Science.gov

Sample records for removable partial denture

  1. Inconspicuous retention for removable partial dentures.

    PubMed

    King, G E; Barco, M T; Olson, R J

    1978-05-01

    Many dentists and patients believe that removable partial dentures have an unesthetic appearance when they replace anterior teeth because of the visible clasps. Two methods of obtaining inconspicuous retention have been described. PMID:349140

  2. Precision metal occlusal surfaces for removable partial dentures.

    PubMed

    Barco, M T; Synnott, S A

    1989-01-01

    The prosthodontist is often limited in developing the desired occlusal pattern when integrating removable partial dentures with natural dentitions or fixed partial dentures. A technique that allows the development of an esthetic, accurate metal occlusal surface for a removable partial denture is described. The occlusion developed allows an occlusal harmony with the removable partial denture that is not possible with stock denture teeth or metal occlusal surfaces developed with stock denture teeth. PMID:2700630

  3. Implants in conjunction with removable partial dentures: a literature review.

    PubMed

    Mijiritsky, Eitan

    2007-06-01

    Although the benefits of implant-borne removable prostheses are readily apparent for the fully edentulous patient and have been well documented, there is a paucity of studies concerning the combination of implants with removable partial dentures in partially edentulous patients. The aim of this article is to review the literature regarding implants with removable partial dentures and evaluate the evidence for this clinical approach. A MEDLINE/PubMed search from 1990 to 2006, focusing on the use of implants with removable partial dentures and related features, was supplemented with a hand search to identify relevant peer-reviewed English articles published in dental journals and textbooks on removable partial dentures. PMID:17563505

  4. Masticatory and nutritional aspects on fixed and removable partial dentures.

    PubMed

    Liedberg, B; Norlén, P; Owall, B; Stoltze, K

    2004-03-01

    The aim of the present study was to evaluate mastication, food selection and nutritional aspects in two groups of persons restored with fixed (FPD, N=44) and removable (RPD, N=40) partial dentures respectively. The subjects were part of a cohort study of 67-68-year-old men living in Malmö, Sweden. The two groups were very similar regarding social factors and the inclusion criteria were chosen so that the groups were very equal regarding oral factors, apart from the difference in fixed and removable partial dentures. The number of natural teeth, number of replaced teeth and occlusal contacts did not differ significantly between the two groups, nor did the distribution of maxillary and mandibular dentures. A comprehensive examination of several general health factors included a home interview of dietary habits. A clinical examination included a 20-minute oral examination with registration of number of teeth, FPDs, RPDs, and occlusal contacts. It also included masticatory tests: chewing gum colour mixing, chewing gum bolus shaping, and swallowing threshold (number of strokes to the first swallow of an almond). The consumption of hard and soft foods was revealed by the dietary interview as well as the intake of energy and some nutrients. There was a significant difference between the groups regarding the capacity to mix the two-coloured chewing gum, to shape the chewing gum bolus and in the consumption of hard foods. There was no difference in the swallowing threshold and the consumption of soft foods. The intake of energy and nutrients did not differ significantly between the groups. The differences in masticatory capacity found thus seem to have little, if any, effect on the factors of importance for general health. A reasonable explanation for the differences found is that artificial teeth that are well retained, such as FPDs, make more active chewing possible than do removable, and often somewhat loose-fitting partial dentures. PMID:15029484

  5. The significance of major connectors and denture base mucosal contacts on the functional strain patterns of maxillary removable partial dentures.

    PubMed

    Fernandes, C P; Glantz, P O

    1998-06-01

    The purpose of this study was to investigate the biomechanical significance of major connectors and base mucosal contacts on the mechanical behaviour of maxillary removable partial dentures in vivo. Six subjects wearing maxillary dentures retained by conical crowns were selected for the study. Reflective photoelasticity and strain gauges were used to monitor the development of strain/stress during functional loading. Loading tests were performed initially with a denture design including a palatal major connector and denture bases and then repeated after removal of the major connectors and denture base alveolar muccosa contacts. The palatal major connector and the denture bases mucosal contacts contribute significantly to the rigidity and stability of removable partial dentures retained by conical crowns. PMID:9927921

  6. Epidemiological Data and Survival Rate of Removable Partial Dentures

    PubMed Central

    Moreno, Amália; Haddad, Marcela Filié; Rocha, Eduardo Passos; Assunção, Wirley Gonçalves; Filho, Humberto Gennari; Santos, Emerson Gomes Dos; Sonego, Mariana Vilela; Santos, Daniela Micheline Dos

    2016-01-01

    Introduction The use of removable partial denture (RPD) is considered as low-cost and common treatment option to rehabilitate edentulous areas. Aim This study aimed to investigate the epidemiological data of patients rehabilitated with removable partial denture (RPD) in order to assess treatment survival rate and failures. Materials and Methods Epidemiological data and medical records of patients treated with RPD between 2007 and 2012 at the RPD discipline of a Brazilian University (Aracatuba Dental School- UNESP) were evaluated as well as dental records of patients who underwent RPD treatments (fabrication or repairs) between 2000 and 2010. Factors such as gender, age, presence of systemic disease, main complaint, edentulous arch, period and cause of denture replacement and the prosthesis characteristics were recorded. The chi-square test was used to assess the differences between the variables and the Kaplan Meyer to assess the survival of the RPDs evaluated. Results A total of 324 maxillary RPD and 432 mandibular RPD were fabricated. Most of the patients were women aging 41 to 60-year-old. The number of mandibular RPD Kennedy class I (26%) was statistically higher for the maxillary arch (p<.05). There was no association between main complaint to gender or the presence of systemic disease. The lingual plate was the most common major connector used in the mandible (32%). The main reason for altering the design of replaced RPDs were changes during treatment plan. Conclusion The number of patients who require RPD is large; most of RPDs are Kennedy Class I. A good treatment plan is very important for achieving a positive treatment outcome, and it is strictly related to the survival rate. PMID:27437367

  7. [Effects of removable partial dentures on the quality of life in people with shortened dental arches].

    PubMed

    Armellini, D B; Heydecke, G; Witter, D J; Creugers, N H J

    2009-12-01

    In order to assess the enhanced value of removable partial dentures on the quality of life, patients at 2 university clinics were screened for the presence of complete or shortened dental arches. Those selected were assigned to 1 of 5 subgroups: 1) a shortened dental arch with all frontal teeth, 2) a shortened dental arch with one or more frontal diastemas, 3) a shortened dental arch with all frontal teeth, restored by a removable partial denture, 4) a shortened dental arch and several diastemas, restored by a removable partial denture, 5) a complete dental arch. The participants completed the Oral Health Impact Profile (OHIP-49) and the Short Form Health Survey (SF-36). Clinical data recorded were: whether any teeth were missing and if so which, whether or not these had been replaced by a removable partial denture, and the number of occluding pairs of (pre)molars. The results revealed that a shortenend dental arch has a certain impact on the quality of life. However, the participants only experienced benefits from a removable partial denture if the denture also replaced frontal teeth. PMID:20101937

  8. Clinical evaluation of abutment teeth of removable partial denture by means of the Periotest method.

    PubMed

    Jorge, J H; Giampaolo, E T; Vergani, C E; Machado, A L; Pavarina, A C; Cardoso de Oliveira, M R

    2007-03-01

    Prosthodontics should be one of the means of establishing conditions for the maintenance of periodontal health. The forces applied to the abutment teeth and their effects are very important considerations in the design and construction of the removable partial dentures. This 6-month follow-up clinical study evaluated the degree of mobility of abutment teeth of distal extension and tooth supported removable partial dentures by using Periotest. Two types of clasp design were selected for evaluation. In cases with unilateral and bilateral distal-extension, a clasp design including a T clasp of Roach retentive arm, a rigid reciprocal arm and a mesial rest were used. For the abutments of tooth-supported removable partial dentures, a second clasp design with a cast circumferential buccal retentive arm, a rigid reciprocal clasp arm and a rest adjacent to the edentulous ridges was selected. A total of 68 abutment teeth was analysed. Periotest values were made at the time of denture placement (control) and at 1, 3 and 6 months after the denture placement. The statistical analysis was performed using Friedman test. All analysis was performed at a 0.05 level of significance. The results revelled that no significant changes in tooth mobility were observed during the 6-months follow-up (P > 0.05). In conclusion, our findings suggest that adequate oral hygiene instructions, careful prosthetic treatment planning and regular recall appointments play an important role in preventing changes in abutment tooth mobility caused by removable partial denture placement. PMID:17302951

  9. Removable Partial Denture Supported by Implants with Prefabricated Telescopic Abutments - A Case Report

    PubMed Central

    Sehgal, Komal

    2014-01-01

    Implants have been designed to rehabilitate edentulous patients with fixed prosthesis or implant supported overdentures. Implant-supported single crowns and fixed partial dentures have become successful treatment alternatives to removable and fixed partial dentures. However, it is common to have clinical situations which make it impossible to use conventional as well as implant supported fixed partial dentures. The implant supported removable partial dentures can be a treatment modality that offers the multitude of benefits of implant-based therapy—biologic, biomechanical, social, and psychological to such patients. The aim of this article is to present a case report describing the fabrication and advantages of removable partial denture supported by teeth and implants for a patient with long edentulous span. The patient was satisfied with his dentures in terms of function and aesthetics. Regular follow-up visits over a period of three years revealed that the periodontal condition of remaining natural dentition and peri-implant conditions were stable. There was no evidence of excessive residual ridge resorption or mobility of the teeth, nor were any visible changes in the bone levels of the natural teeth or implants noted on radiographs. PMID:25121066

  10. Clinical Evaluation of Removable Partial Dentures on the Periodontal Health of Abutment Teeth: A Retrospective Study

    PubMed Central

    Dula, Linda J; Ahmedi, Enis F; Lila-Krasniqi, Zana D; Shala, Kujtim Sh

    2015-01-01

    The aim of this retrospective study was to evaluate the effect of removable partial dentures in periodontal abutment teeth in relation to the type of denture support and design of RPD in a five-year worn period. Methods : A total of 64 patients with removable partial dentures (RPDs), participated in this study. It were examined ninety-one RPDs. There were seventy-five RPDs with clasp-retained and sixteenth were RPDs with attachments. There were 28 females and 36 males, aged between 40-64 years, 41 maxillary and 50 mandible RPDs. For each subjects the following data were collected: denture design, denture support, and Kennedy classification. Abutment teeth were assessed for plaque index (PI), calculus index (CI), blending on probing (BOP), probing depth (PD), gingival recession (GR), tooth mobility (TM). Level of significance was set at p<0.05. Results : According to denture support of RPD, BOP, PD, PI, GR, CI and TM-index showed no statistically significant difference. Based on the denture design of RPD’s, BOP, PD, PI, CI, and TM-index proved no statistically significant difference. Except GR-index according to denture design confirmed statistically significant difference in RPD with clasp p<0.01. The higher values of all periodontal parameter as BOP, PD, PI, CI and TM were in patients with RPD’s with claps comparing with RPD’s with attachment. Conclusion : RPD’s with clasp increased level of gingival inflammation in regions covered by the dentures and below the clasp arms in abutment teeth. PMID:25926896

  11. Clinical evaluation of removable partial dentures on the periodontal health of abutment teeth: a retrospective study.

    PubMed

    Dula, Linda J; Ahmedi, Enis F; Lila-Krasniqi, Zana D; Shala, Kujtim Sh

    2015-01-01

    The aim of this retrospective study was to evaluate the effect of removable partial dentures in periodontal abutment teeth in relation to the type of denture support and design of RPD in a five-year worn period. Methods : A total of 64 patients with removable partial dentures (RPDs), participated in this study. It were examined ninety-one RPDs. There were seventy-five RPDs with clasp-retained and sixteenth were RPDs with attachments. There were 28 females and 36 males, aged between 40-64 years, 41 maxillary and 50 mandible RPDs. For each subjects the following data were collected: denture design, denture support, and Kennedy classification. Abutment teeth were assessed for plaque index (PI), calculus index (CI), blending on probing (BOP), probing depth (PD), gingival recession (GR), tooth mobility (TM). Level of significance was set at p<0.05. Results : According to denture support of RPD, BOP, PD, PI, GR, CI and TM-index showed no statistically significant difference. Based on the denture design of RPD's, BOP, PD, PI, CI, and TM-index proved no statistically significant difference. Except GR-index according to denture design confirmed statistically significant difference in RPD with clasp p<0.01. The higher values of all periodontal parameter as BOP, PD, PI, CI and TM were in patients with RPD's with claps comparing with RPD's with attachment. Conclusion : RPD's with clasp increased level of gingival inflammation in regions covered by the dentures and below the clasp arms in abutment teeth. PMID:25926896

  12. Reappraisal of the removable partial denture as a treatment option for the shortened dental arch.

    PubMed

    Nassani, Mohammad Zakaria; Tarakji, Bassel; Baroudi, Kusai; Sakka, Salah

    2013-04-01

    For patients with shortened dental arches, many treatment options are available. The existing situation can be maintained by stabilizing the present dentition and improving the occlusion without extending the arch. Alternatively, the shortened dental arch can be extended by either a free-end saddle removable partial denture, cantilevered fixed bridge, or by an implant-supported prosthesis. The free-end saddle removable partial denture can be considered a simple, non-invasive, and relatively cheap treatment option for the shortened dental arch. It was believed that such prosthodontic rehabilitation would be beneficial for the patients in terms of improving oral functions. However, the existing literature indicates that the prognosis of free-end saddle removable partial denture is not predictable, it is problematic, and its contribution to oral functions in patients with shortened dental arches is considered to be dubious. This paper reviews and summarizes the current literature about the outcome of extending the shortened dental arch by a free-end saddle removable partial denture. It also outlines factors that may affect the prognosis of this prosthetic treatment. PMID:24883037

  13. Factors influencing the provision of removable partial dentures by dentists in Ireland.

    PubMed

    Allen, Finbarr

    2010-01-01

    Factors influencing clinical treatment of partially dentate patients are varied, and there is a need to identify factors influencing success in the provision of removable partial dentures. The aim of this study was to assess the attitudes of general dental practitioners (GDPs) in Ireland towards tooth replacement and use of RPDs, in partially dentate older adults. The sample frame was the Register of Dentists in Ireland; data were also collected from a sample of dentists practising under NHS regulations in Northern Ireland. Validated questionnaires were sent to all dentists on the Register of Dentists in the Republic of Ireland, and dentists working under NHS regulations registered with the Central Services Agency in Northern Ireland. Content of the questionnaire included details of the dentist themselves, their dental practice and the profile of partial denture provision. They were also asked to give their views on factors influencing the success or failure of an RPD, the process of providing RPDs and their attitudes to RPD provision. A total of 1,143 responses were received, a response rate of 45%. A mean number of 61 RPDs per annum were provided, with 75% of dentures provided being acrylic based. Respondents indicate their belief that cobalt-chromium based dentures had a longer prognosis than acrylic dentures, but less than half (46%) claim to design the frameworks themselves. Patients' attitudes are considered influential in the success of RPD provision, and their influence on appearance is considered the most important factor influencing success. The most important factors influencing failure are: the patient not requesting a denture; an RPD restoring unbounded saddles; and, lower RPDs. Although considered important, approximately 60% of the sample do not routinely organise follow-up appointments for patients provided with RPDs. The fee structures in the DTSS and DTBS are considered a barrier to quality in the provision of partial dentures. PMID:21192619

  14. Fabrication of a new crown and provisional to an existing removable partial denture.

    PubMed

    Jackson, A D; Butler, C J

    1995-09-01

    A method of fabricating a new crown to an existing removable partial denture is described. A press-form plastic shell made from the diagnostic cast provides the outer contours for the abutment tooth, while an acrylic resin coping is fabricated on a die to provide accurate internal adaptation. The acrylic resin coping is seated on the prepared abutment. Autopolymerizing acrylic resin is mixed and placed in the plastic shell that is then placed in the mouth over the coping, forming the acrylic resin crown pattern. The removable partial prosthesis is fitted over the crown pattern intraorally. The pattern is transferred back to the die, the margins are refined, and the casting is completed and finished, avoiding reduction of the established contours. The same plastic shell is used with tooth-shaded acrylic resin to construct a provisional crown directly in the mouth. This technique allows the patient to wear the removable partial denture while the laboratory procedures are completed. PMID:8603212

  15. Immediate replacement removable partial dentures with cobalt-chromium frameworks: rationale, technology and a case report.

    PubMed

    Hassan, L; Juszczyk, A S; Clark, R K F

    2005-10-01

    The advantages of removable partial dentures with cobalt-chromium frameworks over those made entirely of acrylic resin, in oral health and hygiene, are well documented. However, in cases where teeth are to be extracted for fitting the removable partial denture, a difficulty arises because of the need to test the fit of the removable partial denture framework. The advent of two modern technologies-- laser welding and metal bonding agents -- make it possible to test the fit of the major part of the framework prior to adding additional metal components to support artificial teeth. A case is described in which the four lower incisors were extracted. The main part of the framework was constructed and its fit tested. A second casting was laser-welded to the lingual plate of the first casting to support the artificial incisor teeth. This technique avoids the need to make an acrylic resin temporary denture but incurs the cost of the additional technical work and so the advantages may be considered to be economically neutral. PMID:16159357

  16. Relevance of Variations in the Opposing Dentition for the Functionality of Fixed and Removable Partial Dentures: A Systematic Review

    PubMed Central

    Pommer, Bernhard; Krainhöfner, Martin; Watzek, Georg; Tepper, Gabor; Dintsios, Charalabos-Markos

    2012-01-01

    The aim of this systematic review was to evaluate the functionality of fixed and removable partial dentures as test interventions in relation to variations in the opposing dentition and their prosthetic restoration. The abstracts identified in the respective databases were screened independently by two investigators. RCTs and uncontrolled studies were considered, provided the patients were included consecutively and the confounding variables were adequately monitored. Seventeen papers were included. The study and publication quality was assessed using a “biometric quality” tool showing an overall poor quality. The reported outcomes, such as survival rates, were in each case obtained from a single study. Two possible trends could be deduced for the endpoint longevity: (a) the first trend in favor of removable partial dentures, compared to fixed partial dentures, with a fully edentulous opposing arch fitted with a removable prosthesis; (b) the second trend in favor of implant-supported partial dentures, compared to conventionally fixed partial dentures, with natural opposing dentition or with a removable partial denture in the opposing arch. No evidence could be generated as to whether, and if so how, variations in the opposing dentition have a bearing on the decision to fit a partially edentulous arch with a fixed or removable partial denture. PMID:23193407

  17. All-cast-titanium removable partial denture for a patient with a severely reduced interarch distance: a case report.

    PubMed

    Wakabayashi, N; Mizutani, H; Ai, M

    1997-03-01

    A patient had a maxillary posterior edentulous area and severely reduced interarch distance that precluded the use of a conventional removable partial denture. An all-cast-titanium denture base and occlusal surface was designed to fabricate a removable denture to restore the edentulous area. Titanium was cast in a centrifugal casting machine with electric are melting design. The desirable characteristics of titanium, such as favorable mechanical properties, low density, and comparatively low cost, make this metal particularly effective and suitable for construction of an all-cast-metal denture base with a metal occlusal surface. PMID:9452683

  18. Resilient Attachments as an Alternative to Conventional Cast Clasp Removable Partial Denture: 3-Year Follow-up.

    PubMed

    Schuh, Cristian; Adiel Skupien, Jovito; Mesko, Mauro Elias; Valentini, Fernanda; Pereira-Cenci, Tatiana; Boscato, Noéli

    2014-12-01

    The present clinical report describes the prosthodontic management for a patient with uncontrolled bleeding and diabetes mellitus treated with a maxillary complete denture and a mandibular partial fixed dental prosthesis designed to interface with a removable cast framework partial denture retained by 2 ERA attachments. This approach was undertaken to improve both retention and stability of the distal extension Kennedy Class I removable partial denture. The rehabilitation provided better anterior esthetics than if treated with a conventional clasp retained removable partial denture, by employing a simple, practical design and offering a significant biomechanical advantages, restoring both oral health and function. Thus, this treatment modality, involving an ERA system and transfixation in fixed crowns, is an effective treatment and can be indicated as a clinical alternative for edentulous and partially edentulous patients with systemic disorders or for patients in economic situations that might preclude implant-based rehabilitation. PMID:26199530

  19. Computerized design of removable partial dentures: a knowledge-based system for the future.

    PubMed

    Davenport, J C; Hammond, P; Fitzpatrick, F J

    1993-06-01

    Dentists frequently fail to provide dental technicians with the design information necessary for the construction of removable partial dentures. The computerization of dental practices and the development of appropriate knowledge-based systems could provide a powerful tool for improving this aspect of dental care. This article describes one such system currently under development which is an example of the kind of additional facility that will become available for those practices with the necessary hardware. PMID:8299844

  20. Implant-assisted removable partial dentures as an alternative treatment for partial edentulism: a review of the literature.

    PubMed

    Chatzivasileiou, Konstantinos; Kotsiomiti, Eleni; Emmanouil, Ioannis

    2015-01-01

    This study reviewed the current literature concerning implant-assisted removable partial dentures (RPDs) in order to present the existing knowledge about performance issues. An electronic search was conducted on the PubMed database for published English-language articles that contained information about implant-assisted RPDs. A review of these articles indicated that the combination of dental implants with RPDs constitutes a cost-efficient prosthetic protocol that can offer solutions to problematic aspects of treatment with removable partial dentures. Well-designed studies are still needed to provide robust evidence on critical issues, such as design guidelines, long-term survival of implants associated with RPDs, and their effect on patients' quality of life. PMID:25734282

  1. Impact on Dietary Intake of Removable Partial Dentures Replacing a Small Number of Teeth.

    PubMed

    Inomata, Chisato; Ikebe, Kazunori; Okada, Tadashi; Takeshita, Hajime; Maeda, Yoshinobu

    2015-01-01

    The aim of this study was to clarify the impact of wearing removable partial dentures (RPDs) replacing a small number of teeth on dietary intake. Participants had at least 20 teeth and were classified as Eichner B1 or B2. The participants underwent dental and oral examinations, and their dietary intake was assessed. Analysis of covariance showed that RPD wearers consumed more vegetables, n-3 fatty acids, calcium, vitamin A, and dietary fiber than nonwearers after adjusting for possible confounding factors. It is concluded that RPDs are effective for improving dietary intake even in participants who have lost a small number of teeth. PMID:26523716

  2. Retrofitting a Crown Supporting a Removable Partial Denture Using "Biogeneric Copy" to Replicate Tooth's Preoperative Condition.

    PubMed

    Patel, Dhaval

    2016-02-01

    When a crown that supports a removable partial denture (RPD) needs to be replaced, patients often balk at having to wait several weeks for laboratory production to be completed before receiving the new restoration. Moreover, the fit of the lab-produced unit may not always be satisfactory. CEREC® CAD/CAM technology provides a design method known as Biogenetic Copy, which allows a clinician to replicate the preexisting size, shape, and form of a tooth chairside. As this case report demonstrates, using this method to retrofit a crown under an existing RPD prosthesis can result in a predictable, accurate, durable, and esthetic same-day restorative solution. PMID:26905091

  3. Strain Distribution in a Kennedy Class I Implant Assisted Removable Partial Denture under Various Loading Conditions

    PubMed Central

    Shahmiri, Reza; Aarts, John M.; Bennani, Vincent; Swain, Michael V.

    2013-01-01

    Purpose. This in vitro study investigates how unilateral and bilateral occlusal loads are transferred to an implant assisted removable partial denture (IARPD). Materials and Methods. A duplicate model of a Kennedy class I edentulous mandibular arch was made and then a conventional removable partial denture (RPD) fabricated. Two Straumann implants were placed in the second molar region, and the prosthesis was modified to accommodate implant retained ball attachments. Strain gages were incorporated into the fitting surface of both the framework and acrylic to measure microstrain (μStrain). The IARPD was loaded to 120Ns unilaterally and bilaterally in three different loading positions. Statistical analysis was carried out using SPSS version 18.0 (SPSS, Inc., Chicago, IL, USA) with an alpha level of 0.05 to compare the maximum μStrain values of the different loading conditions. Results. During unilateral and bilateral loading the maximum μStrain was predominantly observed in a buccal direction. As the load was moved anteriorly the μStrain increased in the mesial area. Unilateral loading resulted in a twisting of the structure and generated a strain mismatch between the metal and acrylic surfaces. Conclusions. Unilateral loading created lateral and vertical displacement of the IARPD. The curvature of the dental arch resulted in a twisting action which intensified as the unilateral load was moved anteriorly. PMID:23737788

  4. Designing cobalt chromium removable partial dentures for patients with shortened dental arches: a pilot survey.

    PubMed

    Nassani, M Z; Devlin, H; Tarakji, B; McCord, J F

    2011-08-01

    The aim of this survey was to investigate the quality of prescription for the fabrication of cobalt chromium removable partial dentures (RPDs) that are used to extend the shortened dental arches (SDAs). A survey of four commercial dental laboratories located in northern England was conducted. The target of this survey was cobalt chromium RPDs that were requested to restore SDAs comprising the anterior teeth and 2-4 premolars. Dentists' prescriptions were scrutinised, and a special data collection form was completed accordingly. A total of 94 dentists' prescriptions and associated SDA casts were examined. Almost all the requested cobalt chromium RPDs were clasp-retained RPDs (97%). Scrutinising the 91 prescriptions for clasp-retained cobalt chromium RPDs showed that dentists' prescriptions did not have any instructions about the design of the partial denture in a considerable proportion of the cases (32%). Teeth to be clasped were identified clearly in 45% of the prescriptions. A majority of the dentists (64%) failed to provide any instructions about the design of the rests to be placed on the most posterior premolar abutment teeth. A considerable proportion of the dentists delegated the task of selecting the type of the major connector to the dental technician (41%). Only 21 (23%) of the examined casts had clearly defined rest seat preparation. The outcome of this pilot survey shows inadequate quality of prescription in designing RPDs for patients with SDAs. This finding has an ethical and clinical bearing and does not fit with current legal guidelines relevant to designing RPDs. PMID:21175736

  5. Influence of working side contacts on masticatory function for mandibular distal extension removable partial dentures.

    PubMed

    Sueda, S; Fueki, K; Sato, S; Sato, H; Shiozaki, T; Kato, M; Ohyama, T

    2003-03-01

    The aim of this study was to clarify the influence of working side contacts for masticatory function for a distal extension removable partial denture. Five subjects who had edentulous arches from second premolar to second molar opposing natural teeth participated. Working side contacts were altered by using three types of artificial teeth attached to the denture base. A-form teeth made contact with opposite teeth while acting as the working side in a lateral excursion. The cusp angles of B- and C-form teeth were decreased by 10 degrees and 20 degrees, respectively compared with A-form teeth. B-and C-form teeth discluded with opposite teeth on the working side. Subjects were asked to perform two kinds of masticatory performance test. Obtained data were evaluated by the repeated-measures anova and the Tukey test for multiple comparisons. Results revealed that there was a significant difference (P=0.001) in the three types of teeth in the mixing ability test and the value of A-form teeth was statistically less value than those of the other teeth. However, there was no significant difference in the comminuting ability test. These results suggested that working side contacts between artificial teeth and opposite natural teeth influenced mixing ability, but not comminuting ability. PMID:12588504

  6. Survival of abutment teeth used for telescopic abutment retainers in removable partial dentures.

    PubMed

    Dittmann, Britta; Rammelsberg, Peter

    2008-01-01

    This retrospective clinical study investigated the survival of 385 abutment teeth retaining 117 removable partial dentures with 3 types of telescopic abutment retainers. Within a mean service time of 6.26 years, 8.8% of 385 abutment teeth were extracted. Cox regression analysis revealed a significantly higher risk of tooth loss for posterior teeth (odds ratio: 2.985) and for teeth with root canal treatment (odds ratio: 3.298), whereas age, sex, and number and type of telescopic retainer had no influence on survival. Root canal-treated teeth did not show a higher fracture rate, excluding this as an explanation for an increased risk of tooth loss. PMID:18717090

  7. Impression Procedures for Metal Frame Removable Partial Dentures as Applied by General Dental Practitioners.

    PubMed

    Fokkinga, Wietske A; van Uchelen, Judith; Witter, Dick J; Mulder, Jan; Creugers, Nico H J

    2016-01-01

    This pilot study analyzed impression procedures for conventional metal frame removable partial dentures (RPDs). Heads of RPD departments of three dental laboratories were asked to record features of all incoming impressions for RPDs during a 2-month period. Records included: (1) impression procedure, tray type (stock/custom), impression material (elastomer/alginate), use of border-molding material (yes/no); and (2) RPD type requested (distal-extension/tooth-bounded/combination). Of the 132 total RPD impressions, 111 (84%) involved custom trays, of which 73 (55%) were combined with an elastomer. Impression border-molding material was used in 4% of the cases. Associations between impression procedure and RPD type or dentists' year/university of graduation were not found. PMID:26929957

  8. A Technique to Facilitate Tooth Modification for Removable Partial Denture Prosthesis Guide Planes.

    PubMed

    Haeberle, C Brent; Abreu, Amara; Metzler, Kurt

    2016-07-01

    The technique in this article was developed to provide a means to create prepared guide planes of proper dimension to ensure a more stable and retentive removable partial denture prosthesis (RPDP) framework when providing this service for a patient. Using commonly found clinical materials, a paralleling device can be fabricated from the modified diagnostic cast of the patient's dental arch requiring an RPDP. Polymethyl methacrylate or composite added to an altered thermoplastic form can be positioned intraorally and used as a guide to predictably adjust tooth structure for guide planes. Since it can potentially minimize the number of impressions and diagnostic casts made during the procedure, this can help achieve the desired result more efficiently and quickly for the patient. PMID:26215216

  9. An ontology-driven, case-based clinical decision support model for removable partial denture design.

    PubMed

    Chen, Qingxiao; Wu, Ji; Li, Shusen; Lyu, Peijun; Wang, Yong; Li, Miao

    2016-01-01

    We present the initial work toward developing a clinical decision support model for specific design of removable partial dentures (RPDs) in dentistry. We developed an ontological paradigm to represent knowledge of a patient's oral conditions and denture component parts. During the case-based reasoning process, a cosine similarity algorithm was applied to calculate similarity values between input patients and standard ontology cases. A group of designs from the most similar cases were output as the final results. To evaluate this model, the output designs of RPDs for 104 randomly selected patients were compared with those selected by professionals. An area under the curve of the receiver operating characteristic (AUC-ROC) was created by plotting true-positive rates against the false-positive rate at various threshold settings. The precision at position 5 of the retrieved cases was 0.67 and at the top of the curve it was 0.96, both of which are very high. The mean average of precision (MAP) was 0.61 and the normalized discounted cumulative gain (NDCG) was 0.74 both of which confirmed the efficient performance of our model. All the metrics demonstrated the efficiency of our model. This methodology merits further research development to match clinical applications for designing RPDs. This paper is organized as follows. After the introduction and description of the basis for the paper, the evaluation and results are presented in Section 2. Section 3 provides a discussion of the methodology and results. Section 4 describes the details of the ontology, similarity algorithm, and application. PMID:27297679

  10. Influence of implant inclination associated with mandibular class I removable partial denture.

    PubMed

    de Freitas Santos, Ciandrus Moraes; Pellizzer, Eduardo Piza; Verri, Fellippo Ramos; de Moraes, Sandra Lúcia Dantas; Falcón-Antenucci, Rosse Mary

    2011-03-01

    The aim of this study was to use two-dimensional finite element method to evaluate the displacement and stress distribution transmitted by a distal extension removable partial denture (DERPD) associated with an implant placed at different inclinations (0, 5, 15, and 30 degrees) in the second molar region of the edentulous mandible ridge. Six hemimandibular models were created: model A, only with the presence of the natural tooth 33; model B, similar to model A, with the presence of a conventional DERPD replacing the missing teeth; model C, similar to the previous model, with a straight implant (0 degrees) in the distal region of the ridge, under the denture base; model D, similar to model C, with the implant angled at 5 degrees in the mesial direction; model E, similar to model C, with the implant angled at 15 degrees in the mesial direction; and model F, similar to ME, with the implant angled at 30 degrees in the mesial direction. The models were created with the use of the AutoCAD 2000 program (Autodesk, Inc, San Rafael, CA) and processed for finite element analysis by the ANSYS 8.0 program (Swanson Analysis Systems, Houston, PA). The force applied was vertical of 50 N on each cusp tip. The results showed that the introduction of the RPD overloaded the supporting structures of the RPD and that the introduction of the implant helped to relieve the stresses of the mucosa alveolar, cortical bone, and trabecular bone. The best stress distribution occurred in model D with the implant angled at 5 degrees. The use of an implant as a support decreased the displacement of alveolar mucosa for all inclinations simulated. The stress distribution transmitted by the DERPD to the supporting structures was improved by the use of straight or slightly inclined implants. According to the displacement analysis and von Mises stress, it could be expected that straight or slightly inclined implants do not represent biomechanical risks to use. PMID:21415633

  11. An ontology-driven, case-based clinical decision support model for removable partial denture design

    PubMed Central

    Chen, Qingxiao; Wu, Ji; Li, Shusen; Lyu, Peijun; Wang, Yong; Li, Miao

    2016-01-01

    We present the initial work toward developing a clinical decision support model for specific design of removable partial dentures (RPDs) in dentistry. We developed an ontological paradigm to represent knowledge of a patient’s oral conditions and denture component parts. During the case-based reasoning process, a cosine similarity algorithm was applied to calculate similarity values between input patients and standard ontology cases. A group of designs from the most similar cases were output as the final results. To evaluate this model, the output designs of RPDs for 104 randomly selected patients were compared with those selected by professionals. An area under the curve of the receiver operating characteristic (AUC-ROC) was created by plotting true-positive rates against the false-positive rate at various threshold settings. The precision at position 5 of the retrieved cases was 0.67 and at the top of the curve it was 0.96, both of which are very high. The mean average of precision (MAP) was 0.61 and the normalized discounted cumulative gain (NDCG) was 0.74 both of which confirmed the efficient performance of our model. All the metrics demonstrated the efficiency of our model. This methodology merits further research development to match clinical applications for designing RPDs. This paper is organized as follows. After the introduction and description of the basis for the paper, the evaluation and results are presented in Section 2. Section 3 provides a discussion of the methodology and results. Section 4 describes the details of the ontology, similarity algorithm, and application. PMID:27297679

  12. [Prevention: the success of a partial denture].

    PubMed

    van Loveren, C

    2009-11-01

    After the placement of removable partial dentures, additional caries and periodontal problems may arise in the remaining dentition. These problems are the result of insufficient oral hygiene. Oral hygiene may be hampered by wearing the removable partial denture. The design of the removable partial denture should be carried out according to modern concepts of preventive dentistry. Before placing a removable partial denture, the patient's mouth should be thoroughly healthy and the patient should be instructed properly on adequate oral care. Furthermore, the patient should be aware of his/her own responsibility for maintenance. If cleaning twice a day with fluoride tooth-paste provides insufficient protection, care can be supported by daily use of a fluoride containing antimicrobial mouthrinse. Little effect can be expected from professionally applied fluoride or chlorhexidine solutions. PMID:19999672

  13. [Quantitative and qualitative analysis of oral microbiota by orthopedic rehabilitation with full and partial removable dentures].

    PubMed

    Stafeev, A A; Chesnokova, M G; Chesnokov, V A

    2015-01-01

    Microbiological analysis of biomaterial surface in dental prosthesis showed the most common colonizing gram-positive species to be S. aureus, Micrococcus spp., S. haemolyticus, E. faecalis, mainly massive colonization with S. aureus was seen. The highest concentration of C. albicans colonization was found in removable dentures and may have a destructive effect on prosthetic material. PMID:26953429

  14. A comparative study of the centrifugal and vacuum-pressure techniques of casting removable partial denture frameworks.

    PubMed

    Shanley, J J; Ancowitz, S J; Fenster, R K; Pelleu, G B

    1981-01-01

    A study was undertaken to evaluate two techniques for casting accuracy on removable partial denture frameworks: centrifugal casting and vacuum-pressure casting. A standard metal die with predetermined reference points in a horizontal plane was duplicated in refractory investment. The casts were waxed, and castings of nickel-chrome alloy were fabricated by the two techniques. Both the casts and the castings were measured between the reference points with a measuring microscope. With both casting methods, the differences between the casts and the castings were significant, but no significant differences were found between castings produced by the two techniques. Vertical measurements at three designated points also showed no significant differences between the castings. Our findings indicate that dental laboratories should be able to use the vacuum-pressure method of casting removable partial denture frameworks and achieve accuracy similar to that obtained by the centrifugal method of casting. PMID:7007622

  15. A technique for retrofitting a metal ceramic crown to an attachment-retained removable partial denture: a clinical report.

    PubMed

    Uludag, Bulent; Gonuldas, Fehmi; Tokar, Emre; Sahin, Volkan

    2015-02-01

    In dental applications, precision attachments have been used to retain removable partial dentures (RPDs) for several decades. Various types of extracoronal attachments are commonly used in combination with fixed partial dentures and RPDs to achieve retention and stability. Fracture of the framework, fracture of the roots or teeth, and irretrievable decrease of retention are common reasons for a failed attachment-retained RPD. Another complication of metal ceramic crowns with precision attachment is decementation of the crowns. When fixed components of the attachment-retained RPD fail, the traditional treatment approach requires remaking both the fixed and removable components of the attachment-retained RPD. This technique describes retrofitting of a metal ceramic crown to a resilient attachment-retained RPD. PMID:25066428

  16. Evaluation of Team-Based Learning and Traditional Instruction in Teaching Removable Partial Denture Concepts.

    PubMed

    Echeto, Luisa F; Sposetti, Venita; Childs, Gail; Aguilar, Maria L; Behar-Horenstein, Linda S; Rueda, Luis; Nimmo, Arthur

    2015-09-01

    The aim of this study was to evaluate the effectiveness of team-based learning (TBL) methodology on dental students' retention of knowledge regarding removable partial denture (RPD) treatment. The process of learning RPD treatment requires that students first acquire foundational knowledge and then use critical thinking skills to apply that knowledge to a variety of clinical situations. The traditional approach to teaching, characterized by a reliance on lectures, is not the most effective method for learning clinical applications. To address the limitations of that approach, the teaching methodology of the RPD preclinical course at the University of Florida was changed to TBL, which has been shown to motivate student learning and improve clinical performance. A written examination was constructed to compare the impact of TBL with that of traditional teaching regarding students' retention of knowledge and their ability to evaluate, diagnose, and treatment plan a partially edentulous patient with an RPD prosthesis. Students taught using traditional and TBL methods took the same examination. The response rate (those who completed the examination) for the class of 2013 (traditional method) was 94% (79 students of 84); for the class of 2014 (TBL method), it was 95% (78 students of 82). The results showed that students who learned RPD with TBL scored higher on the examination than those who learned RPD with traditional methods. Compared to the students taught with the traditional method, the TBL students' proportion of passing grades was statistically significantly higher (p=0.002), and 23.7% more TBL students passed the examination. The mean score for the TBL class (0.758) compared to the conventional class (0.700) was statistically significant with a large effect size, also demonstrating the practical significance of the findings. The results of the study suggest that TBL methodology is a promising approach to teaching RPD with successful outcomes. PMID:26329028

  17. Shape Optimization for Additive Manufacturing of Removable Partial Dentures--A New Paradigm for Prosthetic CAD/CAM.

    PubMed

    Chen, Junning; Ahmad, Rohana; Suenaga, Hanako; Li, Wei; Sasaki, Keiichi; Swain, Michael; Li, Qing

    2015-01-01

    With ever-growing aging population and demand for denture treatments, pressure-induced mucosa lesion and residual ridge resorption remain main sources of clinical complications. Conventional denture design and fabrication are challenged for its labor and experience intensity, urgently necessitating an automatic procedure. This study aims to develop a fully automatic procedure enabling shape optimization and additive manufacturing of removable partial dentures (RPD), to maximize the uniformity of contact pressure distribution on the mucosa, thereby reducing associated clinical complications. A 3D heterogeneous finite element (FE) model was constructed from CT scan, and the critical tissue of mucosa was modeled as a hyperelastic material from in vivo clinical data. A contact shape optimization algorithm was developed based on the bi-directional evolutionary structural optimization (BESO) technique. Both initial and optimized dentures were prototyped by 3D printing technology and evaluated with in vitro tests. Through the optimization, the peak contact pressure was reduced by 70%, and the uniformity was improved by 63%. In vitro tests verified the effectiveness of this procedure, and the hydrostatic pressure induced in the mucosa is well below clinical pressure-pain thresholds (PPT), potentially lessening risk of residual ridge resorption. This proposed computational optimization and additive fabrication procedure provides a novel method for fast denture design and adjustment at low cost, with quantitative guidelines and computer aided design and manufacturing (CAD/CAM) for a specific patient. The integration of digitalized modeling, computational optimization, and free-form fabrication enables more efficient clinical adaptation. The customized optimal denture design is expected to minimize pain/discomfort and potentially reduce long-term residual ridge resorption. PMID:26161878

  18. Shape Optimization for Additive Manufacturing of Removable Partial Dentures - A New Paradigm for Prosthetic CAD/CAM

    PubMed Central

    2015-01-01

    With ever-growing aging population and demand for denture treatments, pressure-induced mucosa lesion and residual ridge resorption remain main sources of clinical complications. Conventional denture design and fabrication are challenged for its labor and experience intensity, urgently necessitating an automatic procedure. This study aims to develop a fully automatic procedure enabling shape optimization and additive manufacturing of removable partial dentures (RPD), to maximize the uniformity of contact pressure distribution on the mucosa, thereby reducing associated clinical complications. A 3D heterogeneous finite element (FE) model was constructed from CT scan, and the critical tissue of mucosa was modeled as a hyperelastic material from in vivo clinical data. A contact shape optimization algorithm was developed based on the bi-directional evolutionary structural optimization (BESO) technique. Both initial and optimized dentures were prototyped by 3D printing technology and evaluated with in vitro tests. Through the optimization, the peak contact pressure was reduced by 70%, and the uniformity was improved by 63%. In vitro tests verified the effectiveness of this procedure, and the hydrostatic pressure induced in the mucosa is well below clinical pressure-pain thresholds (PPT), potentially lessening risk of residual ridge resorption. This proposed computational optimization and additive fabrication procedure provides a novel method for fast denture design and adjustment at low cost, with quantitative guidelines and computer aided design and manufacturing (CAD/CAM) for a specific patient. The integration of digitalized modeling, computational optimization, and free-form fabrication enables more efficient clinical adaptation. The customized optimal denture design is expected to minimize pain/discomfort and potentially reduce long-term residual ridge resorption. PMID:26161878

  19. Effect of different cleansers on the surface of removable partial denture.

    PubMed

    Felipucci, Daniela Nair Borges; Davi, Letícia Resende; Paranhos, Helena Freitas Oliveira; Bezzon, Osvaldo Luiz; Silva, Rodrigo Ferreira; Pagnano, Valéria Oliveira

    2011-01-01

    Removable partial dentures (RPD) demand specific hygienic cleaning and the combination of brushing with immersion in chemical solutions has been the most recommended method for control of biofilm. However, the effect of the cleansers on metallic components has not been widely investigated. This study evaluated the effect of different cleansers on the surface of RPD. Five disc specimens (12 mm x 3 mm metallic disc centered in a 38 x 18 x 4 mm mould filled with resin) were obtained for each experimental situation: 6 solutions [Periogard (PE), Cepacol (CE), Corega Tabs (CT), Medical Interporous (MI), Polident (PO), 0.05% sodium hypochlorite (NaOCl), and distilled water (DW) control] and 2 Co-Cr alloys [DeguDent (DD) and VeraPDI (VPDI)] were used for each experimental situation. A 180-day immersion was simulated and the measurements of roughness (Ra, µm) of metal and resin were analyzed using 2-way ANOVA and Tukey's test. The surface changes and tarnishes were examined with a scanning electronic microscopy (SEM). In addition, energy dispersive x-ray spectrometry (EDS) analysis was carried out at representative areas. Visually, NaOCl and MI specimens presented surface tarnishes. The roughness of materials was not affected by the solutions (p>0.05). SEM images showed that NaOCl and MI provided surface changes. EDS analysis revealed the presence of oxygen for specimens in contact with both MI and NaOCl solutions, which might suggest that the two solutions promoted the oxidation of the surfaces, thus leading to spot corrosion. Within the limitations of this study, it may be concluded that the NaOCl and MI may not be suitable for cleaning of RPD. PMID:22011895

  20. A Combination of Various Technologies in the Fabrication of a Removable Partial Denture--A Case Study.

    PubMed

    Seitz, Stefanie; Cox, Nicholas; Jones, John D; Zimmermann, Richard

    2016-01-01

    Digital dentistry is increasing prevalent throughout general dental practice. Scanned impression systems, CAD/CAM software, milling units, and 3D printers are becoming used with regularity by some private practitioners. This case report describes a combination of multiple technologies including intraoral scanning, 3D printing, and traditional impression and processing techniques used for fabricating a removable partial denture. The patient indicated that he was highly satisfied throughout the course of treatment and especially with the final result. Future technology will continue to evolve and be more widely used in removable prosthodontics and other areas of dentistry. PMID:27008841

  1. A field survey of the partially edentate elderly: Investigation of factors related to the usage rate of removable partial dentures.

    PubMed

    Murai, S; Matsuda, K; Ikebe, K; Enoki, K; Hatta, K; Fujiwara, K; Maeda, Y

    2015-11-01

    Although the shortened dental arch (SDA) concept has been known to all over the world, acceptance of the SDA concept as an oral health standard can be questionable from the patients' point of view, even if it is biologically reasonable. Furthermore, because the health insurance system covers removable partial dentures (RPDs) for all citizens in Japan, SDA patients seem to prefer to receive prosthetic treatment to replace the missing teeth. However, there were few field surveys to investigate the usage rate of RPDs in Japan. The purpose of this study was to determine the usage rate of RPDs in older Japanese subjects and to investigate the factors related to the usage of RPDs. Partially edentate participants (n = 390) were included in this study. Oral examinations were conducted to record several indices. The Cochran-Armitage trend test was used to evaluate the relationship between the number of missing teeth and the usage rate of RPDs. Chi-squared tests and logistic regression analysis were conducted to evaluate the factors related to the usage rate of RPDs. Usage of RPDs had a significantly positive association with the number of missing distal extension teeth and bilaterally missing teeth. The usage rate of RPDs increased as the number of missing distal extension teeth increased (P for trend < 0·001). The conclusion of this study was that participants with missing distal extension teeth had higher usage rates of RPDs than other participants, and the usage rate increased as the number of missing distal extension teeth increased. PMID:26059645

  2. Implant-Supported Removable Partial Denture Improves the Quality of Life of Patients with Extreme Tooth Loss.

    PubMed

    Campos, Camila Heitor; Gonçalves, Thais Marques Simek Vega; Garcia, Renata Cunha Matheus Rodrigues

    2015-10-01

    This study aimed to evaluate oral health-related quality of life (OHRQoL) in partially dentate subjects, presenting extreme tooth loss in posterior region with missing post-canines, comparing the use of conventional removable partial dentures (RPDs) and implant-supported RPDs. OHRQoL was measured using the Brazilian version of the Oral Health Impact Profile. Twelve subjects presenting maxillary total and mandibular Kennedy Class I edentulism (mean age 62.6±7.8 years) first received complete maxillary dentures and conventional mandibular free-end RPDs. After two months, the subjects had their OHRQoL assessed. Osseointegrated implants were inserted bilaterally in the mandibular first molar regions, and after four months ball abutments were placed to support the free-end RPD. Two months later, the patients had their OHRQoL reassessed. Wilcoxon signed-rank test was used to evaluate differences in OHRQoL (α=0.05). Results showed improvement in all OHIP-49 domains (p<0.05) after associating implants to the RPD. The mandibular implant-supported free-end RPD significantly improved OHRQoL. PMID:26647929

  3. Effect of different cleansers on the weight and ion release of removable partial denture: an in vitro study

    PubMed Central

    FELIPUCCI, Daniela N.B.; DAVI, Letícia R.; PARANHOS, Helena F.O.; BEZZON, Osvaldo L.; SILVA, Rodrigo F.; BARBOSA JUNIOR, Fernando; PAGNANO, Valéria O.

    2011-01-01

    Objective Removable partial dentures (RPD) require different hygiene care, and association of brushing and chemical cleansing is the most recommended to control biofilm formation. However, the effect of cleansers has not been evaluated in RPD metallic components. The aim of this study was to evaluate in vitro the effect of different denture cleansers on the weight and ion release of RPD. Material and Methods Five specimens (12x3 mm metallic disc positioned in a 38x18x4 mm mould filled with resin), 7 cleanser agents [Periogard (PE), Cepacol (CE), Corega Tabs (CT), Medical Interporous (MI), Polident (PO), 0.05% sodium hypochlorite (NaOCl), and distilled water (DW) (control)] and 2 cobalt-chromium alloys [DeguDent (DD), and VeraPDI (VPDI)] were used for each experimental situation. One hundred and eighty immersions were performed and the weight was analyzed with a high precision analytic balance. Data were recorded before and after the immersions. The ion release was analyzed using mass spectrometry with inductively coupled plasma. Data were analyzed by two-way ANOVA and Tukey HSD post hoc test at 5% significance level. Results Statistical analysis showed that CT and MI had higher values of weight loss with higher change in VPDI alloy compared to DD. The solutions that caused more ion release were NaOCl and MI. Conclusions It may be concluded that 0.05% NaOCl and Medical Interporous tablets are not suitable as auxiliary chemical solutions for RPD care. PMID:21986653

  4. The influence of removable partial dentures on the periodontal health of abutment and non-abutment teeth

    PubMed Central

    Dula, Linda J.; Shala, Kujtim Sh.; Pustina–Krasniqi, Teuta; Bicaj, Teuta; Ahmedi, Enis F.

    2015-01-01

    Objective: The aim of this study was to evaluate the influence of removable partial dentures (RPD) on the periodontal health of abutment and non-abutment teeth. Materials and Methods: A total 107 patients with RPD participated in this study. It was examined 138 RPD, they were 87 with clasp-retained and 51 were RPD with attachments. The following periodontal parameters were evaluated for abutment and non-abutment teeth, plaque index (PLI), calculus index (CI), bleeding on probing (BOP), probing depth (PD) (mm) and tooth mobility (TM) index. These clinical measurements were taken immediately before insertion the RPD, then one and 3 months after insertion. The level of significance was set at (P < 0.05). Results: The mean scores for PLI, CI, BOP, PD, and TM index, of the abutment teeth and non-abutment teeth were no statistically significant at the time of insertion of RPD. After 1-month, PLI was statistically significant (0.57 ± 0.55 for abutment and 0.30 ± 0.46 for non-abutment teeth). After 3 months, there were significant differences between abutment and non-abutment teeth with regard to the BOP (1.53 ± 0.50 and 1.76 ± 0.43 respectively), PD (0.28 ± 0.45 and 0.12 ± 0.33 respectively) and PLI (1.20 ± 0.46 and 0.75 ± 0.64 respectively). No significant mean difference in TM and CI was found between the abutment and non-abutment teeth (P > 0.05). Conclusions: With carefully planned prosthetic treatment and adequate maintenance of the oral and denture hygiene, we can prevent the periodontal diseases. PMID:26430367

  5. Influence of Implant Position on Stress Distribution in Implant-Assisted Distal Extension Removable Partial Dentures: A 3D Finite Element Analysis

    PubMed Central

    Memari, Yeganeh; Geramy, Allahyar; Fayaz, Amir; Rezvani Habib Abadi, Shirin; Mansouri, Yasaman

    2014-01-01

    Objective: Distal extension removable partial denture is a prosthesis with lack of distal dental support with a 13-fold difference in resiliency between the mucosa and the periodontal ligament, resulting in leverage during compression forces. It may be potentially destructive to the abutments and the surrounding tissues. The aim of this study was to assess the effect of implant location on stress distribution, in distal extension implant assisted removable partial dentures. Materials and Methods: Three-dimensional models of a bilateral distal extension partially edentulous mandible containing anterior teeth and first premolar in both sides of the arch, a partial removable denture and an implant (4×10mm) were designed. With the aid of the finite element program ANSYS 8.0, the models were meshed and strictly vertical forces of 10 N were applied to each cusp tip. Displacement and von Mises Maps were plotted for visualization of results. Results: When an implant was placed in the second premolar region, the highest stress on implant, abutment tooth and cancellous bone was shown. The lowest stress was shown on implant and bone in the 1st molar area. Conclusion: Implants located in the first molar area showed the least distribution of stresses in the analyzed models. PMID:25628678

  6. Three Dimensional Finite Element Analysis of Distal Abutment Stresses of Removable Partial Dentures with Different Retainer Designs

    PubMed Central

    Zarrati, Simindokht; Heidari, Fatemeh; Kashani, Jamal

    2015-01-01

    Objectives: This finite element method study aimed to compare the amount of stress on an isolated mandibular second premolar in two conventional reciprocal parallel interface designs of removable partial dentures (RPDs) and the same RPD abutment tooth (not isolated). Materials and Methods: A Kennedy Class 1, modification 1 RPD framework was simulated on a 3D model of mandible with three different designs: an isolated tooth with a mesial rest, an isolated tooth with mesial and distal rests and an abutment with a mesial rest (which was not isolated); 26 N occlusal forces were exerted bilaterally on the first molar sites. Stress on the abutment teeth was analyzed using Cosmos Works 2009 Software. Results: In all designs, the abutment tooth stress concentration was located in the buccal alveolar crest. In the first model, the von Mises stress distribution in the contact area of I-bar clasp and cervical portion of the tooth was 19 MPa and the maximum stress was 30 MPa. In the second model, the maximum von Mises stress distribution was 15 MPa in the cervical of the tooth. In the third model, the maximum von Mises stress was located in the cervical of the tooth and the distal proximal plate. Conclusion: We recommend using both mesial and distal rests on the distal abutment teeth of distal extension RPDs. The abutment of an extension base RPD, which is not isolated in presence of its neighboring more anterior tooth, may have a better biomechanical prognosis. PMID:26884772

  7. Influence of ridge inclination and implant localization on the association of mandibular Kennedy class I removable partial denture.

    PubMed

    Cunha, Lígia Del' Arco Pignatta; Pellizzer, Eduardo Piza; Verri, Fellippo Ramos; Falcón-Antenucci, Rosse Mary; Goiato, Marcelo Coelho

    2011-05-01

    The aim of this study was to evaluate the tendency of displacement of the supporting structures of the distal extension removable partial denture (DERPD) associated to the implant with different inclinations of alveolar ridge and implant localizations through a two-dimensional finite-element method. Sixteen mandibular models were fabricated, presenting horizontal, distally descending, distally ascending, or descending-ascending ridges. All models presented the left canine and were rehabilitated with conventional DERPD or implant-retained prosthesis with the ERA system. The models were obtained by the AutoCAD software and transferred to the finite-element software ANSYS 9.0 for analysis. A force of 50 N was applied on the cusp tips of the teeth, with 5 points of loading of 10 N. The results were visualized by displacement maps. For all ridge inclinations, the assembly of the DERPD with distal plate retained by an anterior implant exhibited the lowest requisition of the supporting structures. The highest tendency of displacement occurred in the model with distally ascending ridge with incisal rest. It was concluded that the association of the implant decreased the displacement of the DERPD, and the anterior positioning of the implant associated to the DERPD with the distal plate preserved the supporting structures for all ridges. PMID:21558932

  8. The effect of four sprue shapes on the quality of cobalt-chromium cast removable partial denture frame-works

    PubMed Central

    Viswambaran, M.; Agarwal, S. K.

    2013-01-01

    Statement of Problem: Sprue design is a factor that controls the velocity and adequate supply of metal to the mould. Currently various manufacturers recommend different shapes of sprue, which have not been advocated in textbooks and literature is lacking for their routine applications. Purpose: This in vitro study was carried out to determine the efficacy of four sprue shapes in producing complete, void free cobalt-chrome removable partial denture frameworks. Materials and Methods: A brass metal die with a Kennedy class III, modification 1, partially edentulous arch was used and four sprue shapes (Group A-Ribbon, Group B-Square, Group C-Round and Group D- Round with reservoir) were evaluated. 40 refractory casts were made, 10 wax patterns for each sprue design were waxed up, invested with phosphate bonded investment material and castings done with induction casting machine by the same operator under standardized protocols. The cast frameworks were evaluated for 1. The defects observed visually before finishing and polishing procedures, 2. Fit on the master die as seen with naked eye and 3. Defects on radiographic evaluation. Data were tabulated and statistically analyzed with 1-way ANOVA followed by Student ‘t’ test. Results: The results differed significantly (P < 0.0001) between the Groups with maximum defects in the castings of Group A followed in decreasing order by Group B, Group C and Group D. When comparing between the Groups (P < 0.05), the defects in Groups C and D was significantly lower than Group A and Group B. Conclusions: Round sprues with reservoir produced most satisfactory fit of castings with minimum number of internal and external defects. PMID:24014998

  9. Effect of the Number of Implants on Stress Distribution of Anterior Implant-Supported Fixed Prostheses Combined with a Removable Partial Denture: A Finite Element Analysis

    PubMed Central

    Mahshid, Minoo; Geramy, Allahyar; Ejlali, Massoud; Sedaghat Monfared, Majid; Rezvani Habib Abadi, Shirin

    2014-01-01

    Objective: The main goal of this study was to evaluate differences in stress distribution relevant to the number of implants under an anterior bridge when combined with a removable partial denture in the posterior region. Materials and Methods: Four three-dimensional finite element models (3D FEM) were designed from a mandible containing an implant-supported bridge extending between canines, and a bilateral distal extension removable partial denture. A nonrigid connection was selected as the attachment method between the partial denture and the anterior implant-supported fixed prosthesis; 2, 3, 4 and 5 implants supporting the bridge all with 10mm length and 3.8 mm diameter were assessed. With the aid of the finite element program ANSYS 8.0, the models were loaded and von Mises stresses were evaluated. Results: In spongy bone, stress forces showed a decrease from 2 implants to 4 implants but showed an increase in the 5-implant model. Stresses on cortical bone of terminal implants were in similar range in the 2-, 3- and 4-implant models. While, in the 5-implant model the amount of stresses on terminal implants increased dramatically. The stresses on implants were nearly similar in all models, with the greatest amount on terminal implants. Conclusion: Within the limitations of this study, 2-, 3- and 4-implant models showed less stress on cortical and spongy bone in comparison with the 5-implant model. The stresses transferred to implants were nearly similar. PMID:25628669

  10. The path of placement of a removable partial denture: a microscope based approach to survey and design

    PubMed Central

    2015-01-01

    This article reviews the topic of how to identify and develop a removable partial denture (RPD) path of placement, and provides a literature review of the concept of the RPD path of placement, also known as the path of insertion. An optimal RPD path of placement, guided by mutually parallel guide planes, ensures that the RPD flanges fit intimately over edentulous ridge structures and that the framework fits intimately with guide plane surfaces, which prevents food collecting empty spaces between the intaglio surface of the framework and intraoral surfaces, and ensures that RPD clasps engage adequate numbers of tooth undercuts to ensure RPD retention. The article covers topics such as the causes of obstructions to RPD intra-oral seating, the causes of food collecting empty spaces that may exist around an RPD, and how to identify if a guide plane is parallel with the projected RPD path of placement. The article presents a method of using a surgical operating microscope, or high magnification (6-8x or greater) binocular surgical loupes telescopes, combined with co-axial illumination, to identify a preliminary path of placement for an arch. This preliminary path of placement concept may help to guide a dentist or a dental laboratory technician when surveying a master cast of the arch to develop an RPD path of placement, or in verifying that intra-oral contouring has aligned teeth surfaces optimally with the RPD path of placement. In dentistry, a well-fitting RPD reduces long-term periodontal or structural damage to abutment teeth. PMID:25722842

  11. The path of placement of a removable partial denture: a microscope based approach to survey and design.

    PubMed

    Mamoun, John Sami

    2015-02-01

    This article reviews the topic of how to identify and develop a removable partial denture (RPD) path of placement, and provides a literature review of the concept of the RPD path of placement, also known as the path of insertion. An optimal RPD path of placement, guided by mutually parallel guide planes, ensures that the RPD flanges fit intimately over edentulous ridge structures and that the framework fits intimately with guide plane surfaces, which prevents food collecting empty spaces between the intaglio surface of the framework and intraoral surfaces, and ensures that RPD clasps engage adequate numbers of tooth undercuts to ensure RPD retention. The article covers topics such as the causes of obstructions to RPD intra-oral seating, the causes of food collecting empty spaces that may exist around an RPD, and how to identify if a guide plane is parallel with the projected RPD path of placement. The article presents a method of using a surgical operating microscope, or high magnification (6-8x or greater) binocular surgical loupes telescopes, combined with co-axial illumination, to identify a preliminary path of placement for an arch. This preliminary path of placement concept may help to guide a dentist or a dental laboratory technician when surveying a master cast of the arch to develop an RPD path of placement, or in verifying that intra-oral contouring has aligned teeth surfaces optimally with the RPD path of placement. In dentistry, a well-fitting RPD reduces long-term periodontal or structural damage to abutment teeth. PMID:25722842

  12. Evaluation of different retention systems on a distal extension removable partial denture associated with an osseointegrated implant.

    PubMed

    Pellizzer, Eduardo Piza; Verri, Fellippo Ramos; Falcón-Antenucci, Rosse Mary; Goiato, Marcelo Coelho; Gennari Filho, Humberto

    2010-05-01

    The aim of this study was to evaluate the biomechanical behavior of a mandibular distal extension removable partial denture (DERPD) associated with an implant and different retention system, by bidimensional finite element method. Five hemimandible models with a canine and external hexagon implant at second molar region associated with DERPD were simulated: model A, hemimandible with a canine and a DERPD; model B, hemimandible with a canine and implant with a healing abutment associated to a DERPD; model C, hemimandible with a canine and implant with an ERA attachment associated to a DERPD; model D, hemimandible with a canine and implant with an O'ring attachment associated to a DERPD; and model E, hemimandible with a canine and implant-supported prosthesis associated to a DERPD. Cusp tips were loaded with 50 N of axial or oblique force (45 degrees). Finite element analysis was performed in ANSYS 9.0. model E showed the higher displacement and overload in the supporting tissues; the patterns of stress distribution around the dental apex of models B, C, and D were similar. The association between a DERPD and an osseointegrated implant using the ERA or O'ring systems shows lower stress values. Oblique forces showed higher stress values and displacement. Oblique forces increased the displacement and stress levels in all models; model C displayed the best stress distribution in the supporting structures; healing abutment, ERA, and O'ring systems were viable with RPD, but DERPD association with a single implant-supported prosthesis was nonviable. PMID:20485037

  13. Effect of storage time and framework design on the accuracy of maxillary cobalt-chromium cast removable partial dentures

    PubMed Central

    Viswambaran, M.; Sundaram, R. K.

    2015-01-01

    Statement of Problem: Inaccuracies in the fit of palatal major connectors may be related to distortion of the wax pattern due to prolonged storage time and faulty major connector design. Purpose: This in vitro study was carried out to find out the effect of storage time and major connector design on the accuracy of cobalt-chromium cast removable partial dentures (RPDs). Materials and Methods: A brass metal die with a Kennedy Class III, modification 1, the partially edentulous arch was used as a master die. Thirty-six refractory casts were fabricated from the master die. The refractory casts were divided into three groups (Group I: Anterior-posterior palatal bar, Group II: Palatal strap and Group III: Palatal plate) based on the design of maxillary major connector and subdivided into four groups (sub Group A: 01 h, sub Group B: 03 h, Sub Group C: 06 h, and sub Group D: 24 h) based on the storage time. For each group, 12 frameworks were fabricated. The influence of wax pattern storage time and the accuracy of the fit palatal major connector designs on the master die were compared. Casting defects (nodules/incompleteness) of the frameworks were also evaluated before finishing and polishing. Repeated measures analysis of variance was used to analyze the data. Results: The gap discrepancy was least in sub Group A (01 h) followed by sub Group B (03 h) and C (06 h) and most in sub Group D (24 h). Statistically significant differences (P < 0.05 in all locations L1–L5) in the fit of the framework were related to the design of the major connector. The gap discrepancy was least in Group I (anterior-posterior palatal bar) followed by Group II (palatal strap) and most in Group II (palatal plate). Conclusions: It is recommended that the wax patterns for RPD to be invested immediately on completion of the wax procedure. The selection of a major connector design is crucial for an accurate fit of RPD. PMID:26681850

  14. Telescopic Partial Dentures-Concealed Technology

    PubMed Central

    Bhagat, Tushar Vitthalrao; Walke, Ashwini Nareshchandra

    2015-01-01

    The ideal goal of good dentist is to restore the missing part of oral structure, phonetics, his look and the most important is restored the normal health of the patient, which is hampered due to less or insufficient intake of food. Removable partial denture (RPD) treatment option is considered as a notion, which precludes the inevitability of “floating plastic” in edentulous mouth, that many times fail to fulfill the above essential of the patients. In modern dentistry, though the dental implants or fixed partial denture is the better options, but they have certain limitations. However, overdentures and particularly telescopic denture is the overlooked technology in dentistry that would be a boon for such needy patients. Telescopic denture is especially indicated in the distal edentulous area with minimum two teeth bilaterally present with a good amount of periodontal support. This treatment modality is sort of preventive prosthodontics remedy, which in a conservative manner preserve the remaining teeth and helps in conservation of alveolar bone ultimately. There are two tenets related to this option, one is constant conservation edentulous ridge around the retained tooth and the most important is the endless existence of periodontal sensory action that directs and monitor gnathodynamic task. In this option the primary coping or inner coping are cemented on the prepared tooth, and a similar removable outer or inner telescopic crown placed tightly by using a mechanism of tenso-friction, this is firmly attached to a removable RPD in place without moving or rocking of the prosthesis, which is the common compliant of almost all patients of RPD. Copings are also protecting the abutment from tooth decay and also offers stabilization and maintaining of the outer crown. The outer crown engages the inner coping and gives as an anchor for the remainder of the dentition. This work is the review of telescopic prosthesis which is well supported by the case discussion, and

  15. Telescopic Partial Dentures-Concealed Technology.

    PubMed

    Bhagat, Tushar Vitthalrao; Walke, Ashwini Nareshchandra

    2015-09-01

    The ideal goal of good dentist is to restore the missing part of oral structure, phonetics, his look and the most important is restored the normal health of the patient, which is hampered due to less or insufficient intake of food. Removable partial denture (RPD) treatment option is considered as a notion, which precludes the inevitability of "floating plastic" in edentulous mouth, that many times fail to fulfill the above essential of the patients. In modern dentistry, though the dental implants or fixed partial denture is the better options, but they have certain limitations. However, overdentures and particularly telescopic denture is the overlooked technology in dentistry that would be a boon for such needy patients. Telescopic denture is especially indicated in the distal edentulous area with minimum two teeth bilaterally present with a good amount of periodontal support. This treatment modality is sort of preventive prosthodontics remedy, which in a conservative manner preserve the remaining teeth and helps in conservation of alveolar bone ultimately. There are two tenets related to this option, one is constant conservation edentulous ridge around the retained tooth and the most important is the endless existence of periodontal sensory action that directs and monitor gnathodynamic task. In this option the primary coping or inner coping are cemented on the prepared tooth, and a similar removable outer or inner telescopic crown placed tightly by using a mechanism of tenso-friction, this is firmly attached to a removable RPD in place without moving or rocking of the prosthesis, which is the common compliant of almost all patients of RPD. Copings are also protecting the abutment from tooth decay and also offers stabilization and maintaining of the outer crown. The outer crown engages the inner coping and gives as an anchor for the remainder of the dentition. This work is the review of telescopic prosthesis which is well supported by the case discussion, and

  16. Prefabricated light-polymerizing plastic pattern for partial denture framework.

    PubMed

    Takaichi, Atsushi; Wakabayashi, Noriyuki; Igarashi, Yoshimasa

    2011-10-01

    Our aim is to report an application of a prefabricated light-polymerizing plastic pattern to construction of removable partial denture framework without the use of a refractory cast. A plastic pattern for the lingual bar was adapted on the master cast of a mandibular Kennedy class I partially edentulous patient. The pattern was polymerized in a light chamber. Cobalt-chromium wires were employed to minimize the potential distortion of the plastic framework. The framework was carefully removed from the master cast and invested with phosphate-bonded investment for the subsequent casting procedures. A retentive clasp was constructed using 19-gauge wrought wire and was welded to the framework by means of laser welding machine. An excellent fit of the framework in the patient's mouth was observed in the try-in and the insertion of the denture. The result suggests that this method minimizes laboratory cost and time for partial denture construction. PMID:22346178

  17. Prefabricated light-polymerizing plastic pattern for partial denture framework

    PubMed Central

    Takaichi, Atsushi; Wakabayashi, Noriyuki; Igarashi, Yoshimasa

    2011-01-01

    Our aim is to report an application of a prefabricated light-polymerizing plastic pattern to construction of removable partial denture framework without the use of a refractory cast. A plastic pattern for the lingual bar was adapted on the master cast of a mandibular Kennedy class I partially edentulous patient. The pattern was polymerized in a light chamber. Cobalt–chromium wires were employed to minimize the potential distortion of the plastic framework. The framework was carefully removed from the master cast and invested with phosphate-bonded investment for the subsequent casting procedures. A retentive clasp was constructed using 19-gauge wrought wire and was welded to the framework by means of laser welding machine. An excellent fit of the framework in the patient's mouth was observed in the try-in and the insertion of the denture. The result suggests that this method minimizes laboratory cost and time for partial denture construction. PMID:22346178

  18. Clinical application of removable partial dentures using thermoplastic resin. Part II: Material properties and clinical features of non-metal clasp dentures.

    PubMed

    Fueki, Kenji; Ohkubo, Chikahiro; Yatabe, Masaru; Arakawa, Ichiro; Arita, Masahiro; Ino, Satoshi; Kanamori, Toshikazu; Kawai, Yasuhiko; Kawara, Misao; Komiyama, Osamu; Suzuki, Tetsuya; Nagata, Kazuhiro; Hosoki, Maki; Masumi, Shin-ichi; Yamauchi, Mutsuo; Aita, Hideki; Ono, Takahiro; Kondo, Hisatomo; Tamaki, Katsushi; Matsuka, Yoshizo; Tsukasaki, Hiroaki; Fujisawa, Masanori; Baba, Kazuyoshi; Koyano, Kiyoshi; Yatani, Hirofumi

    2014-04-01

    This position paper reviews physical and mechanical properties of thermoplastic resin used for non-metal clasp dentures, and describes feature of each thermoplastic resin in clinical application of non-metal clasp dentures and complications based on clinical experience of expert panels. Since products of thermoplastic resin have great variability in physical and mechanical properties, clinicians should utilize them with careful consideration of the specific properties of each product. In general, thermoplastic resin has lower color-stability and higher risk for fracture than polymethyl methacrylate. Additionally, the surface of thermoplastic resin becomes roughened more easily than polymethyl methacrylate. Studies related to material properties of thermoplastic resin, treatment efficacy and follow-up are insufficient to provide definitive conclusions at this time. Therefore, this position paper should be revised based on future studies and a clinical guideline should be provided. PMID:24746524

  19. [Esthetic and technical aspects of conventional removable dentures. Design of a complete denture in the upper jaw and a telescopic denture in the lower jaw. A case report].

    PubMed

    Teubner, Eckart; Lorenzon, Andreas; Marinello, Carlo P

    2007-01-01

    Removable partial dentures and complete dentures are still an important part of the daily prosthetic work of dentists and dental technicians. Thereby the esthetic design of conventional fixed restorations is challenging the dentist and the dental technician in removable prosthodontics. The result is mainly influenced by the clinical and technical procedure as well as by the choice of material. In this article, the reconstruction of a patient with a complete removable dental prosthesis in the upper jaw and an overlay denture on four telescopes in the lower jaw is presented. PMID:17557643

  20. 21 CFR 872.3600 - Partially fabricated denture kit.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ...) Identification. A partially fabricated denture kit is a device composed of connected preformed teeth that is... with the oral tissues. After the denture base is constructed, the connected preformed teeth...

  1. 21 CFR 872.3600 - Partially fabricated denture kit.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ...) Identification. A partially fabricated denture kit is a device composed of connected preformed teeth that is... with the oral tissues. After the denture base is constructed, the connected preformed teeth...

  2. 21 CFR 872.3600 - Partially fabricated denture kit.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ...) Identification. A partially fabricated denture kit is a device composed of connected preformed teeth that is... with the oral tissues. After the denture base is constructed, the connected preformed teeth...

  3. 21 CFR 872.3600 - Partially fabricated denture kit.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ...) Identification. A partially fabricated denture kit is a device composed of connected preformed teeth that is... with the oral tissues. After the denture base is constructed, the connected preformed teeth...

  4. 21 CFR 872.3600 - Partially fabricated denture kit.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ...) Identification. A partially fabricated denture kit is a device composed of connected preformed teeth that is... with the oral tissues. After the denture base is constructed, the connected preformed teeth...

  5. Zirconia-based dental crown to support a removable partial denture: a three-dimensional finite element analysis using contact elements and micro-CT data.

    PubMed

    Rocha, Eduardo Passos; Anchieta, Rodolfo Bruniera; de Almeida, Erika Oliveira; Freitas, Amilcar Chagas; Martini, Ana Paula; Sotto-Maior, Bruno Sales; Luersen, Marco Antonio; Ko, Ching Chang

    2015-01-01

    Veneer fracture is the most common complication in zirconia-based restorations. The aim of this study was to evaluate the mechanical behavior of a zirconia-based crown in a lower canine tooth supporting removable partial denture (RPD) prosthesis, varying the bond quality of the veneer/coping interface. Microtomography (μCT) data of an extracted left lower canine were used to build the finite element model (M) varying the core material (gold core - MAu; zirconia core - MZi) and the quality of the veneer/core interface (complete bonded - MZi; incomplete bonded - MZi-NL). The incomplete bonding condition was only applied for zirconia coping by using contact elements (Target/Contact) with 0.3 frictional coefficients. Stress fields were obtained using Ansys Workbench 10.0. The loading condition (L = 1 N) was vertically applied at the base of the RPD prosthesis metallic support towards the dental apex. Maximum principal (σmax) and von Mises equivalent (σvM) stresses were obtained. The σmax (MPa) for the bonded condition was similar between gold and zirconia cores (MAu, 0.42; MZi, 0.40). The incomplete bonded condition (MZi-NL) raised σmax in the veneer up to 800% (3.23 MPa) in contrast to the bonded condition. The peak of σvM increased up to 270% in the MZi-NL. The incomplete bond condition increasing the stress in the veneer/zirconia interface. PMID:25331825

  6. The role of friction in the mechanism of retaining the partial removable dentures with double crown system.

    PubMed

    Dąbrowa, Tomasz; Dobrowolska, Anna; Wieleba, Wojciech

    2013-01-01

    Cylindrical telescopic crowns belong to bolt dentures, because their adhesion strength is based on the friction force. The magnitude of static and slide friction forces depends on the strain within the contact area and properties of materials employed. Friction force value between telescope elements declines in the first phase of wearing period and, subsequently, maintains particular constant value of 8 to 10 N. In the telescopic technique, homo and heterogenic joints are used. The following prosthodontic materials have been examined: goldbase alloys (Degudent Kiss, Degulor M), cobalt-base alloy (Brealloy 270), ceramics (Zircon Oxide, Zirconia) during tribological investigations on FGP composite resin. The cooperating surfaces were moistened with synthetic saliva. The research confirmed the dependence of the static friction coefficient on the contact pressure for the analyzed pairs of materials used in prosthodontics. The biggest effect of the contact pressure on the coefficient of friction value occurs when the ceramic rubs on FGP composite resin. The most stable friction coefficient in the context of contact pressure changes as well as life has been found in the case of the cobalt alloy Brealloy 270. An interesting material is a gold alloy Degulor M, for which the coefficient of friction varies only slightly with pressure in the range of 0.6 to 0.9 MPa. PMID:24479667

  7. Effects of Length and Inclination of Implants on Terminal Abutment Teeth and Implants in Mandibular CL1 Removable Partial Denture Assessed by Three-Dimensional Finite Element Analysis

    PubMed Central

    Fayaz, Amir; Geramy, Alahyar; Memari, Yeganeh

    2015-01-01

    Objectives: This study sought to assess the effects of length and inclination of implants on stress distribution in an implant and terminal abutment teeth in an implant assisted-removable partial denture (RPD) using three-dimensional (3D) finite element analysis (FEA). Materials and Methods: In this in vitro study, a 3D finite element model of a partially dentate mandible with a distal extension RPD (DERPD) and dental implants was designed to analyze stress distribution in bone around terminal abutment teeth (first premolar) and implants with different lengths (7 and 10 mm) and angles (0°, 10° and 15°). Results: Stress in the periodontal ligament (PDL) of the first premolar teeth ranged between 0.133 MPa in 10mm implants with 15° angle and 0.248 MPa in 7mm implants with 0° angle. The minimum stress was noted in implants with 10mm length with 0° angle (19.33 MPa) while maximum stress (25.78 MPa) was found in implants with 10mm length and 15° angle. In implants with 7 mm length, with an increase in implant angle, the stress on implants gradually increased. In implants with 10 mm length, increasing the implant angle gradually increased the stress on implants. Conclusion: Not only the length of implant but also the angle of implantation are important to minimize stress on implants. The results showed that vertical implant placement results in lower stress on implants and by increasing the angle, distribution of stress gradually increases.

  8. Ingestion of a Fixed Partial Denture During General Anesthesia

    PubMed Central

    Neustein, Steve; Beicke, Mark

    2007-01-01

    Dental trauma during anesthesia is a common occurrence. Many patients have had extensive dental work, which is more fragile than the natural dentition. This work may include crowns, fixed partial dentures (bridges), and porcelain veneers. We report for the first time, a case in which a fixed partial denture became dislodged and was ingested, and was recovered postoperatively with endoscopy. PMID:17579503

  9. The cantilever fixed partial denture--a literature review.

    PubMed

    Himmel, R; Pilo, R; Assif, D; Aviv, I

    1992-04-01

    The cantilever fixed partial denture (FPD) is a restoration with one or more abutments at one end and unsupported at the other end. Forces transmitted through the cantilevered pontics can cause tilting and rotational movements of the abutments. In a cross-arch unilateral cantilever FPD, the distal cantilevered unit is subjected to comparatively less force than the contralateral posterior abutment. The unilateral lack of terminal abutments causes lateral bending forces activate peripheral inhibitory feedback reactions from the periodontal and/or temporomandibular mechanoreceptors. The greatest strain in distal cantilevered FPDs is recorded mesial to the most distal retainer because most fractures occur in this location. To improve the prognosis of the FPD cantilever, the number of abutments should be increased and the number of pontics decreased. The abutment teeth need long roots and acceptable alveolar support. Prepared abutments require adequate length and parallel axial walls. An equilibrated and harmonious occlusion is necessary, as well as exemplary oral hygiene. A cantilevered FPD with adequate periodontal support can replace any tooth in the dental arch, but is especially useful as an alternative to a removable partial denture. The cantilevered FPD requires at least two abutment teeth. The only documented exception permitting a single abutment is the replacement of a maxillary lateral incisor with the canine as an abutment. An alternative to the cantilevered FPD is the osseointegrated implant. As osseointegrated implants become more popular, the need for the tooth-supported cantilevered FPD may decline, but it will remain an alternative treatment modality. PMID:1507130

  10. Risk management in clinical practice. Part 6b. Identifying and avoiding medico-legal risks in removable dentures.

    PubMed

    Stilwell, C

    2010-10-01

    The most likely cause of complaint with prosthodontics is a denture that in some way fails to be accepted. A denture that does not perform as the patient expects can give rise to great disappointment and anger. The problem is that acceptance of a denture is not just a technical issue. Success depends on the individual's ability to tolerate and adapt to the denture. It is therefore essential to make the right assessment for the patient from the outset. This includes discovering the patient's priorities and establishing realistic expectations. With the aim of assisting the dental profession in identifying and avoiding medico-legal risks in removable dentures, this article sets out a systematic, diagnostic and collaborative approach to complete and partial denture assessment and treatment. PMID:20930774

  11. The effectiveness of chemical denture cleansers and ultrasonic device in biofilm removal from complete dentures

    PubMed Central

    CRUZ, Patrícia Costa; de ANDRADE, Ingrid Machado; PERACINI, Amanda; de SOUZA-GUGELMIN, Maria Cristina Monteiro; SILVA-LOVATO, Cláudia Helena; de SOUZA, Raphael Freitas; PARANHOS, Helena de Freitas Oliveira

    2011-01-01

    Adequate denture hygiene can prevent and treat infection in edentulous patients. They are usually elderly and have difficulty for brushing their teeth. Objective This study evaluated the efficacy of complete denture biofilm removal using chemical (alkaline peroxide-effervescent tablets), mechanical (ultrasonic) and combined (association of the effervescent and ultrasonic) methods. Material and Methods Eighty complete denture wearers participated in the experiment for 21 days. They were distributed into 4 groups (n=20): (1) Brushing with water (Control); (2) Effervescent tablets (Corega Tabs); (3) Ultrasonic device (Ultrasonic Cleaner, model 2840 D); (4) Association of effervescent tablets and ultrasonic device. All groups brushed their dentures with a specific brush (Bitufo) and water, 3 times a day, before applying their treatments. Denture biofilm was collected at baseline and after 21 days. To quantify the biofilm, the internal surfaces of the maxillary complete dentures were stained and photographed at 45º. The photographs were processed and the areas (total internal surface stained with biofilm) quantified (Image Tool 2.02). The percentage of the biofilm was calculated by the ratio between the biofilm area multiplied by 100 and the total area of the internal surface of the maxillary complete denture. Results The Kruskal-Wallis test was used for comparison among groups followed by the Dunn multiple-comparison test. All tests were performed respecting a significance level of 0.05. Significant difference was found among the treatments (KW=21.18; P<0.001), the mean ranks for the treatments and results for Dunn multiple comparison test were: Control (60.9); Chemical (37.2); Mechanical (35.2) and Combined (29.1). Conclusion The experimental methods were equally effective regarding the ability to remove biofilm and were superior to the control method (brushing with water). Immersion in alkaline peroxide and ultrasonic vibration can be used as auxiliary agents for

  12. Biomechanical considerations on tooth-implant supported fixed partial dentures

    PubMed Central

    Calvani, Pasquale; Hirayama, Hiroshi

    2012-01-01

    This article discusses the connection of teeth to implants, in order to restore partial edentulism. The main problem arising from this connection is tooth intrusion, which can occur in up to 7.3% of the cases. The justification of this complication is being attempted through the perspective of biomechanics of the involved anatomical structures, that is, the periodontal ligament and the bone, as well as that of the teeth- and implant-supported fixed partial dentures. PMID:23255882

  13. A review of computer-aided design/computer-aided manufacture techniques for removable denture fabrication

    PubMed Central

    Bilgin, Mehmet Selim; Baytaroğlu, Ebru Nur; Erdem, Ali; Dilber, Erhan

    2016-01-01

    The aim of this review was to investigate usage of computer-aided design/computer-aided manufacture (CAD/CAM) such as milling and rapid prototyping (RP) technologies for removable denture fabrication. An electronic search was conducted in the PubMed/MEDLINE, ScienceDirect, Google Scholar, and Web of Science databases. Databases were searched from 1987 to 2014. The search was performed using a variety of keywords including CAD/CAM, complete/partial dentures, RP, rapid manufacturing, digitally designed, milled, computerized, and machined. The identified developments (in chronological order), techniques, advantages, and disadvantages of CAD/CAM and RP for removable denture fabrication are summarized. Using a variety of keywords and aiming to find the topic, 78 publications were initially searched. For the main topic, the abstract of these 78 articles were scanned, and 52 publications were selected for reading in detail. Full-text of these articles was gained and searched in detail. Totally, 40 articles that discussed the techniques, advantages, and disadvantages of CAD/CAM and RP for removable denture fabrication and the articles were incorporated in this review. Totally, 16 of the papers summarized in the table. Following review of all relevant publications, it can be concluded that current innovations and technological developments of CAD/CAM and RP allow the digitally planning and manufacturing of removable dentures from start to finish. As a result according to the literature review CAD/CAM techniques and supportive maxillomandibular relationship transfer devices are growing fast. In the close future, fabricating removable dentures will become medical informatics instead of needing a technical staff and procedures. However the methods have several limitations for now. PMID:27095912

  14. A review of computer-aided design/computer-aided manufacture techniques for removable denture fabrication.

    PubMed

    Bilgin, Mehmet Selim; Baytaroğlu, Ebru Nur; Erdem, Ali; Dilber, Erhan

    2016-01-01

    The aim of this review was to investigate usage of computer-aided design/computer-aided manufacture (CAD/CAM) such as milling and rapid prototyping (RP) technologies for removable denture fabrication. An electronic search was conducted in the PubMed/MEDLINE, ScienceDirect, Google Scholar, and Web of Science databases. Databases were searched from 1987 to 2014. The search was performed using a variety of keywords including CAD/CAM, complete/partial dentures, RP, rapid manufacturing, digitally designed, milled, computerized, and machined. The identified developments (in chronological order), techniques, advantages, and disadvantages of CAD/CAM and RP for removable denture fabrication are summarized. Using a variety of keywords and aiming to find the topic, 78 publications were initially searched. For the main topic, the abstract of these 78 articles were scanned, and 52 publications were selected for reading in detail. Full-text of these articles was gained and searched in detail. Totally, 40 articles that discussed the techniques, advantages, and disadvantages of CAD/CAM and RP for removable denture fabrication and the articles were incorporated in this review. Totally, 16 of the papers summarized in the table. Following review of all relevant publications, it can be concluded that current innovations and technological developments of CAD/CAM and RP allow the digitally planning and manufacturing of removable dentures from start to finish. As a result according to the literature review CAD/CAM techniques and supportive maxillomandibular relationship transfer devices are growing fast. In the close future, fabricating removable dentures will become medical informatics instead of needing a technical staff and procedures. However the methods have several limitations for now. PMID:27095912

  15. Avoiding osseous grafting in the atrophic posterior mandible for implant-supported fixed partial dentures: a report of 2 cases.

    PubMed

    Flanagan, Dennis

    2011-12-01

    Bone atrophy occurs after tooth extraction in the posterior mandible, placing the mandibular canal and its neural, arterial, and venous contents closer to the osseous facial aspect and the coronal crest. This proximity places the structure in danger of damage when dental implants are surgically placed to support fixed or removable prostheses. Several options are available to treat these areas for implant-supported fixed and removable complete or partial dentures. Osseous grafting and ridge expansion are surgical options that enable acceptance of standard sized dental implants but have serious morbidities. Additionally, vertical osseous augmentation is not predictable at this time. Narrow diameter dental implants can be placed to avoid the mandibular canal, but some bone volume situations preclude this. Very wide and very short (6.5 × 5 mm) dental implants may be placed at an angle in atrophic sites to successfully support fixed partial dentures. An anterior guidance occlusal scheme may be used in maxillary dentate patients or group function in maxillary complete denture patients. A 100 micron occlusal relief in fixed partial dentures in dentate patients may be required to account for natural tooth intrusion and to prevent occlusal overload of the implant-supported partial denture. PMID:20925498

  16. Dentures

    MedlinePlus

    ... Dental Implants Dentures Direct Bonding Implants versus Bridges Orthodontics and Aligners Periodontal Plastic Surgery Porcelain Crowns Porcelain ... Dental Implants Dentures Direct Bonding Implants versus Bridges Orthodontics and Aligners Periodontal Plastic Surgery Porcelain Crowns Porcelain ...

  17. Partial denture metal framework may harbor potentially pathogenic bacteria

    PubMed Central

    Bernardes, Luciano Angelo de Souza; Gomes, Sabrina Carvalho; Silva, Alecsandro Moura

    2015-01-01

    PURPOSE The aim of this study was to characterize and compare bacterial diversity on the removable partial denture (RPD) framework over time. MATERIALS AND METHODS This descriptive pilot study included five women who were rehabilitated with free-end mandibular RPD. The biofilm on T-bar clasps were collected 1 week (t1) and 4 months (t2) after the RPD was inserted (t0). Bacterial 16S rDNA was extracted and PCR amplified. Amplicons were cloned; clones were submitted to cycle sequencing, and sequences were compared with GenBank (98% similarity). RESULTS A total of 180 sequences with more than 499 bp were obtained. Two phylogenetic trees with 84 (t1) and 96 (t2) clones represented the bacteria biofilm at the RPD. About 93% of the obtained phylotypes fell into 25 known species for t1 and 17 for t2, which were grouped in 5 phyla: Firmicutes (t1=82%; t2=60%), Actinobacteria (t1=5%; t2=10%), Bacteroidetes (t1=2%; t2=6%), Proteobacteria (t1=10%; t2=15%) and Fusobacteria (t1=1%; t2=8%). The libraries also include 3 novel phylotypes for t1 and 11 for t2. Library t2 differs from t1 (P=.004); t1 is a subset of the t2 (P=.052). Periodontal pathogens, such as F. nucleatum, were more prevalent in t2. CONCLUSION The biofilm composition of the RPD metal clasps changed along time after RPD wearing. The RPD framework may act as a reservoir for potentially pathogenic bacteria and the RPD wearers may benefit from regular follow-up visits and strategies on prosthesis-related oral health instructions. PMID:26816577

  18. Telescopic Overdenture and Implant Supported Fixed Partial Denture: A Pragmatic Treatment Approach

    PubMed Central

    Dede, Doğu Ömür; Cenk Durmuşlar, M.; Şahın, Onur; Köroğlu, Ayşegül; İşısağ, Özer

    2015-01-01

    This case report presents a patient who had been rehabilitated with a telescopic overdenture and implant supported fixed partial denture (ISFPD). The treatment process was as follows: (1) fabricating telescopic crowns and overdenture prosthesis for the lower jaw and a temporary complete denture for the upper jaw, (2) using the temporary denture as diagnostic and surgical guide to optimize dental implant placement, and (3) fabricating ISFPD for the upper jaw. Using the patient's existing or temporary denture not only serves as an alternative surgical guide to calibrate the dental implant locations but also helps to finish the restoration at desired dimension, size, and anatomic form. PMID:26106491

  19. Fiber-reinforced composites in fixed partial dentures

    PubMed Central

    Vallittu, Pekka

    2006-01-01

    Fiber-reinforced composite resin (FRC) prostheses offer the advantages of good aesthetics, minimal invasive treatment, and an ability to bond to the abutment teeth, thereby compensating for less-than-optimal abutment tooth retention and resistance form. These prostheses are composed of two types of composite materials: fiber composites to build the framework and hybrid or microfill particulate composites to create the external veneer surface. This review concentrates on the use of fiber reinforcement in the fabrication of laboratory or chairsidemade composite-fixed partial dentures of conventional preparation. Other applications of FRC in dentistry are briefly mentioned. The possibilities fiber reinforcement technology offers must be emphasized to the dental community. Rather than limiting discussion to whether FRC prostheses will replace metal-ceramic or full-ceramic prostheses, attention should be focused on the additional treatment options brought by the use of fibers. However, more clinical experience is needed. PMID:21526023

  20. Fixed partial dentures investigated by optical coherent tomography

    NASA Astrophysics Data System (ADS)

    Sinescu, Cosmin; Negrutiu, Meda; Todea, Carmen; Hughes, Mike; Tudorache, Florin; Podoleanu, Adrian G.

    2008-02-01

    Fixed partial prostheses as integral ceramics, integral polymers, metal ceramics or metal polymers bridges, are mainly used in the frontal part of the dental arch (especially the integral bridges). They have to satisfy high stress requirements as well as esthetic. The masticatory stress may induce fractures of the bridges. These may be triggered by initial materials defects or by alterations of the technological process. The fractures of these bridges lead to functional, esthetic and phonetic disturbances which finally render the prosthetic treatment inefficient. The purpose of this study is to evaluate the capability of en-face optical coherence tomography (OCT) in detection and analysis of possible fractures in several integral fixed partial dentures. The materials used were represented by several fixed partial prostheses, integral ceramics, integral polymers, metal ceramics and metal polymers bridges. In order to discover the defects, scanning was performed from incisal, vestibular, oral and cervical directions material defects such as fractures and pores were investigated using OCT. In conclusion, en-face OCT has proven as a valuable non invasive method to investigate fixed partial prostheses before their insertion in the oral cavity.

  1. Direct and indirect fiber-reinforced fixed partial dentures: case reports.

    PubMed

    Ahlstrand, Wisua M; Finger, Werner J

    2002-05-01

    Direct and indirect fiber-reinforced resin composite fixed partial dentures are a new way to produce minimally invasive, esthetic, and cost-effective metal-free tooth replacements. These treatment alternatives have a number of indications, for example, chairside tooth replacements, long-term provisional fixed partial dentures, economically feasible tooth replacements for patients who cannot afford more traditional treatment regimens, and tooth replacements for medically compromised patients who are unable to withstand the physical stress associated with fabrication of traditional fixed prostheses. This article presents four typical cases in which fiber-reinforced fixed partial dentures seemed to be the preferable treatment modality. PMID:12014165

  2. Intraoral repair of all ceramic fixed partial denture utilizing preimpregnated fiber reinforced composite.

    PubMed

    Turkaslan, Süha; Tezvergil-Mutluay, Arzu

    2008-01-01

    All ceramic fixed partial dentures (FPD)s exhibit enhanced biocompatibility and esthetics as compared to metal-ceramic restorations. However, framework fractures are frequently reported especially when the connector dimensions are inadequate to withstand the high tensile stresses. The repair of the failed connector would be desirable rather than the complete removal and renewal since the latter is an expensive and time consuming procedure. Furthermore, the replacement or removal of the restoration for extra-oral repair purposes might increase the risk of destroying the entire restoration or damaging the abutment teeth during the removal. This article presents a direct intra-oral method that may be used to repair the connector fractures of all-ceramic FPDs which are otherwise clinically satisfactory. In the present technique, the connector is reconstructed intraorally utilizing composite resin restorative material reinforced with E-glass-fiber. PMID:19212511

  3. A study of dentists’ preferences for the restoration of shortened dental arches with partial dentures

    PubMed Central

    Nassani, Mohammad Zakaria; Ibraheem, Shukran; Al-Hallak, Khaled Rateb; Ali El Khalifa, Mohammed Othman; Baroudi, Kusai

    2015-01-01

    Objective: This study aimed to use a utility method in order to assess dentists’ preferences for the restoration of shortened dental arches (SDAs) with partial dentures. Also, the impact of patient age and length of the SDA on dentists’ preferences for the partial dentures was investigated. Materials and Methods: Totally, 104 subjects holding a basic degree in dentistry and working as staff members in a private dental college in Saudi Arabia were interviewed and presented with 12 scenarios for patients of different ages and mandibular SDAs of varying length. Participants were asked to indicate on a standardized visual analog scale how they would value the health of the patient's mouth if the mandibular SDAs were restored with cobalt-chromium removable partial dentures (RPDs). Results: With a utility value of 0.0 representing the worst possible health state for a mouth and 1.0 representing the best, dentists’ average utility value of the RPD for the SDAs was 0.49 (sd= 0.15). Mean utility scores of the RPDs across the 12 SDA scenarios ranged between 0.35 and 0.61. RPDs that restored the extremely SDAs attracted the highest utility values and dentists’ utility of the RPD significantly increased with the increase in the number of missing posterior teeth. No significant differences in dentists’ mean utility values for the RPD were identified among SDA scenarios for patients of different ages. Conclusion: Restoration of the mandibular SDAs by RPDs is not a highly preferred treatment option among the surveyed group of dentists. Length of the SDA affects dentists’ preferences for the RPD, but patient age does not. PMID:26038647

  4. Development of a device to study fatigue life of fixed partial dentures

    NASA Astrophysics Data System (ADS)

    Gutierrez, S. C.; Meseguer, M. D.; Estal, R.; Folguera, F.; Vidal, V.

    2012-04-01

    Fixed partial dentures can be fabricated by means of different materials and with different manufacturing processes. In order to establish possible differences among them, their behaviour, as fatigue life or cement shear bond strength, have to be evaluated. This article presents a modular, economic and robust device to evaluate fixed partial dentures and dental crowns. A base to support the fixed partial dentures and a device to simulate masticatory loads have been developed. The device has got a simple design. It is based on a pneumatic piston, with a pressure regulator to control masticatory loads. On a first stage, only vertical forces have been taking into account. However, the device will allow simulating tangential masticatory loads on the other axis, studying the behaviour of the fixed partial dentures submerged in a solution similar to saliva, changing masticatory load application, etc. with little modifications.

  5. Single implant and crown versus fixed partial denture: A cost-benefit, patient-centred analysis.

    PubMed

    Goodacre, Charles J; Naylor, W Patrick

    2016-01-01

    Single implants and their crowns have high survival rates that exceed the survival rates for fixed partial dentures on teeth and most but not all publications have determined single implants are more cost-effective than 3-unit fixed partial dentures. Both initial root canal treatment and retreatment are more cost-effective than tooth extraction and rehabilitation with a single implant and crown. PMID:27314112

  6. Improved design of long-span resin-bonded fixed partial dentures: three case reports.

    PubMed

    Botelho, Michael G

    2003-03-01

    When single-tooth implants are not appropriate, the use of resin-bonded fixed partial dentures is a preferred treatment option when the abutments are relatively sound. However, the use of resin-bonded fixed partial dentures (RBFPDs) for replacing two or more missing teeth is considered to have a guarded prognosis, as long-span RBFPDs have been shown to be less successful than single pontic prostheses. The use of properly modified nonrigid connectors may well improve the success of long-span RBFPDs by reducing harmful interabutment stresses that appear to be responsible for retainer debonding in long-span RBFPDs. For such long-span prostheses, it is advised that the major retainer have wraparound on at least three surfaces of the abutment or have strategically placed opposing axial grooves or slots. It is considered essential that the connector allow interabutment movement in both the horizontal and vertical planes so that the retainer with the greater resistance and retention form does not stress and possibly debond the minor retainer. The upside-down positioning of the nonrigid connector and the matrix incorporated with the major retainer is considered important for successful maintenance, if a debond should occur due to greater loading on the major retainer, because it can be removed and recemented easily. Clinical cases are described that replace two or more missing teeth using fixed-movable RBFPDs with nonrigid connectors. PMID:12731596

  7. Bonding a veneered zirconia anterior fixed partial denture.

    PubMed

    Lawson, Nathaniel C; Chavali, Ramakiran; Burgess, John O

    2015-01-01

    This case report documents the rationale and procedure for bonding a veneered zirconia restoration. A three-unit zirconia fixed partial denture (FPD) was fabricated with facial and incisal porcelain veneering. The intaglio surface of the prosthesis was abraded with 50-μm aluminum oxide (Al2O3) particles and coated with one layer of a 10-methacryloxydecyl dihydrogen phosphate (MDP) primer. The FPD was tried into the mouth and occlusal adjustment was performed with a fine grit diamond, and then it was polished with zirconia polishing points. The intaglio surfaces of the abutment crowns were cleaned with 37% phosphoric acid and rinsed. A self-etch adhesive was applied to the tooth preparations and light-cured, and the crowns were filled with cement and seated. Excess cement was immediately wiped away with a brush, followed by spot-curing of the margins. The case demonstrates that, when properly designed, veneered zirconia restorations offer acceptable esthetic and mechanical properties for anterior FPDs. PMID:25822406

  8. Strength of zirconia fixed partial dentures: review of the literature

    PubMed Central

    GARGARI, M.; GLORIA, F.; CAPPELLO, A.; OTTRIA, L.

    2011-01-01

    SUMMARY Objective The aim of this study is a systematic review of the literature on the strength and long-term behavior of zirconia FPDs. Methods The literature search was performed using as the primary source the Medline database. Were also imposed a set of inclusion and exclusion criteria in order to narrow the search to differentiate the two distinct parts in which it was structured the review. In addition, MeSH terms were applied to further refine the choice of articles more relevant to the review. In the part of the review concerning the long-term behavior of zirconia fixed partial dentures were considered useful only those studies with a minimum follow-up of one year. Results The search provided a total of 813 articles, but only 25 were considered for the review because they were the only ones who satisfied search criteria. In particular, 13 items relate to the mechanical strength of zirconia prostheses and 12 regarding the long term behavior of zirconia FPDs. The resistance values also exceed the 2000 N while the survival rate reaches to almost 94%. Conclusions Based on this review, Zirconia FPDs can be considered reliable products in both the anterior and posterior fields with survival rates comparable to traditional metal-ceramic prostheses. PMID:23285392

  9. Fabrication of a multi-applicable removable intraoral denture system for rodent research

    PubMed Central

    Lee, Heeje; Yu, Alika; Johnson, Clorinda C.; Noverr, Mairi C.; Fidel, Paul L.

    2011-01-01

    SUMMARY The objective was to engineer an inexpensive intraoral removable denture system for rodents that can be utilized in numerous oral health research applications. At the forefront is biofilm research related to Candida-associated denture stomatitis. Previously described intraoral devices are primitive and inadequate. The denture system was engineered consisting of a fixed part that is anchored to the posterior palate by orthodontic wires and acrylic resin, and a removable part fitted to the anterior palate that is retained by magnets embedded in the fixed part. Both parts are custom-fitted to the rodent palate by impression making and cast fabrication. Rats fitted with the intraoral denture system maintained body weight and normal activity with the device maintaining integrity and durability for upwards of 8 weeks. The denture system was used successfully to establish a working model of denture stomatitis. This newly engineered inexpensive intraoral removable denture system for rodents can be utilized in numerous oral health research applications, including denture-associated infections, biofilms, and a variety of biomaterial applications. The removable portion is advantageous for longitudinal analyses and charging/discharging of biomaterials. PMID:21323935

  10. Marginal Integrity of CAD/CAM Fixed Partial Dentures

    PubMed Central

    Rosentritt, Martin; Behr, Michael; Kolbeck, Carola; Handel, Gerhard

    2007-01-01

    Objectives Computer-aided design (CAD) and manufacturing (CAM) allows the milling of high strength zirconia fixed partial dentures (FPD), however bonding to an inert ZrO2 ceramic surface may effect the marginal integrity of the FPDs. The aim of this investigation was to evaluate the marginal adaptation of zirconia FPDs at the interfaces between zirconia, cement, and tooth. Methods 32 3-unit FPDs were fabricated of the CAD/CAM Y-TZP zirconia (Lava, 3M Espe, Germany) according to the manufacturers’ instructions. Resin cements with corresponding primer and bonding systems were used to lute the FPDs: Compolute/EBS multi (3M Espe, Germany), Panavia F/ED (Kuraray, Japan), Variolink 2/Syntac classic (Ivoclar-Vivadent, FL) and RelyX Unicem/without treatment (3M Espe, Germany). Aualloy FPDs (BioPontostar, Bego, Germany) were cemented with RelyX Unicem and Harvard (Harvard, Germany) as the control. Marginal adaptation was evaluated with scanning electron microscopy using replica specimen before and after artificial aging. After aging, microleakage tests were performed with fuchsine solution. The interfaces between cement-tooth and cement-FPD were examined. Results At the interfaces (cement-tooth and cement-FPD), the systems showed a 95% or higher perfect margin before and after aging. Only Variolink2/Syntac had a marginal adaptation, lower than a 70% perfect margin. Generally, the fuchsine penetration was below 20%, only BioPontstar/Harvard andLava/Variolink2 showed penetration results between 80% and 100%. Conclusion The success of the adhesive cementation of zirconia FPDs depends on the cement system. Under the conditions of this study, zirconia FPDs showed good to sufficient marginal integrity in combination with Panavia/ED, Compolute/EBS and RelyX Unicem. PMID:19212494

  11. Frequency and location of artificial crowns and fixed partial dentures constructed at a dental school.

    PubMed

    Valderhaug, J; Karlsen, K

    1976-01-01

    The material consists of patients who received single crowns and fixed partial dentures at the Department of Prosthetics, Dental Faculty, University of Oslo in the period 1967-73. Two-thirds of the patients were women, and about two-thirds of the restorations were made in the maxilla. A total of 3275 crowns were received by 2145 patients. On average, maxillary teeth were crowned 7 years earlier than mandibular teeth. A total of 1393 fixed partial dentures, consisting of 6835 units, were made for 1368 patients. PMID:1063259

  12. [Evaluation of cermet fillings in abutment teeth in removable partial prostheses].

    PubMed

    Saulic, S; Tihacek-Sojic, Lj

    2001-01-01

    The aim of the study was to describe the clinical process of setting the purpose filling on abutment teeth, after finishing the removable partial dentures. The aim was also to investigate the use of cermet glass-ionomer cement for the purpose filling in the abutment teeth for removable partial dentures, as well as to investigate the surface of the purpose filling. For the clinical evaluation of purpose filling slightly modified criteria according to Ryg's were used in 20 patients with different type of edentulousness. Changes occurring on the surface of purpose filling have been experimentally established by the method of scanning electron microscopy on the half-grown third molars in seven patients. It could be concluded that cement glass-ionomer was not the appropriate material for the purpose fillings in abutment teeth for removable partial dentures. PMID:11858021

  13. Rehabilitation of oral function with removable dentures--still an option?

    PubMed

    Xie, Q; Ding, T; Yang, G

    2015-03-01

    Tooth loss is a chronic disability, which makes it difficult for patients to perform essential tasks such as eating, communicating with others and socialising. Numerous studies have revealed and addressed the recent rapid development of various prosthodontic materials and treatment patterns. Oral rehabilitation with dentures exerts a great influence on people's daily life and has tremendous social implications. Dentures help to restore an individual's sense of normality and ability to interact normally. With the introduction and progression of implant technology, many troublesome issues can now be solved simply. Nowadays, more and more attention has been paid to new trends (implant-assisted restoration and fixed prostheses). However, removable dentures may be a more appropriate solution under some circumstances, such as if they are a patient's preferred option, if remaining oral tissues are in poor condition, or if they provide the most cost-effective form of treatment. Thus, removable dentures are still an option for the rehabilitation of oral function. The purpose of this article was to retrospectively review the applications of removable dentures and to emphasise their indispensable status. PMID:25327636

  14. Mini Implants Supporting Fixed Partial Dentures in the Posterior Mandible: A Retrospective.

    PubMed

    Flanagan, Dennis

    2015-08-01

    Small-diameter, or mini, dental implants have been successfully used to support removable and fixed oral prostheses. These implants impart about twice the per-square-millimeter force on the supporting bone and this should be addressed during treatment planning. In the posterior jaws, bite forces are of a higher magnitude than in the anterior jaws and may induce an overload of the supporting bone and failure of the osseointegration. Thus there should not be occlusal contact in functional excursions that induce off axial loads. The cases presented herein demonstrate that mini dental implants may be used successfully to support fixed partial dentures in mandibular sites in highly selected patients. Attention should be given to the bone density of the site, very slow seating rotation of the implant with intermissions or cooling during insertion, observation of a 4-month healing time, flapless placement, treatment of any existing periodontitis, an insoluble cement, and exclusion of occlusal contact in functional excursions. Importantly, a narrow, rounded occlusal table should be used to minimize off axial loads and an insoluble luting cement should be used to prevent loosening of the crowns due to dissolution of the cement and an overload of the retained implant with any residual cement-retained in the retainer. The implant that supports the cement retained retainer will be subjected to leveraged rotation that may destroy the osseointegration and result in exfoliation of the implant. PMID:24779887

  15. Glass-infiltrated zirconia/alumina-based ceramic for crowns and fixed partial dentures.

    PubMed

    McLaren, E A; White, S N

    1999-10-01

    The increased demand for metal-free restorative alternatives has resulted in the proliferation of all-ceramic systems. While these materials can predictably achieve aesthetic results in the anterior, they have traditionally been contraindicated for posterior applications due to the greater stresses present in the region. This article discusses a zirconia/alumina-based ceramic system that has been developed to expand the alternatives for the aesthetic restoration of the dentition. Material properties and considerations for its use in crown restorations, fixed partial dentures, and custom implant abutments are similarly addressed. PMID:10853604

  16. Microspectral analysis with laser in microleakage evaluation between infrastructure and veneer materials in fixed partial dentures

    NASA Astrophysics Data System (ADS)

    Negrutiu, Meda L.; Sinescu, Cosmin; Draganescu, Gheorghe; Todea, Carmen; Dodenciu, Dorin; Rominu, Roxana

    2008-02-01

    The microleakage at the interface between the metal infrastructure and the veneering part of the fixed partial dentures are a common problem of aesthetic dentistry. It is possible to use the method of laser microspectral analysis for investigations of microleakage at the metal-veneering material interfaces in fixed partial prostheses. The laser microspectral analysis device LMA-10 (Carl Zeiss, Jena) was used equipped with a diffraction spectrometer PGS-2 (Carl Zeiss, Jena). Different fixed partial dentures were used to determine the microleakage between the metal infrastructure and the veneering material. The distribution of chemical elements at interface infiltration was investigated, making a series of craters and establishing the spectra of the vapours emitted from the craters. Data was gathered in various tables of chemical elements showing the quality and the quantity of microleakage. The laser microspectral analysis is a punctual method of analysis, which allows to investigate small quantities of materials of around 0.1 μg. This method allows to establish the content of atoms and molecules and to perform semi-quantitative and quantitative analysis. By this method it is possible to establish trace elements, i. e. with concentration of ppm (parts per million).

  17. Emergency direct fabrication of a resin fixed partial denture by using a ceramometal crown with reinforcing woven polyethylene ribbon as a pontic.

    PubMed

    Miller, T E; Rudo, D N

    1995-01-01

    In this emergency case of a fractured tooth, immediate short-term treatment was necessary to relieve pain and replace a missing coronal portion of the maxillary central incisor. The need to remove additional fractured root fragments subgingivally precluded accessibility to the remaining root for conventional restorative procedures. The patient could not decide which course of treatment to accept, so a fixed partial denture was fabricated, with the ceramometal crown restoration as a provisional pontic splinted to the adjacent teeth. Restoring and reinforcing the posterior composite splint with a gas plasma-treated woven polyethylene ribbon has been detailed and illustrated. This ribbon material reputed to be 10 times stronger than steel by volume, is a true reinforcing material because it is woven. Mechanically, it becomes an integral part of the splint. Because it is gas plasma-treated, the superficial layer, when placed in BIS-GMA or polymethyl methacrylate, reacts chemically with the resin. The pliable, memory-free fiber--together with the open, woven, lacelike, lock stitch leno--allows the ribbon to follow the contours of the teeth and dental arch easily. The ribbon design reduces and dissipates forces exerted onto the splinting resin. The neutral color of the material permits it to have a chameleonlike effect on the color of the resin into which it is positioned. This ribbon product has been used in other dental applications: periodontal splinting, orthodontic retention, indirect composite fixed partial dentures, long-term temporary restorations with applicability in implant treatments, repair and conversion of prostheses, and reinforcing endodontically treated teeth, and complete dentures and orthodontic retainers when weaknesses are anticipated, such as shallow palatal vaults of complete dentures against a full complement of mandibular natural teeth, and the horseshoe mandibular removable modified Hawley retainer. PMID:23087970

  18. Influence of framework design, contraction mismatch, and thermal history on porcelain checking in fixed partial dentures.

    PubMed

    Anusavice, K J; Gray, A E

    1989-01-01

    The objective of this study was to characterize the relative influence of contraction mismatch, framework design, furnace type, cooling rate, and multiple firings on immediate or delayed checking in fixed partial dentures. Frameworks for 60 anterior bridges (three-unit fixed partial dentures) were cast from a low-expansion Au-Pd alloy (O) and a high-expansion Pd-Ag alloy (J). A high-expansion porcelain (B) was applied to each of three framework designs. Firing was performed at heating rates of 56 degrees C/min and 180 degrees C/min. Specimens were cooled at two rates after each of five glazing cycles. For O-B specimens which exhibited a negative thermal contraction mismatch between 600 degrees C and 25 degrees C, 60% of the bridge specimens failed when they were subjected to slow cooling preceded by either fast or slow heating. When J-B specimens (which exhibited a smaller negative contraction mismatch) were heated and cooled rapidly, no failures occurred through all of the firing cycles. However, cracks were observed in 13.3% of the J-B bridges which were slowly heated and rapidly cooled. Delayed cracks (after the fifth glaze cycle) developed over periods of up to two years only in bridges which were slowly cooled in the furnace chamber. The results of this study suggest that checking in conventional feldspathic porcelains can be promoted by slow cooling rates and an excessive number of firing cycles. PMID:2691298

  19. Effect of framework design on fracture resistance of zirconium oxide posterior fixed partial dentures

    PubMed Central

    Salimi, Hadi; Mosharraf, Ramin; Savabi, Omid

    2012-01-01

    Introduction: The effect of framework design modifications in all-ceramic systems is not fully understood. The aim of this investigation was to evaluate the effect of different framework designs on fracture resistance of zirconium oxide posterior fixed partial dentures (FPD). Materials and Methods: Thirty two posterior zirconia FPD cores were manufactured to replace a second premolar. The specimens were divided into four groups; I: 3 × 3 connector and standard design, II: 3 × 3 connector and modified design, III: 4 × 4 connector dimension, and standard design and IV: 4 × 4 connector dimension and modified design. After storing for one week in artificial saliva and thermocycling (2000 cycles, 5-55°C), the specimens were loaded in a universal testing machine at a constant cross-head speed of 0.5 mm/min until failure occurred. The Weibull, Kruskal-Wallis, and Mann-Whitney tests were used for statistical analysis (α = 0.05). Results: The mean fracture resistance of groups with 4 × 4 mm connector was significantly higher than groups with 3 × 3 mm connector (P < 0.001). Although, the fracture resistance of the modified frameworks was increased in the present study (1.1 times), they were not significantly different from anatomic specimens (P = 0.327). Conclusions: The fracture resistance of the zirconia posterior-fixed partial dentures was significantly affected by the connector size; it was not affected by the framework modification. PMID:23559956

  20. Cu-sil dentures - a novel approach to conserve few remaining teeth: Case reports.

    PubMed

    Jain, Jayesh Kumar; Prabhu, C R Allama; Zahrane, Mohammed Al; Esawy, Mohammed Sayed Al; Ajagannanavar, Sunil Lingaraj; Pal, Kapil Singh

    2015-08-01

    The present prime concern in dentistry is on preservation of remaining natural teeth. Presence of few teeth in oral cavity help in preserving alveolar ridge integrity, maintain the proprioception, and gives psychological benefit to the patient. Transitional denture provides us with alternative treatment plan for the patients willing to replace their missing teeth while retaining their very few remaining teeth. A relatively newer type of transitional denture is Cu-sil denture. A Cu-sil denture is a denture with holes, lined by a gasket of silicone rubber, the holes thus providing space for remaining natural teeth to emerge into the oral cavity through the denture. Cu-sil denture is the simplest removable partial denture, but its fabrication requires special armamentarium and material. This case report represents a simple chairside technique to fabricate Cu-sil dentures in usual dental set-up. PMID:26464557

  1. The method of manufacture of nylon dental partially removable prosthesis using additive technologies

    NASA Astrophysics Data System (ADS)

    Kashapov, R. N.; Korobkina, A. I.; Platonov, E. V.; Saleeva, G. T.

    2014-12-01

    The article is devoted to the topic of creating new methods of dental prosthesis. The aim of this work is to investigate the possibility of using additive technology to create nylon prosthesis. As a result of experimental studies, was made a sample of nylon partially removable prosthesis using 3D printing has allowed to simplify, accelerate and reduce the coat of manufacturing high-precision nylon dentures.

  2. The qualitative assessment of cobalt-chromium castings for partial dentures.

    PubMed

    Barsby, M J; Schwarz, W D

    1989-03-25

    Criteria for objective assessment of cobalt-chromium castings have been developed. A random sample of 21 commercial dental laboratories specialising in the production of cobalt-chromium castings was selected. Identical casts and instructions for the construction of a lower partial denture framework were sent to each of them. The resultant castings were assessed according to specific criteria relating to detailed design features. Only one laboratory produced a casting which conformed completely with the design instructions. Significant defects were found in a high proportion of castings. The range of charges was from 28 pounds to 85 pounds. The results of the qualitative assessments suggest only a very weak relationship between laboratory charges and the quality of cobalt-chromium castings. Suggestions are made for minimum standards that may be applied in clinical practice. PMID:2650726

  3. Implant-connected versus tooth-connected implant-supported partial dentures: 2-year clinical and radiographic comparative evaluation.

    PubMed

    Mostafa, Tamer Mohamed; El-Sheikh, Mohamed M; Abd El-Fattah, Fadel

    2015-01-01

    The purpose of this study was to clinically and radiographically compare implant-connected and tooth-connected implant-supported fixed-detachable mandibular partial dentures. Twenty partially edentulous patients (age range: 25 to 50 years) with mandibular Kennedy Class II configurations were equally divided into two groups receiving a three-unit, fixed-detachable, screw-retained partial denture. Group 1 comprised patients with unilateral missing mandibular molars and premolars. Two implants were placed at the mandibular first premolar and first molar areas. Group 2 comprised patients with missing mandibular molars and second premolars. An implant was placed at the mandibular first molar area, the first premolar was prepared, and a coping was cemented to the tooth with permanent cement. Each case was evaluated clinically and radiographically at baseline (partial denture insertion) and after 6, 12, and 24 months. Data were collected and statistically analyzed using repeated-measures one-way and two-way analysis of variance tests. There was no statistically significant difference between the two groups (P > .05). The implant-tooth-supported prosthesis provided an equally predictable treatment option compared to the totally implant-supported prosthesis in terms of implant survival and loss of marginal bone. PMID:25909533

  4. Veneering technique for a Ti-6Al-7Nb framework used in a resin-bonded fixed partial denture with a highly filled indirect composite.

    PubMed

    Matsumura, Hideo; Yoneyama, Takayuki; Shimoe, Saiji

    2002-12-01

    This article presents a veneering technique for fixed partial denture frameworks made from a Ti-6Al-7Nb alloy. The fixed partial denture framework was prepared with a magnesia-based mold material and a centrifugal casting machine. An esthetic veneer was fabricated with a highly filled dual-polymerized composite material and a metal-conditioning agent. This technique can be applied as a standardized veneering procedure for the titanium alloy, for which porcelain fusing is currently difficult. PMID:12488858

  5. A novel technique using arti-spot coated on fleximeter strips to determine the clearance during tooth preparation in fixed partial denture.

    PubMed

    Prasadh, Soma Sundaram

    2015-01-01

    The amount of occlusal clearance during tooth preparation for fixed partial denture is more crucial and critical phase of fixed prosthodontics. Improper tooth reduction leads to compromise in structural durability and failure of the restoration. Over reduction affects the biological principles of tooth preparation. This article uses color coded fleximeter strips coated with arti-spot to determine the amount of clearance during tooth preparation in fixed partial denture. PMID:26929480

  6. Factors associated with mucosal pain in patients with partial removable dental prostheses.

    PubMed

    Kumagai, H; Fueki, K; Yoshida-Kohno, E; Wakabayashi, N

    2016-09-01

    The aim of this study was to investigate factors associated with mucosal pain in patients with partial removable dental prostheses (PRDPs). In this hospital-based cross-sectional study, 333 patients wearing 500 PRDPs (mean age 71·4 years, men 33·3%) were consecutively recruited from prosthetic clinic of a dental hospital in Japan. Subjects rated pain intensity and frequency of denture-bearing mucosa. An examiner recorded age, gender and systemic diseases as well as dental, mucosa, denture, sensory, behavioural- and psychological-related characteristics that were possibly associated with the mucosal pain. Multivariate analyses were performed to analyse factors related to mucosal pain. Pain intensity was rated as more than score 0 (presence) in 34·2% (171/500) PRDPs, and pain was experienced after denture delivery in 42·8% (214/500) PRDPs. Logistic regression analyses showed that younger age, mucosal damage, poor mucosal condition, bone prominence, poor residual ridge, higher pain sensitivity, presence of awake bruxism, perception of oral dryness, interim denture wear and high number of missing teeth were significant independent predictors for the presence of the mucosal pain intensity and/or frequency (P < 0·05). Multiple factors are associated with mucosal pain in patients with PRDPs. Oral mucosal characteristics, age, pain sensitivity and behavioural factors seem to be more critical for mucosal pain than distribution of missing teeth and number of abutment teeth. PMID:27289212

  7. Denture care practice among patients attending the prosthetic clinic in a Nigerian teaching hospital

    PubMed Central

    Ogunrinde, Tunde Joshua; Opeodu, Olanrewaju Ige

    2015-01-01

    Background: Good denture care practice by individuals using Removable Partial Denture (RPD) is an important component of oral health measures. An assessment of denture care practice of such individuals by dental care practitioners is necessary. Objective: To evaluate the denture care practice among prosthetics patients attending a tertiary Hospital Dental Centre in Nigeria. Materials and Methods: An interviewer administered questionnaire was used to obtain information from RPD wearers that were willing to participate. The questionnaire assessed among other things, patients’ bio-data, frequency, techniques and device used for cleaning their dentures. Data was analyzed using Chi-square test (P < 0.05). Results: One hundred and ninety eight denture wearers consisting of 100 (50.5%) males and 98 (49.5%) females participated in the study. Majority 110 (55.6%) cleaned their dentures once daily and toothbrush and pastes were used by 105 (53%) of the participants. More than 70% of the respondents removed their dentures at night. One hundred and sixty-six (83.8%) visited the dentist only when they needed treatment. There was a statistical significant relationship between frequency and technique of cleaning denture, and denture cleanliness (P < 0.05). Conclusion: This study shows that once daily cleaning of dentures and cleaning the denture with rest of the teeth are ineffective in prevention of plaque accumulation. PMID:26229229

  8. Removable partial overdentures for the irradiated patient

    SciTech Connect

    Rosenberg, S.W. )

    1990-10-01

    Patients who have received radiotherapy to the head and neck area must avoid dental extractions and seek simplicity in treatment and home care follow-up. For partially edentulous patients, removable partial overdenture therapy can fulfill these goals while maintaining the high level of function and aesthetics desired by patients.11 references.

  9. Fit of all-ceramic posterior fixed partial denture frameworks in vitro.

    PubMed

    Bindl, Andreas; Mörmann, Werner H

    2007-12-01

    The objective of this study was to evaluate, by scanning electron microscopy, the marginal and internal fit of all-ceramic three-unit fixed partial denture (FPD) frames fabricated by computer-assisted design/computer-aided machining (CAD/CAM) and CAM techniques using blocks of infiltration ceramic, high-strength yttria-stabilized tetragonal zirconia polycrystal (Y-TZP) zirconia sinter ceramic, high-strength dense sintered Y-TZP zirconia ceramic, and glass ceramic. Slip-cast infiltration ceramic was used as a traditional control. The cementation interface widths of the FPD frame copings on butt (A) shoulders of Cerec In-Ceram zirconia (A1, 53 +/- 17 microm) were smaller than those of slip-cast In-Ceram zirconia (A6, 113 +/- 25 microm). Cerec Y-TZP zirconia (A2, 53 +/- 9 pm) and DCS Y-TZP zirconia (A4, 32 +/- 6 microm) interfaces were both significantly smaller than those of Cercon Y-TZP zirconia (A5, 120 +/- 6 microm). Internally, A2 (103 +/- 14) interfaces were smaller than A4 interfaces (144 +/- 15 microm). On chamfer shoulders (B), Cerec Y-TZP zirconia (B1, 71 +/- 5 microm) interfaces were smaller than Cercon interfaces (B2, 129 +/- 38 microm); internally, B1 (80 +/- 11 microm) interfaces were smaller than B2 interfaces (130 +/- 12 microm). CAD/CAM produced better marginal and internal accuracy of fit compared to slip casting and CAM techniques. PMID:18092451

  10. Restoring Anterior Aesthetics by a Rotational Path Cast Partial Denture: An Overlooked Technique.

    PubMed

    Sharma, Deeksha; Bhat, Bala Saraswati; Arora, Himanshu

    2016-05-01

    Cast Partial Dentures (CPD) has long been known to restore missing teeth in patients with minimal invasion on hard and soft tissues. Although satisfactory otherwise, the main concern in CPD is the anterior display of metal. Also the technique sensitive lab procedures, together with the esthetic concern have built an iceberg around the frequent utilization of this treatment modality. With the advent of various techniques to get rid of the metallic display, it was predicted to have more CPD's done in the dental arena. But the conceptual technicalities of the procedure took away the limelight from this treatment modality and focused on the fixed prosthodontics. Although feasible in a large number of patients, fixed prosthesis still has areas of restriction. It is here, when we apply our knowledge and skill of esthetic CPD. Esthetic CPD eliminates the metal display by utilizing desirable undercuts. The engaging action of the framework into these undercuts paves way for a rotational motion to seat the remaining prosthesis. Hence dual path of insertion helps eliminating the anterior clasp. In this case report dual path of insertion is discussed for replacing anterior teeth in an old male patient who had mild esthetic concerns. Following the conservative approach of CPD (over FPD) esthetic and restorative treatment was planned with patient's consent. PMID:27437375

  11. FIBER-REINFORCED FIXED PARTIAL DENTURES: A PRELIMINARY RETROSPECTIVE CLINICAL STUDY

    PubMed Central

    Piovesan, Edno Moacir; Demarco, Flávio Fernando; Piva, Evandro

    2006-01-01

    The aim of this study was to evaluate the clinical performance (retention rate) of fiber-reinforced composite fixed partial dentures (FPDs). Polyethylene fiber (Ribbond®) was used combined with restorative composite during FPDs fabrication. FPDs were placed in thirteen patients in a private clinic. Nineteen FPDS were evaluated. The prosthetic space was filled with only one pontic using extracted teeth (2 cases), acrylic resin teeth (11 cases), or with composite resin (6 cases), combined with Polyethylene fiber. The clinical criterion used was based on retention rate of FPDs. If FPDs were in function in the mouth at the time of examination without previous repair they were classified as Complete Survival (CS) restorations. A classification of Survival with Rebonding (SR) was assigned in the event of an adhesive failure, but after rebonding the FPD still remained under evaluation. Treatment was classified as a Failure (F) if the FPD restoration was lost. The time of evaluation was 41.15 months (±15.13). The FPDs evaluated were retained (CS=94.75%), and no failure was found except for in one situation which required rebonding (SR=5.25%). According to the survival estimation method of Kaplan-Meyer the mean survival time was 42.3 months. At the time of evaluation investigated, polyethylene-reinforced FPDs showed a favorable retention rate in preliminary data. PMID:19089039

  12. Restoring Anterior Aesthetics by a Rotational Path Cast Partial Denture: An Overlooked Technique

    PubMed Central

    Bhat, Bala Saraswati; Arora, Himanshu

    2016-01-01

    Cast Partial Dentures (CPD) has long been known to restore missing teeth in patients with minimal invasion on hard and soft tissues. Although satisfactory otherwise, the main concern in CPD is the anterior display of metal. Also the technique sensitive lab procedures, together with the esthetic concern have built an iceberg around the frequent utilization of this treatment modality. With the advent of various techniques to get rid of the metallic display, it was predicted to have more CPD’s done in the dental arena. But the conceptual technicalities of the procedure took away the limelight from this treatment modality and focused on the fixed prosthodontics. Although feasible in a large number of patients, fixed prosthesis still has areas of restriction. It is here, when we apply our knowledge and skill of esthetic CPD. Esthetic CPD eliminates the metal display by utilizing desirable undercuts. The engaging action of the framework into these undercuts paves way for a rotational motion to seat the remaining prosthesis. Hence dual path of insertion helps eliminating the anterior clasp. In this case report dual path of insertion is discussed for replacing anterior teeth in an old male patient who had mild esthetic concerns. Following the conservative approach of CPD (over FPD) esthetic and restorative treatment was planned with patient’s consent. PMID:27437375

  13. Marginal adaptation analysis performed with en face optical coherence tomography in fixed partial dentures

    NASA Astrophysics Data System (ADS)

    Sinescu, Cosmin; Negrutiu, Meda Lavinia; Antonie, Sergiu; Dobre, George; Bradu, Adrian; Hughes, Michael; Rominu, Mihai; Podoleanu, Adrian Gh.

    2009-02-01

    Frameworks for fixed partial denture made out of dental alloys thought classic techniques currently involve many errors like marginal and internal gaps. The aim of this study is to present alternative technologies in making frameworks from dental alloys using selective laser sintering/ selective laser melting (SLS/ SLM) and to investigate the marginal adaptation of the fixed dental prostheses using the en face optical coherence tomography. These procedures imply the use of a scanning device PROBIS, SMART OPTICS with the help of 3D Dental Scanner software. For digitizing the 3D model we used the Dental Wings Kunde Software. The files obtained were sent to a SLS/ SLM machine, Hint-Els rapidPro, where the CoCr powder was sintered/melt by selectively consolidating successive layers of powder material on top of each other, using thermal energy supplied by a focused and computer controlled laser beam. Through this technique can be produced up to 80 pieces in only one step. A parallel between the classic casting technique and this new technology reveal the least has several advantages: fast finishing time, excellent marginal and internal fit, biocompatibility and superior chemical properties. SLS/ SLM proved to be a promising technology that may overcome the classic ones, because of the superior marginal fit of the fixed dental prostheses to the teeth.

  14. Bone's responses to different designs of implant-supported fixed partial dentures.

    PubMed

    Rungsiyakull, Chaiy; Chen, Junning; Rungsiyakull, Pimduen; Li, Wei; Swain, Michael; Li, Qing

    2015-04-01

    This paper explores the biomechanics and associated bone remodeling responses of two different abutment configurations, namely implant-implant-supported versus tooth-implant-supported fixed partial dentures. Two 3D finite element analysis models are created based upon computerized tomography data. The strain energy density induced by occlusal loading is used as a mechanical stimulus for driving the bone remodeling. To measure osseointegration and stability during healing, a resonance frequency analysis is conducted. At the second premolar peri-implant region, overloading resorption around the neck of implant is identified in both the models over the first 12 months. Stress-shielding around the edentulous region is also observed in both the models with a greater resorption rate found in the implant-implant case. The remodeling and resonance frequency analyses reveal that the tooth-implant scheme offers a higher degree of osseointegration. The remodeling procedure is expected to provide prosthodontists with a modeling tool to assess possible long-term clinical outcomes. PMID:25209424

  15. Clinical studies of fiber-reinforced resin-bonded fixed partial dentures: a systematic review.

    PubMed

    van Heumen, Céleste C M; Kreulen, Cees M; Creugers, Nico H J

    2009-02-01

    In the past decade, follow-up studies on fiber-reinforced composite fixed partial dentures (FRC FPDs) have been described. Combining the results of these studies to draw conclusions about the effectiveness of FRC FPDs is challenging. The objective of this systematic review was to obtain survival rates of FRC FPDs and to explore the relationships between reported survival rates and risk factors. In a literature-selection procedure on the clinical performance of FRC FPDs, 15 studies, reporting on 13 sets of patients, were analyzed. The Kaplan-Meier estimate of the overall survival, based on the data from all sets of patients (n = 435) was 73.4% (69.4-77.4%) at 4.5 yr. Converted survival rates at 2 yr of follow-up showed substantial heterogeneity between studies. It was not possible to build a reliable regression model that indicated risk factors. The technical problems most commonly described were fracture of the FPD and delamination of the veneering composite. PMID:19196311

  16. Evaluation of the adaptation of zirconia-based fixed partial dentures using micro-CT technology.

    PubMed

    Borba, Márcia; Miranda, Walter Gomes; Cesar, Paulo Francisco; Griggs, Jason Allan; Bona, Alvaro Della

    2013-01-01

    The objective of the study was to measure the marginal and internal fit of zirconia-based all-ceramic three-unit fixed partial dentures (FPDs) (Y-TZP - LAVA, 3M-ESPE), using a novel methodology based on micro-computed tomography (micro-CT) technology. Stainless steel models of prepared abutments were fabricated to design FPDs. Ten frameworks were produced with 9 mm2 connector cross-sections using a LAVATM CAD-CAM system. All FPDs were veneered with a compatible porcelain. Each FPD was seated on the original model and scanned using micro-CT. Files were processed using NRecon and CTAn software. Adobe Photoshop and Image J software were used to analyze the cross-sectional images. Five measuring points were selected, as follows: MG - marginal gap; CA - chamfer area; AW - axial wall; AOT - axio-occlusal transition area; OA - occlusal area. Results were statistically analyzed by Kruskall-Wallis and Tukey's post hoc test (α= 0.05). There were significant differences for the gap width between the measurement points evaluated. MG showed the smallest median gap width (42 µm). OA had the highest median gap dimension (125 µm), followed by the AOT point (105 µm). CA and AW gap width values were statistically similar, 66 and 65 µm respectively. Thus, it was possible to conclude that different levels of adaptation were observed within the FPD, at the different measuring points. In addition, the micro-CT technology seems to be a reliable tool to evaluate the fit of dental restorations. PMID:24036977

  17. Failure of all-ceramic fixed partial dentures in vitro and in vivo: analysis and modeling.

    PubMed

    Kelly, J R; Tesk, J A; Sorensen, J A

    1995-06-01

    Hertzian cone cracks visible at the loading site of 20 all-ceramic fixed partial dentures (FPDs), tested in vitro, led to the hypotheses that failure was due to the propagation of localized contact damage crack systems (Hertzian stress state) and that such damage was an unlikely clinical failure mode. Fractographic analysis of the 20 laboratory-failed and nine clinically-failed all-ceramic FPDs allowed for definitive testing of these hypotheses and a comparison between in vitro and in vivo failure behavior. In all cases, failure occurred in the FPD connectors (none from contact damage), with approximately 70 to 78% originating from the interface between the core and veneer ceramics. The coincidence between failure origins provides strong evidence that the in vitro test modeled aspects of structural behavior having clinical importance. The fractographic observations, coupled with the in vitro failure load data, furnished very specific boundary conditions which were applied to constrain mathematical models of FPD connector failure. Finite element analysis (FEA) of the laboratory FPDs found that maximum principal tensile stresses would occur at locations consistent with the fractographic observations only if: (1) there were appropriate elastic moduli differences between the ceramics; and (2) a small amount of abutment rotation was allowed. Weibull failure probability (Pf) calculations, incorporating FEA stress profiles, very closely replicated the laboratory failure distribution only when: (1) the veneer ceramic was much weaker than the core ceramic; and (2) the Weibull modulus of the core-veneer interface was much lower than that for the free veneer surface (i.e., the interface is of lower quality with regard to defects).(ABSTRACT TRUNCATED AT 250 WORDS) PMID:7629333

  18. Clinical performance and failures of zirconia-based fixed partial dentures: a review literature

    PubMed Central

    Triwatana, Premwara; Nagaviroj, Noppavan

    2012-01-01

    PURPOSE Zirconia has been used in clinical dentistry for approximately a decade, and there have been several reports regarding the clinical performance and survival rates of zirconia-based restorations. The aim of this article was to review the literatures published from 2000 to 2010 regarding the clinical performance and the causes of failure of zirconia fixed partial dentures (FPDs). MATERIALS AND METHODS An electronic search of English peer-reviewed dental literatures was performed through PubMed to obtain all the clinical studies focused on the performance of the zirconia FPDs. The electronic search was supplemented by manual searching through the references of the selected articles for possible inclusion of some articles. Randomized controlled clinical trials, longitudinal prospective and retrospective cohort studies were the focuses of this review. Articles that did not focus on the restoration of teeth using zirconia-based restorations were excluded from this review. RESULTS There have been three studies for the study of zirconia single crowns. The clinical outcome was satisfactory (acceptable) according to the CDA evaluation. There have been 14 studies for the study of zirconia FPDs. The survival rates of zirconia anterior and posterior FPDs ranged between 73.9% - 100% after 2 - 5 years. The causes of failure were veneer fracture, ceramic core fracture, abutment tooth fracture, secondary caries, and restoration dislodgment. CONCLUSION The overall performance of zirconia FPDs was satisfactory according to either USPHS criteria or CDA evaluations. Fracture resistance of core and veneering ceramics, bonding between core and veneering materials, and marginal discrepancy of zirconia-based restorations were discussed as the causes of failure. Because of its repeated occurrence in many studies, future researches are essentially required to clarify this problem and to reduce the fracture incident. PMID:22737311

  19. Effect of polyester fiber reinforcement on the mechanical properties of interim fixed partial dentures

    PubMed Central

    Gopichander, N.; Halini Kumarai, K.V.; Vasanthakumar, M.

    2015-01-01

    Background Different reinforcements currently available for interim fixed partial denture (FPD) materials do not provide the ideal strength for long-term use. Therefore, the aim of this investigation was to develop a more ideal provisional material for long-term use with better mechanical properties. This study evaluated the effectiveness of polyester fiber reinforcement on different interim FPD materials. Methods Thirty resin-bonded FPDs were constructed from three provisional interim FPD materials. Specimens were tested with a universal testing machine (UTM). The modulus of elasticity and flexural strength were recorded in MPa. The compressive strength and degree of deflection were calculated from the obtained values, and a two-way analysis of variance (ANOVA) was used to determine the significance. Results The polyester fiber reinforcement increased the mechanical properties. The modulus of elasticity for heat-polymerized polymethyl methacrylate (PMMA) was 624 MPa, compared to 700.2 MPa for the reinforced heat-cured sample. The flexural strengths of the bis-acrylic and cold-polymerized reinforced samples increased significantly to 2807 MPa and 979.86 MPa, respectively, compared to the nonreinforced samples. The mean compressive strength of the reinforced cold-polymerized PMMA samples was 439.17 MPa; and for the reinforced heat-polymerized PMMA samples, it was 1117.41 MPa. The degree of deflection was significantly greater (P < 0.05) in the reinforced bis-acrylic sample (5.03 MPa), compared with the nonreinforced bis-acrylic sample (2.95 MPa). Conclusion Within the limitations of this study, polyester fiber reinforcements improved the mechanical properties of heat-polymerized PMMA, cold-polymerized PMMA, and bis-acrylic provisional FPD materials. PMID:26644754

  20. In vitro Evaluation of the Accuracy of Seating Cast Metal Fixed Partial Denture on the Abutment Teeth with Varying Degree of Convergence Angle

    PubMed Central

    Tatikonda, Aravind; Raina, Seema; Gubrellay, Priyanka; Gupta, Naveen; Asopa, Swati Joshi

    2015-01-01

    Background The prime goal of a diligent prosthodontist is to obtain adequate marginal fit while restoring lost tooth structure. The marginal fit of the restoration, in turn depends upon the geometrical morphology of the tooth preparation. Objective To determine the effect of varying degree of convergence angle on the marginal seating of the single crown, three-unit fixed partial denture and multiple-unit fixed partial denture with pier abutment. Materials and Methods Three dies, of same convergence angle, were placed in an arch form on a base. In this way, four arch forms were prepared for four different convergence angles i.e. 0°, 6°, 12°, and 20°. Five castings each were made for single crown, 3-unit fixed partial denture and multiple-unit fixed partial denture (FPD) with pier abutment for each convergence angle. The castings were seated on their respective dies and vertical marginal discrepancy was measured at four points for each casting with the help of an optical microscope. Results The results showed that 200 convergence angle showed better marginal seating of the single crown, 3-unit FPD as well as for the multiple unit FPD. Conclusion There was a possibility that the retention and resistance may be compromised with 200 taper. Hence 120 taper is suggested for crowns and fixed partial denture retainers as the marginal discrepancy is reasonable and retention and resistance is optimum. There was a high statistical significant difference in the values obtained for the different convergence angles. PMID:26393207

  1. The influence of interproximal contact on implant-supported fixed partial dentures in the posterior jaw: a photoelastic analysis.

    PubMed

    Naves, Marina Melo; de Menezes, Helder Henrique Machado; de Magalhães, Denildo; de Araújo, Cleudmar Amaral; Júnior, Paulo Cézar Simamoto

    2015-02-01

    The aim of this study was to analyze the effect of the separation of prosthetic crowns from fixed partial dentures by means of stress gradient evaluation. Three photoelastic models were created to examine contiguous implants with varying contact between the crowns (contact point [CP], contact surface [CS], splinted [SP]). The SP group presented the best results, followed by the CS group, indicating that the use of splinted prosthetic crowns and crowns with broad surface contacts is viable when considering the stress values. PMID:23397888

  2. Comparative Evaluation of Marginal Accuracy of a Cast Fixed Partial Denture Compared to Soldered Fixed Partial Denture Made of Two Different Base Metal Alloys and Casting Techniques: An In vitro Study.

    PubMed

    Jei, J Brintha; Mohan, Jayashree

    2014-03-01

    The periodontal health of abutment teeth and the durability of fixed partial denture depends on the marginal adaptation of the prosthesis. Any discrepancy in the marginal area leads to dissolution of luting agent and plaque accumulation. This study was done with the aim of evaluating the accuracy of marginal fit of four unit crown and bridge made up of Ni-Cr and Cr-Co alloys under induction and centrifugal casting. They were compared to cast fixed partial denture (FPD) and soldered FPD. For the purpose of this study a metal model was fabricated. A total of 40 samples (4-unit crown and bridge) were prepared in which 20 Cr-Co samples and 20 Ni-Cr samples were fabricated. Within these 20 samples of each group 10 samples were prepared by induction casting technique and other 10 samples with centrifugal casting technique. The cast FPD samples obtained were seated on the model and the samples were then measured with travelling microscope having precision of 0.001 cm. Sectioning of samples was done between the two pontics and measurements were made, then the soldering was made with torch soldering unit. The marginal discrepancy of soldered samples was measured and all findings were statistically analysed. The results revealed minimal marginal discrepancy with Cr-Co samples when compared to Ni-Cr samples done under induction casting technique. When compared to cast FPD samples, the soldered group showed reduced marginal discrepancy. PMID:24605006

  3. Oral health-related quality of life in patients with removable dentures.

    PubMed

    Pistorius, Jutta; Horn, Jan G; Pistorius, Alexander; Kraft, Joachim

    2013-01-01

    The purpose of this study was to determine factors that affected oral health-related quality of life (Oral Health Related Quality of Life = OHRQoL) in patients with removable dentures (RD). Quality of life was evaluated by using the Geriatric Oral Health Assessment Index (GOHAI). We analysed data of 250 patients aged 63 ± 11.6 years. After excluding patients lacking relevant analysis data, 243 patients remained in the study, including 129 males and 114 females. Relevant parameters for good OHRQoL were: patient satisfaction with their RD (r = -0.317), higher age (r = 0.222), greater number of remaining teeth (r = 0.357), higher income (r = 0.175), higher frequency of dental visits (r = -0.212), tobacco abstinence (r = -0.181), and residence in a rural area (r = -0.420). Also, marital status had an impact on OHRQoL. Widowed and married patients showed the highest values and unmarried patients the lowest. Frequently mentioned problem areas considered within the survey were: the patient's fear of further tooth loss, concerns about functional aspects such as the decrease in chewing efficiency and dissatisfaction with the aesthetics of the dental prostheses. The results showed that the OHRQoL is apparently not only influenced by dental factors, but also by psychosocial and economic factors, the relevance of which would have to be shown in further studies. PMID:24420442

  4. The effect of fiber reinforcement type and water storage on strength properties of a provisional fixed partial denture resin.

    PubMed

    Uzun, Gülay; Keyf, Filiz

    2003-04-01

    Fracture resistance of provisional restorations is an important clinical concern. This property is directly related to transverse strength. Strengthening of provisional fixed partial dentures may result from reinforcement with various fiber types. This study evaluated the effect of fiber type and water storage on the transverse strength of a commercially available provisional resin under two different conditions. The denture resin was reinforced with either glass or aramid fiber or no reinforcement was used. Uniform samples were made from a commercially available autopolymerizing provisional fixed partial denture resin. Sixteen bar-shaped specimens (60 x 10 x 4 mm) were reinforced with pre-treated epoxy resin-coated glass fibers, with aramid fibers, or with no fibers. Eight specimens of each group, with and without fibers, were tested after 24 h of fabrication (immediate group), and after 30-day water storage. A three-point loading test was used to measure the transverse strength, the maximal deflection, and the modulus of elasticity. The Kruskal-Wallis Analysis of Variance was used to examine differences among the three groups, and then the Mann-Whitney U Test and Wilcoxon Signed Ranks Test were applied to determine pair-wise differences. The transverse strength and the maximal deflection values in the immediate group and in the 30-day water storage group were not statistically significant. In the group tested immediately, the elasticity modulus was found to be significant (P = 0.042). In the 30-day water storage group, all the values were statistically insignificant. The highest transverse strength was displayed by the glass-reinforced resin (66.25MPa) in the immediate group. The transverse strength value was 62.04MPa for the unreinforced samples in the immediate group. All the specimens exhibited lower transverse strength with an increase in water immersion time. The transverse strength value was 61.13 MPa for the glass-reinforced resin and was 61.24 MPa for the

  5. An in vitro study into the effect of a limited range of denture cleaners on surface roughness and removal of Candida albicans from conventional heat-cured acrylic resin denture base material.

    PubMed

    Harrison, Z; Johnson, A; Douglas, C W I

    2004-05-01

    This study evaluated the abrasiveness of four denture cleaners on the surface of denture base material and assessed their ability to remove Candida albicans. Acrylic resin discs 20 mm diameter and 2 mm thick were identically produced and polished. Four cleaners were evaluated: conventional toothpaste; toothpaste with stain remover; denture cleaning paste and an immersion type cleaner, and water were used as control. These were used at dilutions of 1:1, 1:2 and 1:3 with water. An electric toothbrush was used, and the discs cleaned to simulate 1 years' cleaning. The surface roughness of the discs were then measured, before and after cleaning, using a stylus profilometer, then inoculated with 1.2 x 10(6)C. albicans cells. The effectiveness of the denture cleaners to remove C. albicans cells was assessed following a single cleaning event. The immersion cleaner was significantly less abrasive than paste cleaners (P < 0.05). There were no significant differences between any dilutions for any cleaner used (P > 0.05). Immersion and paste cleaners removed almost all recoverable C. albicans from the discs, as cleaning with water alone was less effective (P < 0.05). An immersion type cleaner was found to be the most suitable cleaner because of its low abrasivity and effective removal of organic debris. PMID:15140172

  6. Periodontal considerations of the removable partial overdenture.

    PubMed

    Gomes, B C; Renner, R P

    1990-10-01

    1. An overdenture, whether complete or partial, is an excellent mode of treatment in the mutilated dentition for the preservation of the residual ridge. 2. Selection of patients for an overdenture should be based on past history of dental neglect, the status of the teeth and their periodontium, including present oral hygiene status, and patient motivation. The patients with a history of dental neglect, poor oral hygiene, and lack of motivation in having the teeth and the periodontium restored to health as well as strict compliance to a home-care regimen and recall schedule are not good candidates for treatment with an overdenture. 3. The choice of teeth or roots to serve as overdenture abutments must include their periodontal evaluation, which should consist of a detailed periodontal examination, diagnosis, prognosis, and treatment when this is indicated, including chemical protection (fluoride gel) and an oral hygiene regimen tailored to individual needs. 4. The knowledge and expertise in the selection and implementation of appropriate periodontal treatment modalities is of paramount importance in restoring optimum periodontal health to the overdenture abutments before overdenture fabrication. 5. The maintenance phase of the overdenture abutments as well as of the existing natural teeth is of critical importance in the preservation of health of these abutments and teeth. This maintenance phase should consist of periodic recalls based on individual needs; a detailed periodontal evaluation, including patient's motivation and status of oral hygiene and denture hygiene; and detection of caries. If necessary, appropriate periodontal and/or restorative therapy should be performed, and oral hygiene measures reinforced. This will ensure longevity of both abutment teeth or roots and of the existing natural teeth resulting in a long-term success of an overdenture. 6. Because there is evidence of high incidence of periodontal disease and dental caries in overdenture wearers

  7. Application of cast iron-platinum keeper to a collapsible denture for a patient with constricted oral opening: a clinical report.

    PubMed

    Ohkubo, Chikahiro; Watanabe, Ikuya; Tanaka, Yasuhiro; Hosoi, Toshio

    2003-07-01

    Insertion of a denture is especially difficult for patents with a constricted oral opening. This report describes the fabrication of a collapsible removable partial denture with a cast iron-platinum attachment for a partially edentulous woman with a constricted oral opening resulting from rheumatoid arthritis and a craniotomy for a subarachnoid hemorrhage. PMID:12869968

  8. Full mouth rehabilitation of a patient with mandibular implant screw retained Fp-3 prosthesis opposing maxillary acrylic removable over-denture

    PubMed Central

    Jain, Ashish R.; Nallaswamy, Deepak; Ariga, Padma; Philip, Jacob Mathew

    2013-01-01

    A hybrid denture is one that is fabricated over a metal framework and retained by screws threaded into the implant abutments. The anterior part of a mandibular hybrid denture is fixed on implants while the posterior part of the denture is extended and cantilevered from implants. This article presents the fabrication of a maxillary over-denture opposing mandibular implant retained hybrid prosthesis. A total of four implants were placed in the mandibular arch. Castable abutments were used to produce the optimal angulations. Framework was waxed, cast recovered, and the fit was refined until the framework seated passively on the master cast. The mandibular denture teeth were waxed to the hybrid framework, and a final wax try-in was performed to verify and correct maxillomandibular relations before processing. The prosthesis was inserted after verification of occlusion, retention, and stability. The rehabilitation of edentulous patients with hybrid dentures has been observed to achieve greater masticatory function and psychological satisfaction than with conventional over-dentures. Producing a passive-fitting substructure for a fixed removable screw retained hybrid prosthesis is arguably one of the most technically complex tasks in implant dentistry. The technique presented may not initially produce a perfectly passive framework, but use of disclosing media and adjusting the internal aspect of the casting can result in non-binding, fully seated prostheses. PMID:24015016

  9. The Resin-Bonded Fixed Partial Denture as the First Treatment Consideration to Replace a Missing Tooth.

    PubMed

    Kuijs, Ruud; van Dalen, Andy; Roeters, Joost; Wismeijer, Daniel

    2016-01-01

    The resin-bonded fixed partial denture (RB-FPD) is the first restorative treatment option to be considered in cases where one or more teeth are missing. The indications for implants, conventional FPDs, and adhesive FPDs, considering the general and dental conditions of the patient, are discussed in this article. When the RB-FPD is the chosen option, a direct or indirect technique, a cantilever-type or fixed-fixed design, and materials to be used need to be selected. The choice will depend on a variety of factors, such as interproximal space at the connector area, anterior or posterior location, the skills of the dentist, esthetics, and the patient's wishes. The RB-FPD can be made using various techniques and materials. PMID:27479338

  10. Effects of mechanical properties of adhesive resin cements on stress distribution in fiber-reinforced composite adhesive fixed partial dentures.

    PubMed

    Yokoyama, Daiichiro; Shinya, Akikazu; Gomi, Harunori; Vallittu, Pekka K; Shinya, Akiyoshi

    2012-01-01

    Using finite element analysis (FEA), this study investigated the effects of the mechanical properties of adhesive resin cements on stress distributions in fiber-reinforced resin composite (FRC) adhesive fixed partial dentures (AFPDs). Two adhesive resin cements were compared: Super-Bond C&B and Panavia Fluoro Cement. The AFPD consisted of a pontic to replace a maxillary right lateral incisor and retainers on a maxillary central incisor and canine. FRC framework was made of isotropic, continuous, unidirectional E-glass fibers. Maximum principal stresses were calculated using finite element method (FEM). Test results revealed that differences in the mechanical properties of adhesive resin cements led to different stress distributions at the cement interfaces between AFPD and abutment teeth. Clinical implication of these findings suggested that the safety and longevity of an AFPD depended on choosing an adhesive resin cement with the appropriate mechanical properties. PMID:22447051

  11. [Clinical reasoning of impact of contemporary partial dentures constructions on the condition of periodontal tissues of patients with generalized periodontitis of I-II severity].

    PubMed

    Kochkina, N A

    2014-12-01

    The aim of the study was the evaluation of the effectiveness of using partial dentures made of thermoplastic materials for patients with generalized periodontitis of I-II degree of severity based on the results of clinical research. The effect of partial dentures made of acrylic, metal and thermoplastic materials with and without splinting elements of fixation on the state of periodontal tissues in patients with generalized periodontitis was studied. The results of clinical studies of patients periodontal tissues condition ,who have had dental defects on the background I-II severity of GP using partial splinting elements of fixation showed a significant improvement in oral hygiene, positive change in activity indicators current of generalized periodontitis. The group of patients for whom were made orthopedic constructions of thermoplastic masses, noticed reducing of the depth of periodontal pockets, tooth mobility, bleeding and inflammation of the interdental papillae and the gingival margin. PMID:25617097

  12. Effect of masticatory load on crack deflection/penetration investigated with en-face optical coherence tomography in ceramic fixed partial dentures

    NASA Astrophysics Data System (ADS)

    Sinescu, Cosmin; Negrutiu, Meda Lavinia; Marsavina, Liviu; Negru, Radu; Hluscu, Mihai; Caplescu, Cristiana; Bradu, Adrian; Hughes, Michael; Rominu, Mihai; Podoleanu, Adrian Gh.

    2009-02-01

    Optical Coherence Tomography (OCT) allows a better characterization of dental prostheses. The detection of substance defects within the ceramic layers for metal-ceramic prostheses was demonstrated. The detected defects have a large volume and therefore there is a high likelihood for fracture lines to be generated in the proximal areas of the ceramic fixed partial dentures. If the detection of such defects is feasible before inserting the prosthesis into the oral cavity, then timely corrective measures are possible in order to avoid the fracture of the ceramic component later on. After noninvasive localization of cracks in ceramic fixed partial dentures, the effect of the biaxial loading on crack deflection/penetration at the ceramic interface was investigated. A biaxial loaded geometry was numerically investigated using Finite Element Analysis in order to determine the energy release rate. The obtained results could be used in conjunction with criteria at interface for estimating the path of the crack after the interface was reached.

  13. Removable partial overdentures with mechanical (precision) attachments.

    PubMed

    Mensor, M C

    1990-10-01

    Mechanical attachments for overdentures have been available in various forms for over a century. The explosive interest in osseointegration and the effort on the part of the profession to avoid the complete denture as a treatment modality has stirred the interest in positive retentive elements for overdentures represented by the mechanical stud and bar attachments. The cited references provide a resource as a trouble-free guide in the selection and use of the various stud and bar attachment systems. The clinical examples show a pattern of application not generally discussed by the manufacturers, illustrating the simplicity of use with the options for all attachments including magnets. The discussion on magnets comes from 9 years of clinical experience. Rare earth magnets provide excellent adjunct retention, and their assembly follows the same protocol and complexity as stud attachment systems. All magnets, at the present state of the art, have a corrosion potential with the exception of the Laser Sealed Units (Golden Dental, Golden, CO). Finally, the mechanics of the attachment overdenture serves as an excellent training field for the osseointegrated prosthesis, be it the classic Brånemark (Nobelpharma USA, Chicago, IL) restorative or the implant overdenture concept. PMID:2227040

  14. Prevalence of single crowns and fixed partial dentures in elderly citizens in the southern and northern parts of Finland.

    PubMed

    Näpänkangas, R; Haikola, B; Oikarinen, K; Söderholm, A-L; Remes-Lyly, T; Sipilä, K

    2011-05-01

    The epidemiology of oral rehabilitation using fixed prosthodontics has received little attention. The aim of this study was to evaluate the prevalence of single crowns, fixed partial dentures (FPDs), resin-bonded FPDs and implants in elderly Finnish patients and to identify factors that might be associated with the findings. The survey was carried out in the southern and northern parts of Finland. The target population consisted of all persons born in 1919, 1922, 1925, 1928, 1931, 1934 and 1937, who lived in Kirkkonummi and in Lakeus (n=1733) in 1996. The age range of the subjects was 60-78years. In addition to a clinical examination, panoramic radiograph was taken. Data on background factors were obtained using questionnaires and/or interviews. The presence of single crowns, FPDs, resin-bonded FPDs and implants were determined from the panoramic radiographs. Overall, 12·4% of men and 12·1% of women had single crowns, while 4·8% of men and 8·0% of women had FPDs. A logistic regression analysis showed that the presence of crowns and FPDs was significantly associated with a southern place of residence, high and middle levels of education and high frequency of dental visits. PMID:20849471

  15. Effect of Connector Design on Fracture Resistance in Zirconia-based Fixed Partial Dentures for Upper Anterior Region.

    PubMed

    Ogino, Yasushi; Nomoto, Syuntaro; Sato, Toru

    2016-01-01

    The purpose of this study was to investigate the influence of the cross-sectional form and area of the connector on fracture resistance in three-unit zirconia fixed partial denture (FPD) frameworks for the upper anterior region. Sixty FPD framework specimens were fabricated using the CAD/CAM system. The cross-sectional form (Type I, II, or III) and area (9.0, 7.0, 5.0, or 3.0 mm(2)) of the connectors differed. The specimens were fixed to a jig capable of applying a load axially to the abutment teeth at an angle of 135 degrees. Each specimen was subjected to fracture load measurements using a universal testing machine and cross-sectional microscopic examination. Fracture load fell significantly with a decrease in cross-sectional area (p <0.01). In terms of cross-sectional form, an isosceles triangle with a gingival base yielded the highest fracture load. These results suggest that the connector of a three-unit zirconia-based FPD framework for the upper anterior region should be triangular, have a gingival base, sufficient height in the loading direction, and a cross-sectional area of >5.0 mm(2). PMID:27320295

  16. The Effect of Different Fiber Concentrations on the Surface Roughness of Provisional Crown and Fixed Partial Denture Resin

    PubMed Central

    Zortuk, Mustafa; Kılıc, Kerem; Uzun, Gulay; Ozturk, Ahmet; Kesim, Bulent

    2008-01-01

    Objectives The aim of this study was to investigate surface roughness in provisional crown acrylics, after polishing, reinforced with different concentrations of glass fibers. Methods A total of 48 disk-shaped specimens were prepared using autopolymerizing acrylic resin. These specimens were divided into four groups according to the level of glass fiber added: Group A (no fiber), Group B (0.5%), Group C (1%) and Group D (2%). After polishing the specimens, an average surface roughness (Ra) value was calculated using a profilometer from four randomly selected points on the surface. Results A significant difference was determined among the surface roughness values of provisional crown resins to which different concentrations of fiber had been added (P<.001). Tukey’s test was then used to perform paired comparisons of the data between the different groups, and a significant difference was found between Group A (no fiber) and the other groups, between Group B (0.5%) and Group D (2%) and between Group C (1%) and Group D. On the other hand, there was no significant difference between Group B and Group C. Conclusions The reinforcement of provisional crown and fixed partial denture resin with glass fibers increases surface roughness. PMID:19212545

  17. Technique for fabricating individualized dentures with a gingiva-shade composite resin.

    PubMed

    Park, Beom-Woo; Kim, Nam-Jin; Lee, Jonghyuk; Lee, Hae-Hyoung

    2016-05-01

    More natural dental esthetics have been sought by patients who wear conventional complete or partial dentures. Recently, gingiva-shade composite resins (GSCRs) have become available for replicating soft tissue for both fixed and removable prostheses. The technique presented is for fabricating individualized complete dentures. First the acrylic resin is mixed with a coloring agent and processed to modify the base shade of the denture. GSCRs are light polymerized onto a prepared space on the buccal surfaces of denture base to replicate the appearance of gingival tissues including blood vessels. The technique provides an outstanding natural, gingiva-like, appearance and allows complete dentures to harmonize with the individual patient's surrounding oral tissues. PMID:26794697

  18. Magnet and Semi Precision Attachment in an Implant Retained Partial Denture for the Rehabilitation of an Irradiated Marginal Mandibulectomy Patient: A Case Report

    PubMed Central

    Guttal, Satyabodh Shesharaj; Kulkarni, Sudhindra S; Kudva, Adarsh; Thakur, Srinath

    2015-01-01

    Surgical treatment of malignancies in the oral cavity (mandible, tongue, floor of the mouth, alveolus, buccal sulcus) often results in an unfavourable anatomic condition for prosthodontic rehabilitation. Hence, maxillofacial prosthetic rehabilitation becomes a mightier task when resection is accompanied by radiation therapy. In selected cases, implant therapy comes to rescue. The following report throws light on the case of prosthetic rehabilitation of a patient who underwent right marginal mandibulectomy and right partial glossectomy, with the aid of a single implant, semi precision attachment and magnet supported partial denture. PMID:26501028

  19. Fracture Resistance of Composite Fixed Partial Dentures Reinforced with Pre-impregnated and Non-impregnated Fibers

    PubMed Central

    Mosharraf, Ramin; Torkan, Sepideh

    2012-01-01

    Background and aims The mechanical properties of fiber-reinforced composite fixed partial dentures (FPDs) are af-fected by fiber impregnation. The aim of this in vitro study was to compare the fracture resistance of composite fixed partialdentures reinforced with pre-impregnated and non-impregnated fibers. Materials and methods Groups (n=5) of three-unit fiber-reinforced composite FPDs (23 mm in length) from maxillary second premolar to maxillary second molar were fabricated on two abutments with pontic width of 12 mm. One group was fabricated as the control group with composite (Gradia) and the other two groups were fabricated with composite (Gradia) reinforced with pre-impregnated fiber (Fibrex ribbon) and non-impregnated fiber (Fiber braid), respectively. The specimens were stored in distilled water for one week at 37°C and then tested in a universal testing machine by means of a three-point bending test. Statistical analysis consisted of one-way ANOVA and a post hoc Scheffé’s test for the test groups (α=0.05). Results Fracture resistance (N) differed significantly between the control group and the other two groups (P<0.001), but there were no statistically significant differences between the pre-impregnated and non-impregnated groups (P=0.565). The degree of deflection measured (mm) did not differ significantly between the three groups (P=0.397), yet the mean deflection measured in pre-impregnated group was twice as that in the other two groups. Conclusion Reinforcement of composite with fiber might considerably increase the fracture resistance of FPDs; how-ever, the type of the fiber used resulted in no significant difference in fracture resistance of FPD specimens. PMID:22991628

  20. A Review on Denture Marking Systems: A Mark in Forensic Dentistry.

    PubMed

    Kareker, Nikita; Aras, Meena; Chitre, Vidya

    2014-12-01

    "Identification through forensic science is an art of giving the corpse a name A real life detective work that would put even Sherlock Homes to shame." Forensic dentistry deals with proper handling and examination of dental evidence and proper evaluation and presentation of dental findings in interest of justice. The Prosthodontists are playing a very important role in forensic dentistry as they are concerned with fabrication of various prosthesis which can serve as an important tool for identification. Identification is essential requirement of any medico-legal investigation because a wrong identity may pose a problem in delivering justice. This article describes the different methods for identification/marking of the complete dentures, removable partial dentures and fixed partial dentures and the importance of denture marking in forensic investigatory purposes. The PubMed, Ebsco and Google search engines were used to gather the articles. PMID:26199485

  1. 3D Finite Element Study on: Bar Splinted Implants Supporting Partial Denture in the Reconstructed Mandible

    PubMed Central

    El-Anwar, Mohamed; Ghali, Rami; Aboelnagga, Mona

    2016-01-01

    AIM: This study aimed to estimate the stress patterns induced by the masticatory loads on a removable prosthesis supported and retained by bar splinted implants placed in the reconstructed mandible with two different clip materials and without clip, in the fibula-jaw bone and prosthesis using finite element analysis. METHODS: Two 3D finite element models were constructed, that models components were modeled on commercial CAD/CAM software then assembled into finite element package. Vertical loads were applied simulating the masticatory forces unilaterally in the resected site and bilaterally in the central fossa of the lower first molar as 100N (tension and compression). Analysis was based on the assumption full osseointegration between different types of bones, and between implants and fibula while fixing the top surface of the TMJ in place. RESULTS: The metallic bar connecting the three implants is insensitive to the clips material. Its supporting implants showed typical behavior with maximum stress values at the neck region. Fibula and jaw bone showed stresses within physiologic, while clips material effect seems to be very small due to its relatively small size. CONCLUSION: Switching loading force direction from tensile to compression did-not change the stresses and deformations distribution, but reversed their sign from positive to negative. PMID:27275353

  2. Swallowed dentures: Two cases and a review

    PubMed Central

    Gachabayov, Mahir; Isaev, Mubariz; Orujova, Lala; Isaev, Emin; Yaskin, Evgeniy; Neronov, Dmitriy

    2015-01-01

    Introduction Denture ingestion or aspiration is a problem requiring awareness of different specialists including dentists, surgeons, otolaryngologists, anesthesiologists etc. in terms of prevention, early diagnosis and adequate treatment. Complications of swallowed dentures include hollow viscus necrosis, perforation, penetration to neighbor organs leading to fistulae, bleeding and obstruction. Presentation of cases First case is a 54-year-old female who accidentally swallowed retractable one-tooth denture during fall about 22 h before admission and clinical manifestation of acute small bowel obstruction developed. The patient underwent laparotomy, enterotomy with retrieval of the foreign body. The second case is a 31-year-old male who accidentally ingested fixed one-tooth prosthesis while eating which impacted in the ileocaecal valve. During the preparation to colonoscopy the denture spontaneously passed out with stools. Discussion Denture ingestion is more common among patients with psychoneurologic deficit, alcohol and drug abusers. Among healthy and younger population denture ingestion is rare. Both reported patients are not elder. Thus dislodgement of removable or fixed dentures is another risk factor of denture ingestion. Most common site of denture impaction is esophagus; small bowel impaction is rare. Moreover, in most reported cases, small bowel impaction of ingested dentures leads to small bowel perforation. In our first case the complication of denture ingestion appeared to be bowel obstruction what is even rarer. Conclusion Fixed dentures can be accidentally ingested as well as removable dentures. Denture loosening leads to accidental denture ingestion. Patients with denture loosening should be recommended to visit dentist as soon as possible. PMID:26635957

  3. Fracture strength of three-unit fixed partial denture cores (Y-TZP) with different connector dimension and design.

    PubMed

    Bahat, Zdravko; Mahmood, Deyar J Hadi; Vult von Steyern, Per

    2009-01-01

    True crystalline ceramic materials presently used in restorative dentistry are Al2O3 (alumina) and yttrium-oxide stabilised tetragonal polycrystalline zirconium-dioxide (Y-TZP). To ensure optimal clinical performance, the dimensions of the Fixed Partial Denture (FPD) framework in general and of the connectors in particular, must be adequate. Considered recommendations for connector dimensions for Y-TZP FPDs vary from 2 to 4 mm in occluso-gingival height and 2 to 4 mm in bucco-lingual width. In order to reduce the fracture probability when designing all-ceramic FPDs, the shape of the connector is an important factor to consider. The radius of curvature at the gingival embrasure plays a significant role in the load-bearing capacity. FPDs with small gingival embrasure radii are subjected to high stress concentrations in the connector area during loading, compared to FPDs with large embrasure radii. The aim of this in-vitro study was to investigate how different radii of curvature in the embrasure of the connector area and different connector dimensions could affect the fracture resistance of 3-unit all-ceramic FPDs made of Y-TZP. Forty-eight FPDs in 6 groups of 8 FPDs with different connector design were produced in Procera Zirconia Bridge material. The FPD cores were subjected to heat treatment to simulate veneering. Following cementation, the FPDs were firstly thermocycled for 5,000 cycles, then preloaded for 10,000 cycles and finally loaded to fracture. All the FPDs fractured in the connector area. All the crack propagation which led to fracture started at the gingival embrasure of the connector. Within the limitations of this in-vitro study,the recommended minimum dimension of an anterior 3-unit all-ceramic FPD of Y-TZP is 3 mm in incisal-cervical direction and 2 mm in buccal-lingual direction. By increasing the radius of the gingival embrasure from 0.6 to 0.9 mm, the fracture strength for a Y-TZP FPD with connector dimension 3 x 3 mm increases by 20%. PMID

  4. Denture identification--a simple approach.

    PubMed

    Heath, J R

    1987-03-01

    In order to find a denture identification method that could be rapidly applied to completed dentures, a variety of spirit pens and commercial and experimental sealants were investigated. The pens were generally rapidly removed by one or more abrasive, denture cleansing, antiseptic or mouthwash agent; the sealants exhibited greater longevity. An experimental sealant (acrylic polymer dissolved in chloroform) was found to be cheap, readily prepared, easily applied, very resistant to abrasion, unaffected by immersion denture cleansers, antiseptics and mouthwashes, to produce no more crazing on dentures than the other sealants investigated, and not to affect the transverse strength of acrylic resin. PMID:3470464

  5. Effect of cantilever length and alloy framework on the stress distribution in peri-implant area of cantilevered implant-supported fixed partial dentures.

    PubMed

    Suedam, Valdey; Moretti Neto, Rafael Tobias; Sousa, Edson Antonio Capello; Rubo, José Henrique

    2016-04-01

    Because many mechanical variables are present in the oral cavity, the proper load transfer between the prosthesis and the bone is important for treatment planning and for the longevity of the implant-supported fixed partial denture. Objectives To verify the stress generated on the peri-implant area of cantilevered implant-supported fixed partial dentures and the potential effects of such variable. Material and Methods A U-shaped polyurethane model simulating the mandibular bone containing two implants (Ø 3.75 mm) was used. Six groups were formed according to the alloy's framework (CoCr or PdAg) and the point of load application (5 mm, 10 mm and 15 mm of cantilever arm). A 300 N load was applied in pre-determined reference points. The tension generated on the mesial, lingual, distal and buccal sides of the peri-implant regions was assessed using strain gauges. Results Two-way ANOVA and Tukey statistical tests were applied showing significant differences (p<0.05) between the groups. Pearson correlation test (p<0.05) was applied showing positive correlations between the increase of the cantilever arm and the deformation of the peri-implant area. Conclusions This report demonstrated the CoCr alloy shows larger compression values compared to the PdAg alloy for the same distances of cantilever. The point of load application influences the deformation on the peri-implant area, increasing in accordance with the increase of the lever arm. PMID:27119758

  6. The effect of aluminium on the metallography of a nickel base removable partial denture casting alloy.

    PubMed

    Lewis, A J

    1978-12-01

    Three special nickel-chromium alloys were prepared in which the aluminum levels were adjusted both above and below that of a commercial nickel base dental casting alloy. Tensile and metallographic evaluation of representative samples of the alloys were made and the changes in the properties of the alloys are reported. PMID:285671

  7. The effect of carbon on the metallography of a nickel base removable partial denture casting alloy.

    PubMed

    Lewis, A J

    1979-04-01

    This study has demonstrated the pattern of carbide development associated with progressive increases in carbon content in a series of six nickel chromium alloys. The carbon content is critical since it influences the production and distribution of carbides, which have been shown to alter the mechanical properties, of the nickel chromium alloys, that are dependent upon the development of gamma prime. Furthermore, it has been shown that the attainment of suitable strength is invariably associated with an unacceptable level of ductility. PMID:288385

  8. Fabrication of a maxillary posterior fixed partial denture with a type 4 gold alloy and a dual-polymerizing indirect composite.

    PubMed

    Matsumura, Hideo; Mori, Shuichi; Tanoue, Naomi

    2008-03-01

    The aim of the present study was to design and fabricate a maxillary posterior fixed partial denture (FPD) made of a type 4 gold alloy and an indirect composite. Unlike the conventional framework design of a resin veneered restoration, cut-back was extended approximately 1/4 to 1/3 width in the occlusal table of the buccal cusp. Multiple retentive beads 150-200 mum in diameter were placed on the metal surface to be veneered. The gold alloy was cast in a cristobalite mold using a centrifugal casting machine. The cut surface with the retentive beads was air-abraded with alumina, and a priming agent (Alloy Primer) that contained triazine dithione monomer (VTD) was applied. A tooth-colored veneer was then fabricated with a highly loaded light- and heat-cured composite material (Estenia). This design and procedure can be applied as a standardized laboratory technique for fabrication of maxillary posterior restorations and FPDs. PMID:18403895

  9. The Oral Microbiome of Denture Wearers Is Influenced by Levels of Natural Dentition

    PubMed Central

    O’Donnell, Lindsay E.; Robertson, Douglas; Nile, Christopher J.; Cross, Laura J.; Riggio, Marcello; Sherriff, Andrea; Bradshaw, David; Lambert, Margaret; Malcolm, Jennifer; Buijs, Mark J.; Zaura, Egija; Crielaard, Wim; Brandt, Bernd W.; Ramage, Gordon

    2015-01-01

    Objectives The composition of dental plaque has been well defined, whereas currently there is limited understanding of the composition of denture plaque and how it directly influences denture related stomatitis (DS). The aims of this study were to compare the microbiomes of denture wearers, and to understand the implications of these towards inter-kingdom and host-pathogen interactions within the oral cavity. Methods Swab samples were obtained from 123 participants wearing either a complete or partial denture; the bacterial composition of each sample was determined using bar-coded illumina MiSeq sequencing of the bacterial hypervariable V4 region of 16S rDNA. Sequencing data processing was undertaken using QIIME, clustered in Operational Taxonomic Units (OTUs) and assigned to taxonomy. The dentures were sonicated to remove the microbial flora residing on the prosthesis, sonicate was then cultured using diagnostic colorex Candida media. Samples of unstimulated saliva were obtained and antimicrobial peptides (AMP) levels were measured by ELISA. Results We have shown that dental and denture plaques are significantly distinct both in composition and diversity and that the oral microbiome composition of a denture wearer is variable and is influenced by the location within the mouth. Dentures and mucosa were predominantly made up of Bacilli and Actinobacteria. Moreover, the presence of natural teeth has a significant impact on the overall microbial composition, when compared to the fully edentulous. Furthermore, increasing levels of Candida spp. positively correlate with Lactobacillus spp. AMPs were quantified, though showed no specific correlations. Conclusions This is the first study to provide a detailed understanding of the oral microbiome of denture wearers and has provided evidence that DS development is more complex than simply a candidal infection. Both fungal and bacterial kingdoms clearly play a role in defining the progression of DS, though we were unable to

  10. Biomechanical comparison of implant retained fixed partial dentures with fiber reinforced composite versus conventional metal frameworks: a 3D FEA study.

    PubMed

    Erkmen, Erkan; Meriç, Gökçe; Kurt, Ahmet; Tunç, Yahya; Eser, Atılım

    2011-01-01

    Fiber reinforced composite (FRC) materials have been successfully used in a variety of commercial applications. These materials have also been widely used in dentistry. The use of fiber composite technology in implant prostheses has been previously presented, since they may solve many problems associated with metal alloy frameworks such as corrosion, complexity of fabrication and high cost. The hypothesis of this study was that an FRC framework with lower flexural modulus provides more even stress distribution throughout the implant retained fixed partial dentures (FPDs) than a metal framework does. A 3-dimensional finite element analysis was conducted to evaluate the stress distribution in bone, implant-abutment complex and prosthetic structures. Hence, two distinctly different models of implant retained 3-unit fixed partial dentures, composed of Cr-Co and porcelain (M-FPD model) or FRC and particulate composite (FRC-FPD model) were utilized. In separate load cases, 300 N vertical, 150 N oblique and 60 N horizontal forces were simulated. When the FRC-FPD and M-FPD models were compared, it was found that all investigated stress values in the M-FPD model were higher than the values in the FRC-FPD model except for the stress values in the implant-abutment complex. It can be concluded that the implant supported FRC-FPD could eliminate the excessive stresses in the bone-implant interface and maintain normal physiological loading of the surrounding bone, therefore minimizing the risk of peri-implant bone loss due to stress-shielding. PMID:21094484

  11. Effect of cantilever length and alloy framework on the stress distribution in peri-implant area of cantilevered implant-supported fixed partial dentures

    PubMed Central

    SUEDAM, Valdey; MORETTI, Rafael Tobias; SOUSA, Edson Antonio Capello; RUBO, José Henrique

    2016-01-01

    ABSTRACT Because many mechanical variables are present in the oral cavity, the proper load transfer between the prosthesis and the bone is important for treatment planning and for the longevity of the implant-supported fixed partial denture. Objectives To verify the stress generated on the peri-implant area of cantilevered implant-supported fixed partial dentures and the potential effects of such variable. Material and Methods A U-shaped polyurethane model simulating the mandibular bone containing two implants (Ø 3.75 mm) was used. Six groups were formed according to the alloy’s framework (CoCr or PdAg) and the point of load application (5 mm, 10 mm and 15 mm of cantilever arm). A 300 N load was applied in pre-determined reference points. The tension generated on the mesial, lingual, distal and buccal sides of the peri-implant regions was assessed using strain gauges. Results Two-way ANOVA and Tukey statistical tests were applied showing significant differences (p<0.05) between the groups. Pearson correlation test (p<0.05) was applied showing positive correlations between the increase of the cantilever arm and the deformation of the peri-implant area. Conclusions This report demonstrated the CoCr alloy shows larger compression values compared to the PdAg alloy for the same distances of cantilever. The point of load application influences the deformation on the peri-implant area, increasing in accordance with the increase of the lever arm. PMID:27119758

  12. Role of implant configurations supporting three-unit fixed partial denture on mandibular bone response: biological-data-based finite element study.

    PubMed

    Yoda, N; Liao, Z; Chen, J; Sasaki, K; Swain, M; Li, Q

    2016-09-01

    Implant-supported fixed partial denture with cantilever extension can transfer the excessive load to the bone around implants and stress/strain concentration potentially leading to bone resorption. This study investigated the effects of implant configurations supporting three-unit fixed partial denture (FPD) on the stress and strain distribution in the peri-implant bone by combining clinically measured time-dependent loading data and finite element (FE) analysis. A 3-dimensional mandibular model was constructed based on computed tomography (CT) images. Four different configurations of implants supporting 3-unit FPDs, namely three implant-supported FPD, conventional three-unit bridge FPD, distal cantilever FPD and mesial cantilever FPD, were modelled. The FPDs were virtually inserted to the molar area in the mandibular FE models. The FPDs were loaded according to time-dependent in vivo-measured 3-dimensional loading data during chewing. The von Mises stress (VMS) and equivalent strain (EQS) in peri-implant bone regions were evaluated as mechanical stimuli. During the chewing cycles, the regions near implant necks and bottom apexes experienced high VMS and EQS than the middle regions in all implant-supported FPD configurations. Higher VMS and EQS values were also observed at the implant neck region adjacent to the cantilever extension in the cantilevered configurations. The patient-specific dynamic loading data and CT-based reconstruction of full 3D mandibular allowed us to model the biomechanical responses more realistically. The results provided data for clinical assessment of implant configuration to improve longevity and reliability of the implant-supported FPD restoration. PMID:27224022

  13. [The dynamics of changes in rheological properties of oral fluid in patients with different levels of oral hygiene, using removable dentures].

    PubMed

    Mikhaylenko, T N; Ernestyuk, A M; Rozhko, N M

    2014-12-01

    The issue of changing the physical and physico-chemical characteristics of oral fluid and their dependence on the level of oral hygiene in patients with removable dentures, requires further study. Therefore, in 86 individuals with 138 removable dentures, and 34 patients who are dentally and somatically healthy, we have had studied the parameters of viscosity, velocity of salivation, pH and concentration of mucin. According to the results of the factor analysis, it was determined that 78.6% of the studied parameters were indicators of hygienic condition of oral cavity. On the basis of significant difference and the strength and direction of correlation between the studied parameters and values of the integral index of oral hygiene, it was found, that in patients without somatic pathology with proper oral hygiene, we observed the growth of the rate of salivation and pH(c1), and in case of improper hygienic condition - reducing rate of salivation and increasing concentration of mucin. In case of the presence of somatic pathology, with an improvement of oral hygiene, the growth of pH(c1) and reducing of concentration of mucin was observed. The deterioration of oral hygiene level led to the increase of the rate of viscosity and the reduction of the salivation rate. PMID:25617095

  14. The bond between acrylic resin denture teeth and the denture base: recommendations for best practice.

    PubMed

    Radford, D R; Juszczyk, A S; Clark, R K F

    2014-02-01

    Failure of the bond between denture teeth and base acrylic resin has been shown to be a cause of denture failure leading to inconvenience and costly repair. The optimal combination of acrylic resin denture tooth, denture base material, laboratory protocol and processing method has not yet been established. Extensive research enables the following recommendations for best practice to be made. Adopt practices that maximise the strength of the bond: select appropriate denture teeth; select base acrylic resin from the same manufacturer as the denture teeth; remove the glaze from ridgelaps of the denture teeth; apply monomer to the ridgelaps of the denture teeth before packing the base acrylic resin dough; use the manufacturers' recommended liquid/powder ratio; follow the manufacturers' recommended curing cycle; allow the flask to cool slowly and rest before deflasking. Adopt practices that avoid factors detrimental to bond strength: remove all traces of wax from the ridge laps of the denture teeth; remove all traces of mould seal from the ridgelaps of the denture teeth. It is evident that a number of factors are involved which may assist or prevent formation of an adequate bond, suggesting that attention to detail by the dental technician may be the most critical factor. PMID:24557385

  15. Denture Adhesives

    MedlinePlus

    ... bone and give temporary relief from loosening dentures. Zinc and Potential Risk Zinc is a mineral that is an essential ingredient for good health. ... in some dietary supplements. However, an excess of zinc in the body can lead to health problems ...

  16. [How up-to-date are metal-based resin-bonded fixed partial dentures in the era of full-ceramics and dental implants? A case report].

    PubMed

    Bühler-Frey, Christian; Marinello, Carlo P

    2011-01-01

    Regardless of the success of preventive measures the replace¬ment of missing teeth in young patients with caries-free dentitions is a daily challenge for the clinician. The decision-making process concerning the different treatment options is difficult, based on several equivalent solutions. Thereby the significance of minimal invasive approaches is steadily increasing. In indicated cases, resin-bonded fixed partial dentures which were introduced in the last century still represent a well documented and minimally invasive procedure, even in the era of dental implants. In this article, clinical aspects of a conventional, metal-based resin-bonded fixed partial dentures are discussed according to the current literature and the clinical steps are presented in a clinical case. PMID:21861250

  17. Inlay-fixed partial dentures adhesively retained and reinforced by glass fibers: clinical and scanning electron microscopy analysis after five years.

    PubMed

    Göhring, Till N; Roos, Malgorzata

    2005-02-01

    Fifty-three posterior glass fibre-reinforced composite inlay-fixed partial dentures (IFPDs) in 36 patients were followed for 5 yr. For statistical analysis, one IFPD per patient was randomly selected. The survival rate and influence of discrete predictors (gender, location) and continuous variables (age, abutment surfaces) were determined. Clinical observations were recorded by using modified United States Public Health System (USPHS) criteria. Replicas of 17 randomly selected abutments were analysed by scanning electron microscopy (SEM) for marginal adaptation and the results were compared by using a repeated-measures analysis of variance (anova). The main reason for failure was veneering material delamination from the framework. The cumulative survival rate after 5 yr was 73% (95% confidence interval: 57-89%) for not delaminating and 96% (95% confidence interval: 88-100%) for not debonding. No significant influence of the tested predictors was found. Significant changes between baseline USPHS criteria and counterparts recorded at recall were fractures of the veneering material (chipping), wear, surface texture, and staining. Significant margin changes were only found between baseline and 1 yr. Thereafter, marginal adaptation remained stable. After 5 yr, 90% of the margins were termed as perfect. It was concluded that hard-tissue saving IFPDs with the current design maintained acceptable retention and marginal integrity. Future studies should aim at reducing delaminations by searching for improved framework designs and materials. PMID:15693831

  18. Bone metabolism induced by denture insertion in positron emission tomography.

    PubMed

    Suenaga, H; Chen, J; Yamaguchi, K; Sugazaki, M; Li, W; Swain, M; Li, Q; Sasaki, K

    2016-03-01

    18F-fluoride positron emission tomogra-phy (PET) can identify subtle functional variation prior to the major structural change detectable by X-ray. This study aims to investigate the mechanobiological bone reaction around the abutment tooth and in the residual ridge, induced by insertion of removable partial denture (RPD) within two different groups of patients: patients without denture experience (Group 1) and patients with denture experience before (Group 2), using 18F-fluoride PET imaging technique. 18F-fluoride PET/computerised tomography (CT) scan was performed to examine the bone metabolic change in mandible before and after the RPD treatment. Region of interests (ROIs) were placed in alveolar bone around abutment tooth and in residual bone beneath the RPD. Standardised uptake value (SUV), reflecting the accumulation of 18F-fluoride, was measured for each ROI. In all subjects of Group 1, SUVs after insertion were higher than before in both alveolar bone and residual bone, while there was less significant change in SUV in subjects of Group 2. This study demonstrated using longitudinal 18F-fluoride PET scans to effectively examine the bone metabolic change in mandible induced by occlusal loading after RPD insertion. Using this technique, within the six subjects in this study, it was shown that bone metabolism around abutment tooth and residual ridge increased after RPD insertion in case of first-time denture user, while there was no big change in the patient with experience of denture before. This study revealed the effectiveness of applying PET to evaluate bone metabolic activity as mechanobiolo-gical reaction. PMID:26431672

  19. The Conometric Concept: Coupling Connection for Immediately Loaded Titanium-Reinforced Provisional Fixed Partial Dentures-A Case Series.

    PubMed

    Degidi, Marco; Nardi, Diego; Piattelli, Adriano

    2016-01-01

    The aim of this prospective study was to demonstrate the feasibility of the conic coupling connection as a novel approach for the retention of immediately loaded, titanium-reinforced, temporary fixed partial restorations. The patients received a fixed, immediate partial restoration, attached using the conic coupling connection to two implants placed in a fresh extraction socket. Changes in marginal peri-implant bone level or probing depth measurements, biologic or technical complications, and any other adverse event were recorded at yearly follow-ups up to 3 years after implantation. A total of 78 implants placed in 39 patients reached the 3-year follow-up. A trend of bone overgrowth over the implant platform (mean: 0.2 mm) and a complete fill of the vertical gap between the implant platform level and the first point of contact of the bone with the implant surface was seen after the 6-month follow-up. No disconnection of any prosthesis was noted during 3 years of full occlusal function. The results of this study suggest that titanium-reinforced, temporary partial restorations with conic coupling retention supported by immediate implants provide a successful, cost-effective treatment modality. PMID:27100804

  20. Success, clinical performance and patient satisfaction of direct fibre-reinforced composite fixed partial dentures - a two-year clinical study.

    PubMed

    Malmstrom, H; Dellanzo-Savu, A; Xiao, J; Feng, C; Jabeen, A; Romero, M; Huang, J; Ren, Y; Yunker, M A

    2015-12-01

    To evaluate the success, clinical performance and patient satisfaction of directly placed fibre-reinforced composite (FRC) fixed partial dentures (FPDs) in 2 years. One hundred sixty-seven FRC FPDs (120 subjects) were directly fabricated to restore a single missing tooth by six Advanced Education in General Dentistry (AEGD) residents. The FRC FPDs recipients were randomised into two groups according to the fibre materials (pre-impregnated glass or polyethylene). Clinical performance was evaluated at baseline (2 weeks), 6, 12 and 24 months by two calibrated evaluators for prosthesis adaptation, colour match, marginal discoloration, surface roughness, caries and post-operative sensitivity using modified United State Public Health Service (USPHS) criteria. Prosthesis appearance, colour, chewing ability and overall satisfaction were evaluated by patients using a visual analogue scale (VAS). Kaplan-Meier estimation was used to estimate the prosthesis success. Ninety-four patients with 137 FRC FPDs returned (21·67% attrition rate for study subjects, 17·94% for FRC FPDs). Seventeen FRC FPDs failed, due to one-end (n = 4) or two-ends (n = 4) debonding or pontic fracture (n = 9). The cumulative 2-year success rate was 84·32% and survival rate was 92·7%; there were no statistically significant differences between the groups according to different missing tooth location, retention type or fibre materials (P > 0·05). Patient satisfaction regarding prosthesis appearance, col-our, chewing ability and overall satisfaction was rated high on the VAS (mean >80 mm) for all criteria at all time points. The FRC FPDs (restoring single tooth) fabricated by AEGD residents achieved acceptable success and survival rates in a 2-year follow-up. PMID:26172283

  1. Comparison of fiber reinforcement placed at different locations of pontic in interim fixed partial denture to prevent fracture: An in vitro study

    PubMed Central

    Kapri, Surg Cdr Anita

    2015-01-01

    Background: The interim restoration is an important phase in fixed prosthodontic therapy. It should provide sufficient durability to withstand the forces of mastication. A fractured interim restoration is damaging to the prosthodontic care and may lead to an unscheduled appointment for repair. Several attempts have been made to reinforce interim fixed partial dentures (FPDs). These have included the use of metal wire, a lingual cast metal reinforcement, a processed acrylic resin interim restoration, and different types of fibers, e.g., carbon, polyethylene, nylon and glass. These fibers can be placed in the occlusal, middle or cervical thirds in the FPD. There is no scientific data to evaluate the effect of fiber placement methods on the fracture resistance of clinical interim FPDs. Purpose of the Study: Hence this study was designed to evaluate fracture load values of interim FPDs with different locations of fiber reinforcement. Materials and Methods: 30 interim FPD samples with polymethyl methacrylate (PMMA) reinforced with fibers at three different locations mainly occlusal, cervical and middle (10 samples each) were fabricated using a metal FPD on a master die. They were tested for fracture resistance in universal testing machine. Results: The fracture resistance was recorded and is tabulated and analyzed statistically. The results showed that the placement of the reinforcement in the occlusal third of the pontic resulted in higher fracture resistance which was significantly higher (P < 0.05) than all other locations. Conclusion: The occlusal third of the pontic region from mesial to the distal end of the connector is the best site of placement of the fiber for reinforcing the PMMA interim restorative resin. PMID:26929501

  2. Meta-analysis of Failure and Survival Rate of Implant-supported Single Crowns, Fixed Partial Denture, and Implant Tooth-supported Prostheses

    PubMed Central

    Muddugangadhar, B C; Amarnath, G S; Sonika, Radhika; Chheda, Pratik S; Garg, Ashu

    2015-01-01

    Background: Dental implants have become the most viable option for rehabilitation. Although, many studies report the success of these reconstructions using implants, a cumulative data about the various studies and the failure rate still remain unaddressed. Therefore, the purpose of this systematic review was to analyze these data and to derive the cumulative survival rate of different implant-supported prosthesis. Materials and Methods: Manual searches followed by a MEDLINE search were conducted to select prospective and retrospective cohort studies on single crowns (SCs), fixed partial denture (FPD), and tooth implant connected prostheses with a mean follow-up time of minimum of 5 years. Random-effects Poisson’s regression models have been used to obtain summary estimates for implant failure and survival rates. Results: Data were extracted from the final selected 63 studies. In a meta-analysis of these studies, the survival rate of SCs supported by implants (95% CI) was 96.363%, for FPDs was 94.525% and implant tooth-supported prostheses was 91.27% after 5 years of function. The cumulative failure rate per 100 FPD years of the SCs, FPDs, and implant tooth-supported prostheses were 0.684, 0.881, and 1.514, respectively. Conclusion: The study concludes high survival rates for implant-supported SCs followed by implant-supported FPDs can be expected over an observation period of 5 years. However, tooth implant-supported prostheses can be provided if there are certain limitations prohibiting the completely implant-supported prostheses. PMID:26435609

  3. Improved Prefrontal Activity and Chewing Performance as Function of Wearing Denture in Partially Edentulous Elderly Individuals: Functional Near-Infrared Spectroscopy Study

    PubMed Central

    Kamiya, Kazunobu; Narita, Noriyuki; Iwaki, Sunao

    2016-01-01

    The purpose of this study was to elucidate the effects of wearing a denture on prefrontal activity during chewing performance. We specifically examined that activity in 12 elderly edentulous subjects [63.1±6.1 years old (mean ± SD)] and 12 young healthy controls (22.1±2.3 years old) using functional near-infrared spectroscopy (fNIRS) in order to evaluate the quality of prefrontal functionality during chewing performance under the conditions of wearing a denture and tooth loss, and then compared the findings with those of young healthy controls. fNIRS and electromyography were used simultaneously to detect prefrontal and masticatory muscle activities during chewing, while occlusal force and masticatory score were also examined by use of a food intake questionnaire. A significant increase in prefrontal activity was observed during chewing while wearing a denture, which was accompanied by increased masticatory muscle activity, occlusal force, and masticatory score, as compared with the tooth loss condition. Prefrontal activation during chewing while wearing a denture in the elderly subjects was not much different from that in the young controls. In contrast, tooth loss in the elderly group resulted in marked prefrontal deactivation, accompanied by decreased masticatory muscle activity, occlusal force, and masticatory score, as compared with the young controls. We concluded that intrinsic prefrontal activation during chewing with a denture may prevent prefrontal depression induced by tooth loss in elderly edentulous patients. PMID:27362255

  4. Improved Prefrontal Activity and Chewing Performance as Function of Wearing Denture in Partially Edentulous Elderly Individuals: Functional Near-Infrared Spectroscopy Study.

    PubMed

    Kamiya, Kazunobu; Narita, Noriyuki; Iwaki, Sunao

    2016-01-01

    The purpose of this study was to elucidate the effects of wearing a denture on prefrontal activity during chewing performance. We specifically examined that activity in 12 elderly edentulous subjects [63.1±6.1 years old (mean ± SD)] and 12 young healthy controls (22.1±2.3 years old) using functional near-infrared spectroscopy (fNIRS) in order to evaluate the quality of prefrontal functionality during chewing performance under the conditions of wearing a denture and tooth loss, and then compared the findings with those of young healthy controls. fNIRS and electromyography were used simultaneously to detect prefrontal and masticatory muscle activities during chewing, while occlusal force and masticatory score were also examined by use of a food intake questionnaire. A significant increase in prefrontal activity was observed during chewing while wearing a denture, which was accompanied by increased masticatory muscle activity, occlusal force, and masticatory score, as compared with the tooth loss condition. Prefrontal activation during chewing while wearing a denture in the elderly subjects was not much different from that in the young controls. In contrast, tooth loss in the elderly group resulted in marked prefrontal deactivation, accompanied by decreased masticatory muscle activity, occlusal force, and masticatory score, as compared with the young controls. We concluded that intrinsic prefrontal activation during chewing with a denture may prevent prefrontal depression induced by tooth loss in elderly edentulous patients. PMID:27362255

  5. Reducing the risk of sensitivity and pulpal complications after the placement of crowns and fixed partial dentures.

    PubMed

    Brännström, M

    1996-10-01

    Sensitivity after cementation of a crown with glass-ionomer cement is often attributed to an adverse effect on the pulp by the luting agent. Most permanent restorative materials in common use today do not tend to irritate the pulp; the main cause of pulpal damage is infection, the bacteria originating in the smear layer or deep in the dental tubules, inaccessible to caries-excavating procedures. A poorly fitting provisional crown may expose cut dentin to the oral fluids, and mechanical trauma caused by frictional heat during preparation may also damage the pulp. The following precautions are recommended during precementation procedures to reduce the risk of an inflammatory response in the pulp: (1) The provisional crown should be well fitting, covering cervical dentin but not impinging on the periodontal tissues. The permanent crown should be cemented as soon as possible. (2) The superficial smear layer should be removed and the dentinal surface should be treated with an antibacterial solution before the provisional crown is placed. (3) To decrease dentinal permeability under the provisional crown, the dentinal surface should be covered with a liner that can be easily removed before final cementation. (4) to ensure optimal mircomechanical bonding, the dentinal surface should be thoroughly cleaned, and the dentin should be kept moist until cementation. (5) The occlusion should be carefully checked before cementation of the crown. PMID:9180403

  6. 21 CFR 872.3520 - OTC denture cleanser.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ...) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3520 OTC denture cleanser. (a) Identification. An... that is intended to remove debris from removable prosthetic dental appliances, such as bridges...

  7. 21 CFR 872.3520 - OTC denture cleanser.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ...) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3520 OTC denture cleanser. (a) Identification. An... that is intended to remove debris from removable prosthetic dental appliances, such as bridges...

  8. 21 CFR 872.3520 - OTC denture cleanser.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ...) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3520 OTC denture cleanser. (a) Identification. An... that is intended to remove debris from removable prosthetic dental appliances, such as bridges...

  9. 21 CFR 872.3520 - OTC denture cleanser.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ...) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3520 OTC denture cleanser. (a) Identification. An... that is intended to remove debris from removable prosthetic dental appliances, such as bridges...

  10. Utilization of Partially Gasified Coal for Mercury Removal

    SciTech Connect

    Chris Samuelson; Peter Maly; David Moyeda

    2008-09-09

    In this project, General Electric Energy and Environmental Research Corporation (EER) developed a novel mercury (Hg) control technology in which the sorbent for gas-phase Hg removal is produced from coal in a gasification process in-situ at a coal burning plant. The main objective of this project was to obtain technical information necessary for moving the technology from pilot-scale testing to a full-scale demonstration. A pilot-scale gasifier was used to generate sorbents from both bituminous and subbituminous coals. Once the conditions for optimizing sorbent surface area were identified, sorbents with the highest surface area were tested in a pilot-scale combustion tunnel for their effectiveness in removing Hg from coal-based flue gas. It was determined that the highest surface area sorbents generated from the gasifier process ({approx}600 m{sup 2}/g) had about 70%-85% of the reactivity of activated carbon at the same injection rate (lb/ACF), but were effective in removing 70% mercury at injection rates about 50% higher than that of commercially available activated carbon. In addition, mercury removal rates of up to 95% were demonstrated at higher sorbent injection rates. Overall, the results of the pilot-scale tests achieved the program goals, which were to achieve at least 70% Hg removal from baseline emissions levels at 25% or less of the cost of activated carbon injection.

  11. Bioretention Systems: Partial Factorial Designs for Nitrate Removal

    EPA Science Inventory

    Changes in nutrient loadings are monitored by introducing captured stormwater runoff into eight outdoor rain gardens at EPA’s Urban Water Research Facility in Edison, New Jersey scaled for residential and urban landscapes. The partial factorial design includes non-vegetated meso...

  12. A clinical diagnosis of diurnal (non-sleep) bruxism in denture wearers.

    PubMed

    Piquero, K; Sakurai, K

    2000-06-01

    The purpose of this study was to establish a clinical method for diagnosing diurnal bruxism in denture wearers by recording masseter and anterior temporal electromyograph (EMG) activity. Seven suspected bruxists and five normal patients who wore complete dentures and/or distal extension base removable partial dentures were selected for participation. EMG activity in both the masseter and the anterior temporal muscles was recorded bilaterally during silent reading (10 min), maximal voluntary clenching (MVC), tapping in centric occlusion, lateral movements, chewing and swallowing. No significant differences of EMG activity were found between the groups during tapping, lateral movement, chewing and swallowing (P> 0.05). However, during 10 min of silent reading, a significant difference was found between the groups when comparing masseter muscle activity (P < 0.05). A threshold of 10% of MVC of at least 3-s duration was used to define an individual bruxism event. When the muscle activity recorded during silent reading was further analysed using these criteria, the control group displayed no bruxing activity while the suspected bruxist group displayed a mean frequency of six bruxism events (range 2-10). It was concluded that: (a) masseter muscle activity recorded during 10 min of silent reading showed significant difference between the groups; (b) the criteria selected in this study for the detection of sleep bruxism can also be used to assess diurnal bruxism; and (c) it is possible to diagnose diurnal bruxism in denture wearers by measuring the masseter EMG activity during 10 min of silent reading. PMID:10888274

  13. 30 CFR 250.1730 - When might MMS approve partial structure removal or toppling in place?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... partial structure removal or toppling in place for conversion to an artificial reef if you meet the following conditions: (a) The structure becomes part of a State artificial reef program, and the...

  14. Microcystic ganglioglioma treated by partial removal and radiation therapy

    SciTech Connect

    Cox, J.D.; Zimmerman, H.M.; Haughton, V.M.

    1982-08-01

    A 35-year old woman presented with visual hyperacuity and seizures. Radionuclide and CT scans revealed a frontal lobe mass lesion consistent with an astrocytoma. Subtotal removal was necessary due to proximity of the tumor to the motor strip. Initial histopathologic interpretation was malignant glioma (astrocytoma Grade 2 or 3). Megavoltage irradiation was delivered to a midsagittal dose of 6300 rad in seven weeks. Subsequent review of the slides revealed the tumor to be a microcystic ganglioglioma. The patient is well five and one-half years after treatment. It is important to separate these low grade neoplasms from the more ominous astrocytomas in regard to prognosis after resection and irradiation.

  15. Trial of an experimental castor oil solution for cleaning dentures.

    PubMed

    Andrade, Ingrid Machado de; Andrade, Kelly Machado de; Pisani, Marina Xavier; Silva-Lovato, Cláudia Helena; de Souza, Raphael Freitas; Paranhos, Helena de Freitas Oliveira

    2014-01-01

    Denture hygiene is essential because denture biofilm is involved in oral infections and systemic diseases. Although there are chemical agents available on the market, none of them have ideal properties and research on such products is still necessary. The aim of this study was to evaluate the efficacy of a castor bean (Ricinus communis)-based solution for removing denture biofilm, compared to two traditional products (sodium hypochlorite and alkaline peroxide). Fifty maxillary complete denture wearers were instructed to brush their dentures after meals and to immerse their dentures once a day in the following solutions: Saline (20 min; control), Polident alkaline peroxide (3 min), NaOCl (20 min) and 2% castor oil solution (20 min). Participants used each solution for a period of 7 consecutive days, according to a random sequence. After each period, the internal surfaces of maxillary complete dentures were stained with a disclosing solution (1% neutral red), photographed and the disclosed biofilm was quantified with the aid of specific software. The influence of treatments on results was verified by the Friedman test (α=0.05). Tested solutions presented significant difference (Fr=51.67; p<0.001). Saline and NaOCl were significantly different (median: 2.0% and 0.0%) whereas Polident and castor oil presented intermediate results (median: 1.0% and 1.5%, respectively). It can be concluded that the castor oil solution tested in this study was comparable to alkaline peroxide in terms of efficiency in denture biofilm removal. PMID:24789291

  16. The removal of partially metabolized very-low-density lipoproteins by the perfused rat liver.

    PubMed Central

    Suri, B S; Targ, M E; Robinson, D S

    1981-01-01

    1. Donor perfused rat livers were used to prepare VLD (very-low-density) lipoproteins, labelled in their triacylglycerol and protein components with [1-14C]oleic acid and L-[4,5-3H]leucine respectively. Partially metabolized VLD lipoproteins, similarly labelled, were obtained from supradiaphragmatic rats injected with the parent VLD lipoproteins. 2. The triacylglycerol and protein components of the partially metabolized VLD lipoproteins were removed by recipient perfused rat livers at rates much higher than those of the parent VLD lipoproteins. No degradation of the partially metabolized VLD lipoproteins to LD (low-density) lipoproteins occurred during the perfusions. 3. Removal of hepatic lipase from the livers did not significantly affect the rate of removal of the partially metabolized VLD lipoproteins. PMID:7317016

  17. Cast aluminum denture base.

    PubMed

    Barco, M T; Dembert, M L

    1987-08-01

    The laboratory procedures for a cast aluminum base denture have been presented. If an induction casting machine is not available, the "two-oven technique" works well, provided the casting arm is kept spinning manually for 4 minutes after casting. If laboratory procedures are executed precisely and with care, the aluminum base denture can be cast with good results. PMID:3305884

  18. Esophageal impacted dentures.

    PubMed Central

    Nwaorgu, Onyekwere G.; Onakoya, Paul A.; Sogebi, Olusola A.; Kokong, Daniel D.; Dosumu, Oluwole O.

    2004-01-01

    OBJECTIVES: This study aims to highlight the problems associated with impacted acrylic dentures and proffers advice to check them. PATIENTS AND METHODS: Retrospective review of all cases of impacted acrylic dentures over a 16-year period. RESULTS: Twenty-two adults had impacted esophageal acrylic dentures of which 16 (72.7%) and six (27.3%) were males and females, respectively (M:F ratio = 2.7:1) with age range 23-77 years. Fourteen patients (63.6%) had worn their dentures for more than 10 years without check-up, and 54.5% presented within 48 hours of impaction. The common symptoms in all the patients were difficulty with swallowing, throat pain and discomfort, followed by tenderness in the neck in 15 (68.2%). Dentures were extracted through esophagoscopy (17 cases) and cervical (three cases) esophagotomy, respectively. Observed complications included pulmonary edema in one and esophageal perforation in five patients. CONCLUSION: Endoscopic extraction of dentures carries a high risk of perforation. Extraction of an impacted denture via esophagoscopy can be undertaken under direct vision and in an ideal situation with judicious use of the Shears forceps. In the absence of these, the safest option is an esophagotomy. Proper treatment planning in the fabrication of dentures with incorporation of radiopaque materials in the dental resins and adequate postdenture delivery instructions are necessary as preventive measures. PMID:15540888

  19. Prosthetic rehabilitation of a patient after a partial mandibulectomy

    PubMed Central

    Goiato, Marcelo Coelho; de Medeiros, Rodrigo Antonio; Vechiato Filho, Aljomar José; da Silva, Emily Vivianne Freitas; Sônego, Mariana Vilela; de Carvalho, Karina Helga Turcio; Guiotti, Aimée Maria; de Carvalho Dekon, Stefan Fiuza; Pesqueira, Aldiéris Alves; dos Santos, Daniela Micheline

    2015-01-01

    Introduction The treatment of orofacial tumors may cause facial deformities by losses of structures that affect basic functions, i.e. feeding, speech, and the reduction of patient self-steam. Presentation of case A white male patient was diagnosed with epidermoid cancer on the mandibular alveolar ridge with infiltration staging IV A. The patient was submitted to a mandibulectomy associated with a complete extraction of mandibular teeth. For rehabilitation, a conventional denture for the mandibular arch and a removable partial denture for the maxillary arch were fabricated. A correct occlusal adjustment and a satisfactory amount of alveolar bone was favorable for conventional dentures of the prostheses bases improve their retention and stability. After one year of follow-up, the patient was adapted to the prostheses, satisfied with their retention, and reported an improvement on his feeding. Discussion The prosthetic rehabilitation of patients after a partial mandibulectomy is essential for their self-steam. Conventional dentures may have their retention and stability improved if they are well fabricated, recorded and have a balanced occlusion. Conclusion A correct occlusal adjustment and an adequate retention of the prostheses bases may improve their retention and stability. Patients without xerostomy and with a satisfactory amount of alveolar bone may have a favorable prognosis for conventional dentures. PMID:26052437

  20. [Effect of HCO3- on Nitrogen Removal Efficiency in Partial Nitritation-ANAMMOX Process].

    PubMed

    Li, Xiang; Cheng, Zong-heng; Huang, Yong; Yuan, Yi; Liu, Xin; Zhang, Da-lin

    2015-11-01

    The effect of HCO3- on nitrogen removal efficiency in partial nitritation-ANAMMOX process was studied by using the combined process of partial nitritation and ANAMMOX has been started and achieved the stable operation of nitrogen removal. The results showed that, when the ratio of C/N decreased from 2 to 0.17 in influent, the nitrogen removal rate decreased from 1.3 kg- ( M3 x d)(-1) to 0.40 kg x (M3 x d)(-1), the decrease range arrived at 69.3%. The nitrogen conversion efficiency was limited, because of the added amount of HCO3- was decreased, which leading to the pH value declined sharply in nitritation and ANAMMOX zone. In the partial nitritation-ANAMMOX process, the effect of HCO3- limitation on activity of ammonium oxidizing bacteria, ANAMMOX bacteria and nitrifying bacteria was decreased in turn. When the C/N ratio increased to 1, the nitrogen removal rate of combined process was quickly restored to 1 kg x (m3 x d)(-1). It indicated that short HCO3- limitation on nitrogen conversion efficiency of the combined process can be fast recovery. The resulted also showed that the relationship between influent C/N ratio and nitrogen removal efficiency has obvious relativity in partial nitritation-ANAMMOX process. PMID:26911008

  1. Designing for Safety: Implications of a Fifteen Year Review of Swallowed and Aspirated Dentures

    PubMed Central

    Mackie, James; Macfarlane, Tatiana V.

    2016-01-01

    ABSTRACT Objectives Dentures are worn by around 20% of the population, yet if they become displaced they may enter the gastrointestinal or respiratory system, sometimes with grave consequences. The aim of this study was to review recent published literature in order to identify the epidemiology of patients and characteristics of swallowed and aspirated dental prostheses, and propose strategies to minimise these risks. Material and Methods A fifteen year retrospective of published case series and case reports was carried out. Photographs, radiographs and descriptions of the dental prostheses were gathered, as well as the patient’s presenting complaint, the anatomical site where the denture was caught and the procedure required to remove the denture. Results Ninety one separate events of swallowed or aspirated dentures were identified from 83 case reports and series from 28 countries. Average age was 55 years, and these were 74% male. Photographs were retrieved for 49 of these dentures. Clasps were present in 25 of the dentures. There was no significant difference between clasped and unclasped dentures for perforation rates, need for open surgery and spontaneously passed dentures. Conclusions We discuss the implications of this study regarding denture designs, specifically the importance of using a radiopaque acrylic, using clasps when required even if there is a risk of aspiration, advising patients to return if a denture is loose or damaged, and finally that all patients who wear a denture are at risk of aspiration and swallowing events, and associated morbidity and mortality. PMID:27489607

  2. EFFICACY OF BIOFILM DISCLOSING AGENT AND OF THREE BRUSHES IN THE CONTROL OF COMPLETE DENTURE CLEANSING

    PubMed Central

    da Silva, Cláudia Helena Lovato; Paranhos, Helena de Freitas Oliveira

    2006-01-01

    Objective: This report evaluated the efficacy of three brushes and one biofilm disclosing agent in complete denture cleansing. Methods: Twenty-seven wearers of maxillary dentures were distributed into three groups and received different brushes: Oral B40, conventional toothbrush (Oral B); Denture, denture-specific brush (Condor); Johnson & Johnson, denture-specific brush (Johnson & Johnson). The 60-day experimental period was divided into two techniques: I - brushing (brush associated with a paste - Dentu Creme, Dentco) three times a day; II - brushing and daily application of 1% neutral red on the denture internal surface. Biofilm quantification was carried out weekly and the areas with dye biofilm were obtained by means of Image Tool 2.02 software. Results: Biofilm removal was more effective during Technique II (Wilcoxon test: p=0.01) for the three groups of brushes. When the brushes were compared in Technique I, the Kruskal Wallis test indicated statistical difference between Denture X Johnson & Johnson and Denture X Oral B40, in which the Denture was more efficient. For Technique II, there was no statistical difference between brushes (p>0.05). Conclusion: The disclosed application promoted more efficacy on biofilm removal, regardless of the brush used. Denture (Condor) was more efficient than the other brushes during Technique I. PMID:19089247

  3. Impact of denture usage patterns on dietary quality and food avoidance among older adults.

    PubMed

    Savoca, Margaret R; Arcury, Thomas A; Leng, Xiaoyan; Chen, Haiying; Bell, Ronny A; Anderson, Andrea M; Kohrman, Teresa; Gilbert, Gregg H; Quandt, Sara A

    2011-01-01

    This study categorizes older adults living in rural areas by denture status, assesses the frequency of wearing dentures during meals, and determines whether denture status or use is associated with dietary quality or the number of foods avoided. A multi-ethnic population-based sample of adults ≥60 years (N = 635) in the rural United States was interviewed. Survey included denture use, removing dentures before eating, and foods avoided due to oral health problems. Dietary intakes were converted into Healthy Eating Index-2005 scores. Sixty percent wore removable dentures of some type; 55% never, 27% sometimes, and 18% always removed dentures when eating. More frequent removal was associated with lower dietary quality and more foods avoided. Those with severe tooth loss had the lowest dietary quality and avoided the most foods. Many rural older adults wear dentures. Learning how they adapt to denture use will offer insight into their nutritional self-management and help explain differences in dietary quality. PMID:23286643

  4. Partial Nitrification and Denitrifying Phosphorus Removal in a Pilot-Scale ABR/MBR Combined Process.

    PubMed

    Wu, Peng; Xu, Lezhong; Wang, Jianfang; Huang, Zhenxing; Zhang, Jiachao; Shen, Yaoliang

    2015-11-01

    A pilot-scale combined process consisting of an anaerobic baffled reactor (ABR) and an aerobic membrane bioreactor (MBR) for the purpose of achieving easy management, low energy demands, and high efficiencies on nutrient removal from municipal wastewater was investigated. The process operated at room temperature with hydraulic retention time (HRT) of 7.5 h, recycle ratio 1 of 200%, recycle ratio 2 of 100%, and dissolved oxygen (DO) of 1 mg/L and achieved good effluent quality with chemical oxygen demand (COD) of 25 mg/L, NH4 (+)-N of 4 mg/L, total nitrogen (TN) of 11 mg/L, and total phosphorus (TP) of 0.7 mg/L. The MBR achieved partial nitrification, and NO2 (-)-N has been accumulated (4 mg/L). Efficient short-cut denitrification was occurred in the ABR with a TN removal efficiency of 51%, while the role of denitrification and phosphorus removal removed partial TN (14%). Furthermore, nitrogen was further removed (11%) by simultaneous nitrification and denitrification in the MBR. In addition, phosphorus accumulating organisms in the MBR sufficiently uptake phosphorus; thus, effluent TP further reduced with a TP removal efficiency of 84%. Analysis of fluorescence in situ hybridization (FISH) showed that ammonia oxidizing bacteria (AOB) and phosphorus accumulating organisms (PAOs) were enriched in the process. In addition, the accumulation of NO2 (-)-N was contributed to the inhibition on the activities of the NOB rather than its elimination. PMID:26411352

  5. Evidence Regarding the Treatment of Denture Stomatitis.

    PubMed

    Yarborough, Alexandra; Cooper, Lyndon; Duqum, Ibrahim; Mendonça, Gustavo; McGraw, Kathleen; Stoner, Lisa

    2016-06-01

    Denture stomatitis is a common inflammatory condition affecting the mucosa underlying complete dentures. It is associated with denture microbial biofilm, poor denture hygiene, poor denture quality, and nocturnal denture use. Numerous treatment methodologies have been used to treat stomatitis; however, a gold standard treatment has not been identified. The aim of this systematic review is to report on the current knowledge available in studies representing a range of evidence on the treatment of denture stomatitis. PMID:27062660

  6. Effect of surface treatments on shear bond strength of denture teeth to denture base resins

    PubMed Central

    Bahrani, Farideh; Khaledi, Amir Ali Reza

    2014-01-01

    Background: Debonding of denture teeth from denture bases is the most common failure in removable dentures. The purpose of this study was to evaluate the effect of surface treatments on shear bond strength of denture teeth to heat-polymerized and autopolymerized denture base resins. Materials and Methods: In this experimental in vitro study, 60 maxillary central incisor acrylic teeth were divided into two groups. Group M was polymerized with heat-polymerized acrylic resin (Meliodent) by compression molding technique and group F was processed by autopolymerized acrylic resin (Futura Gen) by injection molding technique. Within each group, specimens were divided into three subgroups according to the teeth surface treatments (n = 10): (1) ground surface as the control group (M1 and F1), (2) ground surface combined with monomer application (M2 and F2), and (3) airborne particle abrasion by 50 μm Al2O3 (M3 and F3). The shear bond strengths of the specimens were tested by universal testing machine with crosshead speed of 5 mm/min. Data were analyzed by two-way analysis of variance (ANOVA) and Tukey's honestly significant difference (HSD) tests (P < 0.05). Results: The mean shear bond strengths of the studied groups were 96.40 ± 14.01, 124.70 ± 15.64, and 118 ± 16.38 N for M1, M2, and M3 and 87.90 ± 13.48, 117 ± 13.88, and 109.70 ± 13.78 N for F1, F2, and F3, respectively. The surface treatment of the denture teeth significantly affected their shear bond strengths to the both the denture base resins (P < 0.001). However, there were no significant differences between the groups treated by monomer or airborne particle abrasion (P = 0.29). The highest percentage of failure mode was mixed in Meliodent and adhesive in Futura Gen. Conclusion: Monomer application and airborne particle abrasion of the ridge lap area of the denture teeth improved their shear bond strengths to the denture base resins regardless of the type of polymerization. PMID:24688570

  7. Sectional impression tray and sectional denture for a microstomia patient.

    PubMed

    Colvenkar, Shreya S

    2010-02-01

    Microstomia presents a unique challenge to the patient. Patients with microstomia who must wear removable dental prostheses often face the difficulty of being unable to insert or remove the prosthesis because of the constricted opening of the oral cavity. A completely edentulous patient, who developed microstomia along with Raynaud's phenomenon induced by scleroderma, is presented. This clinical report describes a quick and easy method for fabrication of a sectional custom impression tray connected by press button and a sectional complete denture retained by magnets. A sectional denture that provides ease in placement and removal can be successfully used in clinical practice for treatment of microstomia patients. PMID:19895427

  8. Reductions in contaminant mass discharge following partial mass removal from DNAPL source zones.

    PubMed

    Suchomel, Eric J; Pennell, Kurt D

    2006-10-01

    Although in situ remediation technologies have been used to aggressively treat dense nonaqueous phase liquid (DNAPL) source zones, complete contaminant removal or destruction is rarely achieved. To evaluate the effects of partial source zone mass removal on dissolved-phase contaminant flux, four experiments were conducted in a two-dimensional aquifer cell that contained a tetrachloroethene (PCE) source zone and down-gradient plume region. Initial source zone PCE saturation distributions, quantified using a light transmission system, were expressed in terms of a ganglia-to-pool ratio (GTP), which ranged from 0.16 (13.8% ganglia) to 1.6 (61.5% ganglia). The cells were flushed sequentially with a 4% (wt.) Tween 80 surfactant solution to achieve incremental PCE mass removal, followed by water flooding until steady-state mass discharge and plume concentrations were established. In all cases, the GTP ratio decreased with increasing mass removal, consistent with the observed preferential dissolution of PCE ganglia and persistence of high-saturation pools. In the ganglia-dominated system (GTP = 1.6), greater than 70% mass removal was required before measurable reductions in plume concentrations and mass discharge were observed. For pool-dominated source zones (GTP < 0.3), substantial reductions (>50%) in mass discharge were realized after only 50% mass removal. PMID:17051808

  9. In vitro fertilization rate of horse oocytes with partially removed zonae.

    PubMed

    Choi, Y H; Okada, Y; Hochi, S; Braun, J; Sato, K; Oguri, N

    1994-10-01

    Frozen-thawed ejaculated stallion spermatozoa were preincubated for 3 h in BO medium containing 5 mM caffeine and then treated with 0.1 micro M calcium ionophore A23187 for 60 sec. Aliquots of the sperm suspension (final concentration 1-2 x 10(7)/ml) were added to the oocytes which had been matured in vitro for 32 h. In Experiment 1, there were 3 groups of oocytes; cumulus intact, denuded zona-intact, and zona-free. Cumulus cells were removed with 0.5% hyaluronidase and the zona pellucida with 0.1% protease. The oocytes were fixed 20 h after insemination with acetic acid:ethanol (1:3) and stained with 1% orcein. The sperm penetration rate of zona-free oocytes was 83%, whereas the sperm penetration rate was very low (1 to 3%) in the cumulus-enclosed or zona-intact oocytes. In Experiment 2, denuded zona-intact oocytes were placed in PBS supplemented with 10% fetal bovine serum 1 h before the end of in vitro maturation. The zona pellucida was micromanipulated with a metal microblade under x 100 magnification within 20 min of treatment with 0.3 M sucrose. For partial zona dissection, a slit in the zona pellucida was made. For partial zona removal, oocytes were transferred to protein-free PBS to fix the oocytes on the bottom of the Petri-dish and to remove a piece of the zona pellucida. Micromanipulated oocytes were subjected to in vitro fertilization as described above. Zona-intact and zona-free oocytes treated with sucrose solution for 20 min were used as controls. The penetration rates were 4 (2/57), 12 (7/58), 52 (31/60), and 86% (44/51) for zona-intact, partially zona dissected, partially zona removed, and zona-free oocytes, respectively. Proportions of oocytes with monospermic penetration were 100 (2/2), 57 (4/7), 58 (18/31), and 34% (15/44), respectively. In Experiment 3, sperm penetration and male pronucleus formation in the partially zona removed oocytes were examined at 2.5 to 20.0 h of insemination. Sperm penetration started 2.5 h post-insemination (22%, 11

  10. ANAMMOX and partial denitritation in anaerobic nitrogen removal from piggery waste.

    PubMed

    Ahn, Y H; Hwang, I S; Min, K S

    2004-01-01

    The anaerobic ammonium removal from a piggery waste with high strength (56 g COD/L and 5 g T-N/L) was investigated using a lab-scale upflow anaerobic sludge bed reactor at a mesophilic condition. Based on the nitrogen and carbon balance in the process, the contribution of autotrophic and heterotrophic organisms was also evaluated in terms of the influent NO2-N/NH4-N ratio (1:0.8 and 1:1.2 for Phase 1 and Phase 2, respectively). The result of this research demonstrates that the anaerobic ammonium removal from the piggery waste, using the UASB reactor, can be performed successfully. Furthermore, it appears that by using granular sludge as the seed biomass, the ANAMMOX reaction can start more quickly. Average nitrogen conversion was 0.59 kg T-N/m3 reactor-day (0.06 kg T-N/kg VSS/day) and 0.66 kg T-N/m3 reactor-day (0.08 kg T-N/kg VSS/day) for Phase 1 and Phase 2. The NO2-N/NH4-N removal ratio by the ANAMMOX was 1.48 and 1.79 for Phase 1 and Phase 2. The higher nitrite contents (about 50%) in the substrate resulted in higher nitrite nitrogen removal by the partial denitritation, as well as the ANAMMOX reaction, implying higher potential of partial denitritation. However, the result reveals that the ANAMMOX reaction was influenced less by the degree of partial denitritation, and the ANAMMOX bacteria did not compete with denitritation bacteria. The colour of the biomass at the bottom of the reactor changed from dark gray to dark red, which was accompanied by an increase in cytochrome content. At the end of the experiment, red-coloured granular sludge with diameter of 1-2 mm at the lower part of the reactor was also observed. PMID:15137418

  11. Microbiological analysis after complete or partial removal of carious dentin in primary teeth: a randomized clinical trial.

    PubMed

    Lula, E C O; Monteiro-Neto, V; Alves, C M C; Ribeiro, C C C

    2009-01-01

    Since viable bacteria can persist in tooth cavities regardless of the technique used for caries removal, the objective of the present randomized clinical trial was to examine the microflora of primary teeth treated by complete or partial removal of carious dentin. Deciduous molars with acute carious lesions in the inner half of dentin and vital pulp were randomly divided into two groups of 16: complete removal, in which the carious dentin was completely removed with the help of a caries detector dye, and partial removal, in which the carious dentin was completely removed from the dentinoenamel junction and lateral walls, while the necrotic carious dentin from the cavity floor was only removed superficially. Dentin samples were obtained with a sterile No. 3 bur after caries removal and 3-6 months after protection with calcium hydroxide cement and restoration of the cavities with resin composite. The samples were stored in thioglycolate. Decimal dilutions were then prepared and seeded for the enumeration of Streptococcus spp., mutans streptococci, Lactobacillus spp. and total microorganisms. Before sealing, a larger number of microorganisms was detected in teeth submitted to partial caries removal compared to the complete removal group. However, after sealing the level of colonization was similar in the two groups for all microorganisms studied. The results suggest that persistence of bacteria does not seem to be a reason for reopening of cavities in deciduous teeth after partial caries removal. PMID:19648746

  12. Adjuvant antifungal therapy using tissue tolerable plasma on oral mucosa and removable dentures in oral candidiasis patients: a randomised double-blinded split-mouth pilot study.

    PubMed

    Preissner, Saskia; Kastner, Isabell; Schütte, Eyke; Hartwig, Stefan; Schmidt-Westhausen, Andrea Maria; Paris, Sebastian; Preissner, Robert; Hertel, Moritz

    2016-07-01

    Extended use of antimycotics in oral candidiasis therapy gives rise to problems related to fungal drug resistance. The aim of this pilot study was to investigate the efficacy of tissue tolerable plasma (TTP) in denture stomatitis patients. It was hypothesised that (I): erythema and (IIa): complaint remission would be accelerated and (IIb): colony forming unit (CFU) reduction would be improved. The halves of the upper jaws of eight patients were randomly assigned to control (nystatin, chlorhexidine and placebo treatment) and test sides (nystatin, chlorhexidine and TTP administered six times each 7 days). The patients and the investigators, who were different from the therapists, were both blinded. Compared to the control sides, the erythema surface was reduced significantly more extensively on the test sides between 2 and 6 weeks of antifungal therapy (P ≤ 0.05). Visual analogue scale values and the frequency of moderate or heavy growth of Candida post-treatment did not differ significantly between both sides (P > 0.05). The primary hypothesis was confirmed, which may be interpreted as an accelerated remission. As drug therapy is usually limited to the time in which signs of infection are present, TTP might help reducing antifungal use. Even though the secondary hypotheses were not confirmed, persistence of Candida might be only colonisation. PMID:26932256

  13. Partial caries removal in primary teeth: association of clinical parameters with microbiological status.

    PubMed

    Lula, E C O; Almeida, L J S; Alves, C M C; Monteiro-Neto, V; Ribeiro, C C C

    2011-01-01

    The relationship between clinical characteristics of carious dentin and bacterial colonization after partial caries removal is not completely understood. The aim of this study was to compare microbial counts between categories of carious dentin color, consistency and humidity, and to evaluate the correlation between these characteristics and the presence of cariogenic microorganisms in deep cavities (2/3 or more of the dentin thickness) submitted to partial caries removal. Sixteen primary teeth were submitted to the removal of all carious tissue from the lateral walls of the cavity, whereas carious tissue of the pulp wall was removed superficially. Dentin in the pulp wall was classified according to color, consistency and humidity immediately after cavity preparation and 3-6 months after cavity sealing and a tissue sample was collected on the same occasion for microbiological evaluation. Before sealing, Streptococcus mutans (p = 0.033) and Lactobacillus spp. (p = 0.048) counts were higher in cavities with humid dentin compared to cavities with dry dentin. A negative correlation was observed between carious dentin consistency and S. mutans count during this phase (r(s) = -0.571; p = 0.020). Arrest of dentinal caries lesions was observed after sealing, which was characterized by a reduction of bacterial counts and changes in dentin color, consistency and humidity, irrespectively of baseline dentin characteristics. The clinical characteristics of carious dentin change after the period of cavity sealing and cannot be applied as absolute indicators to limit the excavation of carious dentin when minimally invasive techniques are used. PMID:21576960

  14. The Use of Digital Impressions to Fabricate Tooth-Supported Partial Removable Dental Prostheses: A Clinical Report.

    PubMed

    Mansour, Mohamed; Sanchez, Eliana; Machado, Camilo

    2016-08-01

    Impression making is a critical step in the fabrication of a partial removable dental prosthesis (RDP). A technique is described for making final impressions to fabricate partial RDPs for Kennedy class III patients using a computer-aided design and computer-assisted manufacturing digital impression system. PMID:26371612

  15. Nitrogen removal from digested black water by one-stage partial nitritation and anammox.

    PubMed

    Vlaeminck, Siegfried E; Terada, Akihiko; Smets, Barth F; van der Linden, Davy; Boon, Nico; Verstraete, Willy; Carballa, Marta

    2009-07-01

    This study assessed the technical feasibility to treat digested black water from vacuum toilets (> 1000 mg NH4(+)-N L(-1)) in a lab-scale oxygen-limited autotrophic nitrification/denitrification (OLAND) rotating biological contactor. After an adaptation period of 2.5 months, a stable nitrogen removal rate of ca. 700 mg N L(-1) d(-1) was reached over the subsequent 5 months. Suppression of the nitrite oxidizing bacteria at free ammonia levels above 3 mg N L(-1) resulted in a nitrogen removal efficiency of 76%. The favorable ratios of both organic and inorganic carbon to nitrogen guaranteed endured anammox activity and sufficient buffering capacity, respectively. Quantitative FISH showed that aerobic and anoxic ammonium-oxidizing bacteria (AerAOB and AnAOB) made up 43 and 8% of the biofilm, respectively. Since a part of the AerAOB was probably present in anoxic biofilm zones; their specific ammonium conversion was very low, in contrast to the high specific AnAOB activity. DGGE analysis showed that the dominant AerAOB and AnAOB species were resistant to the transition from synthetic medium to digested black water. This study demonstrates high-rate nitrogen removal from digested black water by one-stage partial nitritation and anammox, which will allow a significant decrease in operational costs compared to conventional nitrification/ denitrification. PMID:19673303

  16. Part-Digitizing System of Impression and Interocclusal Record for Complete Denture Fabrication.

    PubMed

    Matsuda, Takashi; Goto, Takaharu; Yagi, Kazutomo; Kashiwabara, Toshiya; Ichikawa, Tetsuo

    2016-08-01

    Few studies have reported the application of digital technology to removable dentures, particularly for the process of impression and interocclusal recording for complete denture fabrication. This article describes a part-digitizing system of impression and interocclusal records for complete denture fabrication. The denture foundation area in an edentulous mouth, including the border areas and residual ridge, is outlined by tracing the surfaces with a 3-D pen-type digitizer. Specialized trays for final impressions and interocclusal records were generated using computer-aided design and manufactured using the digital data. Final impression and interocclusal records were carried out using these specialized trays. The computer-aided method using preliminary digital impressions and specialized trays would be feasible for clinical use for complete denture fabrication. PMID:26619371

  17. Clinical effect of photodynamic therapy on primary carious dentin after partial caries removal.

    PubMed

    Neves, Pierre Adriano Moreno; Lima, Leonardo Abrantes; Rodrigues, Fernanda Cristina Nogueira; Leitão, Tarcisio Jorge; Ribeiro, Cecília Cláudia Costa

    2016-05-20

    This study was conducted to assess the clinical effect of photodynamic therapy (PDT) in the decontamination of the deep dentin of deciduous molars submitted to partial removal of carious tissue. After cavity preparation, dentin samples were taken from the pulp wall of nineteen deciduous molars before and after PDT application. Remaining dentin was treated with 0.01% methylene blue dye followed by irradiation with an InGaAlP diode laser (λ - 660 nm; 40 mW; 120 J/cm2; 120 s). Dentin samples were microbiologically assessed for the enumeration of total microorganisms, Lactobacillus spp. and mutans streptococci. There was no significant difference in the number of colony-forming units (CFU) for any of the microorganisms assessed (p > 0.05). Photodynamic therapy, using 0.01% methylene blue dye at a dosimetry of 120 J/cm2 would not be a viable clinical alternative to reduce bacterial contamination in deep dentin. PMID:27223131

  18. [Biofilm disclosing agents in complete denture: clinical and antimicrobial evaluation].

    PubMed

    Silva, Cláudia Helena Lovato da; Paranhos, Helena de Freitas Oliveira; Ito, Isabel Yoko

    2002-01-01

    This study evaluated the disclosing ability, removal facility and antimicrobial effect of biofilm disclosing agents applied on complete dentures. Disclosing ability was evaluated by means of the visual method. The solutions were applied on the internal surface of dentures. After being photographed, the dentures were brushed with denture-specific brush and dentifrice and photographed again. The obtained slides were projected on paper (10 X amplification) and the total and stained surfaces were outlined with graphite, cut off and weighed, in order to assess removal facility. The evaluation of antimicrobial effects was carried out by means of the method of diffusion in agar, and the results were obtained by measuring the length of the halos and rings. In terms of disclosing ability, the best solutions were 0.05% methylene blue, 5% erythrosin, 1% sodic fluorescein, Replak and 1% neutral red. One percent eosin, 1% sodic fluorescein and 5% erythrosin were the most easily removed solutions. One percent eosin, 5% erythrosin, 1% sodic fluorescein, 0.3% proflavine, Replak and 1% neutral red presented no antimicrobial effect. The solutions which presented the greatest disclosing ability and removal facility as well as absence of antimicrobial effect - which are essential requirements in the assessment of hygiene methods and guidance on oral health - were 1% eosin, 1% neutral red and 5% erythrosin. PMID:12386691

  19. Impact of Denture Cleaning Method and Overnight Storage Condition on Denture Biofilm Mass and Composition: A Cross-Over Randomized Clinical Trial

    PubMed Central

    Duyck, Joke; Vandamme, Katleen; Krausch-Hofmann, Stefanie; Boon, Lies; De Keersmaecker, Katrien; Jalon, Eline; Teughels, Wim

    2016-01-01

    Background Appropriate oral hygiene is required to maintain oral health in denture wearers. This study aims to compare the role of denture cleaning methods in combination with overnight storage conditions on biofilm mass and composition on acrylic removable dentures. Methods In a cross-over randomized controlled trial in 13 older people, 4 conditions with 2 different mechanical cleaning methods and 2 overnight storage conditions were considered: (i) brushing and immersion in water without a cleansing tablet, (ii) brushing and immersion in water with a cleansing tablet, (iii) ultrasonic cleaning and immersion in water without a cleansing tablet, and (iv) ultrasonic cleaning and immersion in water with a cleansing tablet. Each test condition was performed for 5 consecutive days, preceded by a 2-days wash-out period. Biofilm samples were taken at baseline (control) and at the end of each test period from a standardized region. Total and individual levels of selected oral bacteria (n = 20), and of Candida albicans were identified using the Polymerase Chain Reaction (PCR) technique. Denture biofilm coverage was scored using an analogue denture plaque score. Paired t-tests and Wilcoxon-signed rank tests were used to compare the test conditions. The level of significance was set at α< 5%. Results Overnight denture storage in water with a cleansing tablet significantly reduced the total bacterial count (p<0.01). The difference in total bacterial level between the two mechanical cleaning methods was not statistically significant. No significant effect was observed on the amount of Candida albicans nor on the analogue plaque scores. Conclusions The use of cleansing tablets during overnight denture storage in addition to mechanical denture cleaning did not affect Candida albicans count, but reduced the total bacterial count on acrylic removable dentures compared to overnight storage in water. This effect was more pronounced when combined with ultrasonic cleaning compared to

  20. Analysis of the compressive strain below the removable and fixed prosthesis in the posterior mandible using a digital image correlation method.

    PubMed

    Tanasic, Ivan; Milic-Lemic, Aleksandra; Tihacek-Sojic, Ljiljana; Stancic, Ivica; Mitrovic, Nenad

    2012-07-01

    It was the purpose of this study to determine and analyse strains in the bone of posterior mandible below the removable and fixed partial dentures using Digital Image Correlation Method. Dried mandible with shortened dental arch (Kennedy Class 1) was used in the experiment. The mandible model was prepared for accepting two types of restorations for bilaterally missing molars conventional therapy, and removable and fixed partial dentures were manufactured following standard prosthetic protocol. The models with prosthetic restorations placed in situ were subjected to loading of 50-300 N, and photographed using two digital cameras as part of the digital image correlation method equipment. Afterwards, the obtained data for strains within restored mandible during loading ciclus were analysed in the software Aramis and graphically presented. Percentage size of the mandible strains within the line section are from 0.14 to 0.19% for the removable partial denture experimental model and 0-0.14% for the fixed partial denture experimental model. The study has demonstrated that Digital Image Correlation method can be used to measure strain on the mandible surface and replacements during loading and that from biomechanical perspective both therapeutic modalities can be equally useful for the restoration of the mandible with bilaterally distal edentulous spaces. PMID:21918835

  1. Randomized trial of partial vs. stepwise caries removal: 3-year follow-up.

    PubMed

    Maltz, M; Garcia, R; Jardim, J J; de Paula, L M; Yamaguti, P M; Moura, M S; Garcia, F; Nascimento, C; Oliveira, A; Mestrinho, H D

    2012-11-01

    This randomized, multicenter clinical trial evaluated the effectiveness of 2 treatments for deep caries lesions - partial caries removal (PCR) and stepwise excavation (SW) - with respect to the primary outcome of pulp vitality for a 3-year follow-up period. Inclusion criteria were as follows: patients with permanent molars presenting deep caries lesions (lesion affecting ≥ 1/2 of the dentin on radiographic examination), positive response to a cold test, absence of spontaneous pain, negative sensitivity to percussion, and absence of periapical lesions (radiographic examination). Teeth randomly assigned to PCR (test) received incomplete caries removal and filling in a single session. Outcome success was evaluated by assessment of pulp vitality, determined by pulp sensitivity to a cold test and the absence of periapical lesions. Data were analyzed by a Weibull regression model with shared frailty term (survival analysis). At baseline, 299 treatments were executed: PCR, 152 and SW, 147. By the end of the 3-year follow-up period, 213 teeth had been evaluated. Adjusted survival rates were 91% for PCR and 69% for SW (p = 0.004). These results suggest that there is no need to re-open a cavity and perform a second excavation for pulp vitality to be preserved (Clinical trials registration NCT00887952). PMID:22983407

  2. [Prosthetic rehabilitation of partially edentulous patients: fixed - removable - combined? Metal - ceramics - all - ceramics? Implants? Anything goes! Part 1: two example cases of a combined fixed-removable restoration].

    PubMed

    Schnabl, Dagmar

    2015-01-01

    After a careful diagnosis, treatment planning and pretreatment, two partially edentulous patients were restored partly by onlays, crowns and bridges, partly by removable prostheses. According to esthetic and functional demands all- and/or metal-ceramic restorations were used as well as cast frame prostheses with clasps or extracoronal attachments. PMID:25735004

  3. Integrating landfill bioreactors, partial nitritation and anammox process for methane recovery and nitrogen removal from leachate.

    PubMed

    Sun, Faqian; Su, Xiaomei; Kang, Tingting; Wu, Songwei; Yuan, Mengdong; Zhu, Jing; Zhang, Xiayun; Xu, Fang; Wu, Weixiang

    2016-01-01

    A new process consisting of a landfill bioreactor, partial-nitritation (PN) and the anammox process has been developed for landfill leachate treatment. In this study, the landfill bioreactor exhibited excellent performance in methane-rich biogas recovery, with a specific biogas yield of 0.47 L gas g(-1) COD and methane percentages of 53-76%. PN was achieved in the aerobic reactor by high free ammonia (101 ± 83 mg NH3 L(-1)) inhibition for nitrite-oxidizing bacteria, and the desired PN effluent composition (effluent nitrite: ammonium ratio of 1.1 ± 0.3) was controlled by adjusting the alkalinity concentration per unit of ammonium oxidized to approximately 14.3 mg CaCO3 mg(-1) N in the influent. The startup of anammox process was successfully achieved with a membrane bioreactor in 160 d, and a maximum nitrogen removal rate of 216 mg N L(-1) d(-1) was attained for real landfill leachate treatment. The quantitative polymerase chain reaction results confirmed that the cell-specific anammox activity was approximately 68-95 fmol N cell(-1) d(-1), which finally led to the stable operation of the system. PMID:27279481

  4. Integrating landfill bioreactors, partial nitritation and anammox process for methane recovery and nitrogen removal from leachate

    NASA Astrophysics Data System (ADS)

    Sun, Faqian; Su, Xiaomei; Kang, Tingting; Wu, Songwei; Yuan, Mengdong; Zhu, Jing; Zhang, Xiayun; Xu, Fang; Wu, Weixiang

    2016-06-01

    A new process consisting of a landfill bioreactor, partial-nitritation (PN) and the anammox process has been developed for landfill leachate treatment. In this study, the landfill bioreactor exhibited excellent performance in methane-rich biogas recovery, with a specific biogas yield of 0.47 L gas g‑1 COD and methane percentages of 53–76%. PN was achieved in the aerobic reactor by high free ammonia (101 ± 83 mg NH3 L‑1) inhibition for nitrite-oxidizing bacteria, and the desired PN effluent composition (effluent nitrite: ammonium ratio of 1.1 ± 0.3) was controlled by adjusting the alkalinity concentration per unit of ammonium oxidized to approximately 14.3 mg CaCO3 mg‑1 N in the influent. The startup of anammox process was successfully achieved with a membrane bioreactor in 160 d, and a maximum nitrogen removal rate of 216 mg N L‑1 d‑1 was attained for real landfill leachate treatment. The quantitative polymerase chain reaction results confirmed that the cell-specific anammox activity was approximately 68–95 fmol N cell‑1 d‑1, which finally led to the stable operation of the system.

  5. Integrating landfill bioreactors, partial nitritation and anammox process for methane recovery and nitrogen removal from leachate

    PubMed Central

    Sun, Faqian; Su, Xiaomei; Kang, Tingting; Wu, Songwei; Yuan, Mengdong; Zhu, Jing; Zhang, Xiayun; Xu, Fang; Wu, Weixiang

    2016-01-01

    A new process consisting of a landfill bioreactor, partial-nitritation (PN) and the anammox process has been developed for landfill leachate treatment. In this study, the landfill bioreactor exhibited excellent performance in methane-rich biogas recovery, with a specific biogas yield of 0.47 L gas g−1 COD and methane percentages of 53–76%. PN was achieved in the aerobic reactor by high free ammonia (101 ± 83 mg NH3 L−1) inhibition for nitrite-oxidizing bacteria, and the desired PN effluent composition (effluent nitrite: ammonium ratio of 1.1 ± 0.3) was controlled by adjusting the alkalinity concentration per unit of ammonium oxidized to approximately 14.3 mg CaCO3 mg−1 N in the influent. The startup of anammox process was successfully achieved with a membrane bioreactor in 160 d, and a maximum nitrogen removal rate of 216 mg N L−1 d−1 was attained for real landfill leachate treatment. The quantitative polymerase chain reaction results confirmed that the cell-specific anammox activity was approximately 68–95 fmol N cell−1 d−1, which finally led to the stable operation of the system. PMID:27279481

  6. High-rate nitrogen removal from livestock manure digester liquor by combined partial nitritation-anammox process.

    PubMed

    Qiao, Sen; Yamamoto, Taichi; Misaka, Motoki; Isaka, Kazuichi; Sumino, Tatsuo; Bhatti, Zafar; Furukawa, Kenji

    2010-02-01

    In this study, combination of a partial nitritation reactor, using immobilized polyethylene glycol (PEG) gel carriers, and a continuous stirred granular anammox reactor was investigated for nitrogen removal from livestock manure digester liquor. Successful nitrite accumulation in the partial nitritation reactor was observed as the nitrite production rate reached 2.1 kg-N/m(3)/day under aerobic nitrogen loading rate of 3.8 kg-N/m(3)/day. Simultaneously, relatively high free ammonia concentrations (average 50 mg-NH(3)/l) depressed the activity of nitrite oxidizing bacteria with nitrate concentration never exceeding 3% of TN concentration in the effluent of the partial nitritation reactor (maximum 35.2 mg/l). High nitrogen removal rates were achieved in the granular anammox reactor with the highest removal rate being 3.12 kg-N/m(3)/day under anaerobic nitrogen loading rate of 4.1 kg-N/m(3)/day. Recalcitrant organic compounds in the digester liquor did not impair anammox reaction and the SS accumulation in the granular anammox reactor was minimal. The results of this study demonstrated that partial nitritation-anammox combination has the potential to successfully remove nitrogen from livestock manure digester liquor. PMID:19578828

  7. An Investigation into the Accuracy of Two Currently Available Dental Impression Materials in the Construction of Cobalt-Chromium Frameworks for Removable Partial Dentures.

    PubMed

    Dubal, Rajesh Kumar; Friel, Tim; Taylor, Philip D

    2015-03-01

    This study investigated the suitability of irreversible hydrocolloid as an impression material for cobalt-chromium framework construction. Scans of casts derived from (1) alginate and (2) addition-cured polyvinylsiloxane impressions were superposed on to a control. The differences within and between groups were compared at fixed landmarks. The investigation revealed a high degree of scan coincidence within and between groups. However, certain features, such as undercuts, resulted in a lower degree of scan coincidence. Irreversible hydrocolloid appears to be a viable alternative to addition-cured polyvinyl-siloxane as an impression material for cobalt-chromium framework construction. PMID:26415334

  8. Operational strategy for nitrogen removal from centrate in a two-stage partial nitrification--anammox process.

    PubMed

    Kosari, S F; Rezania, B; Lo, K V; Mavinic, D S

    2014-01-01

    This paper presents the operational strategy for nitrogen removal in a two-stage, partial nitrification (PN) process coupled with anaerobic ammonium oxidation (Anammox) process. The process was used to remove ammonium from centrate obtained from a full-scale, wastewater treatment plant in British Columbia, Canada. The PN, which was carried out in a sequencing batch reactor (SBR), successfully converted approximately 49.5 +/- 1.0% of ammonium to nitrite. The operation of SBR under higher dissolved oxygen in combination with slow feeding resulted in significant reduced HRT without nitrate accumulation. Partially nitrified centrate was further treated in Anammox reactors, where the mixture of ammonium and nitrite was converted mainly to nitrogen gas. Anammox treatment was carried out in two different types of Anammox reactors: a moving bed hybrid reactor and an up-flow fixed-bed biofilm reactor. The hybrid Anammox reactor removed an average of 55.8% of NH4-N, versus the 48.3% NH4-N removed in the up-flow fixed-bed reactor. Nitrite removal in the hybrid and up-flow fixed-bed Anammox reactors averaged 80.8% and 62.5%, respectively. This study also illustrated that in both Anammox reactors, better ammonium removal was achieved when the nitrite to ammonium ratio is between 1.35 and 1.45. As such, alkalinity was found to neither control nor limit the Anammox reaction. PMID:24701906

  9. Assessing distribution of migratory fishes and connectivity following complete and partial dam removals in a North Carolina River

    USGS Publications Warehouse

    Raabe, Joshua K.; Hightower, Joseph E.

    2014-01-01

    Fish, especially migratory species, are assumed to benefit from dam removals that restore connectivity and access to upstream habitat, but few studies have evaluated this assumption. Therefore, we assessed the movement of migratory fishes in the springs of 2008 through 2010 and surveyed available habitat in the Little River, North Carolina, a tributary to the Neuse River, after three complete dam removals and one partial (notched) dam removal. We tagged migratory fishes with PIT tags at a resistance-board weir located at a dam removal site (river kilometer [rkm] 3.7) and followed their movements with an array of PIT antennas. The river-wide distribution of fish following removals varied by species. For example, 24–31% of anadromous American Shad Alosa sapidissima, 45–49% of resident Gizzard Shad Dorosoma cepedianum, and 4–11% of nonnative Flathead CatfishPylodictis olivaris passed the dam removal site at rkm 56 in 2009 and 2010. No preremoval data were available for comparison, but reach connectivity appeared to increase as tagged individuals passed former dam sites and certain individuals moved extensively both upstream and downstream. However, 17–28% did not pass the partially removed dam at rkm 7.9, while 20–39% of those that passed remained downstream for more than a day before migrating upstream. Gizzard Shad required the deepest water to pass this notched structure, followed by American Shad then Flathead Catfish. Fish that passed the notched dam accessed more complex habitat (e.g., available substrate size-classes) in the middle and upper reaches. The results provide strong support for efforts to restore currently inaccessible habitat through complete removal of derelict dams.

  10. Removal of Nitrogen and Phosphorus From Reject Water Using Chlorella vulgaris Algae After Partial Nitrification/Anammox Process.

    PubMed

    Gutwinski, Piotr; Cema, Grzegorz

    2016-01-01

    Wastewater containing nutrients like ammonia, nitrite, nitrate and phosphates have been identified as the main cause of eutrophication in natural waters. Therefore, a suitable treatment is needed. In classical biological processes, nitrogen and phosphorus removal is expensive, especially due to the lack of biodegradable carbon, thus new methods are investigated. In this paper, the new possibility of nitrogen and phosphorus removal in side stream after the partial nitrification/Anammox process is proposed. Research was carried out in a lab-scale vertical tubular photobioreactor (VTR) fed with real reject water, from dewatering of digested sludge, after partial nitrification/Anammox process from lab-scale sequencing batch reactor (SBR). Nitrogen and phosphorus concentrations were measured every three days. The average nitrogen and phosphorus loads were 0.0503 ± 0.036 g N g(vss)/d and 0.0389 ± 0.013 g P g(vss)/d accordingly. Results have shown that microalgae were able to efficiently remove nitrogen and phosphorus. The average nitrogen removal was 36.46% and phosphorus removal efficiency varied between 93 and 100%. PMID:26803028

  11. Allergic effects of the residual monomer used in denture base acrylic resins

    PubMed Central

    Rashid, Haroon; Sheikh, Zeeshan; Vohra, Fahim

    2015-01-01

    Denture base resins are extensively used in dentistry for a variety of purposes. These materials can be classified as chemical, heat, light, and microwave polymerization materials depending upon the factor which starts the polymerization reaction. Their applications include use during denture base construction, relining existing dentures, and for fabrication of orthodontic removable appliances. There have been increased concerns regarding the safe clinical application of these materials as their biodegradation in the oral environment leads to harmful effects. Along with local side effects, the materials have certain occupational hazards, and numerous studies can be found in the literature mentioning those. The purpose of this article is to outline the cytotoxic consequences of denture base acrylic resins and clinical recommendations for their use. PMID:26929705

  12. Denture Adhesives in Prosthodontics: An Overview

    PubMed Central

    Kumar, P Ranjith; Shajahan, P A; Mathew, Jyothis; Koruthu, Anil; Aravind, Prasad; Ahammed, M Fazeel

    2015-01-01

    The use of denture adhesives is common among denture wearers, and it is also prescribed by many dentists. Prescribing denture adhesives has been viewed by many prosthodontists as a means of compensating for any defects in the fabrication procedures. Denture adhesives add to the retention and thereby improve chewing ability, reduce any instability, provide comfort and eliminate the accumulation of food debris beneath the dentures. Consequently, they increase the patient’s sense of security and satisfaction. However, obtaining the advice of the dental practitioner prior to the use of adhesives is a must. PMID:26225115

  13. A novel stoichiometries methodology to quantify functional microorganisms in simultaneous (partial) nitrification-endogenous denitrification and phosphorus removal (SNEDPR).

    PubMed

    Wang, Xiaoxia; Wang, Shuying; Zhao, Ji; Dai, Xian; Li, Baikun; Peng, Yongzhen

    2016-05-15

    Although efficient removal of carbon (C), nitrogen (N) and phosphorous (P) from wastewater with low C/N ratio was achieved in anaerobic/aerobic simultaneous nitrification-endogenous denitrification and phosphorus removal (SNEDPR) systems, the removal pathways and metabolic transformations in this complex system are unclear. This work targeted at developing the stoichiometric models for denitrifying glycogen organisms (DGAOs) via nitrite and nitrate (DGAONi and DGAONa), and demonstrating a novel methodology to quantify diverse functional microorganisms (e.g. ammonia and nitrite oxidizing bacteria, aerobic phosphorus accumulating organisms (APAOs), denitrifying PAOs (DPAOs) and aerobic GAOs (AGAOs)) for the removal of C, N and P. The results showed that the anaerobic intracellular carbon storage (CODintra) was mainly accomplished by GAOs, and PAOs were only responsible for about 40% of CODintra through a stable P release. At the aerobic stage, 84.9% of P was removed by APAOs with 15.1% left by DPAOs, while 64.6% of N was removed by DGAOs (45.8% by DGAONi and 18.8% by DGAONa) with 18.1% by DPAOs and 17.3% by bacterial growth. High proportion of N removal via nitrite (partial nitrification-endogenous denitrification) (71%) saved 7.3% aeration and 38% intracellular carbon demand. However, AGAOs still activated well at the aerobic intercellular carbon consumption, which limited the further improvement of N removal efficiency. By elucidating the nutrient removal pathways among diverse functional microorganisms, the methodology developed in this study could accelerate the nutrient removal in the SNEDPR process. PMID:27016642

  14. Cytotoxicity of denture adhesives.

    PubMed

    de Gomes, Pedro Sousa; Figueiral, Maria Helena; Fernandes, Maria Helena R; Scully, Crispian

    2011-12-01

    Ten commercially available denture adhesives, nine soluble formulations (six creams, three powders) and one insoluble product (pad), were analyzed regarding the cytotoxicity profile in direct and indirect assays using L929 fibroblast cells. In the direct assay, fibroblasts were seeded over the surface of a thick adhesive gel (5%, creams; 2.5%, powders and pad). In the indirect assay, cells were cultured in the presence of adhesive extracts prepared in static and dynamic conditions (0.5-2%, creams; 0.25-1%, powders and pad). Cell toxicity was assessed for cell viability/proliferation (MTT assay) and cell morphology (observation of the F-actin cytoskeleton organization by confocal laser scanning microscopy). Direct contact of the L929 fibroblasts with the thick adhesive gels caused no, or only a slight, decrease in cell viability/proliferation. The adhesive extracts (especially those prepared in dynamic conditions) caused significantly higher growth inhibition of fibroblasts and, in addition, caused dose- and time-dependent effects, throughout the 6-72 h exposure time. Also, dose-dependent effects on cell morphology, with evident disruption of the F-actin cytoskeleton organization, were seen in the presence of most adhesives. In conclusion, the adhesives possessed different degrees of cytotoxicity, but similar dose- and time-dependent biological profiles. PMID:20844908

  15. Dimensional stability of complete denture permanent acrylic resin denture bases; A comparison of dimensions before and after a second curing cycle.

    PubMed

    Fenlon, Michael Robert; Juszczyk, Andrzej Stanislaw; Rodriguez, Jose Mauricio; Curtis, Richard Victor

    2010-03-01

    The purpose of this study was to measure deformation of mandibular complete denture permanent bases after secondary curing. A cast of a flat mandibular edentulous ridge was duplicated ten times. A wax base was laid on the original cast, two wax sprues were attached and an overcast was made. The overcast was used to produce wax bases similar in outline and thickness on the duplicate casts. These were invested and following manufacturer's instructions ten similar acrylic resin bases were produced. The fitting surface of each denture base was scanned on a contacting scanner with an axis resolution of 1 microm and accurate to 25 microm. Denture teeth were waxed up on the base on the original master cast, an overcast was made to produce wax ups and tooth positions that were similar in outline and thickness to the original. These were processed, removed from the flasks and excess acrylic resin was removed. The denture bases were rescanned in an identical fashion to the first scanning procedure. Using commercially developed metrology software calibrated colour maps were generated for each denture base that illustrates measurements of differences between pairs of surfaces. Histograms showing distributions of distances between points were constructed. 50% of the points were separated by a mean 50 microm or less and that 90% of the points were separated by 160 microm or less. The maximum separation was of 380 microm. Complete denture permanent bases were not found to distort significantly as a result of being subjected to a second heat curing cycle as part of final processing of dentures. PMID:20397501

  16. Chronic Maxillary Sinusitis Caused by Denture Lining Material

    PubMed Central

    Sugiura, Tsutomu; Yamamoto, Kazuhiko; Nakashima, Chie; Murakami, Kazuhiro; Matsusue, Yumiko; Horita, Satoshi; Sakagami, Go; Kirita, Tadaaki

    2016-01-01

    We report a case of chronic maxillary sinusitis caused by denture lining material entering through an oroantral fistula after tooth extraction. The patient was an 80-year-old female who visited us with a complaint of pus discharge from the right posterior maxilla. She had extraction of the upper right second molar and had her upper denture relined with silicone lining material. The patient noticed swelling of the right cheek and purulent rhinorrhea 20 days before her first visit to our clinic. Oral examination showed an oroantral fistula with a diameter of 3 mm in the posterior alveolar ridge of the right maxilla. Computed tomography revealed a hyperdense foreign body in the right maxillary sinus and thickening of the mucosal lining. Under diagnosis of maxillary sinusitis caused by a foreign body, endoscopic maxillary surgery was performed simultaneously with the removal of the foreign body. The foreign body removed was 12 × 6 mm in size, oval in shape, light pink in color, and compatible with silicone denture lining material. During the follow-up it was observed that the oroantral fistula closed spontaneously after the removal of the foreign body. The maxillary sinus was in a good shape without recurrence of sinusitis seven months after surgery. PMID:27386012

  17. The effect of magnesium on partial sulphate removal from mine water as gypsum.

    PubMed

    Tolonen, Emma-Tuulia; Rämö, Jaakko; Lassi, Ulla

    2015-08-15

    The aim of this research was to investigate the effect of magnesium on the removal efficiency of sulphate as gypsum from mine water. The precipitation conditions were simulated with MINEQL + software and the simulation results were compared with the results from laboratory jar test experiments. Both the simulation and the laboratory results showed that magnesium in the mine water was maintaining sulphate in a soluble form as magnesium sulphate (MgSO4) at pH 9.6. Thus magnesium was preventing the removal of sulphate as gypsum (CaSO4·2H2O). However, change in the lime precipitation pH from 9.6 to 12.5 resulted in magnesium hydroxide (Mg(OH)2) precipitation and improved sulphate removal. Additionally, magnesium hydroxide could act as seed crystals for gypsum precipitation or co-precipitate sulphate further enhancing the removal of sulphate from mine water. PMID:26067895

  18. The impact of frenulum height on strains in maxillary denture bases

    PubMed Central

    Bilhan, Hakan; Baysal, Gokhan; Sunbuloglu, Emin; Bozdag, Ergun

    2013-01-01

    PURPOSE The midline fracture of maxillary complete dentures is a frequently encountered complication. The purpose of this study was to assess the effect of frenulum height on midline strains of maxillary complete dentures. MATERIALS AND METHODS A removable maxillary complete denture was fabricated and duplicated seven times. Four different labial frenulum heights were tested for stresses occurring on the palatal cameo surface. The strains were measured with strain gauges placed on 5 different locations and the stresses were calculated. To mimic occlusal forces bilaterally 100 N of load was applied from the premolar and molar region. RESULTS A statistically significant association between the height of the labial frenulum and the calculated stresses and strains was shown (P<.05) predominantly on the midline and especially on the incisive papilla. The results showed that stress on the anterior midline of the maxillary complete denture increases with a higher labial frenulum. CONCLUSION Within the limitations of this in vitro study, it can be concluded that the stress on the anterior midline of the maxillary complete denture increases with a higher labial frenulum. Surgical or mechanical precautions should be taken to prevent short-term failure of maxillary complete dentures due to stress concentration and low cycle fatigue tendency at the labial frenulum region. PMID:24353878

  19. Evidence-based considerations for removable prosthodontic and dental implant occlusion: a literature review.

    PubMed

    Taylor, Thomas D; Wiens, Jonathan; Carr, Alan

    2005-12-01

    The dental literature is filled with discussions of dental occlusion, occlusal schemes, philosophies, and methods to correct and restore the diseased, worn, or damaged occlusion. Traditionally, these discussions have been empirical in nature and not based on scientific evidence. Due to the empirical nature of the literature, the study of occlusion has been extremely complex and troublesome to both pre- and post-doctoral students. The introduction of osseointegrated implants has further complicated the situation. Dentists may apply the principles of occlusion for the natural dentition directly to implant-supported and retained restorations. Although this may be successful, this rationale may result in overly complex or simplified treatment protocols and outcomes. There is an emerging body of scientific literature related to dental implant therapy that may be useful in formulating treatment protocols and prosthesis designs for implant-supported restorations. This review focuses on some of the "classic" removable prosthodontic literature and the currently available scientific literature involving removable prosthodontic occlusion and dental implant occlusion. The authors reviewed the English peer-reviewed literature prior to 1996 in as comprehensive manner as possible, and material after 1996 was reviewed electronically using MEDLINE. Electronic searches of the literature were performed in MEDLINE using key words-animal studies, case series, clinical trials, cohort studies, complete denture occlusion, dental implant function, dental implant occlusion, dental implant occlusion research, dental implant functional loading, dental implants, dental occlusion, dental occlusion research, denture function, denture occlusion, dentures, implant function, implant functional loading, implant occlusion, occlusion, and removable partial denture occlusion-in various combinations to obtain potential references for review. A total of 5447 English language titles were obtained, many of

  20. Impacts from Partial Removal of Decommissioned Oil and Gas Platforms on Fish Biomass and Production on the Remaining Platform Structure and Surrounding Shell Mounds

    PubMed Central

    Claisse, Jeremy T.; Pondella, Daniel J.; Love, Milton; Zahn, Laurel A.; Williams, Chelsea M.; Bull, Ann S.

    2015-01-01

    When oil and gas platforms become obsolete they go through a decommissioning process. This may include partial removal (from the surface to 26 m depth) or complete removal of the platform structure. While complete removal would likely eliminate most of the existing fish biomass and associated secondary production, we find that the potential impacts of partial removal would likely be limited on all but one platform off the coast of California. On average 80% of fish biomass and 86% of secondary fish production would be retained after partial removal, with above 90% retention expected for both metrics on many platforms. Partial removal would likely result in the loss of fish biomass and production for species typically found residing in the shallow portions of the platform structure. However, these fishes generally represent a small proportion of the fishes associated with these platforms. More characteristic of platform fauna are the primarily deeper-dwelling rockfishes (genus Sebastes). “Shell mounds” are biogenic reefs that surround some of these platforms resulting from an accumulation of mollusk shells that have fallen from the shallow areas of the platforms mostly above the depth of partial removal. We found that shell mounds are moderately productive fish habitats, similar to or greater than natural rocky reefs in the region at comparable depths. The complexity and areal extent of these biogenic habitats, and the associated fish biomass and production, will likely be reduced after either partial or complete platform removal. Habitat augmentation by placing the partially removed platform superstructure or some other additional habitat enrichment material (e.g., rock boulders) on the seafloor adjacent to the base of partially removed platforms provides additional options to enhance fish production, potentially mitigating reductions in shell mound habitat. PMID:26332384

  1. Effects of denture teeth on the dimensional accuracy of acrylic resin denture bases.

    PubMed

    Baemmert, R J; Lang, B R; Barco, M T; Billy, E J

    1990-01-01

    The Michigan Computer-Graphics Coordinate Measurement System was used to determine the effects of artificial denture teeth on the accuracy of acrylic resin denture bases. Two poly(methyl methacrylate) acrylic resins and two processing techniques were tested. Groups processed with denture teeth reproduced more accurate points than groups processed without denture teeth. Groups processed with a conventional heat-polymerized acrylic resin reproduced more accurate points than groups polymerized with an injection pressing type of acrylic resin. PMID:2083021

  2. Enhanced ammonia removal at room temperature by pH controlled partial nitrification and subsequent anaerobic ammonium oxidation.

    PubMed

    Durán, U; del Val Río, A; Campos, J L; Mosquera-Corral, A; Méndez, R

    2014-01-01

    The Anammox-based processes are suitable for the treatment of wastewaters characterized by a low carbon to nitrogen (C/N) ratio. The application of the Anammox process requires the availability of an effluent with a NO2- -N/NH4+ -N ratio composition around 1 g g-1, which involves the necessity of a previous step where the partial nitrification is performed. In this step, the inhibition of the nitrite-oxidizing bacteria (NOB) is crucial. In the present work, a combined partial nitrification-ANaerobic AMmonia OXidation (Anammox) two-units system operated at room temperature (20 degreeC) has been tested for the nitrogen removal of pre-treated pig slurry. To achieve the successful partial nitrification and inhibit the NOB activity, different ammonium/inorganic carbon (NH4+/IC) ratios were assayed from 1.19 to 0.82g NH4+-Ng-1 HCO3-C. This procedure provoked a decrease of the pH value to 6.0 to regulate the inhibitory effect over ammonia-oxidizing bacteria caused by free ammonia. Simultaneously, the NOB experienced the inhibitory effect of free nitrous acid which avoided the presence of nitrate in the effluent. The NH4+/IC ratio which allowed the obtaining of the desired effluent composition (50% of both ammonium and nitrite) was 0.82 +/- 0.02 g NH4+-N g-1 HCO3- -C. The Anammox reactor was fed with the effluent of the partial nitrification unit containing a NO2 -N/NH4+ -N ratio of 1 g g-1' where a nitrogen loading rate of 0.1 g N L-1 d-1 was efficiently removed. PMID:24600878

  3. Successful removal of a partial Siamese twin with a carbon dioxide laser.

    PubMed

    Joubert, M; Stephanov, S

    1983-11-26

    A case of a 'partial Siamese twin' is discussed, and the neurological signs and operative findings are recorded. The operation was performed with the aid of a carbon dioxide laser, which not only facilitated and expedited the procedure but also ensured minimal loss of blood. The wound broke down in part, but complete healing occurred within less than a month. At the time of discharge the baby showed no abnormal neurological signs. PMID:6635892

  4. On the removal of boundary errors caused by Runge-Kutta integration of non-linear partial differential equations

    NASA Technical Reports Server (NTRS)

    Abarbanel, Saul; Gottlieb, David; Carpenter, Mark H.

    1994-01-01

    It has been previously shown that the temporal integration of hyperbolic partial differential equations (PDE's) may, because of boundary conditions, lead to deterioration of accuracy of the solution. A procedure for removal of this error in the linear case has been established previously. In the present paper we consider hyperbolic (PDE's) (linear and non-linear) whose boundary treatment is done via the SAT-procedure. A methodology is present for recovery of the full order of accuracy, and has been applied to the case of a 4th order explicit finite difference scheme.

  5. Partial nitritation and o-cresol removal with aerobic granular biomass in a continuous airlift reactor.

    PubMed

    Jemaat, Zulkifly; Suárez-Ojeda, María Eugenia; Pérez, Julio; Carrera, Julián

    2014-01-01

    Several chemical industries produce wastewaters containing both, ammonium and phenolic compounds. As an alternative to treat this kind of complex industrial wastewaters, this study presents the simultaneous partial nitritation and o-cresol biodegradation in a continuous airlift reactor using aerobic granular biomass. An aerobic granular sludge was developed in the airlift reactor for treating a high-strength ammonium wastewater containing 950 ± 25 mg N-NH4(+) L(-1). Then, the airlift reactor was bioaugmented with a p-nitrophenol-degrading activated sludge and o-cresol was added progressively to the ammonium feed to achieve 100 mg L(-1). The results showed that stable partial nitritation and full biodegradation of o-cresol were simultaneously maintained obtaining a suitable effluent for a subsequent anammox reactor. Moreover, two o-cresol shock-load events with concentrations of 300 and 1000 mg L(-1) were applied to assess the capabilities of the system. Despite these shock load events, the partial nitritation process was kept stable and o-cresol was totally biodegraded. Fluorescence in situ hybridization technique was used to identify the heterotrophic bacteria related to o-cresol biodegradation and the ammonia oxidising bacteria along the granules. PMID:24140352

  6. Microbiological analysis after complete or partial removal of carious dentin using two different techniques in primary teeth: A randomized clinical trial

    PubMed Central

    Singhal, Deepak Kumar; Acharya, Shashidhar; Thakur, Arun Singh

    2016-01-01

    Background: The management of deep carious lesions can be done by various techniques but residual caries dilemma still persists and bacterial reduction in cavities treated by either partial or complete caries removal techniques is debatable. So the objective of the present randomized clinical trial was to compare microbial counts in cavities submitted to complete caries removal and partial caries removal using either hand instruments or burs before and after 3 weeks of restoration. Materials and Methods: Primary molars with acute carious lesions in inner half of dentine and vital pulp were randomly divided into three groups of 14 each: Group A: Partial caries removal using hand instruments atraumatic restorative treatment (ART) only; Group B: Partial caries removal using bur; Group C: Complete caries removal using bur and caries detector dye. Dentine sample obtained after caries removal and 3 weeks after restoration, were subjected to microbial culture and counting (colony-forming units [CFU]/mg of dentine) for total viable bacterial count, Streptococcus spp., mutans streptococci, Lactobacillus spp. Results: Three techniques of caries removal showed significant (P < 0.05) reduction in all microorganisms studied after 3 weeks of evaluation, but there was no statistically significant difference in percentage reduction of microbial count among three groups. Conclusion: Results suggest the use of partial caries removal in a single session as compared to complete caries removal as a part of treatment of deep lesions in deciduous teeth in order to reduce the risk of pulp exposure. Partial caries removal using ART can be preferred for community settings as public health procedure for caries management. PMID:26962313

  7. [Effect of High Ammonium on Nitrogen Removal in an Partial Nitritation-ANAMMOX Process with Reflux System].

    PubMed

    Li, Xiang; Cui, Jian-hong; Yuan, Yan; Huang, Yong; Yuan, Yi; Liu, Xin

    2015-10-01

    The effect of influent ammonia on nitrogen transformation characteristics and microbial communities in partial nitrification-anaerobic ammonia oxidation (PN-ANAMMOX) process was studied by using a series of partial nitrification and ANAMMOX process with air-lift reflux device. The results showed that when the influent ammonia concentration was increased to 700 mg x L(-1) and the nitrogen volume load was stabled at 2.8 kg x (m3 x d)(-1), the fluctuation of pH value was very small in aerobic and anaerobic zone. In the aerobic and anaerobic zone, FA concentrations were maintained at 5'mg x L(-1), 10 mg x L(-1), respectively, which did not inhibit the growth of microorganisms. Nitrite produce rate was stabled at 1.5 kg x (m3 x d)(-1) in the aerobic zone, and nitrogen removal rate was stabled at 31.49 kg x (m3 x d)(-1) in anaerobic zone, the total nitrogen removal rate was stabled at 1.67 kg x (m3 x d)(-1) in combined process. When the influent ammonia concentration was increased to 900 mg x L(-1), the FA and FNA concentration were increased in each areas, total nitrogen removal rate was decreased and stabled at 1.52 kg x- ( m3x- d( 1)'. The nitrite was accumulated in the anaerobic zone, and there was no significant inhibition of ANAMMOX bacteria. Our findings indicated that the reflux can effectively alleviate the fluctuation of pH in each area, and dilute FA concentration which is toxic to microorganisms. PMID:26841608

  8. Fourth-order partial differential equation noise removal on welding images

    SciTech Connect

    Halim, Suhaila Abd; Ibrahim, Arsmah; Sulong, Tuan Nurul Norazura Tuan; Manurung, Yupiter HP

    2015-10-22

    Partial differential equation (PDE) has become one of the important topics in mathematics and is widely used in various fields. It can be used for image denoising in the image analysis field. In this paper, a fourth-order PDE is discussed and implemented as a denoising method on digital images. The fourth-order PDE is solved computationally using finite difference approach and then implemented on a set of digital radiographic images with welding defects. The performance of the discretized model is evaluated using Peak Signal to Noise Ratio (PSNR). Simulation is carried out on the discretized model on different level of Gaussian noise in order to get the maximum PSNR value. The convergence criteria chosen to determine the number of iterations required is measured based on the highest PSNR value. Results obtained show that the fourth-order PDE model produced promising results as an image denoising tool compared with median filter.

  9. Sealing versus partial caries removal in primary molars: a randomized clinical trial

    PubMed Central

    2014-01-01

    Background The resin-based pit and fissure sealant is considered a successful tool in caries prevention, however there is a growing evidence of its use in controlling already established caries in posterior teeth. The aim of this clinical trial is to verify the efficacy of pit and fissure sealants in arresting dentinal caries lesions compared to partial excavation and restorative treatment in primary molar teeth. Methods Thirty six patients with occlusal cavitated primary molar reaching outer half of dentin were selected. The patients were randomly allocated into two groups: sealant application (experimental group – n = 17) and restoration with composite resin (control group – n = 19). Clinical and radiograph evaluation were performed after 6, 12 and 18 months. The chi-square test was used to verify the distribution of characteristics variables of the sample among the groups. The survival rate of treatments was evaluated using Kaplan–Meier survival and log-rank test. Fisher’s Exact and logistic regression tests were calculated in each evaluation period (α = 5%). Results The control group showed significantly better clinical survival after 18 months (p = 0.0025). In both groups, no caries progression was registered on the radiographic evaluations. Conclusions Sealing had similar efficacy in the arrestment of caries progression of cavitated occlusal lesions compared to partial excavation of the lesions, even though the frequency of re-treatments was significantly higher in sealed lesions. Trial registration Registro Brasileiro de Ensaios Clínicos (ReBEC): RBR-9kkv53 PMID:24884684

  10. A practical three visit complete denture system.

    PubMed

    Ling, B C

    2000-10-01

    Standard prosthodontic procedures require five visits to construct a set of complete maxillary and mandibular dentures. Various attempts have been made to reduce these procedures to four or three appointments. However, most of these techniques require the use of visible light polymerized resin as the final denture base materials. Visible light-cured resin materials have inferior physical properties and biocompatibility problems as compared with heat cured polymethylmethacrylate. This paper describes a system of complete denture construction which requires three clinical appointments instead of the usual five visits. This system is made possible by using the VLC base/tray material as the preliminary impression material as well as the application of a new biometric wax occlusion rim. It retains the use of polymethylmethacrylate as the denture base material. This system also utilizes all the procedures used in the conventional five appointment system of complete denture construction. PMID:11709981

  11. Effects of offset values for artificial teeth positions in CAD/CAM complete denture.

    PubMed

    Yamamoto, Shinta; Kanazawa, Manabu; Iwaki, Maiko; Jokanovic, Ana; Minakuchi, Shunsuke

    2014-09-01

    Recently, computer-aided design/computer-aided manufacturing (CAD/CAM) technology has been applied to the field of removable complete denture prosthodontics. We developed a system for fabricating complete dentures applying CAD/CAM technology. In this system, artificial teeth were bonded to the recesses of a milled denture base. However, the offset values needed for the recesses are not known. The purpose of the present study was to evaluate the accuracy of bonded artificial teeth positions in 0.00 (control), 0.10, 0.15, 0.20, and 0.25mm offset recess groups. Four types of artificial teeth, upper left central incisor (UL1), upper left canine (UL3), upper left first premolar (UL4), and upper left first molar (UL6), were used. Each type of artificial tooth was arranged at regular intervals on the denture base model with the CAD software. These data were defined as the master data. The artificial teeth parts were subtracted from the denture base model by Boolean logic operations in order to make recesses, and the recesses were then offset in five values. Based on these denture base data, prepolymerized resin blocks were milled (n=3). After bonding artificial teeth on the milled denture base model, a cone beam computed tomography (CBCT) scan was performed to obtain scanned data. Deviations between the master data and the scanned data were calculated. Based on the results, the optimal offset values were found to be 0.15-0.25mm for UL1, 0.15 and 0.25mm for UL3, 0.25mm for UL4, and 0.10-0.25mm for UL6. PMID:24981734

  12. Effect of Different Denture Base Materials and Changed Mouth Temperature on Dimensional Stability of Complete Dentures.

    PubMed

    Arafa, Khalid A O

    2016-01-01

    Background. Type of materials used in fabrication of denture base has an effect on dimension during denture base material processing and other factors related to clinical use. Objective. The study aims were to assess the dimensional stability including thermal changes of three different denture base materials. Methods. Ninety patients were selected to construct complete dentures with different denture base materials. They were randomly divided into three groups: group 1, patients with cobalt chrome metallic base; group 2, patients with heat curing acrylic resin fabricated by injection moulding technique; and group 3, patients with denture bases fabricated by conventional heat curing acrylic resin. The dimensional changes were assessed using digital caliper. Results. After the twelfth month, injection moulding acrylic resin had significantly the highest dimensional change followed by the conventional heat curing acrylic resin. There were no significant differences in the dimensions between the three types of denture base materials at normal mouth temperature, while, after hot tea drinking at 45°C, the dimensional change was significantly the highest in cobalt chrome metallic denture base group. Conclusion. Cobalt chrome metallic denture base has stable dimension compared to denture bases fabricated of acrylic resin but it was more affected by altered mouth temperature. The study was registered in the International Standard Randomized Controlled Trials Number (ISRCTN) registry with study ID (ISRCTN94238244). PMID:27143970

  13. Effect of Different Denture Base Materials and Changed Mouth Temperature on Dimensional Stability of Complete Dentures

    PubMed Central

    Arafa, Khalid A. O.

    2016-01-01

    Background. Type of materials used in fabrication of denture base has an effect on dimension during denture base material processing and other factors related to clinical use. Objective. The study aims were to assess the dimensional stability including thermal changes of three different denture base materials. Methods. Ninety patients were selected to construct complete dentures with different denture base materials. They were randomly divided into three groups: group 1, patients with cobalt chrome metallic base; group 2, patients with heat curing acrylic resin fabricated by injection moulding technique; and group 3, patients with denture bases fabricated by conventional heat curing acrylic resin. The dimensional changes were assessed using digital caliper. Results. After the twelfth month, injection moulding acrylic resin had significantly the highest dimensional change followed by the conventional heat curing acrylic resin. There were no significant differences in the dimensions between the three types of denture base materials at normal mouth temperature, while, after hot tea drinking at 45°C, the dimensional change was significantly the highest in cobalt chrome metallic denture base group. Conclusion. Cobalt chrome metallic denture base has stable dimension compared to denture bases fabricated of acrylic resin but it was more affected by altered mouth temperature. The study was registered in the International Standard Randomized Controlled Trials Number (ISRCTN) registry with study ID (ISRCTN94238244). PMID:27143970

  14. Complete denture fabrication with CAD/CAM record bases.

    PubMed

    McLaughlin, J Bryan; Ramos, Van

    2015-10-01

    One of the primary goals of new materials and processes for complete denture fabrication has been to reduce polymerization shrinkage. The introduction of computer-aided design and computer-aided manufacturing (CAD/CAM) technology into complete denture fabrication has eliminated polymerization shrinkage in the definitive denture. The use of CAD/CAM record bases for complete denture fabrication can provide a better-fitting denture with fewer postprocessing occlusal errors. PMID:26139040

  15. Effect of denture cleansers on metal ion release and surface roughness of denture base materials.

    PubMed

    Davi, Letícia Resende; Felipucci, Daniela Nair Borges; de Souza, Raphael Freitas; Bezzon, Osvaldo Luiz; Lovato-Silva, Cláudia Helena; Pagnano, Valéria Oliveira; Paranhos, Helena de Freitas Oliveira

    2012-01-01

    Chemical disinfectants are usually associated with mechanical methods to remove stains and reduce biofilm formation. This study evaluated the effect of disinfectants on release of metal ions and surface roughness of commercially pure titanium, metal alloys, and heat-polymerized acrylic resin, simulating 180 immersion trials. Disk-shaped specimens were fabricated with commercially pure titanium (Tritan), nickel-chromium-molybdenum-titanium (Vi-Star), nickel-chromium (Fit Cast-SB Plus), and nickel-chromium-beryllium (Fit Cast-V) alloys. Each cast disk was invested in the flasks, incorporating the metal disk to the heat-polymerized acrylic resin. The specimens (n=5) were immersed in these solutions: sodium hypochlorite 0.05%, Periogard, Cepacol, Corega Tabs, Medical Interporous, and Polident. Deionized water was used as a control. The quantitative analysis of metal ion release was performed using inductively coupled plasma mass spectrometry (ELAN DRC II). A surface analyzer (Surftest SJ-201P) was used to measure the surface roughness (µm). Data were recorded before and after the immersions and evaluated by two-way ANOVA and Tukey's test (α=0.05). The nickel release proved most significant with the Vi-Star and Fit Cast-V alloys after immersion in Medical Interporous. There was a significant difference in surface roughness of the resin (p=0.011) after immersion. Cepacol caused significantly higher resin roughness. The immersion products had no influence on metal roughness (p=0.388). It could be concluded that the tested alloys can be considered safe for removable denture fabrication, but disinfectant solutions as Cepacol and Medical Interporous tablet for daily denture immersion should be used with caution because it caused greater resin surface roughness and greater ion release, respectively. PMID:23207854

  16. Feasibility of enhancing the DEnitrifying AMmonium OXidation (DEAMOX) process for nitrogen removal by seeding partial denitrification sludge.

    PubMed

    Cao, Shenbin; Peng, Yongzhen; Du, Rui; Wang, Shuying

    2016-04-01

    The recently proposed DEnitrifying AMmonium OXidation (DEAMOX) process combined anaerobic ammonia oxidation (ANAMMOX) with denitrification to convert nitrate to nitrite, which was a promising way for treating wastewater containing nitrate and ammonia. This study investigated the feasibility of establishing DEAMOX process by seeding partial denitrification sludge (NO3(-) → NO2(-)) using sodium acetate as an electron donor in a sequencing batch reactor. Results showed that the DEAMOX process was established successfully and operated stably in 114-days operation. The average effluent total nitrogen concentration was below 5 mg L(-1) and TN removal efficiency reached up to 97% at COD/NO3(-) ratio of 3.0 under initial NH4(+) concentration of 25 mg L(-1) and NO3(-) of 30 mg L(-1). It suggested that the presence of NO2(-) in the system supplied for ANAMMOX and the relatively long sludge retention time (SRT) for denitrifiers were attributed to commendable coexistence of ANAMMOX and denitrifying bacteria. PMID:26829308

  17. Fabrication of a CAD/CAM monolithic zirconia crown to fit an existing partial removable dental prosthesis.

    PubMed

    Paek, Janghyun; Noh, Kwantae; Pae, Ahran; Lee, Hyeonjong; Kim, Hyeong-Seob

    2016-08-01

    Fabricating a surveyed prosthesis beneath an existing partial removable dental prosthesis (PRDP) is a challenging and time-consuming procedure. The computer-aided design/computer-assisted manufacturing (CAD/CAM) technology was applied to fabricate a retrofitted, surveyed zirconia prosthesis to an existing PRDP. CAD/CAM technology enabled precise and easy replication of the contour of the planned surveyed crown on the existing abutment tooth. This technology ensured excellent adaptation and fit of newly fabricated crown to the existing PRDP with minimal adjustments. In this case report, a seventy-year-old male patient presented with fractured existing surveyed crown. Because the existing PRDP was serviceable, new crown was fabricated to the existing PRDP. PMID:27555903

  18. Fabrication of a CAD/CAM monolithic zirconia crown to fit an existing partial removable dental prosthesis

    PubMed Central

    2016-01-01

    Fabricating a surveyed prosthesis beneath an existing partial removable dental prosthesis (PRDP) is a challenging and time-consuming procedure. The computer-aided design/computer-assisted manufacturing (CAD/CAM) technology was applied to fabricate a retrofitted, surveyed zirconia prosthesis to an existing PRDP. CAD/CAM technology enabled precise and easy replication of the contour of the planned surveyed crown on the existing abutment tooth. This technology ensured excellent adaptation and fit of newly fabricated crown to the existing PRDP with minimal adjustments. In this case report, a seventy-year-old male patient presented with fractured existing surveyed crown. Because the existing PRDP was serviceable, new crown was fabricated to the existing PRDP. PMID:27555903

  19. A case with tumor of left parotid gland and denture stomatitis.

    PubMed

    MercuŢ, Veronica; Iorgulescu, Daniel; Popescu, Sanda Mihaela; Mărgăritescu, Claudiu; MercuŢ, Răzvan; CrăiŢoiu, Monica Mihaela; Scrieciu, Monica

    2015-01-01

    The article discuss the case of an edentulous patient presented to the dental clinic for pain and burning sensation of oral mucosa and diagnosed subsequently with oxyphilic adenoma. A 58-year-old patient, with maxillary edentulism, treated with complete denture, presented to the Clinic of Prosthetic Dentistry of the Faculty of Dental Medicine, University of Medicine and Pharmacy of Craiova, Romania, for pain of oral mucosa and bad stability of denture. The diagnosis of erythematous denture stomatitis as consequence of salivary flow reduction was establish after patient's clinical examination, and by unstimulated sialometry. Clinical exam suggested hyposalivation could be a consequence of a tumor situated at the level of the left parotid gland. The echography confirmed the diagnosis of left parotid gland tumor. The tumor was surgical removed and histopathological exam confirmed oxyphilic adenoma. Education of patient for wearing new denture while maintaining a strict oral hygiene and dealing with low salivary flow was the treatment for denture stomatitis. General dentist has an important role in finding and diagnosing patients with systemic diseases, especially salivary tumors. PMID:25826511

  20. [Zirconia in removable prosthodontics. A case report].

    PubMed

    Bühler, Nico M; Teubner, Eckart; Marinello, Carlo P

    2011-01-01

    Zirconia as a framework material is well established in fixed prosthodontics. However, for its application for removable dentures little experience exists. Zirkonzahn® has developed a copy-milling unit, that is a manually operated machine for the manufacture not only of frameworks but also of complete removable dentures. The aim of this case report is to show the step-by-step clinical and technical fabrication of a zirconia bar on implants and of a corresponding zirconia complete denture. The advantages and disadvantages of the system are presented and problems are critically discussed. PMID:21861249

  1. Partial Edentulism and its Correlation to Age, Gender, Socio-economic Status and Incidence of Various Kennedy’s Classes– A Literature Review

    PubMed Central

    Krishnan, Chitra Shankar

    2015-01-01

    Partial edentulism, one or more teeth missing is an indication of healthy behaviour of dental practices in the society and attitude towards dental and oral care. The pattern of partial edentulism has been evaluated in many selected populations in different countries by different methods. Most of the studies have evaluated partial edentulism by surveying of Removable Partial Dentures (RPDs), patients visiting clinics, clinical records and population in particular locality. The objective of the study is to review the prevalence of partial edentulousness and its correlation to age,gender, arch predominance, socio economic factors and incidence of various Kennedy’s Classes. Key observations drawn from the review are as below. There is no gender correlation for partial edentulism.Prevalence of partial edentulism is more common in mandibular arch than maxillary arch.Younger adults have more Class III and IV RPDs. Elders have more distal extension RPDs Class I and II. PMID:26266237

  2. Bronchial dentures as a cause of airway actinomycosis

    PubMed Central

    Murray, Michelle A; Rogan, Mark P; Morgan, Ross K; Linnane, Seamus J

    2014-01-01

    A 65-year-old man was referred to the respiratory clinic with recurrent chest infections on a background of stage 3 chronic obstructive pulmonary disease. On examination, there was wheeze bilaterally more marked on the left lower lobe. Subsequent imaging revealed an obstruction of the left main bronchus that was concerning for malignancy. Initially, on flexible bronchoscopy, a hard mass was found and multiple biopsies were positive for actinomycosis. Subsequent rigid bronchoscopy was undertaken and a set of dentures were removed from the airway. PMID:25150232

  3. Transcription Factors Efg1 and Bcr1 Regulate Biofilm Formation and Virulence during Candida albicans-Associated Denture Stomatitis

    PubMed Central

    Yano, Junko; Yu, Alika; Fidel, Paul L.; Noverr, Mairi C.

    2016-01-01

    Denture stomatitis (DS) is characterized by inflammation of the oral mucosa in direct contact with dentures and affects a significant number of otherwise healthy denture wearers. The disease is caused by Candida albicans, which readily colonizes and form biofilms on denture materials. While evidence for biofilms on abiotic and biotic surfaces initiating Candida infections is accumulating, a role for biofilms in DS remains unclear. Using an established model of DS in immunocompetent animals, the purpose of this study was to determine the role of biofilm formation in mucosal damage during pathogenesis using C. albicans or mutants defective in morphogenesis (efg1-/-) or biofilm formation (bcr1-/-). For in vivo analyses, rats fitted with custom dentures, consisting of fixed and removable parts, were inoculated with wild-type C. albicans, mutants or reconstituted strains and monitored weekly for fungal burden (denture and palate), body weight and tissue damage (LDH) for up to 8 weeks. C. albicans wild-type and reconstituted mutants formed biofilms on dentures and palatal tissues under in vitro, ex vivo and in vivo conditions as indicated by microscopy demonstrating robust biofilm architecture and extracellular matrix (ECM). In contrast, both efg1-/- and bcr1-/- mutants exhibited poor biofilm growth with little to no ECM. In addition, quantification of fungal burden showed reduced colonization throughout the infection period on dentures and palates of rats inoculated with efg1-/-, but not bcr1-/-, compared to controls. Finally, rats inoculated with efg1-/- and bcr1-/- mutants had minimal palatal tissue damage/weight loss while those inoculated with wild-type or reconstituted mutants showed evidence of tissue damage and exhibited stunted weight gain. These data suggest that biofilm formation is associated with tissue damage during DS and that Efg1 and Bcr1, both central regulators of virulence in C. albicans, have pivotal roles in pathogenesis of DS. PMID:27453977

  4. Transcription Factors Efg1 and Bcr1 Regulate Biofilm Formation and Virulence during Candida albicans-Associated Denture Stomatitis.

    PubMed

    Yano, Junko; Yu, Alika; Fidel, Paul L; Noverr, Mairi C

    2016-01-01

    Denture stomatitis (DS) is characterized by inflammation of the oral mucosa in direct contact with dentures and affects a significant number of otherwise healthy denture wearers. The disease is caused by Candida albicans, which readily colonizes and form biofilms on denture materials. While evidence for biofilms on abiotic and biotic surfaces initiating Candida infections is accumulating, a role for biofilms in DS remains unclear. Using an established model of DS in immunocompetent animals, the purpose of this study was to determine the role of biofilm formation in mucosal damage during pathogenesis using C. albicans or mutants defective in morphogenesis (efg1-/-) or biofilm formation (bcr1-/-). For in vivo analyses, rats fitted with custom dentures, consisting of fixed and removable parts, were inoculated with wild-type C. albicans, mutants or reconstituted strains and monitored weekly for fungal burden (denture and palate), body weight and tissue damage (LDH) for up to 8 weeks. C. albicans wild-type and reconstituted mutants formed biofilms on dentures and palatal tissues under in vitro, ex vivo and in vivo conditions as indicated by microscopy demonstrating robust biofilm architecture and extracellular matrix (ECM). In contrast, both efg1-/- and bcr1-/- mutants exhibited poor biofilm growth with little to no ECM. In addition, quantification of fungal burden showed reduced colonization throughout the infection period on dentures and palates of rats inoculated with efg1-/-, but not bcr1-/-, compared to controls. Finally, rats inoculated with efg1-/- and bcr1-/- mutants had minimal palatal tissue damage/weight loss while those inoculated with wild-type or reconstituted mutants showed evidence of tissue damage and exhibited stunted weight gain. These data suggest that biofilm formation is associated with tissue damage during DS and that Efg1 and Bcr1, both central regulators of virulence in C. albicans, have pivotal roles in pathogenesis of DS. PMID:27453977

  5. Optimized removal of the tongue-and-groove underdose via constrained partial synchronization and variable depth recursion

    NASA Astrophysics Data System (ADS)

    Siochi, R. Alfredo C.

    2009-03-01

    Full synchronization (FS) leaf sequencing removes tongue-and-groove underdosages (TGU) but increases the number of segments. Constrained partial synchronization (CPS) uses a minimum tongue-and-groove ratio (TGR) to reduce the number of segments while achieving acceptable TGUs. TGR is the ratio of non-overlapping intensities that irradiate a common junction. For TGRs of 1, 1.5 and 2, the TGUs were measured as 18%, 4% and 0%, respectively, for a 6 MV beam and a Siemens 82 leaf MLC. The extraction and sweep processes of the variable depth recursion (VDR) leaf-sequencing algorithm were constrained to satisfy a minimum TGR. For a Siemens MLC and 15 clinical cases, VDR with a TGR = 1.5 produced 7% more segments than the unsynchronized VDR, while a fully synchronized sweeping window algorithm produces 62% more segments. For random intensity maps, VDR with CPS produced significantly fewer segments than an unsynchronized sweeping window. Similar results can be obtained for MLCs that interdigitate. This has implications for direct aperture optimization algorithms (DAO) that use the sweeping window as a starting point (Pinnacle), for which a significant TGU has been observed. The concept of CPS can be applied to DAO by choosing appropriate levels for each of the segments in DAO.

  6. Genotypic Diversity and Virulence Traits of Streptococcus mutans Isolated from Carious Dentin after Partial Caries Removal and Sealing

    PubMed Central

    Damé-Teixeira, Nailê; Arthur, Rodrigo Alex; Parolo, Clarissa Cavalcanti Fatturi

    2014-01-01

    The aim of this study was to compare the genotypic diversity and virulence traits of Streptococcus mutans isolated from carious dentin before and after partial dentin caries removal (PDR) and sealing. Carious dentin samples were obtained three months before and after the PDR and cavity sealing. Up to seven isolates of each morphological type of S. mutans were selected and strain identity was confirmed using gtfB primer. Genotyping was performed by arbitrary primer-PCR (AP-PCR). Acidogenesis and acidurance of the genotypes were evaluated as virulence traits. A paired t-test and a Wilcoxon test were used to compare the virulence of genotypes. A total of 48 representative S. mutans isolates were genotyped (31 before and 17 after the sealing). At least one of the genotypes found before the sealing was also found on dentin after the sealing. The number of genotypes found before the sealing ranged from 2 to 3 and after the sealing from 1 to 2 genotypes. No difference was observed in the acidogenesis and acidurance between genotypes isolated before and after the sealing. In conclusion, genotypic diversity of S. mutans decreased after the PDR and sealing, but the virulence traits of S. mutans remained unchangeable. PMID:24578618

  7. Adhesion of denture tooth porcelain to heat-polymerized denture resin.

    PubMed

    Marchack, B W; Yu, Z; Zhao, X Y; White, S N

    1995-09-01

    Use of porcelain denture teeth may be desirable in many clinical situations, including implant-supported prostheses. However, lack of space because of frameworks often precludes the use of conventional retention by diatorics and pins. Adhesion of porcelain denture teeth to denture resin could also stiffen and possibly strengthen dentures and decrease stain ingress between porcelain teeth and resin denture bases. Unlike previous studies that investigated the bond between conventional feldspathic metal-ceramic porcelain and bis-GMA based composite resin, this study investigated adhesion of denture tooth porcelain to polymethyl methacrylate (PMMA). High-energy air abrasion, hydrofluoric acid etching, and the use of a general purpose bonding agent resulted in an improved bond strength of heat-cured denture PMMA bonded to denture tooth porcelain. Silane coating did not improve bond strengths, and conventional air abrasion was no more effective than polishing with 600-grit silicon carbide. Storage in water and artificial aging substantially decreased bond strengths. The strongest bond strengths were achieved by a high-energy-abrasion + etching + multi-purpose bonding-agent treatment, but a simpler etching + multiple-purpose bonding-agent treatment also produced reliable results. A laboratory technique was suggested. The role of surface treatment in the mechanism of adhesion was examined with scanning electron microscopy. High-energy abrasion produced a slightly more detailed initial topography than conventional air abrasion, but after etching, the high-energy topography became much more detailed. Surface topography alone did not account for all differences found. PMID:7473277

  8. 21 CFR 872.3530 - Mechanical denture cleaner.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... mechanically agitating a denture cleansing solution. The device is intended to clean a denture by submersion in the agitating cleansing solution in the container. (b) Classification. Class I (general controls)....

  9. 21 CFR 872.3530 - Mechanical denture cleaner.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... mechanically agitating a denture cleansing solution. The device is intended to clean a denture by submersion in the agitating cleansing solution in the container. (b) Classification. Class I (general controls)....

  10. 21 CFR 872.3530 - Mechanical denture cleaner.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... mechanically agitating a denture cleansing solution. The device is intended to clean a denture by submersion in the agitating cleansing solution in the container. (b) Classification. Class I (general controls)....