In vitro shear bond strength of 2 resin cements to zirconia and lithium disilicate: An in vitro study
STATEMENT OF PROBLEM/BACKGROUND:) or glazed material will affect the shear bond strength (SBS) of different resin cements. PURPOSE/OBJECTIVE:Â ceramic, both glazed and nonglazed, and a lithium disilicate (LDS) ceramic. MATERIAL AND METHODS/METHODS:plates at the appropriate layer, and 2 cylinders were luted to each LDS plate. The specimens were stored in a moist environment for 24 hours at 37 Â°C. The SBS test was performed with a universal testing machine. Visual inspections of the debonded surfaces were compared under magnification. The data were analyzed with a 2-way ANOVAÂ and a subsequent Student t test (Î±=0.05). RESULTS:. CONCLUSIONS:Â cubic and tetragonal layers, the DPRC had higher bond strengths to the nonglazed surfaces.
Management of Amelogenesis Imperfecta in Adolescent Patients: Clinical Report
The oral rehabilitation of adolescent patients with amelogenesis imperfecta (AI) is complex due to the presence of mixed dentition with altered eruption sequence. In this manuscript, the interdisciplinary treatment approach for adolescent patients with AI is discussed. The types and timing of treatments at various stages of growth are described through a literature review on this topic. AI is an inherited condition that disturbs the development of the enamel structure. Because of the presence of mixed dentition, definitive treatment options often have to be delayed until eruption of permanent dentition is complete, requiring careful treatment coordination and proper sequencing between different dental disciplines starting at a young age. Adolescent patients require prosthodontic treatment design that can be adapted to the changes in arch shapes, sizes, interarch relationship, and esthetic needs. AI patients are often challenged with both excessive and limited restorative spaces within the same arch due to the abnormal growth patterns, enamel structure, tooth size, and tooth shape. Therefore, careful determination of the required restorative space is critical to ensure optimal prognosis. This clinical report discusses treatment recommendations, timing of various treatment modalities, and involvement of appropriate interdisciplinary teams for managing adolescent patients. This article is protected by copyright. All rights reserved.
Defining centric relation
STATEMENT OF PROBLEM/BACKGROUND:Multiple definitions of centric relation (CR) have evolved over time that may have created confusion or impeded understanding. A recent attempt to achieve a singular definition by surveying the members of the Academy of Prosthodontics (AP) did not achieve majority consensus. PURPOSE/OBJECTIVE:The purpose of this study was to identify those aspects or attributes within the existing definitions of CR in which there was agreement or disagreement among the members of the AP. MATERIAL AND METHODS/METHODS:After pretesting and institutional review board approval, a second survey of the AP membership was performed using both email and postal mail survey methods of contact. The CR Attributes Survey separated and stratified the previous definitions of CR into 5 domains: spatial relationship, condylar position, articular disks, mandibular movement, and recording. Each domain attribute was evaluated by agree-uncertain-disagree assessments. Also recorded were demographics, perception of scientific evidence, and open comments. RESULTS:Of the total 146 fellows, 100 completed the survey for an overall response rate of 68.5%. The query completion rate ranged from 96% to 98%. The CR Attributes Survey revealed those components within each domain in which there was strong agreement, disagreement, or uncertainty. The survey assessment of those queries with a moderate to strong agreement were that CR is a "spatial relationship" that is (1) a clinically determined relationship of the mandible to the maxilla, (2) a repeatable position, (3) is independent of tooth contact, and (4) is a physiologic position. Relative to "disks," the condyles articulate with the thinnest avascular intermediate zone of their respective disks; however, there is a lack of sufficient evidence to determine the position of the disks and the condyles. Relative to "mandibular movement," CR is (1) a starting point for vertical, lateral, or protrusive movements, (2) is where the individual can make to and from lateral movements, and (3) is restricted to pure rotary movement about a transverse horizontal axis. Relative to "recording CR" (1) it can be determined in patients without pain or derangement of the temporomandibular joints (TMJs), (2) but may not be recordable in the presence of dysfunction of the masticatory system, or (3) due to the neuromuscular influence or proprioception from the dentition, (4) is a clinical useful repeatable reference position for mounting casts, or (5) for developing a functional treatment occlusion, (6) at an established vertical dimension, and (7) may vary slightly by recording method. CONCLUSIONS:The CR Attributes Survey revealed a majority agreement or consensus for various CR attributes that should be considered for defining the term 'centric relation.' In contrast, those CR attributes with a plurality agreement, disagreement, or uncertainty outcomes should be considered for exclusion. The evaluated weakness of these latter attributes indicates the need for further research and reassessment.
A survey to determine agreement regarding the definition of centric relation
STATEMENT OF PROBLEM: The definition of centric relation (CR) has been both controversial and divisive, with little consensus. PURPOSE: The purpose of this study was to determine whether agreement can be reached on a definition for CR among the Fellows of the Academy of Prosthodontics, the organization that writes the Glossary of Prosthodontic Terms. MATERIAL AND METHODS: A survey of the Fellows of the Academy of Prosthodontics was conducted at the organization's annual business meeting. RESULTS: Of the 83 eligible Fellows in attendance, 72 responded to the survey, a response rate of 86%. Of those, the 5 responders who did not indicate a preferred definition and the 2 that chose 2 definitions were censored, yielding an analyzable sample of 65 for the definitions. The most common definition received 19 votes, the next 16, and the third 13, with the other 6 definitions receiving from 2 to 5 votes. Some of the variability in definition depended on the era of training. CONCLUSIONS: Disagreement and confusion continues regarding the definition of centric relation. Some of this disagreement can be explained by training era.
Mandibular fibular graft reconstruction with CAD/CAM technology: A clinical report and literature review
This clinical report describes the treatment of a partially dentate patient who presented with dental implants placed in a reconstructed fibula graft in the mandible. A complete mouth rehabilitation with a maxillary complete denture and a mandibular implant-supported fixed complete denture was fabricated with computer-aided design and computer-aided machining technology.
Restoration Of The Compromised Occlusion: Case Reports Using A Two Phased Approach
[New York NY : NYU College of Dentistry. NYU Academy of Distinguished Educators], 2015
leInterventions for missing teeth: Removable prostheses for the edentulous mandible [Review]
A comparison of recent CAD/CAM systems : their use, their limitations, and their differences
[New York NY : NYU College of Dentistry. NYU Academy of Distinguished Educators], 2013
Ultrasound imagery for dental implant diagnosis and treatment planning in a porcine model
STATEMENT OF PROBLEM: Currently, there is no commercially available method to provide non-invasive, non-ionizing, real-time imaging of the gingival form and bony architecture of implant sites, before, during, and after implant placement. PURPOSE: The purpose of this study was to demonstrate the feasibility of 2-dimensional (2-D) ultrasound imaging of soft and hard tissues for implant diagnosis and treatment planning. MATERIAL AND METHODS: A sector scanning ultrasound system was applied. Five representative clinical features (implant in an edentulous ridge, single implant tooth replacement, implant dehiscence, tooth dehiscence, and mental foramina) were created or identified in each of the 5 porcine jaws, which were then covered with soft tissue and imaged in an acoustic water tank. RESULTS: All of the 5 model features, in all 5 jaws, were clearly visible with the ultrasound. Most objects were visible over a large range of positions and angles. Each of the features, as well as the soft tissue and bone surfaces, were recognized by specific acoustic signatures, with the same signature recurring for each object type among all 5 of the jaw specimens. All implants were highly reflective and clearly visualized. CONCLUSIONS: A 2-D sector scanning ultrasound system was demonstrated to be capable of imaging representative features for implant treatment planning in a porcine model; these included implants placed in edentulous ridges; implants placed for single tooth replacement; implants with simulated dehiscences; teeth with simulated dehiscences; and mental foramina. Specific acoustic signatures for these features were defined. Qualitative differences between ultrasound and other dental imaging techniques were described.
Management of edentulous and partially endentulous patients in clinical dental education : standards, methods, and outcomes [Meeting Abstract]