ABSTRACT
A 37 year old male presented with the complaint of a loose and bulky acrylic obturator prosthesis. He had previously tried to using a different acrylic obturator prostheses as well as both cobalt chromium and titanium framework obturators. The most successful previous prosthesis was a titanium based obturator which had performed well prior to a fractured clasp. Accordingly, following an exploration of the available surgical and prosthodontic treatment options, a further tooth borne partial maxillary obturator was provided successfully. The case highlights the relative merits and limitations of the use of cast titanium as a denture base material in partial denture and obturator construction.
Subject(s)
Dental Materials/chemistry , Dental Prosthesis Design , Denture, Partial, Removable , Palatal Obturators , Titanium/chemistry , Acrylic Resins/chemistry , Adult , Dental Clasps , Denture Bases , Denture Design , Denture Retention/instrumentation , Humans , Male , Nose Diseases/rehabilitation , Oral Fistula/rehabilitation , Respiratory Tract Fistula/rehabilitationABSTRACT
A lady with extrinsic acid erosion was referred to the restorative department at Bristol Dental Hospital by her General Dental Practitioner (GDP) for restoration of worn maxillary first molar teeth. These teeth were both causing symptoms of dentinal sensitivity and two attempts had been made to restore them with composite by her GDP. The restorations failed because there was insufficient space to bond the composite in place, which was due to dento-alveolar compensation of the first molars into the space created by the wear. Following relevant preventive advice, the maxillary first molar teeth were restored with 'high' direct composite resin, which allowed for adequate strength in bulk for retention while acting as fixed intrusion devices. These cured the patient's sensitivity and within four months her occlusion compensated for the composites and had re-established.
Subject(s)
Dentin Sensitivity/therapy , Molar/pathology , Patient Care Planning , Tooth Erosion/therapy , Adult , Composite Resins/chemistry , Dental Materials/chemistry , Dental Prosthesis Design , Dental Restoration, Permanent/methods , Feeding Behavior , Female , Follow-Up Studies , Humans , Resin Cements/chemistry , Tooth Erosion/prevention & control , Tooth Movement Techniques/methods , Treatment OutcomeABSTRACT
The purpose of this study was to identify differences between referral patterns and the clinical conditions of patients referred to consultant-led Restorative Dentistry clinics in a district general hospital and a London dental teaching hospital. The Index of Restorative Dental Treatment Need was used to classify patients into those patients whose treatment was appropriate for any dental graduate in general practice, for an experienced dentist in general practice, and for a dentist with specialist training. Demographic and clinical details were recorded for one hundred patients at each hospital. The results of the study showed that the proposed treatment of 21% of the patients seen at the district general hospital and 16% of the patients seen at the teaching hospital was appropriate for specialist care. The results support the expansion of specialist restorative dentistry services in district general hospitals.
Subject(s)
Dental Restoration, Permanent/statistics & numerical data , Hospitals, District/statistics & numerical data , Hospitals, General/statistics & numerical data , Hospitals, Teaching/statistics & numerical data , Needs Assessment/classification , Referral and Consultation/statistics & numerical data , Adult , Cross-Sectional Studies , Dental Service, Hospital/classification , Dental Service, Hospital/statistics & numerical data , England , Female , Humans , London , Male , Middle Aged , Prospective Studies , Rural Health Services/classification , Rural Health Services/statistics & numerical dataABSTRACT
A case of regional odontodysplasia in a 13 year old female is reported. The restorative options in this case are considered along with the rational for providing a dentine bonded all-porcelain bridge. This approach restored both function and aesthetics with minimum destruction to the hypoplastic tooth tissue of the abutment.
Subject(s)
Denture, Partial, Fixed, Resin-Bonded , Odontodysplasia/therapy , Adolescent , Cuspid/abnormalities , Dental Porcelain , Dentin-Bonding Agents , Denture Design , Female , Follow-Up Studies , Humans , Incisor/abnormalities , Tooth Extraction , Tooth, Deciduous/abnormalities , Tooth, Deciduous/surgery , Tooth, Unerupted/surgeryABSTRACT
A core, or foundation restoration, is used to restore extensively damaged teeth to a form suitable for crown preparation. This literature review considers the range of materials which can be used for cores and the evidence for their suitability. The methods for their retention in vital teeth will be presented and appraised.
