Introduction: Implant-supported prostheses are an excellent treatment option for totally edentulous patients, however, some conditions, such as extremely atrophic jaws, may limit their application. Aims: to demonstrate and discuss, through a series of clinical cases, the functional aesthetic resolution of totally edentulous patients with atrophic maxillae, using three different implant-prosthesis approach. Methods and Material: This article describes a clinical case series of patients has between 65 and 75 years old, who lost all upper teeth and had severely atrophic jaws. Due to the bone situation of the maxilla, an osteotome was planned for sinus floor elevation and followed by an allogeneic bone graft. After 18 months of bone integration, osseointegrated implants were installed and different prostheses were made for each case. Conclusions: It is possible to conclude that with the use of advanced surgical and prosthetic planning it is possible to recover the aesthetics and function of a serious and complex clinical case.
Under conditions in which the post is smaller than the root canal, the required cement layer may be excessively thick, which creates a weakness at the interface [3]. The large volume of cement may incorporate voids and gaps in the cement layer, creating a critical J Prosthodont Res. 2022; **(**):
The aim of this study was to evaluate the Knoop microhardness and the microtensile bond strength of a second-generation of bulk-fill (BF) and a nanohybrid composite resins (NH) in different thicknesses of increments. For this, ninety disks of composite resin were made for Knoop microhardness, being divided into six groups (n = 15). The Knoop microhardness obtained in each millimeter of the internal face. For microtensile bond strength, ninety restored in third molars were used, divided into six groups (n = 15). For Knoop microhardness, the Wilcoxon and Friedman test was used. For the microtensile bond strength were used the Two-way Anova test and Tukey's post-test (p <0.05). The NH resin showed higher Knoop micro hardness than BF and it was observed that hardness value decreases as increases the thickness of the resin. There was no significant difference in microtensile bond strength comparing NH and BF. However, there was a significant difference between G2 and G4 for the NH groups, with the highest and lowest bond strength values, respectively. Thus, the new generation of the bulk-fill composite resin provided lower microhardness values as the thickness of the increments increases in comparison with the nanohybrid composite resin. The microtensile bond strength does not appear to have been influenced by the type of resin, or the thickness of the increment.
In order to solve the dental aesthetic pattern of a patient, who has dental stains on the enamel surface, we carried out this case report where are presented the steps employed for bleaching of teeth with superficial yellow/brown enamel stains with carbamide peroxide and micrometric removal of hard white enamel stains using the enamel microabrasion technique. The worn of dental surface during enamel microabrasion technique was measured with a digital analysis, using a intraoral scanner. It was observed a surprisingly esthetic outcome as the superficial enamel stains were camouflaged by the at-home dental bleaching. Only the superficial white enamel stains that remained evident were removed by enamel microabrasion technique with a minimal average wear of 118 um of the dental enamel on all anterior teeth, showing to be a conservative technique. Dental bleaching can solve the discoloration of vital teeth, such as the superficial yellow/brown hard enamel stains, as well as can mask the superficial white enamel stains. But when necessary, enamel microabrasion technique is an effective minimally-invasive option that can also be adopted.
The aim of this study was to evaluate the influence of the polishing period on surface roughness (Ra) before and after thermal aging in four composite resins - CR (Durafill VS, Vittra APS, Filtek Z350XT and Spectra Smart). This in vitro study evaluated: (1) CR in 4 levels; (2) polishing period (PP) in three levels (immediate, 7 and 14 days) and (3) artificial aging in two levels: without aging and after 10,000 cycles. For this, 240 CR specimens were allocated into 12 groups (n=20) according to PP with SofLex Pop On disks. For Ra, 3 measurements on the top surface of each specimen were performed with a diamond tip and constant load of 4mN and 0.25mm/s. Next, the specimens were aged in thermocycling, with temperatures of 5° and 55°C, during 30 seconds in each temperature, and repeated testing afterwards. The data were submitted to statistical tests with 5% significance. The alteration in Ra was observed only in the late polishing in the period of 7 days, where the Durafill VS CR showed higher Ra in comparison to the other CRs. After thermocycling, the groups showed significant difference only with late polishing in the 21-day period; the nanoparticulated RCs (Z350XT˂Vittra APS) recorded the highest Ra values, followed by the microhybrid (DurafillVS) and nanohybrid (Spectra Smart) RCs, respectively. Thus, late polishing in the 7-day and immediate period provided higher Ra values, especially for the nanohybrid and microhybrid composite resins.
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