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Restoration, endodontics, fixed prosthodontics

Sara Kay Youny Lee, Lisa D Baier, Douglas A Hock, Stephanie M Munz
PURPOSE: The purpose of this case report is to demonstrate how the basic tenants of restorative dentistry can be applied to effectively and comprehensively treat a prosthetic rehabilitation after left maxillectomy for a maxillary squamous cell carcinoma. MATERIALS AND METHODS: A 55-year-old female presenting with a T1 NOMO left maxillary squamous cell carcinoma was treated surgically and restored over a 3-year period. RESULTS: Restorative treatment involved treatment planning with mounted diagnostic casts and diagnostic wax-up to aid sequencing and execution of treatment, including the placement of surgical and interim obturators, endodontic therapy, fixed prosthodontic restorations, and placement of a definitive obturator...
February 2015: Journal of the Michigan Dental Association
Gianfranco Di Febo, Attilio Bedendo, Attilio Bebendo, Federica Romano, Francesco Cairo, Gianfranco Carnevale
PURPOSE: The aim of this long-term cohort study was to evaluate the efficacy and complications of fixed partial dentures in a convenience sample of 100 patients with periodontal disease who were treated and maintained periodontal patients after 20 years. MATERIALS AND METHODS: After active treatment, including periodontal surgery and endodontic and prosthetic treatment, patients were enrolled in a supportive periodontal care (SPC) program with 3- to 6-month recalls...
May 2015: International Journal of Prosthodontics
Zishan Rashid Dangra, Mahesh Arvind Gandhewar
One of the most distressing and dramatic causes of xerostomia is radiotherapy for the cure of maxillofacial and neck carcinomas. Patient with radiotherapy induced xerostomia presents with challenges in prosthodontic management and in unique radiation caries control. This clinical report illustrates step by step execution of complex treatment planning that lead to successful outcome in 34-year-old man, who had been treated with Radical Neck Dissection (RND) and therapeutic radiotherapy for squamous cell carcinoma of tongue and due to radiation caries, was presented with chief complaint of difficulty in mastication...
September 2014: Journal of Clinical and Diagnostic Research: JCDR
Tuan-feng Zhou, Xiang-fao Zhang, Xin-zhi Wang
OBJECTIVE: To compare the fracture resistance of endodontically-treated teeth restored with prefabricated zirconia posts or one-piece computer aided design and computer aided manufacture (CAD/CAM) zirconia posts and cores, and unrestored endodontically-treated teeth. METHODS: Recently extracted human maxillary central incisors (n = 36) were endodontically treated and divided into three groups (n = 12 each): group 1 was restored with prefabricated zirconia posts (Comospost) and hot pressed ceramic cores; group 2 restored with one-piece CAD/CAM zirconia posts and cores; group 3 not restored...
February 18, 2014: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
Ariel J Raigrodski, Alika Yu, Gerard J Chiche, J L Hochstedler, Lloyd A Mancl, Shawky E Mohamed
STATEMENT OF PROBLEM: In recent years, zirconium dioxide-based partial fixed dental prostheses (FDP) have been suggested as an alternative treatment to traditional metal ceramic FDPs. However, clinical studies evaluating their longevity and related complications are limited. PURPOSE: The purpose of this cohort clinical study was to assess the efficacy of zirconium dioxide-based posterior 3-unit FDPs. MATERIAL AND METHODS: Twenty 3-unit posterior FDPs (Lava) were placed in 16 participants missing a second premolar or a first molar...
October 2012: Journal of Prosthetic Dentistry
Parag Dua, J P Singh, Anu Aghi
Cases of severe attrition are a common finding in daily clinical practice. Attrition leads to loss of vertical dimension, chewing inefficiency and poor esthetics. These cases require complete oral rehabilitation which can be successfully achieved by a systematic approach integrating various concepts of prosthodontics. The primary aim of such complex treatment modalities is to regain the lost function, esthetics, comfort and confidence for the patient. The following case report describes the complete oral rehabilitation of a patient diagnosed of mutilated dentition and reduced vertical dimensions due to severe attrition...
September 2011: Journal of Indian Prosthodontic Society
Karin Wolleb, Irena Sailer, Andrea Thoma, Giorgio Menghini, Christoph H F Hammerle
PURPOSE: The aim of this research was to assess survival and complication rates of tooth- and implant-supported fixed dental prostheses (FDPs) and single crowns (SCs) after 5 years of function in a specific patient population group who underwent comprehensive prosthetic treatment. MATERIALS AND METHODS: This retrospective study included a convenience sample of 52 patients who met specific inclusion and exclusion criteria and were treated during two specific courses as part of the undergraduate curriculum...
May 2012: International Journal of Prosthodontics
René Tunjan, Martin Rosentritt, Guido Sterzenbach, Arndt Happe, Roland Frankenberger, Rainer Seemann, Michael Naumann
INTRODUCTION: This ex vivo pilot study tested the influence of defect extension and quartz-fiber post placement (QFP) on the ex vivo survival rate and fracture resistance of root-treated upper central incisors served as abutments for zirconia 2-unit cantilever fixed partial dentures (2U-FPDs) exposed to 10 years of simulated clinical function. METHODS: Human maxillary central incisors were endodontically treated and divided into the following 5 groups (n = 8): (1) access cavity filled with core build-up composite, (2) biproximal class III cavities filled as in group 1, (3) specimens restored as in group 2 with QFP placed, (4) specimens decoronated and core buildup as in group 1, and (5) specimens restored as in group 4 but with QFP as in group 3...
April 2012: Journal of Endodontics
João T A F da Fonseca, José A A Reis, Carlos M Z F Ribeiro
The fracture of anterior teeth in children and adolescents is a common injury. When most tooth structure is compromised and the broken fragment is not recovered, its restoration can become rather complex to both dentist and dental technician. Restoration of single anterior elements is one of the most demanding challenges in fixed prosthodontics. This article describes a clinical case of a 13-year-old patient with an extensive fractured central incisor and contra lateral incisor. Endodontic treatment was performed on both teeth, and a temporary removable appliance was made for esthetics...
June 2012: Dental Traumatology: Official Publication of International Association for Dental Traumatology
Joannis Katsoulis, Senka Geissbühler Nikitovic, Sophie Spreng, Klaus Neuhaus, Regina Mericske-Stern
OBJECTIVES: The purpose of this study was to report on the management and treatment outcomes of partially edentulous elderly patients with severe tooth wear. METHODS: Partially edentulous patients with severe tooth wear who underwent the same protocols for full prosthodontic rehabilitation were eligible for this observational study. Their clinical diagnoses were based on a complete oral examination, photos, functional and cast analysis, general health conditions and behavioural aspects, such as acidic diets and bruxism...
October 2011: Journal of Dentistry
G Bateman, C W Barclay, W P Saunders
This narrative review explores treatment planning options in restorative dentistry. The growth of dental implants, as an accessible and predictable treatment option, gives practitioners a useful tool for managing the missing tooth or teeth with a hopeless prognosis. Traditionally, endodontics and fixed prosthodontics have been used to restore teeth and spaces where the outlook for such treatment appears reasonable. Practitioners may, however, question the predictability and cost effectiveness of such an approach where, at times, it might appear that replacement of a compromised tooth with a dental implant could be a more predictable option...
February 2011: SADJ: Journal of the South African Dental Association
Giacomo Fabbri, Roberto Mancini, Valentina Marinelli, Giorgio Ban
UNLABELLED: The most common esthetic challenge associated with endodontics is the discoloration of natural tooth structure. Also in fixed prosthesis, discolorations represent an esthetic limit, particularly in the case of all-ceramic restorations. In fact, the final esthetic result can be compromised by the grey radiated through the coping and soft tissue. PURPOSE: The aim of the study was to evaluate the masking ability of Procera alumina restorations. MATERIALS AND METHODS: Clinical evaluation was investigated by using tests of discolored teeth...
2011: European Journal of Esthetic Dentistry: Official Journal of the European Academy of Esthetic Dentistry
Sahng G Kim, Charles Solomon
INTRODUCTION: One of the most challenging situations in dentistry is a failed root canal treatment case. Should a failed root canal-treated tooth be retreated nonsurgically or surgically, or should the tooth be extracted and replaced with an implant-supported restoration or fixed partial denture? These four treatment alternatives were compared from the perspective of cost-effectiveness on the basis of the current best available evidence. METHODS: The costs of the four major treatment modalities were calculated using the national fee averages from the 2009 American Dental Association survey of dental fees...
March 2011: Journal of Endodontics
Geoff Bateman, Craig W Barclay, William P Saunders
UNLABELLED: This narrative review explores treatment planning options in restorative dentistry. The growth of dental implants, as an accessible and predictable treatment option, gives practitioners a useful tool for managing the missing tooth or teeth with a hopeless prognosis. Traditionally, endodontics and fixed prosthodontics have been used to restore teeth and spaces where the outlook for such treatment appears reasonable. Practitioners may, however, question the predictability and cost effectiveness of such an approach where, at times, it might appear that replacement of a compromised tooth with a dental implant could be a more predictable option...
November 2010: Dental Update
Nicola U Zitzmann, Gabriel Krastl, Hanjo Hecker, Clemens Walter, Tuomas Waltimo, Roland Weiger
Prosthodontists face the difficult task of judging the influence and significance of multiple risk factors of periodontal, endodontic, or prosthetic origin that can affect the prognosis of an abutment tooth. The purpose of this review is to summarize the critical factors involved in deciding whether a questionable tooth should be treated and maintained, or extracted and possibly replaced by dental implants. A MEDLINE (PubMed) search of the English, peer-reviewed literature published from 1966 to August 2009 was conducted using different keyword combinations including treatment planning, in addition to decision making, periodontics, endodontics, dental implants, or prosthodontics...
August 2010: Journal of Prosthetic Dentistry
Rob Berg, Richard L Call, Kerry Maguire, Douglas B Berkey, Bernard A Karshmer, Brad Guyton, Karen Tawara-Jones
The University of Colorado Denver School of Dental Medicine has operated a community-based dental education program for all of its students since 1985. A database of student productivity has been maintained in a standardized format, capable of multiyear compilation, since 1994. This study utilizes twelve years of these data to profile the type and amount of clinical treatment that can be provided by a typical fourth-year dental student during a 100-day community-based training experience. Between 1994 and 2006, the school's 423 graduates provided a mean of 922 treatment procedures per student at a mean of 498 patient visits per student...
April 2010: Journal of Dental Education
Matthias Roediger, Nikolaus Gersdorff, Alfons Huels, Sven Rinke
PURPOSE: In this prospective clinical study, the performance of three- and four-unit fixed partial dentures (FPDs) with frameworks fabricated of yttria partially stabilized zirconia was determined after a mean observation period of 50 months. The study focused on the survival of the restoration (in situ criterion) and the success of the ceramic veneers (no defect). MATERIALS AND METHODS: Seventy-five patients with a maximum of two missing teeth and an antagonistic dentition were treated at the Department of Prosthodontics, University of Goettigen, with 99 posterior FPDs...
March 2010: International Journal of Prosthodontics
Stephanie Eschbach, Stefan Wolfart, Frank Bohlsen, Matthias Kern
This prospective study evaluated the clinical outcome of three-unit posterior fixed dental prostheses (FDPs) made of In-Ceram Zirconia. All 65 FDPs were inserted at the Department of Prosthodontics, School of Dentistry, Kiel, Germany, and cemented with glass-ionomer cement. Follow-ups were performed annually. During a mean observation time of 54.4 months, two FDPs failed (one technical and one biologic failure). Two FDPs debonded and the veneering ceramic fractured in four cases. Three abutment teeth needed endodontic treatment and two additional abutment teeth exhibited secondary caries...
September 2009: International Journal of Prosthodontics
John S Mamoun
This article argues that high-powered magnification (4x-6x or more) provides substantially more visual information for diagnosing and treating dental pathology compared to the use of unaided vision or entry-level 2.5x magnification. In all phases of general dentistry, the increased visual detail provided by high magnification reduces ambiguity in diagnosis and treatment decision-making, increases control in treatment implementation, allows a dentist to produce more ergonomic restorations that are less prone to recurrent decay, and arguably improves clinical outcomes compared to work performed with unaided vision...
January 2009: General Dentistry
Michael Naumann, Sven Reich, Frank P Nothdurft, Florian Beuer, Jörg F Schirrmeister, Thomas Dietrich
PURPOSE: To evaluate the survival of glass fiber reinforced composite post (GFP) restorations and to identify risk factors for restoration failure. METHODS: GFPs of three consecutively placed post systems, two tapered and one parallel-sided, were adhesively luted and the core was built with a resin composite. Teeth served as abutment teeth according to the prosthetic treatment plan. 149 GFP in 121 patients (age: 53 +/- 15 year; 50 men; 71 women) were followed for 5-79 months (mean +/- SD: 50 +/- 21 months)...
August 2008: American Journal of Dentistry
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