Many methods have been used to improve retention in resin-retained fixed prostheses, such as electrolytic etching of the retainer, the labial wrap design, proximal grooves, cast pin retention, and the use of improved adhesive resins such as Panavia EX (Kuraray Co, Osaka, Japan). Insufficient retentive features often lead to debonding of resin-retained fixed prostheses. Debonded prostheses may occasionally be recemented and successfully retained by the addition of retentive features to the prosthesis and abutment teeth. When recementing a debonded prosthesis with questionable retention, additional retention may be added to the retentive wings of the prosthesis by using a Rochette retentive hole in combination with pin retention or enamel/dentinal slots in the abutment teeth.
The study reported here was a clinical evaluation of an automatic toothbrushing device for persons with severe handicapping conditions. This device, the University of Mississippi dental care system, is designed for patients who are unable to control their arms and hands. The effectiveness of this device was compared to routine (ordinary, manual) regimens of oral hygiene through use of gingival (Loe-Silness) and plaque (Turesky) indexes (GIs, PIs). Plaque indexes for patients under routine care averaged 2.11; PIs for patients under the dental care system averaged 1.47. Based on Ebbutt's extra period changeover design model, the t-test for difference in plaque scores is significant (P less than .001). The results indicate that the University of Mississippi dental care system improves the patients' ability to independently control plaque.
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