Correction of a mandibular asymmetry using a custom-made titanium onlay.

The diagnosis and treatment of facial deformities, including mandibular asymmetries, can pose a significant clinical problem. The limitations, accuracy and predictability of treatment options available and the expectations of the patient can further compound this. In this article we present a case of facial asymmetry secondary to mandibular angle deficiency corrected by the manufacture and placement of a custom-made titanium onlay. Although alternative methods were potentially available to correct this deformity, patient factors including occlusion, dental/skeletal relationship and chin position limited our options. Furthermore, construction of the custom-made titanium onlay involved the development of a computer-generated 3D virtual model and computer-aided design and computer-aided manufacture (CAD-CAM) of the inlay. This report demonstrates that this technique can be used successfully to address certain cases of facial asymmetry.

Comparison of convergence angles achieved in posterior teeth prepared for full veneer crowns.

This study compares the convergence angle of preparations for posterior gold crowns made by fourth/ fifth year undergraduate dental students, clinical teaching staff and general dental practitioners. Sixty dies were cast from impressions previously taken of clinical preparations by clinicians within each of the four groups. Each die was trimmed and sectioned in both mesio-distal and bucco-lingual planes before being projected using an overhead projector, thereby enabling the convergence angle silhouette to be measured. The results show the greatest convergence angle range to be produced by the least experienced students (10 degrees - 82 degrees). However, no significant difference (p > 0.05) was found when students with one further year of experience were compared to experienced staff. The degree of conformity to the ideal taper (4 degrees - 14 degrees) was no greater than 50% for any of the groups.

Glass/ceramic/refractory techniques, their development and introduction into dentistry: A historical literature review.

This review considered the development of glass, ceramic, refractory materials, and techniques over a period of 25,000 years, from the time of stone-age man to their introduction into dentistry. Currently a wide variety of all-ceramic dental restorations are provided using alumina-reinforced, leucite-forming, and novel glass and ceramic materials along with a range of refractory materials and associated techniques. However, some of the problems of dimensional and thermal change experienced by early craftsmen still persist during current laboratory fabrication techniques. Early English archaeological and dental publications were obtained through the Archaeology Education Department of the British Museum in London and the Archives of the British Dental Association Library. More recent peer-reviewed articles published from 1966 to the present were obtained through MEDLINE.