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vitality test after indirect restoration

U Koc Vural, A Kiremitci, S Gokalp
OBJECTIVE: This clinical study aimed to assess the efficacies of mineral trioxide aggregate (MTA) and calcium hydroxide [Ca(OH)2] in the treatment of deep carious lesions by the direct complete caries removal technique. METHODS AND MATERIALS: A total of 100 permanent molar/premolar teeth were capped with either Ca(OH)2 (n=49) or MTA (n=51) and restored with composite resin in 73 patients. Periapical radiographs were acquired prior to the treatment as well as at six, 12, and 24 months posttreatment...
September 2017: Operative Dentistry
F S Schwindling, T Hartmann, D Panagidis, J Krisam, S Rues, M Schmitter
To evaluate the in vitro fracture load of extensively damaged vital teeth after either direct or indirect restauration, severe tooth substance loss was simulated for 96 molars. Subsequently, two cavities were prepared with little (design 1) or more substantial (design 2) residual tooth support. All molars were provided with a 2-mm ferrule design and then divided into 12 test groups based on their occlusal surface size. They were restored with composite or with either of two types of single crown (cast metal or milled zirconia)...
December 2014: Journal of Oral Rehabilitation
Francesca Vailati, Linda Gruetter, Urs Christoph Belser
UNLABELLED: In case of severe dental erosion, the maxillary anterior teeth are often particularly affected. Restoring such teeth conventionally (ie, crowns) would frequently involve elective endodontic therapy and major additional loss of tooth structure. A novel, minimally invasive approach to restore eroded teeth has been developed and is currently being tested in the form of a prospective clinical trial, termed The Geneva Erosion Study. To avoid crowns, two separate veneers with different paths of insertion have been used to restore the affected anterior maxillary teeth, regardless of clinical crown length and amount of remaining enamel...
2013: European Journal of Esthetic Dentistry: Official Journal of the European Academy of Esthetic Dentistry
Hassan Torabzadeh, Saeed Asgary
Dental pulp has the ability of repair/regeneration. Indirect pulp therapy (IPT) is recommended for pulp preservation in asymptomatic teeth with extremely deep caries as well as teeth with clinical symptoms of reversible pulpitis. In this case study, we performed IPT with calcium enriched mixture (CEM) cement on a symptomatic permanent molar. After clinical/radiographic examinations the tooth was diagnosed with irreversible pulpitis and associated apical periodontitis. IPT involved partial caries removal, the placement of CEM cement pulp cap and overlying adhesive permanent restoration...
January 2013: Journal of Conservative Dentistry: JCD
L A Jongsma, C J Kleverlaan, A J Feilzer
OBJECTIVES: The aim of this study was to test the new resin composite "NECO" as a material for indirect restorations clinically. METHODS: Forty-five patients were selected, of which 12 men and 33 women, with a mean age of 53. A total of 91 post-canine indirect resin composite NECO (Heraeus Kulzer, GmbH) restorations were placed, of which 86 full crowns and 5 onlays. Restorations were cemented with either resin cement (2bond2) or resin modified glass ionomer cement (Fuji Plus)...
September 2012: Dental Materials: Official Publication of the Academy of Dental Materials
Brita Willershausen, Ines Willershausen, Vicky Ehlers, Adriano Azaripour, Benjamin Briseño
INTRODUCTION: The aim of this clinical trial was to compare the degree of short term post-operative irritation after application of a triamcinolone/demeclocycyline based or a calcium hydroxide based provisional cement. METHODS: A total of 109 patients (55 female and 54 male; mean age: 51 ± 14 years) with primary or secondary dentinal caries were randomly assigned to the two treatment groups of this biomedical clinical trial (phase III). Selection criteria were good systemic health and treated teeth, which were vital and showed no symptoms of pulpitis...
2012: Head & Face Medicine
Filiz Aykent, Isa Yondem, Atilla G Ozyesil, Solen K Gunal, Mustafa C Avunduk, Semiha Ozkan
STATEMENT OF PROBLEM: The formation of biofilm and bacterial accumulation on dental materials may lead to the development of gingival inflammation and secondary caries. PURPOSE: The purpose of this study was to examine the effect of different surface finishing and polishing methods on surface roughness and the adhesion of S. mutans bacteria to 2 new-generation indirect composite resins, 1 direct composite resin, and 1 ceramic material. MATERIAL AND METHODS: Forty specimens (10 x 10 x 2 mm) of each material, indirect composite resins (SR Adoro, Estenia), direct composite resin (Tetric), and a ceramic material (VITABLOCS Mark II), were fabricated...
April 2010: Journal of Prosthetic Dentistry
Ticiane Cestari Fagundes, Terezinha Jesus Esteves Barata, Anuradha Prakki, Eduardo Bresciani, José Carlos Pereira
This case report describes the Indirect Pulp Treatment (IPT) of deep caries lesion in a permanent molar. A 16-year-old male patient reported discomfort associated with thermal stimulation on the permanent mandibular left first molar. The radiographs revealed a deep distal caries lesion, very close to the pulp, absence of radiolucencies in the periapical region, and absence of periodontal space thickening. Pulp sensitivity was confirmed by thermal pulp vitality tests. Based on the main complaint and the clinical and radiographic examinations, the treatment plan was established to preserve pulp vitality...
January 2009: Journal of Applied Oral Science: Revista FOB
Simone Deliperi, David N Bardwell
BACKGROUND: Composite resins have esthetic properties; they join the ability to preserve and reinforce sound tooth structure. Conservation is becoming popular for both small to medium defects and more compromised teeth. PURPOSE: This study aimed to evaluate the clinical performance of Class II cuspal coverage direct composite restorations. MATERIALS AND METHODS: Twenty patients, 18 years or older, were included in this clinical trial restoring 25 vital molar teeth with one or two missing cusps...
2006: Journal of Esthetic and Restorative Dentistry
F R Tay, R Frankenberger, I Krejci, S Bouillaguet, D H Pashley, R M Carvalho, C N S Lai
OBJECTIVES: This study tested the hypothesis that single-bottle total-etch adhesives are effective in reducing dentine permeability under in vivo conditions. METHODS: Crown preparations on vital human teeth were performed under local analgesia as part of the treatment plan for prosthetic rehabilitation. Four single-bottle adhesives (Single Bond, 3M ESPE; Excite DSC, Ivoclar Vivadent; Prime and Bond NT Dual-Cure, Dentsply DeTrey and One-Step, Bisco Inc.) were applied to the cut dentine after acid-etching...
November 2004: Journal of Dentistry
Snezhana Ts Tsanova
UNLABELLED: The aim of the present study was to obtain immediate and early clinical results from the use of 5% potassium nitrate (KNO3) in polycarboxylate cement for biological treatment of reversible pulpitis. MATERIAL AND METHODS: The method was applied in 140 teeth, mostly premolars and molars, with a clinical diagnosis of reversible pulpitis and indications for biological treatment of the inflamed dental pulp by means of indirect pulp capping. All teeth had clinically healthy periodontium and no non-carious lesions of the hard dental tissues...
2003: Folia Medica
Frances M Andreasen
UNLABELLED: The diagnostic shortcomings encountered in the clinical evaluation of pulpal and periodontal healing subsequent to trauma comprise a major problem in dental traumatology. An acute dental trauma may imply impact to the hard dental tissues and damage to the pulp and periodontium (including surrounding alveolar bone). In the case of luxation injuries, the trauma often results in rupture of the neurovascular supply at the level of the apical foramen, whereas in a root fracture, the same occurs at the level of the fracture...
2003: Journal of Esthetic and Restorative Dentistry
Caroline M Wong, Daniel T O'Connor, Joseph A Martinez, Mala T Kailasam, Robert J Parmer
BACKGROUND: Hypertension is a complex trait with an ill-defined genetic predisposition, in which renal mechanisms seem to be involved even at the early stages. Renal kallikrein excretion is diminished in patients with hypertension, and perhaps even in the early, prehypertensive phases of the syndrome. African Americans, a group at increased risk of developing hypertension, have especially diminished kallikrein expression, coupled with decreased renal excretion of K(+), a known stimulant of kallikrein expression, suggesting an environmental mechanism for their kallikrein deficit...
April 2003: American Journal of Hypertension
Ivo Krejci, Olivier Duc, Didier Dietschi, Edson de Campos
This in vitro study generated data on the quality of marginal adaptation, fracture resistance and retention of several indirect adhesive composite configurations on root-treated premolars before and after a long-term fatigue test and compared these results to a control group of adhesive onlays on "vital" teeth. Six root-treated extracted human premolars per group, with four different restorative configurations with and without adhesive fiber posts, were evaluated. Another group of six premolars, "revitalized" by using diluted horse serum to simulate pulpal fluid and restored with adhesive composite onlays, served as the control...
March 2003: Operative Dentistry
B Hammer, P Hotz
On 103 randomly chosen patients composite-, amalgam-, and cast gold fillings were checked and examined after various criteria. Also, the gingival changes were noted and vitality tests made. As was to be expected, composites, particularly class 2-fillings, showed more loss of substance than amalgams. The latter, however, had a worsening marginal adaptation with increasing age. Secondary caries was generally more frequent in subgingival fillings. The quality of the material was of smaller importance than the marginal leakage...
April 1979: Schweizerische Monatsschrift Für Zahnheilkunde, Revue Mensuelle Suisse D'odonto-stomatologie
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