Study of the interocclusal distortion in impressions taken with different types of closed-mouth trays and two types of impression materials

The aim of this study was to compare different types of impression trays for the closed-mouth impression technique, using two different types of impression material. For this study, five different types of impression trays were used with two different types of impression materials, one of addition silicone and the other of polyether. We designed a model used for taking the impressions and for measuring interocclusal distortion. The results obtained show that the impression trays COE (GC (R) GC America INC. Alsip) and Premier (Premier (R), Premier Dental Products Co. Canada) show a lesser degree of interocclusal distortion when taking closed-mouth impressions. In terms of impression materials, the polyether was the one that produced the best results. From a clinical point of view, our study shows that the use of these types of trays is absolutely recommendable when used according to the clinical indications for which they have been designed; that said, we must not fail to consider that selecting the proper type of tray is also important

Comparison of the retention strengths of three complete denture adhesives : an in vivo study

Statement of problem: One of the main problems posed by complete dentures is retention and stability. In order to solve this problem, dentists and the dental industry for a long time have attempted to improve denture adhesion by developing a range of ?glues? of highly varied composition and efficacy. Purpouse: The present in vivo clinical study evaluates whether the adhesives used to improve complete denture retention are truly effective and able to increase denture adhesion to the mucosa covering the edentulous alveolar ridge of the mandibular dentures. Material and Methods: An in vivo clinical study is made of 30 patients with complete mandibular dentures to evaluate the retention afforded by three commercial complete denture adhesives (Benfix®, Fittydent® and Supercorega®). A spring scale was used to measure retention strength (in grams). The purpose was to determine whether the use of complete denture adhesives is effective, and to establish which commercial brands offer the highest retention strengths. Results and Conclusion:The results obtained indicate that retention is enhanced by the use of such adhesives, and that Fittydent® offers the best retention performance, followed by Benfix® and Supercorega®. Clinical implications: the study of denture adhesives and his efficiency are necessary to improve the edentulous patient satisfaction. More in vivo investigations are necessary in dental literatur

Narrow-diameter implants: are they a predictable treatment option? A literature review

Objective: To evaluate the predictability of narrow-diameter implants as a treatment option in routine clinical practice. A literature review was performed of studies reporting clinical results obtained with these implants. Survival rates, peri-implant bone loss and related complications were evaluated. The working hypothesis was that narrow-diameter implants offer clinical results similar to those obtained with implants of greater diameter. Material and Methods: A Medline-PubMed search covering the period between 2002 and 2012 was carried out. Studies published in English and with a follow-up period of at least 12 months were considered for inclusion. A manual search was also conducted in different journals with an important impact factor. Results: Twenty-one studies meeting the screening criteria were included in the literature review. A total of 2980 narrow-diameter implants placed in 1607 patients were analyzed. Conclusions: The results obtained from the literature indicate that narrow-diameter implants are a predictable treatment option, since they afford clinical results comparable to those obtained with implants of greater diameter

Predictability of short implants ( < 10 mm) as a treatment option for the rehabilitation of atrophic maxillae: a systematic review

Background: Short implants (< 10 mm) are one of the treatment options available in cases of limited vertical bone. Although such implants are now widely used, there is controversy regarding their clinical reliability. The purpose of this paper is to evaluate the predictability of short implants as an alternative to technically more complex treatments in patients with atrophic maxillae, based on a systematic review of the literature and the analysis of the implant survival rates, changes in peri-implant bone level, and associated complications. It is postulated that short implants offer clinical results similar to those of longer implants. Material and Methods: A Medline-PubMed search was made covering the period between January 2004 and December 2014 (both included). Studies in English published in indexed journals, involving at least 20 implants and with a follow-up period of at least 12 months were considered. A manual search in four high impact journals was also conducted. Results: A total of 37 studies meeting the inclusion criteria were included in this review. 9792 implants placed in over 5000 patients were analyzed. Conclusions: Based on the results of this review, short implants are seen to offer clinical results in terms of survival, bone loss and complications similar to those of longer implants

Telescopic crowns in adult case with lip and palate cleft : update on the etiology and management

Lip and palatal clefts are among the most important congenital craniofacial malformations to be taken into account in general dental practice, due to their high incidence and important repercussions upon the oral cavity. The underlying causes are genetic and fundamentally environmental, and the disorders manifest as early as in the embryonic period. Males are predominantly affected, with a 7:3 ratio versus females. Our patient, a 20-year-old male, presented the most common association, i.e., total unilateral hare lip with palatal cleft. A description is provided of the treatment for his dental problem, together with an update on the etiology and management of adults with malformations of this kind

Fractographic Study of the Interface Between Zirconia Y-TZP and Its Veneering Ceramic After Shear Strength Testing

This study analyzed the shear strength and fracture characteristics of the interface between zirconia samples and their veneering ceramic compared with a metalceramic and a lithium disilicate glass-ceramic control group together with an assessment of the possible relationship between the fracture characteristics and the recorded shear strength. The greatest shear strengths corresponded to the lithium disilicate glass-ceramic control group followed by the metal-ceramiccontrol group, with lesser strengths in the zirconia groups. Since the fractographic study showed cohesive-type failure to predominate in the zirconia samples, it is concluded that improvements are needed in the veneering ceramic and liner used in zirconia restorations.López-Mollá, MV.; Martínez-González, A.; Amigó Borrás, V.; Mañes-Ferrer, JF. (2015). Fractographic Study of the Interface Between Zirconia Y-TZP and Its Veneering Ceramic After Shear Strength Testing. International Journal of Prosthodontics. 28(4):432-434. doi:10.11607/ijp.3873S43243428

Narrow-diameter implants: Are they a predictable treatment option? A literature review

Objective: To evaluate the predictability of narrow-diameter implants as a treatment option in routine clinical practice. A literature review was performed of studies reporting clinical results obtained with these implants. Survival rates, peri-implant bone loss and related complications were evaluated. The working hypothesis was that narrow-diameter implants offer clinical results similar to those obtained with implants of greater diameter. Material and Methods: A Medline-PubMed search covering the period between 2002 and 2012 was carried out. Studies published in English and with a follow-up period of at least 12 months were considered for inclusion. A manual search was also conducted in different journals with an important impact factor. Results: Twenty-one studies meeting the screening criteria were included in the literature review. A total of 2980 narrow-diameter implants placed in 1607 patients were analyzed. Conclusions: The results obtained from the literature indicate that narrow-diameter implants are a predictable treatment option, since they afford clinical results comparable to those obtained with implants of greater diameter.Sin financiación1.171 JCR (2014) Q3, 50/88 Dentistry, Oral Surgery & MedicineUE

Bond strength evaluation of the veneering-ceramics bonds

Objective: The purpose of this study was to determine whether the bond of veneering porcelain to a ceramic core in bilayered ceramics was similar to that of the metal ceramic control of well known behaviour. Study design: Six groups of nine specimens each were fabricated, whose dimensions were 15 mm long and 8 mm in diameter at the core, and 2 mm long and 8 mm in diameter for the veneer. The groups were GR. 1 (control group): CrNi alloy/d.SIGN (Ivoclar), GR. 2: IPS e.maxPress/IPS e.maxCeram (Ivoclar), GR. 3: IPS e.maxZirCad/ IPS e.maxZirPress (Ivoclar), GR. 4: IPS e.maxZirCad/IPS e.maxCeram (Ivoclar), GR. 5: Lava Frame (3M ESPE)/ Lava Ceram (3M ESPE) and GR. 6: Lava Frame (3M ESPE)/IPS e.maxCeram (Ivoclar). A shear strength test was used in all samples with a universal testing machine. The chosen crosshead speed was of 0.50 mm/min. The obtained results were analyzed using a one way analysis of variance test (ANOVA) to determine whether significant differences existed between the groups (p<0.05). A Student Newman-Keuls multiple comparisons test was used. Results: GR. 1: 13.45 MPa, GR. 2: 24.20 MPa, GR. 3: 12.70 MPa, GR. 4: 7.86 MPa, GR. 5: 10.20 Mpa and GR. 6: 4.62 Mpa. Conclusions: The bond strength of group 1 (control) was similar to groups 3 and 5. Group 2, whose core and veneer are both porcelains with a similar chemical composition, with silica as their main component, achieved the best adhesive results between both porcelains. The technique on zirconia cores that showed the higher results was the pressed technique. The lowest results were for the group using porcelains from different manufacturers

Clinical Behavior of Short Dental Implants: Systematic Review and Meta-Analysis

Short implants are an increasingly common alternative to other surgical techniques in areas where bone availability is reduced. Despite the advantages they offer, a variety of biological repercussions have been described in the literature that can even lead to the loss of these. The aim of this systematic review and meta-analysis was to analyze the impact of the use of short implants on their survival and on peri-implant bone loss, evaluating the influence that length, diameter, and crown-to-implant ratio (C/I) have on these parameters. This systematic review was based on guidelines proposed by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). An electronic search was conducted using terms related to the use of short implants in partially or totally edentulous patients. A total of five databases were consulted in the literature search: PubMed, Embase, Cochrane, Scopus, and Web of Science. After eliminating the duplicate articles and assessing which ones met the inclusion criteria, 15 articles were included for the qualitative analysis and 14 for the quantitative study. Through meta-analysis, the percentage of implant loss and peri-implant bone loss was estimated. Relating these parameters to length, diameter, and C/I ratio, no significant differences have been found for implant loss (values of p = 0.06, 0.10, and 0.9, respectively for length, diameter, and C/I ratio), nor for peri-implant bone loss (values of p = 0.71, 0.72, and 0.36, respectively for length, diameter, and C/I ratio). In conclusion, the use of short implants does not seem to have a significant influence on marginal bone loss or the survival rate of implants