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Restoration, endodontics, fixed prosthodontics

Keita Sasaki, Takatsugu Yamamoto, Tomoko Ikawa, Yuko Shigeta, Shuji Shigemoto, Eriko Ando, Takumi Ogawa, Keisuke Ihara
INTRODUCTION: Displacement of provisional fixed prostheses may result in undesirable and embarrassing outcomes in dental treatments, especially in endodontic treatment. Development of certain counter measures has been necessary to avoid such discomforts. AIM: The aim of this report was to propose a pre-endodontic post and core technique to achieve smooth progress of the treatment. MATERIALS AND METHODS: The patient was a 59-year-old male diagnosed with an infraocclusion caused by wear of his teeth...
January 1, 2018: Journal of Contemporary Dental Practice
Syeda Mahvash Hussain, Farhan Raza Khan
Periodontal plastic surgery has become a predictable method of managing gingival recession defects. In the current case report, a five-year follow-up of a coronally advanced flap surgery with bone graft along with endodontics and fixed prosthodontic rehabilitation is reported in the maxillary anterior sextant of a middle aged female. The present case demonstrates that deep and wide gingival defects can be treated with coronally positioned surgical flap without a connective tissue graft. Amultidisciplinary management approach was adopted in this case that yielded predictable outcome...
June 2017: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
Georg D Strbac, Katharina Giannis, Martina Mittlböck, Gabor Fuerst, Werner Zechner, Andreas Stavropoulos, Christian Ulm
BACKGROUND: Autotransplantation of teeth (TX) is a predictable treatment option, although this type of therapy is often overlooked compared to other types of restorations. PURPOSE: As current literature contains few long-term studies concerning the outcome of autotransplanted immature molars, the aim was to evaluate results after a follow-up period of 5 years. MATERIAL AND METHODS: This retrospective study enrolled all patients treated with immature autotransplanted molars after a follow-up period of 5 years...
April 18, 2017: Journal of Cranio-maxillo-facial Surgery
E G Reston, Rpr Bueno, L Q Closs, J Zettermann
Internal bleaching in endodontically treated teeth requires care and protection to prevent harm to the periodontal ligament due to peroxide and may result in external root resorption. There is a myriad of treatment options when this occurs, such as monitoring, extraction, and subsequent rehabilitation with implants or fixed prosthodontics. In some cases, such as the one described here, a conservative attempt to maintain the tooth as a single structure can be made by sealing the resorptive defect. In the present case, we show a multidisciplinary approach where orthodontics, periodontics, and restorative dentistry were involved in treating the maxillary right central incisor (#8) of a 65-year-old patient with extensive cervical resorption, whose chief complaint was esthetics...
March 2017: Operative Dentistry
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
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