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Dental Restorations (dental + restoration)
Selected AbstractsProtocols for Predictable Aesthetic Dental RestorationsJOURNAL OF PROSTHODONTICS, Issue 6 2006Ai Streacker DDS [source] Reconstruction of floor of mouth defects by the facial artery musculo-mucosal flap following cancer ablationHEAD & NECK: JOURNAL FOR THE SCIENCES & SPECIALTIES OF THE HEAD AND NECK, Issue 4 2008FRCSC, Tareck Ayad MD Abstract Background. The purpose of this study is to review our experience with the use of the facial artery musculo-mucosal (FAMM) flap for floor of mouth (FOM) reconstruction following cancer ablation to assess its reliability, associated complications, and functional results. Methods. This was a retrospective analysis of 61 FAMM flaps performed for FOM reconstruction from 1997 to 2006. Results. No total flap loss was observed. Fifteen cases of partial flap necrosis occurred, with 2 of them requiring revision surgery. We encountered 8 other complications, with 4 of them requiring revision surgery for an overall rate of revision surgery of 10% (6/61). The majority of patients resumed to a regular diet (85%), and speech was considered as functional and/or understandable by the surgeon in 93% of the patients. Dental restoration was successful for 83% (24/29) of the patients. Conclusion. The FAMM flap is well suited for FOM reconstruction because it is reliable, has few significant complications, and allows preservation of oral function. © 2007 Wiley Periodicals, Inc. Head Neck, 2008 [source] Using quality report cards for reshaping dentist practice patterns: a pre-play communication approachJOURNAL OF EVALUATION IN CLINICAL PRACTICE, Issue 3 2008Chinho Lin PhD Abstract Rationale, aims and objectives, Understanding how information disclosure influences dentists' patterns of practice change is important in developing quality-improvement policies and cost containment. Thus, using quality report cards is a promising strategy for investigating whether dentists will reshape their patterns of practice because of the influence of peer comparison. Methods, Based on the coordination game, a data warehouse decision support system (DWDSS) was used as a pre-play communication instrument, along with the disclosure of quality report cards, which allow dentists to search their own service rates of dental restoration and restoration replacement as well as compare those results with others. Results and conclusions, The group using the DWDSS had a greater decrease in two indicators (i.e. service rates of dental restoration and restoration replacement) than the dentists who did not use it, which implies that the DWDSS is a useful facility for helping dentists filter and evaluate information for establishing the maximum utility in their practice management. The disclosure of information makes significant contributions to solving managerial problems associated with dentists' deviation of practice patterns. [source] Dental gold alloys and contact hypersensitivityCONTACT DERMATITIS, Issue 3 2000Jan S. Vamnes A total of 172 patients referred to the Norwegian National Adverse Reaction Group were patch-tested with a dental series. Of these, 25% showed a positive reaction to gold sodium thiosulfate or potassium dicyanoaurate. There was a statistically significant correlation (p=0.0019) between the presence of dental gold and a positive patch test to gold. There was a statistically significant correlation between ear piercing and a positive patch test to gold (p=0.04). In most cases, we did not find clinical correlates to positive patch tests to gold. 2 patients with objective and subjective oral/perioral and general symptoms are described as case reports. Their symptoms disappeared when gold restorations were removed. We conclude that there is an overrepresentation of gold allergies among those with dental restorations containing gold. [source] Modeling of water absorption induced cracks in resin-based composite supported ceramic layer structuresJOURNAL OF BIOMEDICAL MATERIALS RESEARCH, Issue 1 2008Min Huang Abstract Cracking patterns in the top ceramic layers of the modeled dental multilayers with polymer foundation are observed when they are immersed in water. This article developed a model to understand this cracking mechanism. When water diffuses into the polymer foundation of dental restorations, the foundation will expand; as a result, the stress will build up in the top ceramic layer because of the bending and stretching. A finite element model based on this mechanism is built to predict the stress build-up and the slow crack growth in the top ceramic layers during the water absorption. Our simulations show that the stress build-up by this mechanism is high enough to cause the cracking in the top ceramic layers and the cracking patterns predicted by our model are well consistent with those observed in experiments on glass/epoxy/polymer multilayers. The model is then used to discuss the life prediction of different dental ceramics. © 2007 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater 2008 [source] Evaluation of polymerization of light-curing hybrid composite resinsJOURNAL OF BIOMEDICAL MATERIALS RESEARCH, Issue 1 2006Yong Hoon Kwon Abstract The quality of polymerization of hybrid composite resins was tested to explore their feasibility for dental restorations. For this, microhardness, polymerization shrinkage, the coefficient of thermal expansion, and surface morphology were evaluated during or after light curing in conjunction with the thermocycling process. Each product had different microhardness values. The repeated thermal stimulus has no specific effect on the change of microhardness. The difference of microhardness between the thermocycled specimens and specimens stored only in distilled water was minor. The measured microhardness had a linear correlation with the filler content (vol %) of the tested specimens. The polymerization shrinkage had rapidly increased only during the light curing, and then it reached a plateau. Among the specimens, Z250 showed the least amount of shrinkage for all tested thicknesses. Regardless of the product, the shrinkage values increased as the specimens became thick. The coefficient of thermal expansion of the control specimens ranged between 42 and 55 ,m/°C in the temperature range of 30,80°C. The coefficient showed an inverse correlation with the filler content. Through the thermocycling process, Palfique Estelite showed randomly propagating cracks on the surface. Larger fillers showed a more apparent detachment than the smaller fillers. © 2005 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater, 2006 [source] Association between alcohol consumption and dental healthJOURNAL OF CLINICAL PERIODONTOLOGY, Issue 5 2008Leif Jansson Abstract Objectives: To study the association of alcohol consumption with dental health in a sample from the County of Stockholm. Material and Methods: In a longitudinal investigation, 513 individuals were examined in 1970 and 1990. Clinical and radiographic examinations were performed as well as an interview including questions on alcohol consumption. The clinical investigation consisted of the registration of the number of remaining teeth, dental restorations, caries and periodontal conditions. The marginal bone level and longitudinal bone loss were determined by assessments on the proximal surfaces of all measurable teeth on the radiographs. Stepwise multiple regression analyses were adopted to calculate the partial correlations between alcohol consumption and the investigated odontological variables. Results: The group of subjects with the highest alcohol consumption (>5 cl pure alcohol per day) had more tooth surfaces with caries, more calculus and more teeth with apical lesions compared with those who reported an alcohol consumption 5 cl of pure alcohol per day. Alcohol consumption was not associated with periodontal disease. Conclusion: The observations do not support any association between alcohol consumption and periodontal disease. However, individuals with high alcohol consumption had significantly more teeth with decayed surfaces and apical lesions indicating that lifestyle-related factors may influence dental health. [source] Assessment of bruxism in the clinic,JOURNAL OF ORAL REHABILITATION, Issue 7 2008K. KOYANO Summary, Bruxism is a much-discussed clinical issue in dentistry. Although bruxism is not a life-threatening disorder, it can influence the quality of human life, especially through dental problems, such as tooth wear, frequent fractures of dental restorations and pain in the oro-facial region. Therefore, various clinical methods have been devised to assess bruxism over the last 70 years. This paper reviews the assessment of bruxism, provides information on various assessment methods which are available in clinical situations and discusses their effectiveness and usefulness. Currently, there is no definitive method for assessing bruxism clinically that has reasonable diagnostic and technical validity, affects therapeutic decisions and is cost effective. One future direction is to refine questionnaire items and clinical examination because they are the easiest to apply in everyday practice. Another possible direction is to establish a method that can measure actual bruxism activity directly using a device that can be applied to patients routinely. More clinical studies should examine the clinical impact of bruxism on oral structures, treatment success and the factors influencing the decision-making process in dental treatment. [source] The lateral leeway in the habitual intercuspation: experimental studies and literature reviewJOURNAL OF ORAL REHABILITATION, Issue 6 2007K.-H. UTZ summary, The habitual intercuspation is used ubiquitous for manufacturing small dental restorations. However, a little is known on its precision. The aim of the present study was therefore to investigate the unambiguity and accuracy of the habitual occlusion in mounted plaster casts from fully dentate persons. Eighty-one fully dentate volunteers, 36 women and 45 men aged 26·8 ± 6·2 years (18,55 years), with minor fillings and no signs or symptoms of TMD took part in the experiments. Silicone impressions were taken, poured with stone plaster and the obtained casts mounted into Dentatus ARL®, articulators using an individual face bow transfer. Subsequently, the models were transferred to a custom-made measuring articulator where the lateral leeway and the accuracy of the hand-held habitual intercuspation were quantified in the condylar area. Measurements were repeated seven times with the upper cast pushed either to the maximum right or the maximum left intercuspation. The hand-held habitual intercuspation of upper and lower cast proved ambiguous in 57% of pairs of casts. The average lateral leeway of the habitual intercuspation in the condylar area was 0·10 ± 0·05 mm (0,0·51 mm; median 0·07 mm) between the maximum right and left occlusal positions. The average accuracy of three repeated measurements was 0·22 ± 0·09 mm (0·02,1·17 mm; median 0·16 mm). Natural occlusal surfaces in a full dentition do not guarantee an unambiguous habitual intercuspation of the plaster casts. The described leeway and technical limits might be possible causes for occlusal adjustments that are sometimes necessary when inserting restorations manufactured in habitual intercuspation. [source] Pulmonary aspiration of a two-unit bridge during a deep sleepJOURNAL OF ORAL REHABILITATION, Issue 6 2005Ö. K. BA summary, Aspiration of teeth and dental restorations is a recognized, yet an infrequent happening in the literature. Main reasons of aspiration are maxillofacial trauma, dental treatment procedures or ethanol intoxication and dementia. The present case of a 2-unit bridge aspiration is however, not related with any trauma, dental procedure or systemic disease. A 37-year-old male patient had aspirated his bridge while sleeping and the bridge remained unidentified for 1 year despite the radiographic controls. He was then referred to the Chest Diseases Department of School of Medicine, Ege University and the radio-opaque object in the right intermediate bronchus was diagnosed to be an aspirated dental prosthesis. Subsequent to the failure of the rigid bronchoscopy, the patient was referred to the Thoracic Surgery Department and had to be operated for retrieval of the foreign body. [source] The effect of pH on the corrosion of dental metal alloysJOURNAL OF ORAL REHABILITATION, Issue 7 2000G. Bayramo The aim of this study was to determine the effects of the oral environment's pH on the corrosion of dental metals and alloys that have different compositions, using electrochemical methods. The corrosion rates and the cathodic Tafel slopes were obtained from the current,potential curves. The effect of pH on the corrosion of dental metals and alloys was dependent on their composition. Dissolution of the ions occurred in all of the tested pH states. The dissolution was moderately low for samples containing titanium because its surface was covered with a protective layer, whereas the dissolution was maximal for the samples containing tin and copper. Addition of cobalt and molybdenum to the alloys improved their corrosion resistance; these cobalt and molybdenum alloys were not effected by changes in the pH. Dissolution of the precious metal alloys increased as the percentage of noble metals increased. The corrosion characteristics of dental metals and alloys are important because the corrosion tendencies of dental alloys in the mouth may cause health hazards, weakening and the aesthetic loss of dental restorations. [source] Clinical Success of Zirconia in Dental ApplicationsJOURNAL OF PROSTHODONTICS, Issue 1 2010Zeynep Özkurt DDS Abstract The application of ceramic materials for the fabrication of dental restorations is a focus of interest in esthetic dentistry. The ceramic materials of choice are glass ceramics, spinel, alumina, and zirconia. Zirconia was introduced into dentistry in the 1990s because of its good mechanical and chemical properties and is currently being used as a material for frameworks, dowels, implants, abutments, and orthodontic brackets. Many in vitro studies about zirconia use have been published, but clinical long-term studies are very important. This article presents data regarding the incidence of clinical success and complications of zirconia in these dental applications. Clinical studies published to date seem to indicate that zirconia is well tolerated and sufficiently resistant. [source] Intranasal flumazenil and naloxone to reverse over-sedation in a child undergoing dental restorationsPEDIATRIC ANESTHESIA, Issue 8 2009CHRISTOPHER HEARD MD Summary We describe a 3-year-old child who became over-sedated after receiving intranasal (IN) midazolam (0.53 mg·kg,1) and IN sufentanil (1 mcg·kg,1) for dental restorations in the dental office. Desaturation was attributed to laryngospasm, which was managed with positive pressure ventilation and oxygen. The sedation was reversed with a combination of IN flumazenil and naloxone. [source] Replacement versus repair of defective restorations in adults: resin compositeAUSTRALIAN DENTAL JOURNAL, Issue 3 2010MO Sharif Background:, Composite filling materials have been increasingly used for the restoration of posterior teeth in recent years as a tooth coloured alternative to amalgam. As with any filling material composites have a finite life-span. Traditionally, replacement was the ideal approach to treat defective composite restorations, however, repairing composites offers an alternative more conservative approach where restorations are partly still serviceable. Repairing the restoration has the potential of taking less time and may sometimes be performed without the use of local anaesthesia hence it may be less distressing for a patient when compared with replacement. Objectives:, To evaluate the effectiveness of replacement (with resin composite) versus repair (with resin composite) in the management of defective resin composite dental restorations in permanent molar and premolar teeth. Search strategy:, For the identification of studies relevant to this review we searched the Cochrane Oral Health Group Trials Register (to 23rd September 2009); CENTRAL (The Cochrane Library 2009, Issue 4); MEDLINE (1950 to 23rd September 2009); EMBASE (1980 to 23rd September 2009); ISI Web of Science (SCIE, SSCI) (1981 to 22nd December 2009); ISI Web of Science Conference Proceedings (1990 to 22nd December 2009); BIOSIS (1985 to 22nd December 2009); and OpenSIGLE (1980 to 2005). Researchers, experts and organizations known to be involved in this field were contacted in order to trace unpublished or ongoing studies. There were no language limitations. Selection criteria:, Trials were selected if they met the following criteria: randomized or quasi-randomized controlled trial, involving replacement and repair of resin composite restorations. Data collection and analysis:, Two review authors independently assessed titles and abstracts for each article identified by the searches in order to decide whether the article was likely to be relevant. Full papers were obtained for relevant articles and both review authors studied these. The Cochrane Collaboration statistical guidelines were to be followed for data synthesis. Main results:, The search strategy retrieved 279 potentially eligible studies, after de-duplication and examination of the titles and abstracts all but four studies were deemed irrelevant. After further analysis of the full texts of the four studies identified, none of the retrieved studies met the inclusion criteria and all were excluded from this review. Authors' conclusions:, There are no published randomised controlled clinical trials relevant to this review question. There is therefore a need for methodologically sound randomised controlled clinical trials that are reported according to the Consolidated Standards of Reporting Trials (CONSORT) statement (http://www.consort-statement.org/). Further research also needs to explore qualitatively the views of patients on repairing versus replacement and investigate themes around pain, anxiety and distress, time and costs. [source] Advanced imaging: Magnetic resonance imaging in implant dentistryCLINICAL ORAL IMPLANTS RESEARCH, Issue 1 2003A review Abstract: For accurate and safe placement of dental implants, and planning of associated surgery, a full assessment of the surgical anatomy of the site is necessary. Thus, it is highly desirable to have tomographic, sectional information available, to permit the implant to be aligned correctly. In recent years, X-ray computed tomography (CT) has become accepted as the gold standard in assessment, but the exposure to ionising radiation can be substantial. Artefacts due to dental restorations can also be significant, and some doubts may exist over the accuracy of reformatted CT. Magnetic resonance imaging (MRI) entails no exposure to ionising radiation, and allows direct acquisition of tomographic information in any desired plane. Sequential studies may be safely performed, allowing us a valuable insight into bone graft behaviour. Other than in a small number of cases, MRI may be safely used for presurgical assessments. Artefacts are few and in most cases localised. The surgical confidence from the sectional information gained is a significant step forward in the safe placement of dental implants. [source] | ||||||||||