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Ietza Bojorquez, Irais Salazar, Richard S Garfein, Paris Cerecer, Timothy C Rodwell
Directly observed therapy (DOT) is a cornerstone of tuberculosis (TB) control. DOT has been criticised as paternalistic, but it has also been argued that the interaction with healthcare workers (HWs) can be a source of support for patients. We explored the experience of patients in antituberculosis treatment, with the aim of understanding the balance between surveillance and support from the recipient's point of view. We interviewed 27 patients in Tijuana, Mexico, employing narrative analysis to understand how participants made sense of their illness and their experience of DOT...
October 16, 2016: Global Public Health
M Carrabba, A Vichi, G Vultaggio, S Pallari, R Paravina, M Ferrari
OBJECTIVES: To evaluate surface roughness and gloss of feldspathic ceramic blocks for chairside CAD/CAM systems before and after finishing and polishing. METHODS: VITA Mark II ceramic blocks for the CEREC CAD/CAM system were cut perpendicularly in order to obtain a total of 70 specimens (14 × 18 × 3 mm). The flat surface was roughened using a grinder/polisher with dry 120-grit silicone-carbide paper. Surface roughness and gloss were measured using a digital profilometer (Ra) and a glossmeter (GU), respectively...
October 10, 2016: Operative Dentistry
F Kuhr, A Schmidt, P Rehmann, B Wöstmann
OBJECTIVE: To evaluate a new method of measuring the real deviation (trueness) of full arch impressions intraorally and to investigate the trueness of digital full arch impressions in comparison to a conventional impression procedure in clinical use. METHODS: Four metal spheres were fixed with composite using a metal application aid to the lower teeth of 50 test subjects as reference structures. One conventional impression (Impregum Penta Soft) with subsequent type-IV gypsum model casting (CI) and three different digital impressions were performed in the lower jaw of each test person with the following intraoral scanners: Sirona CEREC Omnicam (OC), 3M True Definition (TD), Heraeus Cara TRIOS (cT)...
October 4, 2016: Journal of Dentistry
Renato Roperto, Hussein Assaf, Thiago Soares-Porto, Lisa Lang, Sorin Teich
BACKGROUND: Different CAD/CAM machines' generation may impact the restoration overall quality. The present study evaluated the marginal fit of CAD/CAM restorations manufactured with different generations of CEREC milling unit systems. MATERIAL AND METHODS: Sixteen typodont teeth were divided into two groups (n=8) according to the machine's generation assigned. These are control group (G1): Cerec AC with Bluecam/Cerec 3 milling unit and (G2): Cerec AC with Bluecam/MC XL Premium Package milling unit...
October 2016: Journal of Clinical and Experimental Dentistry
Marco Zeltner, Irena Sailer, Sven Mühlemann, Mutlu Özcan, Christoph H F Hämmerle, Goran I Benic
STATEMENT OF PROBLEM: Trials comparing the overall performance of digital with that of conventional workflows in restorative dentistry are needed. PURPOSE: The purpose of the third part of a series of investigations was to test whether the marginal and internal fit of monolithic crowns fabricated with fully digital workflows differed from that of crowns fabricated with the conventional workflow. MATERIAL AND METHODS: In each of 10 participants, 5 monolithic lithium disilicate crowns were fabricated for the same abutment tooth according to a randomly generated sequence...
September 24, 2016: Journal of Prosthetic Dentistry
Alessandra C de Paula Silveira, Sacha B Chaves, Leandro A Hilgert, Ana Paula D Ribeiro
STATEMENT OF PROBLEM: The precision of fit of chairside computer-aided design and computer-aided manufacturing (CAD-CAM) complete crowns is affected by digital impression and restorative material. PURPOSE: The purpose of this in vitro study was to evaluate by microcomputed tomography (μCT) the marginal and internal adaptation of composite resin and ceramic complete crowns fabricated with 2 different intraoral cameras and 2 restorative materials. MATERIAL AND METHODS: Ten extracted human third molars received crown preparations...
September 24, 2016: Journal of Prosthetic Dentistry
Jae-Jun Lee, Ii-Do Jeong, Jin-Young Park, Jin-Hun Jeon, Ji-Hwan Kim, Woong-Chul Kim
STATEMENT OF PROBLEM: Scanners are frequently used in the fabrication of dental prostheses. However, the accuracy of these scanners is variable, and little information is available. PURPOSE: The purpose of this in vitro study was to compare the accuracy of cast scanners with that of intraoral scanners by using different image impression techniques. MATERIAL AND METHODS: A poly(methyl methacrylate) master model was fabricated to replicate a maxillary first molar single-abutment tooth model...
September 22, 2016: Journal of Prosthetic Dentistry
Oliver Schneider
The experienced Cerec user can manufacture high-quality, esthetic anterior and posterior bridges from IPS e.max CAD in a manageable 3-hour chairside session. On the basis of over 8 years of experience, it can be said that these restorations are clinically very well proven, provided they are used within the range of recommended indications. Experimental retainer bridges with extensions can be seen as highly interesting alternatives, although more clinical data are required for further confirmation.
2016: International Journal of Computerized Dentistry
A N Ryakhovsky, V V Kostyukova
The aim of this study was to compare the accuracy of digital impressions taken by different intraoral and laboratory scanners. For this purpose a synthetic jaw model with prepared tooth was scanned using intraoral scanning systems: 3D Progress (MHT S.P.A., IT - MHT Optic Research AG, CH); True Definition (3M ESPE, USA); Trios (3Shape A/S, DNK); CEREC AC Bluecam, CEREC Omnicam (Sirona Dental System GmbH, DE); Planscan (Planmeca, FIN); and laboratory scanning systems: s600 ARTI (Zirkonzahn GmbH, IT); Imetric Iscan D104, CH); D900 (3Shape A/S, DNK); Zfx Evolution (Zfx GmbH, DE) (each n=10)...
2016: Stomatologii︠a︡
Veronika Müller, Karl-Heinz Friedl, Katrin Friedl, Sebastian Hahnel, Gerhard Handel, Reinhold Lang
OBJECTIVES: This in vitro study evaluated the marginal quality of Lava Ultimate inlays in deep proximal cavities with and without proximal box elevation (PBE) before and after thermomechanical loading (TML). MATERIALS AND METHODS: Mesio-occluso-distal cavities with proximal boxes beneath the cementoenamel junction (CEJ) were prepared in 24 human molars. Then, one of the proximal boxes was elevated with Filtek Supreme above the CEJ. The specimens were divided into three groups (n = 8)...
August 9, 2016: Clinical Oral Investigations
Lukasz Burhardt, Christos Livas, Wouter Kerdijk, Wicher Joerd van der Meer, Yijin Ren
INTRODUCTION: The aim of this crossover study was to assess perceptions and preferences for impression techniques in young orthodontic patients receiving alginate and 2 different digital impressions. METHODS: Thirty-eight subjects aged 10 to 17 years requiring impressions for orthodontic treatment were randomly allocated to 3 groups that differed in the order that an alginate impressions and 2 different intraoral scanning procedures were administered. After each procedure, the patients were asked to score their perceptions on a 5-point Likert scale for gag reflex, queasiness, difficulty to breathe, uncomfortable feeling, perception of the scanning time, state of anxiety, and use of a powder, and to select the preferred impression system...
August 2016: American Journal of Orthodontics and Dentofacial Orthopedics
Corinna Kirsch, Andreas Ender, Thomas Attin, Albert Mehl
OBJECTIVES: Milling is a crucial step in producing restorations using computer-aided design and computer-aided manufacturing (CAD/CAM) systems. In this study the trueness of currently available milling devices was evaluated. MATERIALS AND METHODS: Thirty clinical cases (ten inlays, ten crowns, ten onlays) were milled from ceramic blocks using four different milling approaches: five axis with IMES CORiTEC 450i, four axis with CEREC MCXL, four axis with CEREC MCXL-EF and five axis with inLab MCX5...
July 28, 2016: Clinical Oral Investigations
Ashley M Lestrade, Richard W Ballard, Xiaoming Xu, Qingzhao Yu, Edwin L Kee, Paul C Armbruster
AIM: The objective of the present study was to determine which of six bonding protocols yielded a clinically acceptable shear bond strength (SBS) of metal orthodontic brackets to CAD/CAM lithium disilicate porcelain restorations. A secondary aim was to determine which bonding protocol produced the least surface damage at debond. METHODS: Sixty lithium disilicate samples were fabricated to replicate the facial surface of a mandibular first molar using a CEREC CAD/CAM machine...
May 2016: Australian Orthodontic Journal
Bálint Vecsei, Gellért Joós-Kovács, Judit Borbély, Péter Hermann
PURPOSE: To compare the accuracy (trueness, precision) of direct and indirect scanning CAD/CAM methods. METHODS: A master cast with prepared abutments and edentulous parts was created from polymethyl methacrylate (PMMA). A high-resolution industrial scanner was used to create a reference model. Polyvinyl-siloxane (PVS) impressions and digital impressions with three intraoral scanners (iTero, Cerec, Trios) were made (n=10 for each) from the PMMA model. A laboratory scanner (Scan CS2) was used to digitize the sectioned cast made from the PVS impressions...
July 22, 2016: Journal of Prosthodontic Research
Hong Li, Peijun Lyu, Yong Wang, Yuchun Sun
STATEMENT OF PROBLEM: Limited information is available regarding the influence of object translucency on the scanning accuracy of a powder-free intraoral scanner. PURPOSE: The purpose of this in vitro study was to evaluate the scanning accuracy of a confocal microscopy principle powder-free intraoral scanner on ceramic copings and to analyze the relationship between scanning accuracy and object translucency. METHODS: Six slice specimens (12×10 mm) and 6 offset copings (1...
July 23, 2016: Journal of Prosthetic Dentistry
Goran I Benic, Sven Mühlemann, Vincent Fehmer, Christoph H F Hämmerle, Irena Sailer
STATEMENT OF PROBLEM: Trials comparing the overall performance of fully digital and conventional workflows in reconstructive dentistry are needed. PURPOSE: The purpose of the first part of this randomized controlled clinical trial was to determine whether optical impressions produce different results from conventional impressions with respect to time efficiency and patient and operator perceptions of the clinical workflow. MATERIAL AND METHODS: Three digital impressions and 1 conventional impression were made in each of 10 participants according to a randomly generated sequence...
July 23, 2016: Journal of Prosthetic Dentistry
Yooseok Shin, Sungho Park, Jeong-Won Park, Kwang-Mahn Kim, Young-Bum Park, Byoung-Duck Roh
STATEMENT OF PROBLEM: The marginal and internal discrepancies of computer-aided design/computer-aided manufacturing (CAD/CAM) endocrowns are unknown. PURPOSE: The purpose of this in vitro study was to evaluate the marginal and internal discrepancies of endocrowns with different cavity depths by measuring them with microcomputed tomography (μCT). MATERIAL AND METHODS: Endocrowns (n=48) of 2 different cavity depths (2 mm and 4 mm) were fabricated in 2 different chairside CAD/CAM systems (CEREC AC and E4D)...
July 23, 2016: Journal of Prosthetic Dentistry
Roberto Spreafico, Giulio Marchesi, Gianluca Turco, Andrea Frassetto, Roberto Di Lenarda, Annalisa Mazzoni, Milena Cadenaro, Lorenzo Breschi
PURPOSE: To evaluate the effect of cervical margin relocation (CMR) for crowns designed using CAD/CAM technology, and made of pre-cured resin or lithium disilicate, before and after thermomechanical loading. The test hypothesis was that the marginal quality of the crowns would not be influenced by the CMR with composite resins before or after thermomechanical loading. MATERIALS AND METHODS: Standard crown preparations were created in 40 human molars. The margins were located in enamel, except for the mesial proximal box, where the cervical margin was 2...
2016: Journal of Adhesive Dentistry
Jan-Frederik Güth, Cornelius Runkel, Florian Beuer, Michael Stimmelmayr, Daniel Edelhoff, Christine Keul
OBJECTIVES: Direct and indirect digitalization offer two options for computer-aided design (CAD)/ computer-aided manufacturing (CAM)-generated restorations. The aim of this study was to evaluate the accuracy of different intraoral scanners and compare them to the process of indirect digitalization. MATERIAL AND METHOD: A titanium testing model was directly digitized 12 times with each intraoral scanner: (1) CS 3500 (CS), (2) Zfx Intrascan (ZFX), (3) CEREC AC Bluecam (BLU), (4) CEREC AC Omnicam (OC) and (5) True Definition (TD)...
July 12, 2016: Clinical Oral Investigations
Najla Alrejaye, Richard Pober, Russell Giordano Ii
OBJECTIVE: To fabricate orthodontic brackets from esthetic materials and determine their fracture resistance during archwire torsion. MATERIALS AND METHODS: Computer-aided design/computer-aided manufacturing technology (Cerec inLab, Sirona) was used to mill brackets with a 0.018 × 0.025-inch slot. Materials used were Paradigm MZ100 and Lava Ultimate resin composite (3M ESPE), Mark II feldspathic porcelain (Vita Zahnfabrik), and In-Ceram YZ zirconia (Vita Zahnfabrik)...
July 12, 2016: Angle Orthodontist
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