A Method of Facilitating the Fabrication of Access Openings for Implant-Supported Complete Fixed Dental Prostheses

This report describes a method for fabricating access openings for implant-supported complete fixed dental prostheses (ICFP) by using a dental milling machine and silicone putty matrix. The method can help clinicians achieve the accurate and precise fabrication of access openings for ICFPs without excessive grinding

Labial Reduction Guide for Laminate Veneer Preparation

This article describes a method of fabricating a labial reduction guide for laminate veneer preparations by using a digital tire tread depth gauge and orthodontic wire. The labial reduction guide can help clinicians to achieve accurate reduction of the labial surface. Minimally invasive porcelain laminate veneers have become a popular option in esthetic dentistry. Porcelain laminate veneers require only 25% to 50% of the amount of tooth reduction required for complete coverage restorations.Nevertheless, adequate labial reduction is important in creating optimal esthetics. However, excessive reduction can lead to compromised bond strength due to penetration of the enamel surface. Typically, the appropriate reduction is determined from a diagnostic waxing, and then a silicone index or thermoplastic matrix is made to guide preparation. Verifying the amount of reduction during tooth preparation from the guide can be problematic because the range of labial reduction for laminate veneers is small (0.3 to 0.9 mm). Freehand labial reduction can result in insufficient tooth removal.The purpose of this article was to describe the fabrication and use of a labial reduction guide (LRG) for laminate veneers

Custom Total Occlusal Convergence Angle Sticker Fabrication

This article describes a method of fabricating a custom total occlusal convergence angle sticker with photo editing software and label stickers. The custom total occlusal convergence angle sticker can help clinicians achieve an accurate degree of taper during axial wall reduction of tooth preparation

Bargaining Foundations of the Median Voter Theorem

We provide game-theoretic foundations for the median voter theorem in a one-dimensional bargaining model based on Baron and Ferejohn’s (1989) model of distributive politics. We prove that, as the agents become arbitrarily patient, the set of proposals that can be passed in any subgame perfect equilibrium collapses to the median voter’s ideal point. While we leave the possibility of some delay, we prove that the agents’ equilibrium continuation payoffs converge to the utility from the median, so that delay, if it occurs, is inconsequential. We do not impose stationarity or any other refinements. Our result counters intuition based on the folk theorem for repeated games, and it contrasts with the known result for the distributive bargaining model that, as agents become patient, any division of the dollar can be supported as a subgame perfect equilibrium outcome.

Interproximal Distance Analysis of Stereolithographic Casts Made by CAD-CAM Technology: An in Vitro Study

Statement of problem The accuracy of interproximal distances of the definitive casts made by computer-aided design and computer-aided manufacturing (CAD-CAM) technology is not yet known. Purpose The purpose of this in vitro study was to compare the interproximal distances of stereolithographic casts made by CAD-CAM technology with those of stone casts made by the conventional method. Material and methods Dentoform teeth were prepared for a single ceramic crown on the maxillary left central incisor, a 3-unit fixed dental prosthesis (FDP) on the second premolar for a metal-ceramic crown, and a maxillary right first molar for a metal crown. Twenty digital intraoral impressions were made on the dentoform with an intraoral digital impression scanner. The digital impression files were used to fabricate 20 sets of stereolithographic casts, 10 definitive casts for the single ceramic crown, and 10 definitive casts for the FDP. Furthermore, 20 stone casts were made by the conventional method using polyvinyl siloxane impression material with a custom tray. Each definitive cast for stereolithographic cast and stone cast consisted of removable die-sectioned casts (DC) and nonsectioned solid casts (SC). Measurements of interproximal distance of each cast were made using CAD software to provide mean ±standard deviation (SD) values. Data were first analyzed by repeated measures analysis of variance (ANOVA), using different methods of cast fabrication (stone and stereolithography) as one within subject factor and different cast types (DC and SC) as another within subject factor. Post hoc analyses were performed to investigate the differences between stone and stereolithographic casts depending upon the results from the repeated measures ANOVA (α=.05). Results Analysis of interproximal distances showed the mean ±SD value of the single ceramic crown group was 31.2 ±24.5 μm for stone casts and 261.0 ±116.1 μm for stereolithographic casts, whereas the mean ±SD value for the FDP group was 46.0 ±35.0 μm for stone casts and 292.8 ±216.6 μm for stereolithographic casts. For both the single ceramic crown and the FDP groups, there were significant differences in interproximal distances between stereolithographic casts and stone casts (P\u3c.001). In addition, the comparisons of DC with SC of stone and stereolithographic casts for the single ceramic crown and FDP groups demonstrated there was statistically significant differences among interproximal distances between DC stereolithographic casts and SC stereolithographic casts only for the FDP group (P\u3c.001). Conclusions For both the single ceramic crown and the FDP groups, the stereolithographic cast group showed significantly larger interproximal distances than the stone cast group. In terms of the comparison between DC and SC, DC stereolithographic casts for the FDP group only showed significantly larger interproximal values than those of the SC stereolithographic casts for the FDP group

Interproximal Distance Analysis of Stereolithographic Casts Made by CAD-CAM Technology: An in Vitro Study

Statement of problem The accuracy of interproximal distances of the definitive casts made by computer-aided design and computer-aided manufacturing (CAD-CAM) technology is not yet known. Purpose The purpose of this in vitro study was to compare the interproximal distances of stereolithographic casts made by CAD-CAM technology with those of stone casts made by the conventional method. Material and methods Dentoform teeth were prepared for a single ceramic crown on the maxillary left central incisor, a 3-unit fixed dental prosthesis (FDP) on the second premolar for a metal-ceramic crown, and a maxillary right first molar for a metal crown. Twenty digital intraoral impressions were made on the dentoform with an intraoral digital impression scanner. The digital impression files were used to fabricate 20 sets of stereolithographic casts, 10 definitive casts for the single ceramic crown, and 10 definitive casts for the FDP. Furthermore, 20 stone casts were made by the conventional method using polyvinyl siloxane impression material with a custom tray. Each definitive cast for stereolithographic cast and stone cast consisted of removable die-sectioned casts (DC) and nonsectioned solid casts (SC). Measurements of interproximal distance of each cast were made using CAD software to provide mean ±standard deviation (SD) values. Data were first analyzed by repeated measures analysis of variance (ANOVA), using different methods of cast fabrication (stone and stereolithography) as one within subject factor and different cast types (DC and SC) as another within subject factor. Post hoc analyses were performed to investigate the differences between stone and stereolithographic casts depending upon the results from the repeated measures ANOVA (α=.05). Results Analysis of interproximal distances showed the mean ±SD value of the single ceramic crown group was 31.2 ±24.5 μm for stone casts and 261.0 ±116.1 μm for stereolithographic casts, whereas the mean ±SD value for the FDP group was 46.0 ±35.0 μm for stone casts and 292.8 ±216.6 μm for stereolithographic casts. For both the single ceramic crown and the FDP groups, there were significant differences in interproximal distances between stereolithographic casts and stone casts (P\u3c.001). In addition, the comparisons of DC with SC of stone and stereolithographic casts for the single ceramic crown and FDP groups demonstrated there was statistically significant differences among interproximal distances between DC stereolithographic casts and SC stereolithographic casts only for the FDP group (P\u3c.001). Conclusions For both the single ceramic crown and the FDP groups, the stereolithographic cast group showed significantly larger interproximal distances than the stone cast group. In terms of the comparison between DC and SC, DC stereolithographic casts for the FDP group only showed significantly larger interproximal values than those of the SC stereolithographic casts for the FDP group