementation. After 24 hours of distilled water storage at 37 degrees C, the copings were vertically compressed using a universal testing machine at a crosshead speed of 1 mm/min.

RESULTS: The results of the present study showed the following mean loads at fracture: Turkom-Cera (2184 +/- 164 N), In-Ceram (2042 +/- 200 N), and Procera AllCeram (1954 +/- 211 N). ANOVA and Scheffe's post hoc test showed that the mean load at fracture of Turkom-Cera was significantly different from Procera AllCeram (p < 0.05). Scheffe's post hoc test showed no significant difference between the mean load at fracture of Turkom-Cera and In-Ceram or between the mean load at fracture of In-Ceram and Procera AllCeram.

CONCLUSION: Because Turkom-Cera demonstrated equal to or higher loads at fracture than currently accepted all-ceramic materials, it would seem to be acceptable for fabrication of anterior and posterior ceramic crowns.

Matched MeSH terms: Dental Prosthesis Design

Edentulous arch treatment with a CAD/CAM screw-retained framework and cemented crowns: a clinical case report

Baig MR, Rajan G, Rajan M

J Oral Implantol, 2009;35(6):295-9.

PMID: 20017646 DOI: 10.1563/AAID-JOI-D-09-00012R1.1

This article describes the rehabilitation of a completely edentulous patient using a milled titanium implant framework and cemented crowns. This combined approach significantly offsets unsuitable implant position, alignment, or angulation, while ensuring the easy retrievability, repair, and maintenance of the prosthesis. Hence, the dual advantage of cemented-retained crowns reproducing appropriate esthetics and function, irrespective of where the screw access openings are located in the substructure, can be obtained, along with the splinting effect and management of soft and hard tissue deficits achievable with a screw-retained framework.

Matched MeSH terms: Dental Prosthesis Design

Development of a novel model for the investigation of implant-soft tissue interface

Chai WL, Moharamzadeh K, Brook IM, Emanuelsson L, Palmquist A, van Noort R

J. Periodontol., 2010 Aug;81(8):1187-95.

PMID: 20450401 DOI: 10.1902/jop.2010.090648

In dental implant treatment, the long-term prognosis is dependent on the biologic seal formed by the soft tissue around the implant. The in vitro investigation of the implant-soft tissue interface is usually carried out using a monolayer cell-culture model that lacks a polarized-cell phenotype. This study developed a tissue-engineered three-dimensional oral mucosal model (3D OMM) to investigate the implant-soft tissue interface.

Matched MeSH terms: Dental Prosthesis Design

Evaluation of the marginal fit of a zirconia ceramic computer-aided machined (CAM) crown system

Baig MR, Tan KB, Nicholls JI

J Prosthet Dent, 2010 Oct;104(4):216-27.

PMID: 20875526 DOI: 10.1016/S0022-3913(10)60128-X

The marginal fit of crowns is a concern for clinicians, and there is no conclusive evidence of any one margin configuration yielding better results than others in terms of marginal fit.

Matched MeSH terms: Dental Prosthesis Design*

Fulltext Immediate placement and loading of implants in anterior maxilla using an altered screw-retained implant fixed prosthesis

Baig MR, Rajan G

Indian J Dent Res, 2010 Apr-Jun;21(2):311-3.

PMID: 20657109 DOI: 10.4103/0970-9290.66635

This article describes the immediate placement and loading of implants in the aesthetic zone using an implant-retained, fixed prosthesis with a modified design. One section of the implant prosthesis has cemented crowns and the other section is the conventional screw-retained. This combined approach significantly offsets the unsuitable implant position, alignment or angulation, while ensuring the easy retrievability, repair and maintenance of the prosthesis at the same time.

Matched MeSH terms: Dental Prosthesis Design

Full-arch metal-resin cement- and screw-retained provisional restoration for immediately loaded implants

Baig MR, Rajan G

J Oral Implantol, 2010;36(3):219-23.

PMID: 20553176 DOI: 10.1563/AAID-JOI-D-09-00048

Abstract This article describes the clinical and laboratory procedures involved in the fabrication of laboratory-processed, provisional, screw-retained, implant-supported maxillary and mandibular fixed complete dentures incorporating a cast metal reinforcement for immediate loading of implants. Precise fit is achieved by intraoral luting of the cast frame to milled abutments. Effective splinting of all implants is attained by the metal substructure and retrievability is provided by the screw-retention of the prosthesis.

Matched MeSH terms: Dental Prosthesis Design

Effect of CAD-CAM porcelain veneers thickness on their cemented color

Omar H, Atta O, El-Mowafy O, Khan SA

J Dent, 2010;38 Suppl 2:e95-9.

PMID: 20493232 DOI: 10.1016/j.jdent.2010.05.006

To determine the effect of thickness of porcelain veneers constructed from CAD-CAM on their final color when two resin cements were used.

Matched MeSH terms: Dental Prosthesis Design/instrumentation*; Dental Prosthesis Design/methods

Fulltext Fixed rehabilitation of patient with aggressive periodontitis using zygoma implants

Rajan G, Baig MR, Nesan J, Subramanian J

Indian J Dent Res, 2010 Jan-Mar;21(1):125-8.

PMID: 20427922 DOI: 10.4103/0970-9290.62801

Treatment of patients with aggressive periodontitis has always been a challenge to the clinician. Both young and old are known to be affected by this progressive destructive condition of the supporting dental structures. Although dental implants have been offered as a viable treatment alternative for such patients, additional procedures (like bone grafting) and delayed protocols have limited their usage. This case report describes the treatment of a young patient with aggressive periodontitis using a graftless implant solution. Zygoma implants in conjunction with conventional implants were used with immediate loading.

Matched MeSH terms: Dental Prosthesis Design

Treatment of a maxillary dento-alveolar defect using an immediately loaded definitive zygoma implant-retained prosthesis with 11-month follow-up: a clinical report

Baig MR, Rajan G

J Oral Implantol, 2010;36(1):31-5.

PMID: 20218868 DOI: 10.1563/AAID-JOI-D-09-00062

This article describes the dental implant-based rehabilitation of a partially edentulous patient with a unilateral maxillary dento-alveolar defect. A screw-retained prosthesis with a modified design was fabricated on zygomatic and regular dental implants. One section of the implant prosthesis has cemented crowns and the other section is conventional screw-retained. The design of the prosthesis overcame the hard and soft tissue deficit and provided the desired esthetics.

Matched MeSH terms: Dental Prosthesis Design

Optimum gradient material for a functionally graded dental implant using metaheuristic algorithms

Sadollah A, Bahreininejad A

J Mech Behav Biomed Mater, 2011 Oct;4(7):1384-95.

PMID: 21783149 DOI: 10.1016/j.jmbbm.2011.05.009

Despite dental implantation being a great success, one of the key issues facing it is a mismatch of mechanical properties between engineered and native biomaterials, which makes osseointegration and bone remodeling problematical. Functionally graded material (FGM) has been proposed as a potential upgrade to some conventional implant materials such as titanium for selection in prosthetic dentistry. The idea of an FGM dental implant is that the property would vary in a certain pattern to match the biomechanical characteristics required at different regions in the hosting bone. However, matching the properties does not necessarily guarantee the best osseointegration and bone remodeling. Little existing research has been reported on developing an optimal design of an FGM dental implant for promoting long-term success. Based upon remodeling results, metaheuristic algorithms such as the genetic algorithms (GAs) and simulated annealing (SA) have been adopted to develop a multi-objective optimal design for FGM implantation design. The results are compared with those in literature.

Matched MeSH terms: Dental Prosthesis Design/methods*

Fulltext Dental rehabilitation of amelogenesis imperfecta using thermoformed templates

Sockalingam S

J Indian Soc Pedod Prev Dent, 2011 Jan-Mar;29(1):53-6.

PMID: 21521920 DOI: 10.4103/0970-4388.79938

Amelogenesis imperfecta represents a group of dental developmental conditions that are genomic in origin. Hypoplastic AI, hypomineralised AI or both in combination were the most common types seen clinically. This paper describes oral rehabilitation of a 9-year-old Malay girl with inherited hypoplastic AI using transparent thermoforming templates. The defective surface areas were reconstructed to their original dimensions on stone cast models of the upper and lower arches using composite, and transparent thermoform templates were fabricated on the models. The templates were used as crown formers to reconstruct the defective teeth clinically using esthetically matching composite. The usage of the templates allowed direct light curing of the composite, accurate reproducibility of the anatomic contours of the defective teeth, reduced chair-side time and easy contouring and placement of homogenous thickness of composite in otherwise inaccessible sites of the affected teeth.

Matched MeSH terms: Dental Prosthesis Design*

Evaluation of splinting implant impression techniques: two dimensional analyses

Tarib NA, Seong TW, Chuen KM, Kun MS, Ahmad M, Kamarudin KH

Eur J Prosthodont Restor Dent, 2012 Mar;20(1):35-9.

PMID: 22474935

This paper aims to evaluate the effect of splinting during implant impression. A master model with two fixtures at the sites of 45 and 47 was used. 20 impressions were made for all four techniques: (A) indirect; (B) direct, unsplinted; (C) direct, splinted; and (D) direct, splinted, sectioned, and re-splinted. Splinting was undertaken with autopolymerizing acrylic resin (AAR). Horizontal distance between fixtures was compared using a digital caliper. The difference in distance were analysed with one-way ANOVA. Group A showed a significantly lowest accuracy among all techniques (p < or = 0.05). There was no significant difference of accuracy among the groups using direct techniques (p > or = 0.05). Group D was more accurate compared to group B and C. We conclude that splinting of impression copings would be beneficial to obtain an accurate impression.

Matched MeSH terms: Dental Prosthesis Design*

Dimensional profile of oral mucosa around combined tooth-implant-supported bridgework in macaque mandible

Siar CH, Toh CG, Ali TB, Seiz D, Ong ST

Clin Oral Implants Res, 2012 Apr;23(4):438-46.

PMID: 21435011 DOI: 10.1111/j.1600-0501.2010.02145.x

A stable oral mucosa is crucial for long-term survival and biofunctionality of implants. Most of this evidence is derived from clinical and animal studies based solely on implant-supported prosthesis. Much less is known about the dimensions and relationships of this soft tissue complex investing tooth-implant-supported bridgework (TISB). The aim here was to obtain experimental evidence on the dimensional characteristics of oral mucosa around TISB with two different abutment designs.

Matched MeSH terms: Dental Prosthesis Design

Effects of different implant-abutment connections on micromotion and stress distribution: prediction of microgap formation

Saidin S, Abdul Kadir MR, Sulaiman E, Abu Kasim NH

J Dent, 2012 Jun;40(6):467-74.

PMID: 22366313 DOI: 10.1016/j.jdent.2012.02.009

The aim of this study was to analyse micromotion and stress distribution at the connections of implants and four types of abutments: internal hexagonal, internal octagonal, internal conical and trilobe.

Matched MeSH terms: Dental Prosthesis Design*

Finite element analysis of different surgical approaches in various occlusal loading locations for zygomatic implant placement for the treatment of atrophic maxillae

Ishak MI, Abdul Kadir MR, Sulaiman E, Abu Kasim NH

Int J Oral Maxillofac Surg, 2012 Sep;41(9):1077-89.

PMID: 22575179 DOI: 10.1016/j.ijom.2012.04.010

The aim of this study was to compare two different types of surgical approaches, intrasinus and extramaxillary, for the placement of zygomatic implants to treat atrophic maxillae. A computational finite element simulation was used to analyze the strength of implant anchorage for both approaches in various occlusal loading locations. Three-dimensional models of the craniofacial structures surrounding a region of interest, soft tissue and framework were developed using computed tomography image datasets. The implants were modelled using computer-aided design software. The bone was assumed to be linear isotropic with a stiffness of 13.4 GPa, and the implants were assumed to be made of titanium with a stiffness of 110 GPa. Masseter forces of 300 N were applied at the zygomatic arch, and occlusal loads of 150 N were applied vertically onto the framework surface at different locations. The intrasinus approach demonstrated more satisfactory results and could be a viable treatment option. The extramaxillary approach could also be recommended as a reasonable treatment option, provided some improvements are made to address the cantilever effects seen with that approach.

Matched MeSH terms: Dental Prosthesis Design/methods*

Dental implants from functionally graded materials

Mehrali M, Shirazi FS, Mehrali M, Metselaar HS, Kadri NA, Osman NA

J Biomed Mater Res A, 2013 Oct;101(10):3046-57.

PMID: 23754641 DOI: 10.1002/jbm.a.34588

Functionally graded material (FGM) is a heterogeneous composite material including a number of constituents that exhibit a compositional gradient from one surface of the material to the other subsequently, resulting in a material with continuously varying properties in the thickness direction. FGMs are gaining attention for biomedical applications, especially for implants, owing to their reported superior composition. Dental implants can be functionally graded to create an optimized mechanical behavior and achieve the intended biocompatibility and osseointegration improvement. This review presents a comprehensive summary of biomaterials and manufacturing techniques researchers employ throughout the world. Generally, FGM and FGM porous biomaterials are more difficult to fabricate than uniform or homogenous biomaterials. Therefore, our discussion is intended to give the readers about successful and obstacles fabrication of FGM and porous FGM in dental implants that will bring state-of-the-art technology to the bedside and develop quality of life and present standards of care.

Matched MeSH terms: Dental Prosthesis Design

Closed hollow bulb obturator--one-step fabrication: a clinical report

Buzayan MM, Ariffin YT, Yunus N

J Prosthodont, 2013 Oct;22(7):591-5.

PMID: 23551843 DOI: 10.1111/jopr.12036

A method is described for the fabrication of a closed hollow bulb obturator prosthesis using a hard thermoforming splint material and heat-cured acrylic resin. The technique allowed the thickness of the thermoformed bulb to be optimized for weight reduction, while the autopolymerized seal area was covered in heat-cured acrylic resin, thus eliminating potential leakage and discoloration. This technique permits the obturator prosthesis to be processed to completion from the wax trial denture without additional laboratory investing, flasking, and processing.

Matched MeSH terms: Dental Prosthesis Design*

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