ABSTRACT
Teeth are splinted and stabilized in the anterior region for a variety of reasons. This article presents the techniques for periodontal splinting with an adhesive technique using direct placement ribbon reinforced composite resins. The research supporting this technique is also reviewed.
Subject(s)
Dental Bonding , Dental Materials , Periodontal Splints , Tooth Mobility/therapy , Adhesives/chemistry , Alveolar Bone Loss/complications , Alveolar Bone Loss/therapy , Composite Resins/chemistry , Cuspid , Dental Bonding/methods , Dental Materials/chemistry , Dental Prosthesis Design , Humans , Incisor , Polyethylenes/chemistry , Tooth Mobility/etiologyABSTRACT
Stone model casts of a patient's maxillary and mandibular arches were used to fabricate a clear, soft, vacuum-formed custom mouth guard that was scalloped to end 1.0 mm supragingivally. The patient was given prophylaxis and oral hygiene home care instruction, and instructions regarding the placement of an at-home bleaching gel into the mouth guard and the mouth guard into the mouth. The patient was asked to wear the mouth guard for two hours daily before bedtime for one week and to return to the clinic for evaluation. This protocol was followed for three weeks for each arch. At the end of the three weeks, the stains on the most affected teeth were reduced dramatically.
Subject(s)
Dental Enamel , Tooth Bleaching/methods , Tooth Discoloration/therapy , Adult , Dental Devices, Home Care , Humans , Hydrogen Peroxide , MaleABSTRACT
As the average age of the population increases, we are seeing a significant rise in root caries and in the need for restorative procedures associated more often with an older population. This paper describes the subgingival placement of a resin-ionomer for several restorative procedures, including root caries, resorption, endodontic perforation and root fracture. After endodontic therapy, full thickness flaps may be used to gain access to the lesion or root defect. The defects may be prepared with ultrasonic instruments and the preparations treated with a dentin conditioner. The preparations are then washed and lightly air-dried and treated with a dentin bonding agent. A resin-ionomer may then be syringed into the preparations and either light-activated or allowed to undergo a chemical set. No untoward effect has been observed during the time frame of this project. The cases presented indicate that a resin-ionomer may be used as a subgingival restorative and may be placed in lesions originally thought to be unrestorable. Thus, teeth may be saved that were previously designated for extraction.
Subject(s)
Dental Restoration, Permanent/methods , Glass Ionomer Cements , Resins, Synthetic , Glass Ionomer Cements/chemistry , Humans , Resins, Synthetic/chemistry , Root Caries/therapy , Root Resorption/therapy , Tooth Injuries/therapy , Tooth Root/injuriesABSTRACT
The microleakage of a one-component bonding system is compared to a two-component system and a control. Class V cavity preparations were prepared in extracted teeth under high speed and water coolant so that incisal/occlusal margins were in enamel, and gingival margins were in dentin. Group I was restored with composite and no bonding agent; Group II was restored with Prime and Bond and composite, and Group III was restored with ProBond and composite. All specimens were thermocycled in fuchsin dye to evaluate the degree of microleakage. Significant differences were observed between the no bonding agent group and the Prime and Bond and ProBond groups. The results indicate that the one-step dentin bonding system has the ability to prevent microleakage effectively at both composite-enamel and composite-dentin tooth surface interfaces.
