ABSTRACT
The biologically oriented preparation technique (BOPT) consists of a vertical preparation of the tooth that involves a reduction to zero of the emergence anatomy, the creation of a new finish area, and immediate temporization, so that the gingiva is supported by a suitable prosthetic restoration. To this effect, it is not the restoration that adapts to the gingiva, but the gingiva that adapts to the restoration. This technique not only allows the gingiva around the tooth to stabilise, but over time it will also facilitate the achievement of a predictable coronal migration of the gingival margin. The present paper describes the protocol from dental preparation to the cementation of the BOPT veneers, highlighting the differences with the established protocol for full coverage crowns and the protocol we have followed for many years for veneers with finish lines. Key words:Veneers, vertical preparation, BOPT.
ABSTRACT
BACKGROUND: The aim of this study is to evaluate the response to the non-surgical treatment of peri-implant mucositis using the diode laser as an adjuvant therapy in patients with implant-supported restorations, in terms of clinical variables, with respect to those patients in whom conventional non-surgical therapy is used. MATERIAL AND METHODS: Randomized controlled clinical trial with simple blind 3 months follow-up. Two groups of patients were established, the non-surgical mechanical debridement of the affected implants was performed in the control group (n = 34) and the diode laser therapy was also performed in the test group (n = 34). The implant was considered the study subject; the variables considered were plaque index, bleeding on probing depth, depth of probing and recession of the peri-implant mucosa. The t-Student test was used to establish the intergroup statistical differences and the analysis of variance (ANOVA) was used to measures intragroup differences over time. RESULTS: In the revaluation at 6 weeks, we observed statistically significant differences (p<0.05) between the variables of plaque index and depth of probing between both groups. The test group obtained an average of 0.248 ± 0.3155 in plaque index and 0.833 ± 0.374mm in the depth of probing compared to the results obtained in the control group that was 0.558 ± 0.526 and 1,137 ± 0.222mm respectively. In the 3-month reevaluation, was also obtained great statistical significance between both groups for bleeding on probing (p<0.001), with values of 0.568 ± 0.282 for the control group and 0.480 ± 0.336 for the test group. CONCLUSIONS: The use of diode laser as an adjunctive therapy to the conventional treatment of peri-implant mucositis showed promising results, being more effective reducing the inflammation of the peri-implant tissue, positioning itself as a valuable tool for the treatment of peri-implant pathologies. Key words:Peri-implant diseases, peri-implant mucositis, laser therapy, diode laser, biostimulation.
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BACKGROUND: There exists a relation between the presence and location of the micro-gap and the loss of peri implant bone. Several authors have shown that the treatments based on the use of platform switching result in less peri-implant bone loss and an increased tissue stability. The purpose of this study was to analyse the effect of the platform switching on the distribution of stresses on the peri-implant bone using the finite element method. MATERIAL AND METHODS: A realistic 3D full-mandible finite element model representing cortical bone and trabecular bone was used to study the distribution of the stress on the bone induced by an implant of diameter 4.1 mm. Two abutments were modelled. The first one, of diameter 4.1 mm, was used in the reference model to represent a conventional implant. The second one, of diameter 3.2 mm, was used to represent the implant with platform switching. Both models were subjected to axial and oblique masticatory loads. RESULTS: The analyses showed that, although no relevant differences can be found for the trabecular bone, the use of platform switching reduces the maximum stress level in the cortical bone by almost 36% with axial loads and by 40% with oblique loads. CONCLUSIONS: The full 3D Finite Element model, that can be used to investigate the influence of other parameters (implant diameter, connexion type, ) on the biomechanical behaviour of the implant, showed that this stress reduction can be a biomechanical reasons to explain why the platform switching seems to reduce or eliminate crestal bone resorption after the prosthetic restoration. KEY WORDS: Dental implant, platform switching, finite element method.
ABSTRACT
Objective: The purpose of this study was to determine whether the bond of veneering porcelain to a ceramic corein 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 (controlgroup): 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 wasof 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 venee rare both porcelains with a similar chemical composition, with silica as their main component, achieved thebest 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 (AU)
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Subject(s)
Humans , Dental Cements/analysis , Dental Bonding/methods , Crowns , Zirconium/therapeutic use , Ceramics/therapeutic use , 51660ABSTRACT
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.
Subject(s)
Ceramics , Dental Bonding , Dental VeneersABSTRACT
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.
Subject(s)
Abnormalities, Multiple , Cleft Lip , Cleft Palate , Crowns , Tooth Abnormalities/surgery , Adult , Dental Prosthesis Design , Humans , MaleABSTRACT
La fisura labiopalatina es una de las malformaciones congénitas craneofaciales más importantes a tener en cuenta por el odontólogo general debido a su alta incidencia y a su elevada repercusión en la cavidad oral. Sus causas se deben a factores genéticos y predominantemente a factores ambientales, haciendo su aparición ya en el período embrionario. El sexo masculino se encuentra más afectado, en una relación de 7:3. La asociación más frecuente es el labio leporino unilateral total con fisura palatina, que es el caso que nos atañe. Presentamos el caso de un varón de 20 años que acude a nuestra consulta demandando una solución estética a su situación dental. El tratamiento efectuado al paciente, así como una puesta al día en cuanto a la etiología y tratamiento en adultos de esta malformación es el motivo del presente artículo
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 underlyingcauses 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 treatmentfor his dental problem, together with an update on the etiology and management of adults with malformations of this kind
