Mini dental implants (MDI) are ultra-small diameter (l.8 mm width), biocompatible titanium alloy implant screws, conceived and designed over 20 years ago by a board-certified Manhattan dentist, Sendax Victor. Dr. R. A. Bulard added a single-piece “O-ball” design to Dr. Sendax Victor concept. These implants can be used in atrophic ridges, flabby ridges, or in other cases where there is denture instability or lack of retention due to poor availability of residual bone. In this article, a case report of 55-year-old female patient is presented, with a severely atrophic mandibular ridge that was managed by the MDI system with an overdenture.
The Kennedy Class I and II distal extension situation poses a challenge to the prosthodontist as it inherently possesses a lack of stability, which may be attributed to the difference in compressibility of the mucosa and the periodontal ligament surrounding the distal-most abutment tooth. This results in a rotational tendency of the prosthesis around the line connecting its terminal abutments. Placement of osseointegrated dental implants in the posterior edentulous regions, distal to the terminal abutment provides improved vertical support to the distal extension removable partial denture, effectively converting its intraoral performance from a Kennedy Class I to a Class III situation, thereby resulting in improved stability of the prosthesis and consequently, enhanced patient satisfaction. This case report describes such an approach to the restoration of a Kennedy Class I partially edentulous situation.
The aim of the study was to assess, compare and evaluate the adhesive strength and compressive strength of different brands of glass ionomer cements to a ceramometal alloy. (A) Glass ionomer cements: GC Fuji II (GC Corporation, Tokyo), Chem Flex (Dentsply DeTrey, Germany), Glass ionomer FX (Shofu-11, Japan), MR dental (MR dental suppliers Pvt Ltd, England). (B) Ceramometal alloy (Ni-Cr: Wiron 99; Bego, Bremen, Germany). (C) Cold cure acrylic resin. (E) Temperature cum humidity control chamber. (F) Instron Universal Testing Machine. Four different types of Glass ionomer cements were used in the study. From each type of the Glass ionomer cements, 15 specimens for each were made to evaluate the compressive strength and adhesive strength, respectively. The 15 specimens were further divided into three subgroups of five specimens. For compressive strength, specimens were tested at 2, 4 and 12 h by using Instron Universal Testing Machine. To evaluate the adhesive strength, specimens were surface treated with diamond bur, silicone carbide bur and sandblasting and tested under Instron Universal Testing Machine. It was concluded from the study that the compressive strength as well as the adhesive bond strength of MR dental glass ionomer cement with a ceramometal alloy was found to be maximum compare to other glass ionomer cements. Sandblasting surface treatment of ceramometal alloy was found to be comparatively more effective for adhesive bond strength between alloy and glass ionomer cement.
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