A Survey of Current Practices among General Dental Practitioners in Manchester in 2002

2003 ◽  
Vol os10 (3) ◽  
pp. 87-92 ◽  
Author(s):  
Liang Lin Seow ◽  
Chooi Gait Toh ◽  
Nairn HF Wilson
Keyword(s):  
Precious Metal ◽  
Composite Resin ◽  
Root Canal Therapy ◽  
Endodontically Treated Teeth ◽  
Posterior Teeth ◽  
Covering Letter ◽  
Anterior Teeth ◽  
Dental Practitioners ◽  
Return Envelope ◽  
Metal Post

Aim The purpose of this study was to obtain data on current approaches for the restoration of endodontically treated teeth among general dental practitioners (GDPs) in Manchester, United Kingdom. Method A questionnaire containing 19 single-answer, multiple-choice type questions was mailed to 503 GDPs practising in the Greater Manchester area in January 2002. An explanatory covering letter and a stamped addressed return envelope were enclosed. The data obtained were processed using SPSS statistical software. Results Three hundred and fifty-one (70%) of the practitioners responded to the questionnaire. The restoration of root-filled teeth was normally undertaken within 1–2 weeks of completing root canal therapy by 63% of the practitioners. Only 35% of the GDPs used posts routinely in the restoration of root-filled anterior teeth; the corresponding figure for posterior teeth was 15%. While a cast, precious metal post was the preferred choice in the restoration of anterior teeth, the use of prefabricated posts and related techniques predominated in the restoration of posterior teeth. Composite resin was the most popular choice of material for core build-up procedures in anterior teeth. Amalgam tended to be favoured for core build-ups in posterior teeth. The majority of the practitioners (56%) routinely restored root-filled anterior teeth by means of porcelain-fused-to-metal crowns. Seventy-three per cent of the GDPs preferred to restore root-filled posterior teeth by means of a full veneer crown. Conclusions The results of this study suggest that the practitioners surveyed had a sound understanding of the principles involved in the restoration of endodontically treated teeth, with the possible exception of the need to establish a durable coronal seal as soon as possible after the placement of a root filling.

Monobloco – cimentação de pino e preenchimento em único passo em dente tratado endodonticamente

2020 ◽  
Vol 10 (37) ◽  
pp. 10-19
Author(s):  
Patrícia Ferronato Araújo ◽  
Ana Carolina Portes Pasmadjian ◽  
Antonio Setsuo Sakamoto Junior
Keyword(s):  
Composite Resin ◽  
Case Reports ◽  
Single Step ◽  
Resin Cement ◽  
Endodontically Treated Teeth ◽  
Posterior Teeth ◽  
Elasticity Module ◽  
Post And Core Technique ◽  
Post And Core ◽  
Root Fiber

The literature reports several materials for the restoration of endodontically treated teeth, with coronal destruction that requires an intra-root fiber post to stabilize the prosthetic part. The intra-radicular post of composite resin reinforced with fiberglass can be used as retainers in rehabilitating endodontically treated teeth due to their adhesiveness, pleasing aesthetics, and elasticity module close to the dentin less wear on the remaining structure. This clinical case reports the step-by-step application of dual resin cement (Rebilda DC Dentine - Voco) used as the cementation material of the post and material for the filling core in a single step, in an upper right lateral incisor. Moreover, it describes the advantages and indications of the post-and-core technique, also called “monobloc” which can be used in both anterior and posterior teeth. This protocol minimizes the adhesive interfaces, the chair time, and the steps of the clinical procedure.

Minimally Invasive Adhesive Rehabilitation for a Patient With Tooth Erosion: Seven-year Follow-up

2019 ◽  
Vol 44 (1) ◽  
pp. E45-E57
Author(s):  
NI Pavesi Pini ◽  
LM De Marchi ◽  
AL Ramos ◽  
RC Pascotto
Keyword(s):  
Composite Resin ◽  
Tooth Wear ◽  
Restorative Dentistry ◽  
Posterior Teeth ◽  
Main Complaint ◽  
Anterior Teeth ◽  
Prevention And Treatment ◽  
Orthodontic Device ◽  
Scanning Electron

SUMMARY Tooth wear is a multifactorial condition of growing concern. In clinical practice, it is often a challenge for prevention and treatment since many etiological factors may be involved. This case report describes an esthetic rehabilitation of a young patient presenting tooth wear due to erosion. The etiological factor of this case was the patient sucking on lemons, an acidic fruit. The main complaint of the patient was the appearance of short maxillary incisors. The treatment involved orthodontic and restorative dentistry techniques. First of all, an orthodontic device was used to increase the vertical dimension of occlusion and create an adequate space for the direct restorations. The posterior teeth were restored with two direct composite resin techniques; the anterior teeth were then restored using a balanced occlusion. The seven-year follow-up of the case is presented. Replicas of the restorations were made and visualized under scanning electron microscopy up to the 12-month evaluation. In the clinical follow-up at seven years, maintenance of the results and restorations can be clearly seen.

scholarly journals Evaluation of maxillary anterior endodontically treated teeth restored with different types of crowns

2017 ◽  
Vol 5 (2) ◽  
pp. 163
Author(s):  
Mohammed Al Moaleem ◽  
Abdulrahman A Mobaraky ◽  
Hassan A Madkhali ◽  
Muneera R Gohal ◽  
Amna M Mobaraki ◽  
...  
Keyword(s):  
Composite Resin ◽  
Clinical Performance ◽  
Rank Test ◽  
Endodontically Treated Teeth ◽  
Exact Test ◽  
Color Changes ◽  
Anterior Teeth ◽  
Different Types ◽  
The One ◽  
Composite Restoration

Statement of the problem: restoring endodontically treated teeth (ETT) is one of the major treatments provided by a dentist. Glass fiber posts (GFP) showed good clinical performance during last few years.Aim of the study; to assess and compare the clinical as well as the radiographic performance of different types of ceramic crown systems used in restoration of maxillary anterior teeth over a cemented GFP and composite resin core.Materials and methods: 50 ETT with GFP were included in this study. These teeth were divided into four gropes (composite resin. Porcelain fused to metal (PFM), e. max and zirconia restorations). Both the clinical and radiographic assessments were done for the restoration at a period of one week, 3, 6, 9, and 12 months after composite build up and crown's cementations. All data were registered and analyzed by SPSS program using percentages and Kaplan-Meyer analysis. Fisher’s exact test was used for categorical values while log-rank test was used for descriptive statistical analysis.Results: the clinical assessment showed no changes in the one week, 3 and 6 months in the four groups. While during the 9 and 12 months, a movement of the crown margin under finger pressure was present in one case, loss or retention in 2 cases of zirconia, the periodontal status with violation of biological width was present in one case of PFM and finally the color changes were obvious in one case of PFM and 2 cases of composite restoration. All the restorations in the four groups had no radiographic changes in the one week and three-month assessments. While during six-month follow-up, a loosed of retention in one case of the zirconia crown was detected. At the 9 and 12 months, two cases showed recurrent caries at the cervical margin of the composite restoration, cases with periapical infection and other with loss of retention of the post were recorded in the PFM restoration.Conclusion: e. Max and zirconia all ceramic crowns showed better clinical and radiographic performance than the PFM and composite restorations over 12 months recall.

scholarly journals Noninvasive and Multidisciplinary Approach to the Functional and Esthetic Rehabilitation of Amelogenesis Imperfecta: A Pediatric Case Report

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Juliana Feltrin de Souza ◽  
Camila Maria Bullio Fragelli ◽  
Marco Aurélio Benini Paschoal ◽  
Edson Alves Campos ◽  
Leonardo Fernandes Cunha ◽  
...  
Keyword(s):  
Case Report ◽  
Composite Resin ◽  
Preventive Treatment ◽  
Open Bite ◽  
Amelogenesis Imperfecta ◽  
Mixed Dentition ◽  
Anterior Open Bite ◽  
Posterior Teeth ◽  
Anterior Teeth

Case Report. An 8-year-old girl with amelogenesis imperfecta (AI) reported unsatisfactory aesthetics, difficulty in mastication, and dental hypersensitivity. The intraoral examination observed mixed dentition, malocclusion in anteroposterior relationships, anterior open bite, and dental asymmetry. A hypoplastic form of AI was diagnosed in the permanent dentition. A multidisciplinary planning was performed and divided into preventive, orthopedic, and rehabilitation stages. Initially, preventive treatment was implemented, with fluoride varnish applications, in order to protect the fragile enamel and reduce the dental sensitivity. In the second stage, the patient received an interceptive orthopedic treatment to improve cross-relationship of the arches during six months. Finally, the rehabilitation treatment was executed to establish the vertical dimension. In the posterior teeth, indirect composite resin crowns were performed with minimally invasive dental preparation. Direct composite resin restorations were used to improve the appearance of anterior teeth.Follow-Up. The follow-up was carried out after 3, 6, 12, and 18 months. After 18 months of follow-up, The restoration of integrity, oral hygiene, and patient satisfaction were observed .Conclusion. Successful reduction of the dental hypersensitivity and improvement of the aesthetic and functional aspects as well as quality of life were observed.

scholarly journals Controversial and unresolved issues of modern therapeutic dentistry from the point of view of practical dentists (according to the survey-questionnaire)

2021 ◽  
Vol 19 (3) ◽  
pp. 142-147
Author(s):  
A. I. Nikolaev ◽  
A. N. Ginali ◽  
D. A. Glebova ◽  
A. N. Monakhova ◽  
A. V. Permyakova ◽  
...  
Keyword(s):  
Evidence Base ◽  
Point Of View ◽  
Survey Questionnaire ◽  
Endodontically Treated Teeth ◽  
Network Resource ◽  
Posterior Teeth ◽  
Anterior Teeth ◽  
Dental Procedures ◽  
Based Medicine ◽  
Dental Professionals

Aim. Using the method of questionnaire survey of dentists to assess their awareness of the current problems of modern practical therapeutic dentistry.Materials and methods. The analysis of the results of a survey- questionnaire of 376 practical dentists, who is practicing a therapeutic dentistry (dentists with legal certificates in fields: ’’therapeutic dentistry” or "general practice dentistry"). Questioning of 238 dentists (63.3%) was carried out in person, questioning of 138 dentists (36.7%) was carried out remotely using the stomweb.com network resource.Results. Significant differences and contradictions in approaches to the implementation of key dental procedures were revealed: aesthetic restoration of anterior teeth, restoration of the contact surfaces of posterior teeth, adhesive preparation, therapeutic tactics for deep caries and reversible forms of pulpitis, approaches to the diagnosis and treatment of cervical non-carious dental defects, preparation tactics cavities, the use of intracanal pins in the restoration of endodontically treated teeth, attitudes towards teeth whitening, fluoride-containing toothpastes and electric toothbrushes, etc.Conclusions. The data obtained indicate the need for targeted scientific research, further trainings on a hans-on courses, addressing several studied issues, based on the principles of evidence-based medicine, as well as the expediency of reforming the education system for dental professionals in order to limit the dissemination of information that does not have scientific justification and/or evidence base.

scholarly journals Restoration of Endodontically Treated Anterior Teeth with Cast Metallic Post or Prefabricated Fibre Post Placement: 2 Case Reports and Critical Literature Review

2015 ◽  
Vol 19 (2) ◽  
pp. 86-91
Author(s):  
Dimitrios Tortopidis ◽  
Stefanos Kourtis ◽  
Konstantinos Kountouras
Keyword(s):  
Primary Concern ◽  
Endodontically Treated Teeth ◽  
Tooth Structure ◽  
Advantages And Disadvantages ◽  
Anterior Teeth ◽  
Aesthetic Appearance ◽  
Dental Practitioners ◽  
Resin Core ◽  
Ceramic Crowns ◽  
Selection Of

SUMMARYWith a wide variety of post systems and materials available for the restoration of lost tooth structure of endodontically treated teeth, the clinical decision of which to use constitutes a challenge to dental practitioners. Cast metal post and cores are widely used for restoring endodontically treated teeth with extensive loss of coronal tooth structure and to retain metal-ceramic crowns. When dental aesthetics is of primary concern, the selection of the underlying restorative material becomes an important factor to consider. The fibre-reinforced posts combined with all-ceramic crowns offer a highly aesthetic outcome in anterior region restorations, but longterm evaluation is necessary in order to assess their clinical performance and longevity.The purpose of this paper was to present and compare 2 restorative options with regard to materials (cast metallic post and core versus prefabricated fibre post and composite resin core) for the prosthetic rehabilitation of cases with inadequate aesthetic appearance or fractured maxillary anterior teeth. Furthermore, the article reviews the main indications, advantages, and disadvantages from the use of the 2 post types combined with the final restorations, in order to allow the dental practitioner make the selection of appropriate restorative materials.

scholarly journals RETROSPECTIVE ANALYSIS OF THE STATE OF DIRECT DENTAL RESTORATIONS AFTER ENDODONTIC TREATMENT

2020 ◽  
Vol 4 ◽  
pp. 58-64
Author(s):  
Aleksandr Udod ◽  
Roman Kostenko
Keyword(s):  
Surface Roughness ◽  
Retrospective Analysis ◽  
Direct Method ◽  
Contact Point ◽  
The State ◽  
Endodontic Treatment ◽  
Endodontically Treated Teeth ◽  
Posterior Teeth ◽  
Clinical Criteria ◽  
Anterior Teeth

Endodontic treatment is accompanied by the loss of a significant amount of tooth crowns, which leads to a significant decrease in their strength characteristics. The restoration of endodontically treated teeth, as a rule, is carried out by the direct method, however, a unified approach regarding direct or indirect restoration has not yet been determined. The aim – retrospective analysis of the clinical condition of direct restorations of endodontically treated teeth. Materials and methods. 284 patients aged 25 to 60 years were examined; they studied the state of 888 previously performed direct restorations of the anterior and posterior teeth after endodontic treatment in a period of 2 to 10 years. Restorations were evaluated according to the adapted clinical criteria “integrity of the restoration”, “marginal fit of the material”, “marginal staining”, “anatomical shape”, “colour correspondence for the restoration”, “roughness of the surface of the material”, as well as the criterion “condition of the contact point” for located on the contact surfaces of the teeth of the restorations. Results. Of the 888 examined direct restorations, 760 restorations (85.6±1.18 %) were located in the posterior teeth, with 562 restorations in the molars (63.3±1.62 % of the total) and 198 in the premolars (22 , 3±1.40 %), and 128 restorations (14.4±1.18 %) were detected in the anterior teeth, while in the incisors - 80 restorations (9.0±0.96 %), in the fangs – 48 (3.5±0.76 %). 720 restorations (81.1±1.31 %) were made from photocomposite materials, 97 restorations (10.9±1.05 %) from chemical curing composites, 71 (8.0±0.91 %) from glass-ionomer cements . The most common violations were colour mismatch – in 511 restorations (57.5±1.66 %), marginal staining - in 470 restorations (52.9±1.68 %), surface roughness - in 357 restorations (40.2±1.0, 65 %). More often than others, in the reconstructions of their photocomposites and glass ionomers there was a colour mismatch, and surface roughness for chemical composites. Conclusions. For direct tooth restoration after endodontic treatment in 81.1±1.31 % of cases, photocomposite materials are used, less often chemical curing composites and glass ionomers. Of the violations of such restorations, the most frequent are colour mismatch, surface roughness and edge staining.

A Technique to facilitate the Conscientious Removal of Composite Resin Restoration

2016 ◽  
Vol 6 (2) ◽  
pp. 28-30
Author(s):  
Mohiddin R Dimashkieh ◽  
Marwa EI Elagra ◽  
Rohit AA Fernandez
Keyword(s):  
Simple Technique ◽  
Composite Resin ◽  
Posterior Teeth ◽  
Tooth Structure ◽  
Composite Restorations ◽  
Close Resemblance ◽  
Anterior Teeth ◽  
Composite Resin Restoration ◽  
Composite Resin Restorations ◽  
Resin Restorations

ABSTRACT The use of composite resin restorations is widespread in restoring not only anterior teeth but also posterior teeth. Failure of such restorations can occur due to several reasons; and their removal is often stressful and time consuming due to their close resemblance to tooth structure. This article describes a simple technique to place composite restorations with the facilitation of easy demarcation from tooth structure if the need arises to remove it. How to cite this article Dimashkieh MR, Elagra MEI, Fernandez RAA. A Technique to facilitate the Conscientious Removal of Composite Resin Restoration. Int J Prosthodont Restor Dent 2016;6(2):28-30.

Cirurgia de aumento de coroa clínica e confecção de facetas diretas em resina composta orientadas por mock-up.

2020 ◽  
Vol 12 (45) ◽  
pp. 24-33
Author(s):  
Fábio Shiniti Mizutani ◽  
Atila de Freitas ◽  
Adriano Sapata ◽  
Claudio Sato
Keyword(s):  
Case Report ◽  
Composite Resin ◽  
Treatment Plan ◽  
Diagnostic Information ◽  
Good Treatment ◽  
Restorative Dentistry ◽  
Laboratory Technician ◽  
Crown Length ◽  
Anterior Teeth ◽  
Anterior Posterior

Keeping in mind the final result is the basis of any type of treatment, especially those in which the morphology, size and proportion of the anterior teeth will be changed. This is where a good treatment plan based on a diagnostic wax-up tested with a mock-up and approved by the patient becomes crucial. This case report aims to exemplify how to transfer the diagnostic information to the patient’s mouth and direct it not only to the restorative dentistry, but also to the surgeon when performing the crown length. Diagnostic waxing was performed by the laboratory technician, obeying anterior posterior incisal and gingival criteria and curvatures, which were transported to an aesthetic guide through mock up to mark the surgical points. Then, surgery to increase the clinical crown with bone access and after healing, direct venners in composite resin also guided by waxing. In conclusion, a workflow can be established using the wax-up / mock-up that serves as a guide for the periodontist in the approach to surgical lengthening of the crown and for the rehabilitator who uses it to produce changes in the shape of dental dimensions .

scholarly journals Comparison of the accuracy of intraoral scans between complete-arch scan and quadrant scan

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Youn-Gyeong Moon ◽  
Kyung-Min Lee
Keyword(s):  
Third Molar ◽  
Careful Consideration ◽  
Missing Teeth ◽  
Posterior Teeth ◽  
Anterior Teeth ◽  
Posterior Quadrant ◽  
Left Posterior ◽  
The Right ◽  
Best Fit ◽  
Posterior Area

Abstract Objective To compare the accuracy of complete-arch scans and quadrant scans obtained using a direct chairside intraoral scanner. Material and methods Intraoral scans were obtained from 20 adults without missing teeth except for the third molar. Maxillary and mandibular complete-arch scans were carried out, and 4 quadrant scans for each arch were performed to obtain right posterior, right anterior, left anterior, and left posterior quadrant scans. Complete-arch scans and quadrant scans were compared with corresponding model scans using best-fit surface-based registration. Shell/shell deviations were computed for complete-arch scans and quadrant scans and compared between the complete-arch scans and each quadrant scans. In addition, shell/shell deviations were calculated also for each individual tooth in complete-arch scans to evaluate factors which influence the accuracy of intraoral scans. Results Complete-arch scans showed relatively greater errors (0.09 ~ 0.10 mm) when compared to quadrant scans (0.05 ~ 0.06 mm). The errors were greater in the maxillary scans than in the mandibular scans. The evaluation of errors for each tooth showed that the errors were greater in posterior teeth than in anterior teeth. Comparing the right and left errors, the right side posterior teeth showed a more substantial variance than the left side in the mandibular scans. Conclusion The scanning accuracy has a difference between complete-arch scanning and quadrant scanning, particularly in the posterior teeth. Careful consideration is needed to avoid scanning inaccuracy for maxillary or mandibular complete-arch, particularly in the posterior area because a complete-arch scan might have potential error than a quadrant scan.

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