A precise cementation is vital for a successful restoration. The adverse effects of improper cementation could result in premature occlusion, loosening of the restoration and pulpitis. The completeness of seating a restoration is influenced by vibration, venting, altering the morphology, brush technique, seating force, finger pressure and occlusal support. This article reviews and compares the different techniques for cementation and puts forth the optimal cementation procedure.
How to cite this article
D'Souza R, Shetty O, Puppala P, Shetty N. A Better Bond: Luting Simplified. Int J Prosthodont Restor Dent 2012;2(2):77-81.
Cyanoacrylates have been used for more than 50 years in surgery.They were initially used as surgical glue [1][2][3]. Cyanoacrylates are bio adhesives that were first used for surgery by Coover., et al. [4,5] in 1959. The use of cyanoacrylate has been extended recently to include maxillofacial procedures like repair of sinus membrane perforation [10], dressing for alveolopalatal wounds after alveolar bone grafting [11], all with high success rate. According to a report by Bhaskar., et al. [13], the absence of seepage under the covering formed by cyanoacrylate may be responsible for the reduced postoperative pain with cyanoacrylate when compared with the conventional dressings. They also observed that this material inhibits Staphylococcus aureus and Escherichia coli growth, thus minimizing infective sequelae [13]. The original implant surgical protocol proposed by Branemark., et al. [15] involves open flap access, sequential osteotomy of the bony ridge, and implant placement followed by good primary closure. Primary wound closure helps achieve a higher tensile strength of the wound in the early healing phases, which prevents wound disruption [19]. In this Case Report we have utilized iso-amyl 2-cyanoacrylate solution and 3-0 silk sutures so as to evaluate the efficacy of each and the advantage of one over another.
The rehabilitation of missing anterior teeth is a big challenge to the prosthodontist. Ridge augmentation procedures are often needed to maintain a good emergence profile for a natural appearance. However the results of such procedures are often unpredictable in nature. Root submergence therapy has been implemented for many years and is found to be effective in preserving the alveolar bone-periodontal ligament complex, thus pre venting alveolar bone loss. The socket shield technique has been gaining popularity and is extensively practiced in the field of dental implantology. Modifications of this technique known as the proximal shield technique and pontic shield technique have been introduced in recent years and have provided promising results. These methods are used to maintain ridge contour by preserving tooth fragments to prevent bucco-palatal collapse of the alveolar ridge. This article is a review on these latest treatment modalities which are collectively known as The Partial Extraction Therapies.
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