Direct restorative treatment of anterior weared teeth after re-establishment of occlusal vertical dimension: a case report

doi: 10.1111/j.1741-2358.2012.00630.x Direct restorative treatment of anterior weared teeth after re-establishment of occlusal vertical dimension: a case report Objective: The loss of posterior teeth resulting in a lack of stability may lead to excessive mandibular load on some points of occlusion of the remaining teeth, causing wear. The rehabilitation of these cases must be carefully planned and the treatment requires a period of adaptation with a new vertical dimension. Background: This case report describes the treatment of a patient with a loss of almost all posterior inferior teeth and a consequential loss of occlusal vertical dimension and accentuated wear of anterior elements. Materials and methods: Provisional removable partial dentures were manufactured and the patient used them for a period of adaptation prior to restoration of the anterior teeth. After the patients adaptation with the new occlusal dimension, anterior restorations were made using a mycrohibrid resin composite with different color aspects for an optimal stratification. Results: The restorations achieved an aesthetic configuration with ideal function as the final result and the occlusion showed a satisfactory stability for a provisional removable partial dentures. Conclusion: This article presents an anterior direct rehabilitation approach not only as an alternative option, but also as viable and less expensive treatment option with an optimally aesthetic and functional result.29429930

Radiographic inspection of porosity in Ti-6Al-4V laser-welded joints

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Widely used in dentistry, Ti-6Al-4V alloy is difficult to cast and solder, as it frequently exhibits pores inside the structure. This study was conducted to evaluate the effect of joint openings and diameters of laser-welded joints executed in Ti-6Al-4V structures on the presence of pores as checked by radiographic procedures. Sixty dumbbell rods with central diameters of 1.5, 2.0 and 3.5 mm were created from Ti-6Al-4V-wrought bars. Specimens were sectioned and welded using two joint openings (0.0 and 0.6 mm). The combination of variables created six groups (n = 10). Laser welding was executed using 360V/8ms (1.5 and 2.0 mm) and 380V/9ms (3.5 mm), with the focus and frequency set to zero. The joints were finished, polished and submitted to radiographic examination. The radiographs were visually examined for the presence of pores in the joints, qualitatively. The percentage of radiographic presence of pores was calculated without counting pores per joint. Data were analyzed using a chi-square test (alpha = 0.05). For the 1.5-mm specimens, the incidence of pore presence was significantly higher (p = 0.0001) when using 0.6-mm joint openings (40%) compared to 0.0-mm openings (0%). For the 2.0-mm specimens, there was no significant difference between groups (p = 0.2008). However, for the 3.5-mm specimens, the incidence of pore presence was lower (p = 0.0061) for 0.6-mm openings (50%) compared to 0.0-mm openings (70%). Therefore, laser welding of Ti-6Al-4V structures with thin diameters provides the best condition for the juxtaposition of the parts.252103108Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)NEODENT Industria e Comercio de Materiais Dentarios LtdaFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)FAPESP [06/58816-2, 07/51306-1

Misfit of pure titanium frameworks: Effect of veneer coverage and spark erosion process

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Objective. The purpose of this study was to evaluate the influence of veneer application on the misfit level of implant-supported frameworks. Materials and Methods. Thirty commercially pure titanium (Tritan, Dentaurum, Pforzheim, Germany) frameworks were fabricated from a metallic index containing five Branemark-type multi-unit abutments. Analogs of the abutments were positioned into the framework to manufacture an index for each framework, which permitted the evaluation of the marginal gap caused only by the veneer coverage. The frameworks were grouped (n = 10) in the following manner: (G1) heat-cured acrylic resin (Classico, Classico, Sao Paulo, Brazil); (G2) light-cured resin (Versyo.com, Heraeus Kulzer, Brazil); and (G3) porcelain (Triceram, Dentaurum, Pforzheim, Germany). Marginal refinement with spark erosion was then conducted. The marginal gap was verified before and after the veneer coverage and the spark erosion procedure, following the single screw test protocol (tightening force of 10 Ncm). Data were submitted to an analysis of variance (ANOVA) in a split-plot design for repeated measurements followed by a Tukey test (p = 0.05). Results. The veneer application was associated with a significant increase in the mean misfit values of all groups. The lowest values were presented by G2. After the spark erosion process, the mean misfit value decreased only on G3. Conclusions. Heat-cured acrylic resin and porcelain produced the highest values of marginal gaps, whereas light-cured acrylic resin produced the lowest. In addition, the spark erosion process was effective only in the marginal gap of the porcelain application group.694238242Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)FAPESP [04/13629-5

Radiographic inspection of porosity in pure titanium dumbbell castings

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Radiographic inspection of porosity in pure titanium dumbbell castings Background: Titanium frameworks are frequently indicated for implant supported prostheses; however, voids are usually encountered inside cast titanium. Objective: This study aimed to confirm the efficacy of a radiographic technique for inspection of porosity in commercially pure titanium castings with different diameter. Materials and methods: Sixty dumbbell rods (n = 20) with a central 1.5, 2.0 and 3.5 mm diameter were prepared by lost-wax casting. Cast specimens were finished and polished and submitted to radiographic examination (90 kV, 15 mA, 0.6 s and 10-13 mm of distance) using periapical film. The radiographs were visually analysed for the presence of porosity in the extension of the dumbbell or in the central portion of the rods. Data were submitted to Pearson Chi-square test (5%). Results: The tested radiographic method proved to be suitable for the evaluation of cast frameworks. Internal porosities were observed in most of the specimens (91.7%) (p = 0.0005); however, only 20% occurred on the central portion of the rods (p = 0.612). Conclusion: Internal porosities can be visualised through radiographs and occur mostly in small diameter structures. The radiographic evaluation of metal structures can improve the quality of frameworks and thereby potentially increase the longevity of the rehabilitation.283233237Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)FAPESP [2006/58816-2, 2007/51306-1

Relining of prosthesis with auto-polymerizing hard denture reline resins: effect of post-polymerization treatment on flexural strength

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Background: It has been suggested that microwave irradiation and prosthesis immersion in hot water after its polymerization may improve mechanical and viscoelastic properties of acrylic resins. Purpose: This study was proposed to verify the influence of microwave post-polymerization (PP) treatment over the flexural strength of thermo-polymerizing acrylic resin specimens (QC-20) relined or not with two different composition hard chairside auto-polymerizing reliners [Kooliner (K) and New Truliner (NT)]. Materials and Methods: For this study, 50 specimens of 64 x 10 x 3.3 mm were polymerized and distributed into five groups. G1 (control) specimens without relining and PP; G2 specimens relined with K, without PP; G3 specimens relined with NT, without PP; G4 specimens relined with K, with PP (microwave irradiation with 650 W for 5 min); G5 specimens relined with NT, with PP. Tests were performed on a universal testing machine Instron 4411 with compression speed of 5 mm/min. Results: Specimens of K without PP did not show statistically different results (p < 0.05) when compared with control. However, when submitted to PP these specimens showed a significant increase in flexural strength. Specimens of NT showed the lowest flexural strength of all groups, with or without PP when compared with control and K groups. Conclusion: Microwave PP (650 W for 5 min) proved to be an effective method of improving the flexural strength of K relined prosthesis. However, it did not seem to affect NT specimens.263232236Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)FAPESP [2006/61681-1

Influence of the casting technique and dynamic loading on screw detorque and misfit of single unit implant-supported prostheses

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)Objective. This study aimed to evaluate the influence of the casting procedure and cyclic loading of prosthetic frameworks on detorque of prosthetic screws and marginal misfit of single unit implant-supported prostheses. Materials and methods. Twenty specimens were obtained, each one consisting of a set of an implant (external hexagon 3.75 x 13 mm - Branemark type), a prosthetic abutment (entirely calcinable or overcasted UCLA) and a prosthetic screw. After the specimens were obtained, the prosthetic screws were tightened with 30 Ncm torque and released 24 h later in order to evaluate initial detorque. The screws were retightened and marginal gaps were assessed. All specimens were submitted to 10(6) loading cycles, performed with 2 Hz frequency and 130 N load. The specimens were re-evaluated for marginal misfit and detorque after the mechanical loading (final marginal misfit/ final detorque). The results were submitted to analysis of variance for repeated measurements, followed by Tukey HSD test (alpha = 0.05). Results. No statistically significant differences were found on detorque values of the prosthetics screws for all groups and intervals evaluated (p = 0.8922). The entirely calcinable abutments showed higher initial marginal misfit compared to the overcasted ones (p = 0.0438). There was no statistically significant difference on marginal misfit before and after mechanical loading for both groups (p > 0.05). Conclusions. It can be concluded that the overcasted abutments showed lower misfit values when compared to the entirely casted abutments. No difference was observed on detorque values of prosthetic screws. After mechanical loading there was no difference on marginal misfit and detorque between the groups.7141732404409Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)FAPESP [FAPESP 2009/18473-7