scholarly journals Composite Inlays as A Modern Way of Posterior Restorations in the Dental Arch

2014 ◽  
Vol 124 (2) ◽  
pp. 99-102 ◽  
Author(s):  
Renata Chałas ◽  
Marta Jurczykowska ◽  
Rafał Marczyński ◽  
Elżbieta Pels

Abstract Modern restorative dentistry offers many methods of restoring qualitative cavities within the clinical crowns. Due to the concept of maintaining continuity of the dental arch and maintaining the correct plane of occlusion, for reconstruction of posterior teeth, there are especially recommended indirect restorations, which are made in the dental laboratory, i.e. crown inlays. The aim of the study was based on the literature to describe indications, classifications and advantages of indirect composite inlays. Additionally, factors affecting the durability of indirect composite inlays and the influence on stomatognathic system were noted. Authors concluded that composite inlays can be recommended restoration method, not only in situations of loss of clinical crown tissue, but also in situations where it is necessary as structural reinforcement, e.g., in the case of Cracked Tooth Syndrome or Molar Incisor Hypomineralization.

Author(s):  
A. S. Shishmareva ◽  
E. S. Bimbas ◽  
E. V. Menshikova

Relevance. Deep overbite is one of the most frequent malocclusions in children and teenagers of different ages. Distal occlusion with a deep overbite is the most common (59.6-67.6% according to the literature) in early mixed dentition. Most Russian and international authors state in their research that the severity of malocclusion increases with age. The treatment of the pathology in children is relevant due to deterioration of the deep overbite with age, worsening of functional disorders.Materials and methods. The study analyses the treatment results of a child with a deep bite using the authors’ technique.Results. The study demonstrated the advantages of the authors’ technique. The treatment allowed achieving normal dentoalveolar heights in the posterior mandible on molar and premolar eruption, establishing the correct relationship between the upper and lower dental arches that promoted harmonious development of the child’s maxillofacial area. The treatment regulated the length and width of the upper dental arch and corrected its form. The active intrusion of the lower incisors and extrusion of the lower posterior teeth were observed during the treatment. The curve of Spee was restored, and an increased overlap reduced. Occlusal contacts of posterior teeth improved, and deep overbite decreased. The technique is easy to use and allows curing 9-12-year-old children in a short period (7-10 months).Conclusions. The suggested technique treats deep overbite as well as creates conditions for the further harmonious development of the maxillofacial area. Thus, it can be recommended for the treatment in early mixed dentition.


2020 ◽  
Vol 67 (3) ◽  
pp. 159-164
Author(s):  
Tina Pajevic ◽  
Jovana Juloski ◽  
Marija Zivkovic

Introduction. Orthodontic treatment of Class II Division 1 (II/1) malocclusions in adults can be challenging since skeletal effects are limited. Possible treatment options are orthodontic camouflage or orthognatic surgery, in severe cases. The aim of this paper was to present a successful management of Class II malocclusion in an adult patient using temporary anchorage devices (TADs). Case report. After detailed clinical examination, study models and cephalometric analysis, a 26 years old patient was diagnosed with Class II malocclusion, an overjet of 12 mm, congenitally missing tooth 41 and midline shifted to the right in upper dental arch. In prior orthodontic treatment, patient had upper premolars extracted. Posterior teeth in upper left quadrant were shifted mesially. The camouflage treatment was considered, using temporary anchorage devices (TADs) to distalize posterior teeth on the left side, and gain space for incisor retraction and midline correction in upper dental arch. Results. Using TADs as additional anchorage in anterior region and coil spring for molar distalization, the space was made for tooth 23, midline correction and incisor retraction. After 40 months, a satisfactory result was achieved, overjet and midline correction, class I canines occlusion and class II molar occlusion. Conclusion. Class II/1 malocclusion in adults can be successfully treated using TADs. The success depends on the severity of malocclusion and patient cooperation.


2013 ◽  
Vol 38 (2) ◽  
pp. E31-E41 ◽  
Author(s):  
AR Cetin ◽  
N Unlu ◽  
N Cobanoglu

SUMMARY Aim: To assess the clinical efficacy of posterior composite resin restorations placed directly and indirectly in posterior teeth after five years. Materials and Methods: A total of 108 cavities in 54 patients were restored with three direct composite resins (Filtek SupremeXT [FSXT], Tetric Evo Ceram [TEC], AELITE Aesthetic [AA]) and two indirect composite resins (Estenia [E] and Tescera ATL [TATL]). All restorations were evaluated by two examiners using the United States Public Health Service criteria at baseline and five years after placement. Statistical analysis was completed with Fisher exact and McNemar χ2 tests. Results: At baseline, 4% (five) of the restored teeth presented postoperative sensitivity; however, only one of them (a member of the E group) required canal treatment and replacement after two years. At the five-year evaluation, all restorations were retained, with Alpha ratings at 100%. Only one tooth (in the TEC group) required replacement after three years due to secondary caries. Color match, surface texture, and marginal integrity were predominantly scored as Alpha after five years for all groups. After that time, marginal discoloration was scored as Alpha in 64% of AE restorations, 70% of TATL restorations, 73% of E restorations, and 87% of FSXT restorations. There were no Charlie scores recorded for any of the restorative systems. Conclusions: Under controlled clinical conditions, indirect composite resin inlays and direct composite resin restorations exhibited an annual failure rate of 2.5% and 1.6%, respectively, after five years. Therefore, the investigated materials showed acceptable clinical performance, and no significant differences were found among them.


2021 ◽  
Vol 14 (4) ◽  
pp. 1877-1884
Author(s):  
Mohammed M. Al Moaleem

The suspended replacement of extracted teeth may disrupt the structural integrity of the whole dental arch, particularly in posterior maxillary or mandibular tooth/teeth. This phenomenon often has consequences of masticatory deficiency and temporomandibular joint disorders. This work aims to assess and measure the overeruption of posterior teeth from panoramic radiographs (OPGs) and its relation to gender, age, tooth type, arch, sides, and cause of tooth loss. A total of 100 OPGs were included in this in vitro study. The level of posterior overeruption was measured in mm using the panoramic digital radiograph machine and its software systems. Other variables such as gender, tooth/teeth involved, arches, and side were considered. All parameter values were inputted to a software program and assessed. P value < 0.05 was considered as statistically significant. Males accounted for 63% of the OPGs. Age groups 18–30 and 31–45 years had the highest frequency and percentage (34%). Approximately 74% of the patients got their tooth/teeth extracted 4–6 years ago. The 0.7–1.2 mm overeruption subgroup had the highest proportion of 41%. The rate of overeruption in mandibular molars was 36%, which was the highest among the subgroups. Males had higher percentage than females in ≥60 and 31–45 age groups (84.65% and 76.5%, respectively), 4–6 years post-extraction time (85.7%), with significant differences, also, mandibular molars (85.0%) and mandibular arches (74.3%) were the higher among males. The highest level of overeruption was 0.7–1.2 mm, and mandibular molars were the most affected type. Significant differences between genders were detected in age groups, years after tooth loss, and arch side but not in cause of tooth loss, supra-erupted tooth type, and arch type parameters.


2020 ◽  
Vol 10 (21) ◽  
pp. 7637
Author(s):  
Kyungmin Clara Lee ◽  
Seong-Joon Park

The purpose of this in vivo study was to compare in vivo full arch intraoral scans obtained using two intraoral scanners and conventional impression. Twenty patients were scanned using TRIOS and iTero scanners, as well as conventional impression. Dental models obtained from alginate impression were scanned with a laboratory desktop scanner. Individual intraoral scan data were compared with corresponding model scans using three-dimensional (3D) surface analysis. The average surface deviations were calculated for quantitative evaluation, and these values were compared between two intraoral scanners using the paired t-test. In the 3D surface analysis, most deviations between intraoral scans and model scans presented on the posterior teeth. The average surface deviations were less than 0.10 ± 0.03 mm. The results of 3D surface analysis indicated that there was 0.10 mm of overall deviation between conventional alginate impressions and in vivo full dental arch intraoral scans. Clinicians should take this into consideration when performing intraoral scanning for full dental arches.


2005 ◽  
Vol 19 (4) ◽  
pp. 295-301 ◽  
Author(s):  
Carlos José Soares ◽  
Leonardo Celiberto ◽  
Paula Dechichi ◽  
Rodrigo Borges Fonseca ◽  
Luis Roberto Marcondes Martins

The aim of this study was to evaluate the microleakage of direct and indirect composite inlays by stereomicroscopy and scanning electron microscopy (SEM). Thirty bovine incisors were ground to obtain an incisal platform, simulating the occlusal surface of a human molar. Each tooth received two 8° proximal cavities with cervical finishing line prepared in dentine or enamel. One of the cavities was filled with Filtek Z250/Single Bond, using the direct technique, and the other was filled with with Solidex/Rely X ARC/Single Bond, using the indirect technique. The samples were stored in water at 37°C for 24 hours and placed in a 50% silver nitrate solution for 6 hours in a dark container. Next, the samples were washed under running water, immersed in a developing solution and exposed to fluorescent light for 12 hours. The teeth were then severed and evaluated for dye penetration by stereomicroscopy and SEM. There were no significant differences between the direct and indirect techniques for the cervical finishing line in enamel, but for the finishing line in dentin, the indirect technique allowed less microleakage than the direct technique. SEM analysis showed leakage similar to that observed by stereomicroscopic analysis. The use of stereomicroscopic and SEM evaluations improves microleakage analysis.


2007 ◽  
Vol 132 (4) ◽  
pp. 428.e1-428.e8 ◽  
Author(s):  
Kitichai Rungcharassaeng ◽  
Joseph M. Caruso ◽  
Joseph Y.K. Kan ◽  
Jay Kim ◽  
Guy Taylor

2018 ◽  
Vol 14 (1) ◽  
pp. 5-16
Author(s):  
Jolanta Kalinowska ◽  
Anna Wojtaszek-Słomińska ◽  
Adrian Maj ◽  
Aida Kusiak ◽  
Klaudia Suligowska ◽  
...  

Apart from dental caries and periodontal diseases malocclusions are a common health problem in the population of children and adolescents. They may be a reason for psychosocial problems (associated with facial and dental aesthetics) and stomatognathic system dysfunctions associated with chewing, speech and swallowing. Some malocclusions may be also a reason for higher susceptibility of teeth to periodontal traumas and diseases. Epidemiological studies are an important tool to determine the incidence of malocclusions and to plan prophylactic and therapeutic activities. Aim. The aim of the work was to assess the incidence of malocclusions among 10-year-olds and 11-yearolds from Sopot who had an orthodontic examination performed as part of the SOPKARD programme. Material and methods. The study group included 334 children at the age of 10–11 years, namely 157 girls and 177 boys who were students at primary schools in Sopot. The presence of malocclusions, including type of disorders, age and sex of subjects was studied. Results. Crowding was the most common disorder. It was observed in 62.3% of subjects. The incidence of Angle’s class I and II malocclusions was similar, namely 38.9% and 41.0%, respectively. Lack of alignment of the midline of the upper and lower dental arch (18.9%) and a deep overbite (18.3%) were also common. A deep overjet and cross bite were observed in 12.3% and 10.2% of children, respectively. The least common were the following: scissor bite (3.9%), class III malocclusion (0.9%), reverse overjet (0.6%) and negative overbite (0.6%). Conclusions. The incidence of malocclusions among 10-11-year-old children is relatively high. Class I and II malocclusions were the most common in the studied developmental period. (Kalinowska J, Wojtaszek-Słomińska A, Maj A, Kusiak A, Suligowska K, Zdrojewski T. Assessment of the incidence of malocclusions among 10-11-year-old children in primary schools in Sopot. Orthod Forum 2018; 14: 5-16)


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