The Importance of Abutment Teeth Preparation Guide for Telescopic Double Crown Restorations with Friction Element

DENTA ◽  
2017 ◽  
Vol 11 (1) ◽  
pp. 69
Author(s):  
Anindita Apsari ◽  
Chaterina Dyah Nanik K

<p><strong><em>Background: </em></strong><em>Telescopic double crown restoration can be used as an alternative treatment if the patient wants the tooth to be maintained as long as the supporting tooth has a healthy periodontal. In dental preparation telescopic double crown support requires a preparation guide so that the preparation can be acurate. Minimal preparation can cause the results of the telescopic double crown restoration to be overcontoured, so that the patient may occur uncomfortable, speech disorders and esthetic is not good. <strong>Objective:</strong> to provide information about the importance teeth preparation guidelines for prosthodontic treatment with telescopic double crown restorations. <strong>Case: </strong>A 72-year-old female patient, coming to the dentist wants to make dentures so that she can chew food well and improve her appearance. The remaining teeth are only 13 and 23. In making the denture, the patient wants the teeth to be retained (not removed) and the denture is aesthetically good. <strong>Case Management: </strong>Make a diagnostic wax-up on a semiadjustable articulator to estimate the results of restoration, </em><em>mould</em><em> </em><em>the patient's teeth before starting the preparation with three times putty for the preparation guide and making a temporary crown. the first putty mold is cut mesial-distal right in the middle of the incical teeth, the second putty mould is cut in the labial-palatal direction right in the middle of the tooth mould, the third putty mould is fixed on the stock tray to make the temporary crown. Preparation of teeth 13 and 23 with regard to the putty cut preparation guide, then moulding the maxilla and mandibula with double impressions using an individual tray, after that make the temporary crown directly with the third putty mould. <strong>Conclusion: </strong>The preparation guide of teeth is very necessary so that the making of telescopic double crown restorations is not overcontoured, so that esthetic and retention can be achieved which are good and do not cause speech disorders.</em></p><p><strong><em>Keywords:</em></strong><em> Telescopic double crown, tooth preparation guide, esthetic</em></p><p><strong><em>Correspondence:</em></strong><em> Anindita Apsari. Prostodonsia, Fakultas Kedokteran Gigi, Universitas Hang Tuah, Arief Rahman Hakim 150, Surabaya, Telepon 031-</em><em>5945864, </em><em>5912191, </em><em>E</em><em>mail: <span style="text-decoration: underline;">[email protected]</span></em></p>

2018 ◽  
Vol 1 (2) ◽  
pp. 98
Author(s):  
Bunga Fatimah ◽  
I Gusti Aju Wahju Ardani

Background: Dental agenesis is a term that refers to the absence of one or more teeth, and hypodontia refers to a severe type of tooth agenesis involving less than six or more than one congenitally missing teeth, excluding the third molars. Purpose: This aimed to report the correction of overbite by using intrusion archwires. Case: A 20-year-old female patient had class I malocclusion and deep overbite, incisor retroclination, mild mandibular crowding and agenesis of 12, 13, 14, 15, and 24. Case management: The case was treated with non-extraction using 0.022 pre-adjusted technique to level and unravel using intrusion archwires to correct the deep overbite. Conclusion: The 17-month treatment resulted in a corrected overbite, good occlusion, and good facial aesthetics.


2020 ◽  
Vol 95 ◽  
pp. 153-156
Author(s):  
Helena Lucia Barroso dos Reis ◽  
Neide Aparecida Tosato Boldrini ◽  
Luisa Cardoso da Silva Campos ◽  
Letícia Goulart Campos ◽  
Franco Luis Salume Costa ◽  
...  

2008 ◽  
Vol 9 (2) ◽  
pp. 9-16 ◽  
Author(s):  
Mohamed F. Ayad

Abstract Aim The objective of this laboratory investigation was to determine the effect of different preparation designs (light chamfer, deep chamfer, and shoulder) and die-making materials (stone and epoxy) on the resulting margin misfit for fiber-reinforced composite crowns using a measuring microscope. Methods and Materials Sixty standardized FibreKor crowns were made on stone and epoxy resin dies (n=30 each) duplicated from three metal master dies representing complete crown tooth preparation with a total convergence of 5°. For each die group, three of the tooth preparation designs were established in relation to the type of finish line (n=0 each) as follows: Group A (0.5-mm light chamfer finish line); Group B (1.0-mm deep chamfer finish line); and Group C (1.0-mm shoulder finish line). Marginal accuracy was evaluated by measuring the distances between each of four pairs of indentations on the crowns and on the dies with a Nikon measuring microscope. Results Analysis of seating measurements with parametric analysis of variance and Tukey's Studentized Range (HSD) disclosed a statistically significant difference for both tooth preparation design and die material (p< 0.001). However, the interaction effect was not significant (p=0.9073). The least marginal opening value was for FibreKor crowns made on epoxy resin dies with a light chamfer finish line (57 μm), but the difference was not statistically significantly different from crowns made on epoxy resin dies with a deep chamfer light chamfer finish line (61 μm). However, crowns made on epoxy resin dies with a shoulder finish line (81 μm) had significantly higher values (p< 0.05). FibreKor crowns made on stone dies with the shoulder finish line (95 μm) had statistically higher marginal opening values (p< 0.05). The least marginal opening value was for crowns made on stone dies with a light chamfer finish line (66 μm), but the difference was not statistically significantly different from crowns made on stone dies with a deep chamfer light chamfer finish line (70 μm). Conclusions Significant differences were found among the die material used for the shoulder margin design. However, there was no significant difference between light chamfer and deep chamfer margin designs for both die materials. Citation Ayad MF. Effect of the Crown Preparation Margin and Die Type on the Marginal Accuracy of Fiberreinforced Composite Crowns. J Contemp Dent Pract 2008 February;(9)2:009-016.


2018 ◽  
Vol 3 (1) ◽  
pp. 61
Author(s):  
Hasanuddin Thahir ◽  
Arni I. Djais ◽  
Shek Wendy ◽  
Muhammad H. Achmad ◽  
Fuad H. Akbar

Objective: Describes and compare the procedure of superior labial frenum frenectomies with conventional technique and incision below the clamp technique.Methods: Two female patient came to Departement of periodonsia, Unhas Dental Hospital to have frenectomies. The first patient was 28 year old with labialis superior frenulum reached attached gingiva, gingival recession 1-2 mm with calculus deposits, and referred to do frenectomy with Incision below the Clamp. While the second patient was 15 year old with labialis superior frenulum extend up to palatine papilla, central diastema and referred to do frenectomy with conventional technique.Results: The conventional techniques is done by engaged the frenum by a haemostat that inserted into the depth of the vestibule, and incision were placed on the upper and the under surface of haemostat, then followed by suturing the wound and periodontal pack. Insision below the clamp technique is done by placing a hemostat in position adjacent and parallel to the lip mucosa, and incision carried out below the clamp, then followed by suturing at the mucolabial fold and periodontal pack.Conclusions: Patients were very satisfied with the results that achieved. Technique Incision below the Clamp is an alternative treatment with good aesthetic and less bleeding during frenectomies by using a scalpel.


1992 ◽  
Vol 36 (1) ◽  
pp. 181-195
Author(s):  
Kazuko Nameta ◽  
Kouichi Shimizu ◽  
Osamu Chiba ◽  
Jin Mikami ◽  
Takeshi Sasagawa ◽  
...  

2018 ◽  
Vol 1 (1) ◽  
pp. 27
Author(s):  
Satrio Krestiono M ◽  
Harry Laksono

Background: Metal frame denture design is common used for partially dentate patient, one of the problem was a metal appearance from wrought wire or a metal casting clasp as retainer, which is not really aesthetic. Telescopic overdenture with its double crown will be the best solution for those cases. Purpose: The purpose of this case report was to reported telescopic overdenture design and fabrication where the aesthetic was the main consideration. Case: Sixty years old female patient, a businesswoman, came to Dental Hospital of Universitas Airlangga, complained about her upper partially dentate and 6 years lower fixed partial denture, which is not comfortable to wear and her upper anterior teeth doesn’t look quite good. She wanted to make crowns and removable denture. Case management: After the diagnosis were made, the pretreatment plan were remove crown for the upper jaw, remove the bridges on lower jaw, and transitional dentures were made to maintain the VDO. The crowns and veneer were fabricated and inserted while the inner copings were tried up on prepared teeth. After the the dentures were produced, the inner copings were luted to the abutment teeth, and then the dentures were inserted using FGP (Friction GriP) cement for the friction effect. Discussion: Telescopic overdenture is consists of a double crown system known as “the telescopic”, the procedure involves fitting the remaining natural teeth with inner metal crowns, followed by outer crowns as part of an over denture that can be removed by the patient. Conclusion: This technique ensures that telescopic overdentures give natural aesthetic result.


2021 ◽  
Vol 5 (04) ◽  
pp. 01-02
Author(s):  
Hayriye Alp

Obesity is a disease caused by excessive fat storage in the body. It is an energy balance problem. Obesity can prepare the ground for many diseases. Secondary amenorrhea is the condition of not having menstruation for 6 months. In Traditional Chinese Medicine, it is thought to be caused by Qi and blood deficiency. The 43-year-old nurse applied due to obesity, inability to have menstruation, edema and nodules in goiter. TSH was 4.25, T3 2.87, T4 1.07mU/L. The 78.6 kg 150cm tall TA was 100/70 mmHg.Ten sessions of acupuncture were performed. Yin-tan, DU-20,21, LU-9, H-7, PC-6, SI-3, ST-24,25, REN-7,9, KID-3-6, SP -6.9 uterus, zero, jerome, shen-men hunger, kidney, points were pinned with disposable acupuncture needles. The patient, whose edema was resolved in the second session, started to have menstruation in the third session and lost 9kg in total. The patient had regular periods during the 1-year follow-up. TSH fell to 3.18mU/L.


Author(s):  
Nikita Ika Sari ◽  
Diatri Nari Ratih ◽  
Pribadi Santosa

Introduction. Trauma injury in the oral cavity due to collisions can cause tooth fracture. Ellis class III fracture is a fracture of the crown with an open pulp. Teeth with exposed pulp will cause irritation of the pulp resulting in pulp inflammation (pulpitis). One visit pulpectomy and jacket crown with posts were carried out to achieve optimal dental functions. Case report. A 27-year-old male patient came to Dental Hospital of Universitas Gadjah Mada complained about his broken front teeth due to accident three days earlier. The crown of the maxillary right lateral incisor and the maxillary left central incisor with open pulp was seen. The tooth 11 was avulsion, which lost at the location of accident. The diagnosis of 12 and 21 were Ellis class III fracture. Initially an infiltration anaesthesia was done, followed by one visit root canal treatment (RCT). On the second visit, the teeth were asymptomatic, hence the jacket crown preparation and fiber post insertion were performed. On the third visit, a porcelain jacket crown was cemented into teeth 12 and 21. A week later the patient came for recall and no complaints were noted. Conclusion. One visit pulpectomy followed by restoration with porcelain crown and fiber posts can be undertaken to achieve the optimal functions of teeth, namely aesthetic, mastication, phonetics, and protection of supporting tissues function.


2012 ◽  
Vol 2012 ◽  
pp. 1-2 ◽  
Author(s):  
Rita Guedes ◽  
Inês Leite ◽  
Armando Baptista ◽  
Natividade Rocha

Necrobiosis lipoidica is a rare granulomatous and inflammatory disease. Its management is particularly difficult when ulceration is present. The authors describe the clinical case of a 65-year-old female patient with necrobiosis lipoidica, who had been submitted in the past to several topical and systemic treatments with little or no improvement. She started treatment with subcutaneous etanercept and showed significant improvement without adverse events until today. The aim of this article is to report a valid and efficient alternative treatment to recalcitrant cases.


2019 ◽  
Vol 147 (11-12) ◽  
pp. 765-768
Author(s):  
Vladimir Milosavljevic ◽  
Boris Tadic ◽  
Nikola Grubor ◽  
Djordje Knezevic ◽  
Slavko Matic

Introduction. Splenic artery aneurysm is the most common visceral aneurysm with a prevalence of 0.2?10%. It is the third most frequent abdominal aneurysm as well. It can be true or false. It occurs more often in women than in men. We present our experience with a 34-year-old female patient who underwent laparoscopic splenectomy due to the splenic aneurysm located in the splenic hilum. Case outline. We present a case of a 34-year-old female patient diagnosed with an enlarged splenic artery during a routine abdominal ultrasound examination. Abdominal scan and computed tomography angiography showed saccular aneurysm of the splenic artery located in the hilum of the spleen, 24 ? 17 mm in size. Given the good general condition and age of the patient, we decided to perform laparoscopic splenectomy. The operation was performed without complications, which was also the case with the postoperative flow. The patient was discharged from the hospital on the third postoperative day. Conclusion. Laparoscopic splenectomy is a safe and effective modality for the treatment of splenic artery aneurysm, localized in the splenic hilum. Considering all the benefits of minimally invasive surgery, laparoscopic splenectomy should be the treatment of choice, over the classical open approach.


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