Severe Maxillectomy Defect Rehabilitation with an Implant-Retained Obturator Prosthesis: A Case Report.

Conventional obturator prostheses might cause dissatisfaction in patients with hard or soft palate defects due to inadequate retention and function during speech, mastication, and swallowing. Thus, surgical reconstruction and implant-supported obturators are considered as alternative treatments for these patients. This case-report study describes the prosthetic reconstruction of an 88-year-old patient suffering from a hard palate defect after surgical resection of verrucous carcinoma in the left side of the hard palate. Fifteen months after radiotherapy, two implants were placed in the right side of the remaining ridge, in the second and third molar region. After the implant healing period, the implant-supported obturator prosthesis was fabricated. The patient was satisfied with the esthetics and function of the obturator at the 12-month recall visit and radiographs showed normal healing and no bone loss around the implants.

Functional and aesthetical full-mouth rehabilitation of a patient with severely worn dentition and deep bite using minimally invasive approach in current vertical dimension: A 3-year follow-up.

Key Clinical Message: Regaining restorative space for fullmouth reconstruction in a patient with deep bite and worn dentition by conservative approach in current vertical dimension and also using minimally invasive concept is recommended. Abstract: Full mouth reconstruction of a deep bite patient with severely worn dentition is a challenging situation for the prosthodontists. This study represents minimally invasive procedures in mentioned condition without increasing vertical dimension. After 3 years of follow up no complication was observed.

Effect of operator skill on the dentin bonding ability of a self-adhesive resin cement after different adhesive treatments.

This study evaluated the influence of operator skill on the shear bond strength of a self-adhesive resin cement to dentin after different adhesive treatments. Flat dentin surfaces were prepared on 160 extracted molars. The teeth were distributed evenly (n = 80) to 2 groups based on the operator's skill (undergraduate dental student vs operative dentistry specialist). The teeth in each operator group were distributed into 5 groups based on pretreatments used before they were cemented to indirect composite resin cylinders with Panavia SA Luting Plus resin cement. The operators prepared the dentin surfaces for bonding according to the following pretreatment groups: 1, no treatment; 2, phosphoric acid etching; 3, Clearfil Universal Bond in etch-and-rinse mode; 4, Clearfil Universal Bond in self-etching mode; and 5, Clearfil SE Bond 2-step adhesive. After cementation was performed by the 2 operator groups, shear bond strength testing was performed, and data were analyzed with 2-way analysis of variance. The effects of operator skill and surface pretreatment and their cumulative effect were statistically significant (P < 0.05). The shear bond strength of the control group in the student group was significantly greater than that of the specialist group (P = 0.02). In group 5 (2-step adhesive), the shear bond strength of the specialist group was significantly greater than that of the student group (P < 0.001). The use of acid etching and the 3 adhesive treatments improved the bonding ability of resin cement for the expert group. This positive effect was observed only in the etch-and-rinse and self-etching modes for the student group. Extensive clinical experience did not have a positive effect on the bonding effectiveness of resin cement with no pretreatment, while the expert group showed better results in applying this cement with a 2-step adhesive pretreatment.