Restored Teeth (restored + tooth)

Distribution by Scientific Domains


Selected Abstracts


Evaluation of tooth-fragment reattachment: a clinical and laboratory study

DENTAL TRAUMATOLOGY, Issue 4 2010
Yucel Yilmaz
Materials and Methods:, The clinical study was conducted on 43 fractured incisors: 22 uncomplicated crown fractures (Group A) and 21 complicated crown fractures (Group B). The 43 incisal fragments: 23 were kept dry for 47 h and 20 were kept wet for 24 h by the patients before they were reattached. The fragments were kept in 0.9% saline solution for 30 min before reattachment. The fragments in Group A were reattached using a dentin bonding agent, a flowable and a hybrid resin composite, whereas the fragments in Group B were reattached to the tooth remnant after a pulpotomy was performed. The laboratory study was conducted on 56 extracted incisors. Teeth were divided equally into four groups: Group I , Uncomplicated crown fracture + wet medium; Group II , Uncomplicated crown fracture + dry medium; Group III , Complicated crown fracture + wet medium, and Group IV , Complicated crown fracture + dry medium. The fragments were then reattached in a manner that was similar to that used in the clinical study. The restored teeth were then re-fractured. All data were analyzed statistically. Results: In the clinical study, the restored teeth were followed up for 2 years. Neither the type of trauma nor the storage medium had any significant effect on the survival, color, and bond strength of the restored teeth when assessed in the clinical and laboratory study. The color disharmony that was encountered initially in restored teeth resolved significantly on its own accord within 12 months after reattachment of the fragment. Conclusion: Fragment reattachment can be used to treat fractured teeth successfully in children and adolescents. [source]


Evaluation of success in the reattachment of coronal fractures

DENTAL TRAUMATOLOGY, Issue 2 2008
Yucel Yilmaz
This study was conducted on 11 children (six girls and five boys; age range: 8,13 years). Before the treatment, the teeth were evaluated clinically and radiographically. The broken incisal part was directly reattached to the remaining tooth part with flowable resin composite. Thereafter, with the purpose of obtaining optimal esthetics and function, along the fracture line an external ,double chamfer' in the shape of a V was created and then covered with resin composite. During the follow-up (1,24 months) after the treatment, the teeth were evaluated clinically and/or radiographically with regard to periodontal, pulpal, coronal, color harmony of the fragments, and occlusion. In addition, the restored teeth were assessed in terms of parental,patient ratings of satisfaction. Both clinically and radiographically, no pathology was reported and all the restorations were successful. Moreover, the mean scores of parental,patient satisfaction were reported as ,satisfied, very-satisfied.' [source]


Micromorphology of resin,dentin interfaces using one-bottle etch&rinse and self-etching adhesive systems on laser-treated dentin surfaces: A confocal laser scanning microscope analysis

LASERS IN SURGERY AND MEDICINE, Issue 7 2010
Marcelo Tavares de Oliveira DDS
Abstract Background and Objectives This study evaluated the hybrid layer (HL) morphology created by three adhesive systems (AS) on dentin surfaces treated with Er:YAG laser using two irradiation parameters. Study Design Occlusal flat dentin surfaces of 36 human third molars were assigned into nine groups (n,=,4) according to the following ASs: one bottle etch&rinse Single Bond Plus (3M ESPE), two-step Clearfil Protect Bond (Kuraray), and all-in-one S3 Bond (Kuraray) self-etching, which were labeled with rhodamine B or fluorescein isothiocyanate,dextran and were applied to dentin surfaces that were irradiated with Er:YAG laser at either 120 (38.7,J/cm2) or 200,mJ/pulse (64.5,J/cm2), or were applied to untreated dentin surfaces (control group). The ASs were light-activated following MI and the bonded surfaces were restored with resin composite Z250 (3M ESPE). After 24,hours of storage in vegetable oil, the restored teeth were vertically, serially sectioned into 1-mm thick slabs, which had the adhesive interfaces analyzed with confocal laser microscope (CLSM,LSM 510 Meta). CLSM images were recorded in the fluorescent mode from three different regions along each bonded interface. Results Non-uniform HL was created on laser-irradiated dentin surfaces regardless of laser irradiation protocol for all AS, while regular and uniform HL was observed in the control groups. "Stretch mark"-like red lines were found within the HL as a result of resin infiltration into dentin microfissures, which were predominantly observed in 200,mJ/pulse groups regardless of AS. Poor resin infiltration into peritubular dentin was observed in most regions of adhesive interfaces created by all ASs on laser-irradiated dentin, resulting in thin resin tags with neither funnel-shaped morphology nor lateral resin projections. Conclusion Laser irradiation of dentin surfaces at 120 or 200,mJ/pulse resulted in morphological changes in HL and resin tags for all ASs evaluated in the study. Lasers Surg. Med. 42:662,670, 2010. © 2010 Wiley-Liss, Inc. [source]


Determination of the dynamics of restored teeth by 3D electronic speckle pattern interferometry,

LASERS IN SURGERY AND MEDICINE, Issue 4 2004
H. Lang
Abstract Background and Objectives The difficulties typically encountered in studying the effects of restorations on tooth reinforcement are often due to the 3-dimensional (3D) nature of deformation. Therefore, electronic 3D-Speckle-Interferometry (3D-ESPI) was used to assess the impact of different restorative materials on the deformation of teeth. Study Design/Materials and Methods Small and large MOD-preparations in extracted premolars were restored with gold inlays, ceramic inlays, composite resin inlays, amalgam, or composite resin. The restorations and cusps were loaded (90 N) and the deformation was assessed by 3D-ESPI. Results Teeth with small restorations were deformed only slightly and the differences between the materials were minimal (P>0.05). In contrast, teeth with large restorations displayed material-specific deformation patterns: (a) all materials led to decreased deformation as compared with unfilled teeth, (b) elastic materials caused only local deformation, (c) non-adhesive materials resulted in translation of the restoration and marginal discrepancies, (d) adhesive inlays brought about increased deformation of the luting resin composite, (e) loading of the cusps caused higher deformation than loading of the restorations, and (f) bonded restorations stabilized the cusps. Conclusions The results show that the deformation pattern of restored teeth is material-specific but the extent of deformation is primarily limited by the remaining tooth substance. Lasers Surg. Med. 34:300,309, 2004. © 2004 Wiley-Liss, Inc. [source]


Stress distribution associated with loaded acrylic,metal,cement crowns by using finite element method

JOURNAL OF ORAL REHABILITATION, Issue 11 2002
M. Toparli
SUMMARY, The axisymmetrical finite element method (FEM) was used to compare stress distribution in a maxillary second premolar restored tooth. The three models were evaluated by crowning the tooth with Au,Pd alloy, Ni,Cr alloy and Ti alloy with acrylic. A longitudinal static force, 200 N in magnitude at an angle of 45° was applied on the occlusal margin of each model. The tooth was assumed isotropic, homogenous and elastic. This numerical study was carried out using axisymmetric finite element models and calculation programmes were prepared by the authors using FORTRAN 77. Comparison of stress distributions was made in four regions of apex, cole, dentin,metal interface and metal,acrylic interface. The highest stress values were obtained when NiCr alloy with acrylic was used. [source]


Four-Year Cost-Utility Analyses of Sealed and Nonsealed First Permanent Molars in Iowa Medicaid-Enrolled Children

JOURNAL OF PUBLIC HEALTH DENTISTRY, Issue 4 2007
Patita Bhuridej DDS
Abstract Objectives: Dental sealants, by their ability to prevent caries and maintain teeth in better health, have some inherent utility to individuals, programs, or society. This study assessed the 4-year incremental cost utility of sealing first permanent molars of 6-year-old Iowa Medicaid enrollees from a societal perspective and identified the group of teeth or children in whom sealants are most cost effective. Methods: Dental services for first permanent molars were assessed using claims and encounter data for a group of continuously enrolled Medicaid enrollees who turned 6 between 1996 and 1999. Previously published utilities were used to weight the different health states. The weighted sum of outcomes [Quality-Adjusted Tooth-Years (QATYs)] was the measure of effectiveness. Costs and QATYs were discounted to the time of the child's sixth birthday. Results: For all first molars, the cost of treatment associated with sealed teeth was higher but the utility was also slightly higher over the 4-year period. The relative incremental cost per 0.19 QATY ratio [changing the health state from a restored tooth (utility=0.81) to a nonrestored tooth (utility =1)] by sealing the molar ranged from $36.7 to $83.5 per 0.19 QATY. The incremental cost/QATY ratio was lower for sealing lower utilizers and for mandibular versus maxillary molars. Conclusions: Sealants improved overall utility of first permanent molars after 4 years. The 4-year cost/QATY ratio of sealing the first permanent molar varied by arch and type of utilizers. Sealing first permanent molars in lower dental utilizers is the most cost-effective approach for prioritizing limited resources. [source]