• Title/Summary/Keyword: Restorative treatment

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Requirements of the abutment teeth for long-term predictability of fixed prosthesis (고정성 보철치료의 영속성을 높이기 위한 지대치의 적합성)

  • Choi, Jeom-Il
    • The Journal of the Korean dental association
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    • v.48 no.9
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    • pp.654-663
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    • 2010
  • The success in periodontal-prosthetic therapy lies in patient satisfaction with subjective and customized treatment regimen that has been refined for individual needs. To fulfill these requirements, multiple predictors may have to be taken into consideration in the comprehensive treatment planning. Incorporation of complex factors that guarantee the evidence-based therapy would include, but not limited to, osseous morphology, biotype of gingival around abutment, bone morphology of interdental bone and those around furcation area, abutment or bridge mobility. The periodontal-restorative interface should be of mutually protective. Also strategic and esthetic value of abutment teeth to be restored should also be taken into consideration. Taken together, all these should work in concert to enhance the predictability and longevity of abutment teeth in periodontal-prosthetic therapy.

A STUDY ON THE ORAL HEALTH STATUS AND THE DETECTABLE DENTAL NEEDS OF THE TOTALLY BLIND PERSONS (맹인의 구강보건관리실태 및 구강보건진료수요에 관한 조사연구)

  • Chang, Kee-Wan
    • The Journal of the Korean dental association
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    • v.22 no.11 s.186
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    • pp.979-989
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    • 1984
  • The purpose of this study was to obtain the basic data for oral health program planning of the totally blind persons. The author had surveyed oral health status and dental needs of 268 totally blind persons aged from 7 years old to 29 in Seoul, Korea, Thereafter, the toothbrushing frequency, df rate, dft index, DMF rate, DMFT index, restorative treatment requirement, bridge status, periodontal status, and periodontal requirement were calculated and discussed. The obtained results were as follows: 1. The average toothbrushing frequency was 2.53 times a day, and the average toothbrushing frquency after eating was 2.12 times a day. 2. DMF rate was 53.73%, and DMFT index was 2.12. 3. the average number of teeth required restorative treatment due to dental caries was 1.95. 4. Oral hygiene instruction was required in 15.30%, oral porphylaxis and oral hygiene instruction in 58.58%, periodontal therapy in 10.14%. %. Incremental dental care system was recommended to improve dental health status of the totally blind persons.

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Dentin permeability change according to the process of compomer restoration treatment

  • Cho, Hye-Jin;Lee, Kwang-Won;Lee, Se-Jun
    • Proceedings of the KACD Conference
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    • 2001.11a
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    • pp.591.2-591
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    • 2001
  • Microleakage of restorative materials has been investigated mostly by dye penetration method. Dye penetration method was not quantitative and not measured repeatedly. Fluid filtration method was used to research purpose to understand the effects of various restorative treatments on dentin permeability. The purpose of this study was to evaluate of dentin permeability according to the process of compomer restoration treatment. In this study, C1 V cavities were prepared on buccal surface of thirty extracted human molars. The prepared cavities were etched by 37% phosphoric acid.(omitted)

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Occlusion for implant-supported fixed dental prostheses in partially edentulous patients: a literature review and current concepts

  • Yuan, Judy Chia-Chun;Sukotjo, Cortino
    • Journal of Periodontal and Implant Science
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    • v.43 no.2
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    • pp.51-57
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    • 2013
  • Implant treatment has become the treatment of choice to replace missing teeth in partially edentulous areas. Dental implants present different biological and biomechanical characteristics than natural teeth. Occlusion is considered to be one of the most important factors contributing to implant success. Most literature on implant occlusal concepts is based on expert opinion, anecdotal experiences, in vitro and animal studies, and only limited clinical research. Furthermore, scientific literature regarding implant occlusion, particularly in implant-supported fixed dental prostheses remains controversial. In this study, the current status of implant occlusion was reviewed and discussed. Further randomized clinical research to investigate the correlation between implant occlusion, the implant success rate, and its risk factors is warranted to determine best clinical practices.

Retreatment of failed regenerative endodontic of orthodontically treated immature permanent maxillary central incisor: a case report

  • Al-Tammami, Musaed Fahad;Al-Nazhan, Saad A.
    • Restorative Dentistry and Endodontics
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    • v.42 no.1
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    • pp.65-71
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    • 2017
  • A revascularization procedure was shown to be the best alternative therapy for immature teeth with necrotic pulp and apical infection. A 12 year old female with a history of trauma to her upper central incisor and a sinus tract was referred for endodontic treatment. She was an active orthodontic patient and had undergone regenerative endodontic treatment for the past 2 years. Clinical examination revealed no response to sensibility, percussion, and palpation tests. The preoperative radiograph showed an open apex and apical rarefaction. The case was diagnosed as previously treated tooth with asymptomatic apical periodontitis. Regenerative endodontic retreatment was performed, and the case was followed for 3 years. Clinical, radiographic, and cone-beam computed tomography follow-up examination revealed an asymptomatic tooth, with evidence of periapical healing and root maturation.

Can different agents reduce the damage caused by bleaching gel to pulp tissue? A systematic review of basic research

  • Leticia Aparecida Silva Batista;Alexandre Henrique dos Reis-Prado;Hebertt Gonzaga dos Santos Chaves;Lara Cancella de Arantes;Luis Fernando Santos Alves Morgan;Carolina Bosso Andre;Thais Yumi Suzuki;Francine Benetti
    • Restorative Dentistry and Endodontics
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    • v.48 no.4
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    • pp.39.1-39.23
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    • 2023
  • Objectives: This study aimed to investigate the effectiveness of different topical/systemic agents in reducing the damage caused by bleaching gel to pulp tissue or cells. Materials and Methods: Electronic searches were performed in July 2023. In vivo and in vitro studies evaluating the effects of different topical or systemic agents on pulp inflammation or cytotoxicity after exposure to bleaching agents were included. The risk of bias was assessed. Results: Out of 1,112 articles, 27 were included. Nine animal studies evaluated remineralizing/anti-inflammatories agents in rat molars subjected to bleaching with 35%-38% hydrogen peroxide (HP). Five of these studies demonstrated a significant reduction in inflammation caused by HP when combined with bioglass or MI Paste Plus (GC America), or following KF-desensitizing or Otosporin treatment (n = 3). However, orally administered drugs did not reduce pulp inflammation (n = 4). Cytotoxicity (n = 17) was primarily assessed using the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide assay on human dental pulp cells and mouse dental papilla Cell-23 cells. Certain substances, including sodium ascorbate, butein, manganese chloride, and peroxidase, were found to reduce cytotoxicity, particularly when applied prior to bleaching. The risk of bias was high in animal studies and low in laboratory studies. Conclusions: Few in vivo studies have evaluated agents to reduce the damage caused by bleaching gel to pulp tissue. Within the limitations of these studies, it was found that topical agents were effective in reducing pulp inflammation in animals and cytotoxicity. Further analyses with human pulp are required to substantiate these findings.

The effects of different polishing techniques on the staining resistance of CAD/CAM resin-ceramics

  • Sagsoz, Omer;Demirci, Tevfik;Demirci, Gamze;Sagsoz, Nurdan Polat;Yildiz, Mehmet
    • The Journal of Advanced Prosthodontics
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    • v.8 no.6
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    • pp.417-422
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    • 2016
  • PURPOSE. The purposes of this study were to evaluate the staining resistance of CAD/CAM resin-ceramics polished with different techniques and to determine the effectiveness of the polishing techniques on resin-ceramics, comparing it with that of a glazed glass-ceramic. MATERIALS AND METHODS. Four different CAD/CAM ceramics (feldspathic ceramic: C-CEREC Blocs, (SIRONA) and three resin-ceramics: L-Lava Ultimate, (3M ESPE), E-Enamic, (VITA) and CS-CeraSmart, (GC)) and one light cure composite resin: ME-Clearfil Majesty Esthetic (Kuraray) were used. Only C samples were glazed (gl). Other restorations were divided into four groups according to the polishing technique: nonpolished control group (c), a group polished with light cure liquid polish (Biscover LV BISCO) (bb), a group polished with ceramic polishing kit (Diapol, EVE) (cd), and a group polished with composite polishing kit (Clearfil Twist Dia, Kuraray) (kc). Glazed C samples and the polished samples were further divided into four subgroups and immersed into different solutions: distilled water, tea, coffee, and fermented black carrot juice. Eight samples ($8{\times}8{\times}1mm$) were prepared for each subgroup. According to CIELab system, four color measurements were made: before immersion, immersion after 1 day, after 1 week, and after 1 month. Data were analyzed with repeated measures of ANOVA (${\alpha}=.05$). RESULTS. The highest staining resistance was found in gl samples. There was no difference among gl, kc and cd (P>.05). Staining resistance of gl was significantly higher than that of bb (P<.05). Staining resistances of E and CS were significantly higher than those of L and ME (P<.05). CONCLUSION. Ceramic and composite polishing kits can be used for resin ceramics as a counterpart of glazing procedure used for full ceramic materials. Liquid polish has limited indications for resin ceramics.

The effects of different surface treatments on the shear bond strengths of two dual-cure resin cements to CAD/CAM restorative materials

  • Turker, Nurullah;Buyukkaplan, Ulviye Sebnem;Basar, Ebru Kaya;Ozarslan, Mehmet Mustafa
    • The Journal of Advanced Prosthodontics
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    • v.12 no.4
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    • pp.189-196
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    • 2020
  • PURPOSE. The aim of the present study was to investigate the effects of surface treatments on the bond strengths between polymer-containing restorative materials and two dual-cure resin cements. MATERIALS AND METHODS. In the present study, rectangular samples prepared from Lava Ultimate (LU) and Vita Enamic (VE) blocks were used. The specimen surfaces were treated using CoJet sandblasting, 50 ㎛ Al2O3 sandblasting, % 9 HF (hydrofluoric) acid, ER,Cr:YSGG laser treatment, and Z-Prime. Dual-cure resin cements (TheraCem and 3M RelyX U 200) were applied on each specimen's treated surface. A micro-tensile device was used to evaluate shear bond strength. Statistical analysis was performed using the SAS 9.4v3. RESULTS. While the bond strength using TheraCem with LU or VE was not statistically significant (P=.164), the bond strength using U200 with VE was statistically significant (P=.006). In the TheraCem applied VE groups, Z-Prime and HF acid were statistically different from CoJet, Laser, and Sandblast groups. In comparison of TheraCem used LU group, there was a statistically significant difference between HF acid and other surface treatments. CONCLUSION. The bonding performance between the restorative materials and cements were material type-dependent and surface treatment had a large effect on the bond strength. Within the limitations of the study, the use of both U200 and TheraCem may be suggested if Z-prime was applied to intaglio surfaces of VE. The cementation of LU using TheraCem is suitable after HF acid conditioning of the restoration surfaces.

Impact of a "TED-Style" presentation on potential patients' willingness to accept dental implant therapy: a one-group, pre-test post-test study

  • Ghanem, Henry;Afrashtehfar, Kelvin Ian;Abi-Nader, Samer;Tamimi, Faleh
    • The Journal of Advanced Prosthodontics
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    • v.7 no.6
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    • pp.437-445
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    • 2015
  • PURPOSE. A survey was conducted to assess the impact of a TED-like educational session on participants' willingness to accept dental implant therapy. MATERIALS AND METHODS. Volunteers interested in having information about dental implant therapies were recruited and asked to complete a two-part survey before and after an educational session. The initial survey elicited demographic information, self-perceived knowledge on dental implants and willingness to this kind of treatment. A "TED-style" presentation that provided information about dental implant treatments was conducted before asking the participants to complete a second set of questions assessing the impact of the session. RESULTS. The survey was completed by 104 individuals, 78.8% were women and the mean age was $66.5{\pm}10.8$. Before the educational session, 76.0% of the participants refused dental implants mainly due to lack of knowledge. After the educational session, the rejection of dental implants decreased by almost four folds to 20.2%. CONCLUSION. This study proved that an educational intervention can significantly increase willingness to accept treatment with dental implants in a segment of the population who is interested in having information about dental implant therapy. Furthermore, educational interventions, such as TED-like talks, might be useful to increase popular awareness on dental implant therapy.

Effects of endodontic tri-antibiotic paste on bond strengths of dentin adhesives to coronal dentin

  • Mirzakoucheki, Parvin;Walter, Ricardo;Khalighinejad, Navid;Jahromi, Maryam Zare;Mirsattari, Sanaz;Akbarzadeh, Navid
    • Restorative Dentistry and Endodontics
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    • v.40 no.2
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    • pp.136-142
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    • 2015
  • Objectives: The aim of this study was to evaluate the effects of tri-antibiotic paste (TAP) on microtensile bond strengths (MTBS) of dental adhesives to dentin. Materials and Methods: Sixty extracted molars had their occlusal surfaces flattened to expose dentin. They were divided into two groups, i.e., control group with no dentin treatment and experimental group with dentin treatment with TAP. After 10 days, specimens were bonded using self-etch (Filtek P90 adhesive) or etch-and-rinse (Adper Single Bond Plus) adhesives and restored with composite resin. Teeth were sectioned into beams, and the specimens were subjected to MTBS test. Data were analyzed using two-way ANOVA and post hoc Tukey tests. Results: There was a statistically significant interaction between dentin treatment and adhesive on MTBS to coronal dentin (p = 0.003). Despite a trend towards worse MTBS being noticed in the experimental groups, TAP application showed no significant effect on MTBS (p = 0.064). Conclusions: The etch-and-rinse adhesive Adper Single Bond Plus presented higher mean bond strengths than the self-etch adhesive Filtek P90, irrespective of the group. The superior bond performance for Adper Single Bond when compared to Filtek P90 adhesive was confirmed by a fewer number of adhesive failures. The influence of TAP in bond strength is insignificant.