scholarly journals Risk of Postoperative Sensitivity and Pulpal Complications in Respect of: Amount of Reduction, Temporization, Cement Type

Author(s):  
Namdeo Prabhu ◽  
Amjad Abdulrahman S. Albulayhid ◽  
Abdulaziz Abdolah Y. Althari ◽  
Talal Eid Q. Alruwaili

Fixed partial dentures (FPDs) made of metal ceramic are a popular treatment option for missing teeth. Studies have shown that posterior abutments of FPDs had a higher pulp survival rate than anterior abutments. Postoperative sensitivity following the cementation of a fixed prosthesis is a frequent symptom, especially when the abutments include important pulp. Dentinal hypersensitivity affects between 4 and 74 percent of people. Females are found to have a somewhat greater DH incidence than males. While DH can affect individuals of any age, there have been several theories on what causes abutment sensitivity after tooth preparation and cementation. In this review we included some of it. Also, we discussed methods of management of postoperative sensitivity and Management of fractured abutment screw.

2017 ◽  
Vol 12 (4) ◽  
pp. 189-192
Author(s):  
Suraksha Shrestha ◽  
Sanjay Sah

Removable partial denture is a treatment option where fixed prosthesis is not indicated. Due to its esthetic problems in the anterior region various modifications have been designed for its fabrication. This article describes an esthetic alternative using a round rest distal depression clasp for maxillary anterior teeth abutment while restoring the missing teeth with a cast partial denture.


2018 ◽  
Vol 23 (4) ◽  
pp. 79-87
Author(s):  
Renato Barcellos Rédua ◽  
Paulo César Barbosa Rédua

ABSTRACT Hypodontia is the most prevalent craniofacial malformation in mankind. It may present a wide variety of manifestations and, depending on the number and location of missing teeth, it may affect the esthetics, mastication, speech and occlusal balance. This paper discusses the therapeutic approaches to solve this condition, describing a case report with hypodontia of one mandibular lateral incisor, which treatment option included space closure at the region of hypodontia associated with composite resin restorations in the mandibular central incisors. The three-year follow-up after treatment revealed occlusal stability, adequate intercuspation in Class I relationship and excellent micro and macroesthetics.


2019 ◽  
Vol 30 (S19) ◽  
pp. 361-361
Author(s):  
Natacha Reis ◽  
InËs Fernandez Guallart ◽  
Buddhapoom Wangsrimongkol ◽  
Takahito Kakumoto ◽  
Roque Braz Oliveira ◽  
...  

2011 ◽  
Vol 37 (4) ◽  
pp. 431-445 ◽  
Author(s):  
Charles A Babbush ◽  
Gary T Kutsko ◽  
John Brokloff

Abstract The All-on-Four treatment concept provides patients with an immediately loaded fixed prosthesis supported by 4 implants. This single-center retrospective study evaluated the concept while using the NobelActive implant (Nobel Biocare, Gothenburg, Sweden). Seven hundred eight implants placed in 165 subjects demonstrated a cumulative survival rate of 99.6% (99.3% in maxilla and 100% in the mandible) for up to 29 months of loading. The definitive prosthesis survival rate was 100%.


2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Liren Qian ◽  
Jiaxin Liu ◽  
Weina Ma ◽  
Yu Liu ◽  
Xiaona Wang ◽  
...  

Background. Allogeneic hematopoietic stem cell transplantation (allo-HSCT) is an important treatment option for various hematopoietic diseases and certain hereditary diseases. Chronic graft-versus-host disease (cGVHD) has become the main life-threatening complication and cause of death in later stage postallo-HSCT. Current treatment options for cGVHD are limited. Hydrogen gas (H2) has been demonstrated that has antioxidative, anti-inflammatory, and antifibrosis effects. The aim of this study was to confirm whether oral administration hydrogen-rich water exerted therapeutic effects on a scleroderma cGVHD mouse model and tried to explain the mechanism underly it. Methods. A mouse cGVHD model was established by haploidentical bone marrow transplantation. To evaluate therapeutic effects of H2 on cGVHD, survival rate, changes in clinical scores, and skin pathologic characteristics of cGVHD mice were observed. To evaluate its therapeutic mechanism, we detected the expression levels of antioxidative enzymes heme oxygenase-1(HO-1) and NAD (P)H: quinone acceptor oxidoreductase 1(NQO1) in skin homogenates. We also detected the expression level of the apoptotic protein caspase-3 in skin homogenates. Results. 1-month survival rate of cGVHD mice in the hydrogen group reached 93.3%, significantly higher than 66.7% in the nonhydrogen group ( p < 0.05 ). Clinical score of cGVHD mice was improved by hydrogen-rich water at 96 days posttransplantation (2.2 versus 4.5, p < 0.05 ). The skin pathological condition of cGVHD mice was significantly improved by hydrogen-rich water. At 96 days posttransplantation, average skin pathological hematoxylin and eosin (HE) staining score in the hydrogen group was 1.05, which was significantly lower than 3.2 in the nonhydrogen group ( p < 0.01 ). Average Masson staining score was 0.6 point in the hydrogen group, lower than 0.9 point in the nonhydrogen group ( p < 0.05 ). Both the relative expression levels of HO-1 and NQO1 proteins in skin specimens of cGVHD mice in the hydrogen group were lower than that in the nonhydrogen group (2.47 versus 6.21 and 1.83 versus 3.59, p < 0.05 ). The relative expression level of caspase-3 protein in skin specimens of cGVHD mice increased to 7.17 on the 96th day after transplantation, significantly higher than 4.36 in the hydrogen group. Conclusion. In this study, we found that oral hydrogen-rich water improved the survival rate and clinical symptoms of cGVHD mice by antioxidant and antiapoptosis. This study would pave the way for further clinical study, which may provide a new treatment option for cGVHD.


Author(s):  
Venkatesan Narayanan ◽  
Prabhu Karuppiah ◽  
Arunkumar Rajasekar ◽  
Lakshmi D Mayavan

ABSTRACT Background Treatment with dental implants has become increasingly important in the range of prosthodontic treatment. Significant improvements in oral rehabilitation particularly in edentulous individuals have been seen. In Adhiparasakthi Dental College, Melmaruvathur, a survey was made to evaluate awareness among patients for dental implants, their level of knowledge, and attitude toward replacement of missing teeth by dental implants. Materials and methods A survey of 480 people was conducted through a printed questionnaire and completed by willing respondents. The questionnaires were prepared in English and Tamil language to enable better understanding and completion. Results Of the 510 people surveyed, 480 responses were retrieved, of which 331 were aware of dental implant treatment in Melmaruvathur, Tamil Nadu. Among them, 304 respondents were aware that implants could be used for replacement of missing teeth. Most of the respondents stated that dental implants were placed in the jawbone, followed by gums. Only 41% respondents assumed that implants last for a lifetime and only 35% of respondents believe that poor oral hygiene was the most common cause of implant failure. Conclusion More dental education programs are needed to improve understanding of the importance of restoration of missing teeth. General implant awareness levels are satisfactory. However, increased awareness of patients for restoration of missing tooth with dental implants is necessary. Dental education programs with special emphasis on advantages, treatment, maintenance, and postoperative care of dental implant therapy are needed. More than two-thirds of the surveyed population is interested in knowing about and being treated with dental implants. How to cite this article Narayanan V, Karuppiah P, Rajasekar A, Mayavan LD. Awareness among Patients regarding Dental Implants as a Treatment Option for replacing Missing Teeth in Melmaruvathur Population. Int J Prosthodont Restor Dent 2016;6(1):6-9.


2015 ◽  
Vol 6 (4) ◽  
pp. 217-221
Author(s):  
SV Siva Teja ◽  
Vishnu Ravi Kumar ◽  
Vinu Thomas George

ABSTRACT Background The disabilities associated with oral health; like missing teeth, are many. The management of these disabilities is of utmost importance to any dental practitioner. Materials and methods This study was conducted at the outpatient department (OPD) of Manipal College of Dental Sciences, Manipal, located in Udupi district of South-West Karnataka, with a population of 11.7 lakh of whom 305 patients (146 females and 159 males) took part in the study to assess their awareness to various treatment options available to replace missing teeth. The subjects filled out a close-ended questionnaire of 11 questions; clinical examination of the oral cavity then followed. They all had at least 1 missing tooth (3rd molars excluded). The data were analyzed using SPSS Version 2.0, with a Chi-square test significance level of p < 0.05. Results Of the 305 patients who participated, 69.2% of males and females wanted to get their teeth replaced. The remaining 15.2% males and 12.6% females who did not want to get their teeth replaced stated that the lack of time prevented them from doing so. A total of 5% of females and a 1.4% of males said that previous traumatic dental experience prevented them from getting treatment. Majority of both men and women were aware of the removable partial prosthesis as a treatment option (71.9% males and 74.9% females). A small portion of the study group, 21.9% males and 25.2% of females were aware of dental implants. The most preferred treatment option, chosen by 53.5% females and 49.3% males was the fixed partial prosthesis (tooth supported). These findings indicate that 56% of women were more inclined to avail treatment for missing teeth, and only 44% of men felt the need to avail treatment. A total of 76.7% males and 76.1% females felt that their masticatory functions were affected. Conclusion The findings indicate that awareness regarding implants is lacking, and that motivation brought about by outreach programs has not yet reached most sections of the Indian society. How to cite this article Teja SVS, Kumar VR, George VT. A Survey to Evaluate the Awareness of Various Treatment Modalities to Replace Missing Teeth among Patients Visiting Kasturba Hospital, Manipal: A Prosthodontic Perspective. World J Dent 2015;6(4):217-221.


2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Behnaz Ebadian ◽  
Amirhossein Fathi ◽  
Melika Savoj

Introduction. Discrepancy between the crown border and prepared tooth margin leads to a microleakage that eases the penetration of microorganisms and causes the dissolution of luting cement consequently. Several factors should be considered to achieve optimal fitness, including tooth preparation taper and type of cementing agent. The study aimed to determine the relation of tooth preparation taper and cement type on the microleakage of zirconia crowns. Materials and Methods. Fifty-six freshly extracted premolars without caries and restorations were selected as the study sample and divided into two groups of different tapering degrees (6 and 12 degrees). Zirconia copings were designed and fabricated by the CAD/CAM system. The samples were divided into four subgroups for cementation, and each subgroup was cemented with a different luting cement (n = 7). After 5000 thermocycles at 5°C–55°C and dye penetration, the specimens were sectioned in the mid-buccolingual direction, and a digital photograph of each section was taken under a stereomicroscope. Data were analyzed by the Kruskal–Wallis and Mann–Whitney tests (α = 0.05). Results. The results showed significant differences among the four types of luting cement in marginal permeability (PV < 0.001). Regardless of the type of cement, the 12-degree tapering resulted in a lower microleakage (46.4% without microleakage) with statistically significant differences from the 6-degree tapering (PV = 0.042). Conclusion. Within the limitations of this study, increasing the tapering degree of the prepared tooth for CAD/CAM zirconia copings improved the marginal fit and decreased the microleakage score. In addition, total-etch resin cement indicated the least microleakage.


2018 ◽  
Vol 68 (12) ◽  
pp. 3006-3009
Author(s):  
Sorin Gheorghe Mihali ◽  
Emanuel Adrian Bratu ◽  
Laura Cristina Rusu

The aim of this study was to evaluate the clinical performance of the composite pressed on metal framework for full-arch implant-supported fixed prosthesis in order to eliminate the drawbacks related to the chipping of porcelain fused to metal or to zirconia restorations. Sixteen patients received 22 implant-supported screw-cement-retained complete-arch restorations, consisting of composite pressed restorations. All patients were follow-up visit up to 2 years on function (range 24 to 30 months, mean 28.3 months). The outcomes were implant and prosthetic survival rates and calculations of wear determination (mm). After two years of function, the wear values were 95.54�6.88 mm on pressed composite restoration. Using composite pressed restorations appears to be a predictable, esthetic and successful treatment option for method of full arch restorations over implants.


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