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Sample records for removable partial denture

  1. Esthetic removable partial dentures.

    PubMed

    Ancowitz, Stephen

    2004-01-01

    This article provides information regarding the many ways that removable partial dentures (RPDs) may be used to solve restorative problems in the esthetic zone without displaying metal components or conspicuous acrylic resin flanges. The esthetic zone is defined and described, as are methods for recording it. Six dental categories are presented that assist the dentist in choosing a variety of RPD design concepts that may be used to avoid metal display while still satisfying basic principles of RPDs. New materials that may be utilized for optimal esthetics are presented and techniques for contouring acrylic resin bases and tinting denture bases are described.

  2. [Acrylic resin removable partial dentures].

    PubMed

    de Baat, C; Witter, D J; Creugers, N H J

    2011-01-01

    An acrylic resin removable partial denture is distinguished from other types of removable partial dentures by an all-acrylic resin base which is, in principle, solely supported by the edentulous regions of the tooth arch and in the maxilla also by the hard palate. When compared to the other types of removable partial dentures, the acrylic resin removable partial denture has 3 favourable aspects: the economic aspect, its aesthetic quality and the ease with which it can be extended and adjusted. Disadvantages are an increased risk of caries developing, gingivitis, periodontal disease, denture stomatitis, alveolar bone reduction, tooth migration, triggering of the gag reflex and damage to the acrylic resin base. Present-day indications are ofa temporary or palliative nature or are motivated by economic factors. Special varieties of the acrylic resin removable partial denture are the spoon denture, the flexible denture fabricated of non-rigid acrylic resin, and the two-piece sectional denture. Furthermore, acrylic resin removable partial dentures can be supplied with clasps or reinforced by fibers or metal wires.

  3. Flexible thermoplastic denture base materials for aesthetical removable partial denture framework.

    PubMed

    Singh, Kunwarjeet; Aeran, Himanshu; Kumar, Narender; Gupta, Nidhi

    2013-10-01

    Conventional fixed partial dentures, implant supported Fixed Partial Dentures (FDPs) and removable partial dentures are the most common treatment modalities for the aesthetic and functional rehabilitation of partially edentulous patients. Although implants and FDP have certain advantages over removable partial dentures, in some cases, removable partial dentures may be the only choice which is available. Removable cast partial dentures are used as definitive removable prostheses when indicated, but location of clasps may affect aesthetics. So, when patient is concerned about aesthetics, flexible partial dentures which is aesthetically superior to flipper and cast partial dentures, may be considered. But for the success of flexible removable partial denture, proper diagnosis, treatment planning and insertion technique of this prosthesis is very important, which have been thoroughly described in this article. PMID:24298532

  4. Flexible Thermoplastic Denture Base Materials for Aesthetical Removable Partial Denture Framework

    PubMed Central

    Singh, Kunwarjeet; Aeran, Himanshu; Kumar, Narender; Gupta, Nidhi

    2013-01-01

    Conventional fixed partial dentures, implant supported Fixed Partial Dentures (FDPs) and removable partial dentures are the most common treatment modalities for the aesthetic and functional rehabilitation of partially edentulous patients. Although implants and FDP have certain advantages over removable partial dentures, in some cases, removable partial dentures may be the only choice which is available. Removable cast partial dentures are used as definitive removable prostheses when indicated, but location of clasps may affect aesthetics. So, when patient is concerned about aesthetics, flexible partial dentures which is aesthetically superior to flipper and cast partial dentures, may be considered. But for the success of flexible removable partial denture, proper diagnosis, treatment planning and insertion technique of this prosthesis is very important, which have been thoroughly described in this article. PMID:24298532

  5. 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

  6. Abutment tooth modification for removable partial denture therapy.

    PubMed

    Wright, W E

    1989-01-01

    The primary purpose of removable partial denture (RPD) therapy is to preserve existing oral structures. To accomplish this goal, natural teeth are selected to provide the necessary support, bracing, and retention for the removable prosthesis. Unfortunately, the chosen abutment teeth rarely are able to perform their task without some modification, which usually involves altering the tooth's enamel surface or fabricating and placing a crown. This article discusses the criteria and technique used for these modification procedures. PMID:2688890

  7. 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.

  8. Using silicone impression material and acrylic resin to fabricate remount casts for removable partial dentures.

    PubMed

    Hsu, Yung-tsung; Farmer, John B

    2005-06-01

    A technique is described for fabrication of a remount cast for a removable partial denture. This procedure consists of filling the occlusal/incisal third with acrylic resin and injecting polyvinylsiloxane impression material into the irreversible hydrocolloid impression. This technique provides a simple method for making a remount cast and enables the clinician to remove and easily place the partial denture on the cast during occlusal refinement procedures without damage to the removable partial denture or the remount cast.

  9. 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

  10. A survey of dentitions and removable partial dentures constructed for patients in North America.

    PubMed

    Owall, B E; Taylor, R L

    1989-04-01

    The prevalence of removable partial dentures in North America is not known. This study was designed to collect information about (1) the indications for, (2) the teeth to be replaced with, and (3) the type of major connectors used in removable partial dentures. Five commercial dental laboratories situated in different regions of North America were selected to give as wide as possible a view of the production of removable partial dentures. Each laboratory was asked to provide details of 300 consecutive removable partial dentures. Photographs (35 mm) of master casts and processed partial dentures were obtained for more than 1300 patients. The color slides were analyzed and the remaining teeth and types of dentures were recorded. The dentures were classified as follows: cast frame denture, acrylic resin denture with or without some wrought metal, and acrylic resin denture with some cast units. The major connectors were classified as one of seven alternatives in the maxillae, and as one of six alternatives in the mandible.

  11. Cobalt-chromium-titanium alloy for removable partial dentures.

    PubMed

    Iwama, C Y; Preston, J D

    1997-01-01

    Pure elemental titanium was alloyed with cobalt and chromium in dilutions of 4%, 5%, and 6% to evaluate the suitability of the resulting alloy for removable partial denture frameworks. The physical properties of the Co-Cr-Ti alloy were compared to the properties of a commercial pure titanium and Vitallium. Clasp replicas were cast in Co-Cr-Ti and Vitallium and subjected to cyclic deflection. Representative specimens from the fatigue failure tests were then evaluated using scanning electron microscopy and analyzed for elemental content. The 5% titanium dilution of cobalt-chromium proved to have the best physical properties and was used for comparison with the pure titanium and Vitallium. The Co-Cr-5% Ti had significantly better physical properties than pure titanium and a greater flexure fatigue limit than the Vitallium alloy.

  12. Fabricating abutment crowns for existing removable partial dentures using custom resin clasp analogs.

    PubMed

    Livaditis, G J

    1998-11-01

    A universal approach for fabricating abutment crowns for existing removable partial dentures is described. A replica (analog) of the clasp assembly is generated and transferred to a traditional working cast, which includes the abutment die. The analog is incorporated into the working cast as a removable component to allow the formation of the crown contours. The article reviews in detail the procedures required to transfer accurately all the essential components and information from the mouth to the working cast while allowing the patient uninterrupted use of the removable partial denture. Prestabilizing the removable partial denture, creating the analog impression, avoiding errors due to soft tissue components, forming a precise analog base, selecting materials, generating a rigid resin analog, and prescribing a path of insertion and withdrawal to the analog are described. The method replicates all types of clasps and can generate all types of fixed prosthodontic retainers to function harmoniously with the existing partial denture. PMID:9813815

  13. Fabricating abutment crowns for existing removable partial dentures using custom resin clasp analogs.

    PubMed

    Livaditis, G J

    1998-11-01

    A universal approach for fabricating abutment crowns for existing removable partial dentures is described. A replica (analog) of the clasp assembly is generated and transferred to a traditional working cast, which includes the abutment die. The analog is incorporated into the working cast as a removable component to allow the formation of the crown contours. The article reviews in detail the procedures required to transfer accurately all the essential components and information from the mouth to the working cast while allowing the patient uninterrupted use of the removable partial denture. Prestabilizing the removable partial denture, creating the analog impression, avoiding errors due to soft tissue components, forming a precise analog base, selecting materials, generating a rigid resin analog, and prescribing a path of insertion and withdrawal to the analog are described. The method replicates all types of clasps and can generate all types of fixed prosthodontic retainers to function harmoniously with the existing partial denture.

  14. Detection of improvement in the masticatory function from old to new removable partial dentures using mixing ability test.

    PubMed

    Asakawa, A; Fueki, K; Ohyama, T

    2005-09-01

    The aim of this study was to determine the sensitivity of the Mixing Ability Test to detect improvement of masticatory function in subjects on transition from old to new removable partial dentures. Thirty-two subjects (seven males, 25 females, mean age 65.0 years) with distal extension partially edentulous area in mandible and/or maxilla participated in the study. The following reasons were presented for replacing the old removable partial dentures with new ones: fracture and/or poor fitness of retainers, extraction of abutment teeth, poor fitness of denture base, severe wear of artificial teeth and request for metal base dentures. Masticatory function with old and new removable partial dentures after an adaptation period (mean 27.4 weeks) was evaluated by the Mixing Ability Test. Subjects were asked to masticate five two-coloured wax cubes with each removable partial denture. Mixing Ability Index was obtained from the colour mixture and shape of the masticated cubes. Wilcoxon signed-rank test was used to test the difference of Mixing Ability Indexes between old and new removable partial dentures. The mixing ability indexes with new removable partial dentures (mean+/- s.d.: 0.70+/- 0.68) was significantly higher (P<0.001) than those with old removable partial dentures (-0.11+/-1.13). The results suggest that the Mixing Ability Test was capable of detecting improvement in masticatory function with new removable partial dentures.

  15. 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

  16. Other dental treatment needs in patients who requested removable partial dentures.

    PubMed

    Isa, Z; Yusof, Z

    1990-11-01

    The aims of this study were to determine the dental and periodontal status and the associated treatment needs, other than that for prosthetic care, in patients who requested removable partial dentures. Forty-six patients who had never worn removable partial dentures before were examined for plaque index, tooth status, gingival index, loss of periodontal attachment and tooth mobility. Prior to prosthetic treatment, 15% of the teeth needed conservative treatment and 1% needed extractions. From the periodontal point of view, 65% of the teeth needed some form of related therapy, and 2% of the teeth were at risk of extraction due to advanced mobility.

  17. 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

  18. 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

  19. Resin-bonded cast splints for loosened abutment teeth to anchor a removable partial denture: a case report.

    PubMed

    Shimizu, Hiroshi; Tsue, Fumitake; Takahashi, Yutaka

    2009-03-01

    This case report describes a technique to stabilize loosened abutment teeth by seating resin-bonded cast splints with rest seats and surveyed guide planes to anchor a removable partial denture. This technique can achieve sufficient stability of the abutment teeth and proper support and bracing of the removable partial denture with minimal intervention.

  20. Oral health-related quality of life of removable partial denture wearers and related factors.

    PubMed

    Shaghaghian, S; Taghva, M; Abduo, J; Bagheri, R

    2015-01-01

    This study aims to investigate the oral health-related quality of life (OHRQoL) in a group of removable partial denture (RPD) wearers in Shiraz (Iran), using the Persian version of the Oral Health Impact Profile (OHIP-14). Two hundred removable partial denture wearers had completed a questionnaire regarding patients' demographic characteristics and denture-related factors. In addition, the OHIP-14 questionnaire was filled out by interviewing the patients. Two measures of interpreting the OHIP-14 scales were utilised: OHIP-14 sum and OHIP-14 prevalence. The relationship of the patients' demographic characteristics and denture-related factors, with their OHRQoL was investigated. The mean OHIP-14 sum and OHIP-14 prevalence of RPD wearers were 13·80 (±10·08) and 44·5%, respectively. The most problematic aspects of OHIP-14 were physical disability and physical pain. Twenty-seven percentage and 24% of participants had reported meal interruption and eating discomfort, respectively. OHIP-14 prevalence and OHIP-14 sum were found to be significantly associated with factors representing RPD wearer's oral health such as self-reported oral health and frequency of denture cleaning. Furthermore, OHIP-14 prevalence and OHIP-14 sum were significantly associated with factors related to frequency of denture use such as hours of wearing the denture during the day and wearing the denture while eating and sleeping. Therefore, it can be concluded that the OHRQoL of the patients of the study was generally not optimal and found to be strongly associated with oral health.

  1. Telescopically retained removable partial dentures on CAD/CAM generated all-ceramic primary telescopes.

    PubMed

    Bär, C; Reich, S

    2008-01-01

    The provision of patients with removable partial dentures on all-ceramic primary crowns with electroplated gold secondary parts is described as an alternative worthy of consideration in dental journals, lectures and in further training courses. The mode of operation is based on a precise, frictionless, passive fit between female and male components. To guarantee this even over large spans, intraoral joining of the individual components is necessary. However, this requires a different sequence of the treatment steps. The different procedures (conventional, procedure by Weigl, modified concept) are described in the following article. Clinical considerations, design principles, and special characteristics involved in producing the partial denture are explained. PMID:19119547

  2. Posterior open occlusion management by registration of overlay removable partial denture: A clinical report.

    PubMed

    Nosouhian, Saeid; Davoudi, Amin; Derhami, Mohammad

    2015-01-01

    This clinical report describes prosthetic rehabilitation of posterior open bite relationship in a patient with several missing teeth and skeletal Class III malocclusion. Primary diagnostic esthetic evaluations were performed by mounting casts in centric relation and estimating lost vertical dimension of occlusion. Exclusive treatments were designated by applying overlay removable partial denture with external attachment systems for higher retentions.

  3. Treatment of open occlusions with onlay and overlay removable partial dentures.

    PubMed

    Farmer, J B; Connelly, M E

    1984-03-01

    The onlay removable partial denture has the primary purposes of restoration of esthetics and function through a conservative modification of the existing dentition. It is particularly applicable to open occlusion situations and in improving an uneven mandibular occlusal plane. Its use should be supplemented with specific instructions in proper cleansing and maintenance of underlying dentition and the prosthesis and with scheduled recall appointments.

  4. Maxillary and mandibular overlay removable partial dentures for the restoration of worn teeth.

    PubMed

    Ganddini, Mario R; Al-Mardini, Majd; Graser, Gerald N; Almog, Dov

    2004-03-01

    This clinical report describes the fabrication of maxillary and mandibular cast overlay removable partial dentures for the restoration of severely worn teeth with accompanying loss of vertical dimension of occlusion. The frameworks supported porcelain veneers for esthetics and metal occlusal surfaces for strength and durability.

  5. Posterior open occlusion management by registration of overlay removable partial denture: A clinical report

    PubMed Central

    Nosouhian, Saeid; Davoudi, Amin; Derhami, Mohammad

    2015-01-01

    This clinical report describes prosthetic rehabilitation of posterior open bite relationship in a patient with several missing teeth and skeletal Class III malocclusion. Primary diagnostic esthetic evaluations were performed by mounting casts in centric relation and estimating lost vertical dimension of occlusion. Exclusive treatments were designated by applying overlay removable partial denture with external attachment systems for higher retentions. PMID:26929544

  6. 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.

  7. Relevance of variations in the opposing dentition for the functionality of fixed and removable partial dentures: a systematic review.

    PubMed

    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.

  8. 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

  9. Maxillary overlay removable partial dentures for the restoration of worn teeth.

    PubMed

    Fonseca, Júlio; Nicolau, Pedro; Daher, Tony

    2011-04-01

    Prolonged tooth maintenance by a more aged population considerably increases the probability of dentists having to treat patients with high levels of tooth wear. Pathological tooth wear, caused primarily by parafunction, seems to be a growing problem that affects a large number of adult patients. The clinical report presents a case of a partially edentulous patient with an elevated degree of wear in the upper jaw caused by attrition and erosion, rehabilitated with a maxillary overlay removable partial denture (ORPD) consisting of a chrome-cobalt (Cr-Co) framework with anterior acrylic resin veneers, posterior cast overlays, and acrylic resin denture bases. Removable partial prosthesis is a treatment alternative when teeth are found to be severely worn or when the patient needs a simple and economical option. Because economics is a conditional factor of the treatment, the clinician should present different treatment alternatives to the patient, in which the overlay prosthesis can be considered.

  10. Maxillary overlay removable partial dentures for the restoration of worn teeth.

    PubMed

    Fonseca, Júlio; Nicolau, Pedro; Daher, Tony

    2011-04-01

    Prolonged tooth maintenance by a more aged population considerably increases the probability of dentists having to treat patients with high levels of tooth wear. Pathological tooth wear, caused primarily by parafunction, seems to be a growing problem that affects a large number of adult patients. The clinical report presents a case of a partially edentulous patient with an elevated degree of wear in the upper jaw caused by attrition and erosion, rehabilitated with a maxillary overlay removable partial denture (ORPD) consisting of a chrome-cobalt (Cr-Co) framework with anterior acrylic resin veneers, posterior cast overlays, and acrylic resin denture bases. Removable partial prosthesis is a treatment alternative when teeth are found to be severely worn or when the patient needs a simple and economical option. Because economics is a conditional factor of the treatment, the clinician should present different treatment alternatives to the patient, in which the overlay prosthesis can be considered. PMID:21560739

  11. Evaluation of senior Brazilian dental students about mouth preparation and removable partial denture design.

    PubMed

    Neto, Arcelino Farias; Duarte, Antônio Ricardo Calazans; Shiratori, Fábio Kenji; de Alencar e Silva Leite, Pedro Henrique; Rizzatti-Barbosa, Célia Marisa; Bonachela, Wellington Cardoso

    2010-11-01

    This study aimed to evaluate the knowledge of senior dental students about mouth preparation and removable partial denture (RPD) design. Two hundred sixty-six senior students from eleven dental schools in the State of São Paulo, Brazil, comprised the sample. The subjects examined two partially edentulous casts mounted on a semiadjustable articulator, answered a questionnaire regarding the treatment plan, and drew the RPD design. The casts consisted of Kennedy Class III, modification 1 maxillary arch and Class II mandibular arch. Ninety percent of the students believed that mouth preparation should be performed although no one was able to name all necessary procedures. For the maxillary arch, 12 percent of the denture designs were completely appropriate, 51 percent were partially appropriate, and 37 percent were inappropriate. For the mandibular arch, the results were 3 percent, 40 percent, and 57 percent, respectively.

  12. A preliminary report of designing removable partial denture frameworks using a specifically developed software package.

    PubMed

    Han, Jing; Wang, Yong; Lü, Peijun

    2010-01-01

    This article reports on a method to digitally survey and build virtual patterns for removable partial denture (RPD) frameworks using a new three-dimensional (3D) computer-aided design/computer-assisted manufacturing (CAD/CAM) software package developed specifically for RPD design. The procedure included obtaining 3D data from partially dentate casts, deciding on the path of insertion, and modeling the shape of the components of the frameworks digitally. The completed model data were stored as stereolithography (STL) files, which are commonly used in transferring CAD/CAM models to rapid prototyping technologies. Finally, metal RPD frameworks were fabricated using a selective laser melting technique.

  13. A follow-up study on removable partial dentures in undergraduate program: part I. participants and denture use by telephone survey.

    PubMed

    Yoshida, Eiko; Fueki, Kenji; Igarashi, Yoshimasa

    2011-07-04

    The aim of this study was to investigate the clinical outcome of removable partial dentures (RPDs) designed to minimize denture mobility during function. Using archived files of the undergraduate program between 2003 and 2005 at Tokyo Medical and Dental University, a list of 169 patients treated with 184 RPDs was created. The RPDs had either an acrylic resin-base or a cobalt-chrome framework-base. Two examiners telephoned all the listed patients and interviewed 118 patients (70%) regarding the use of their RPDs. Of 118 patients, 42 (36%) had stopped using, mainly due to problems with abutment teeth in resin-based dentures, and replacement in cobalt-chrome-based dentures. There was no significant difference in mean age, gender distribution, mean number of remaining/abutment teeth, distribution of denture arch, and Kennedy classification between denture use and nonuse groups (p>0.05). The nonuse group showed a significantly higher percentage of resin-base compared to the use group (p = 0.006). Logistic regression analysis indicated that resin-base was a significant risk factor for nonuse (p = 0.008). The present findings suggest that abutment teeth should be selected carefully, especially in this type of resin-based RPDs, and that the denture base material may be a critical factor which determines denture use.

  14. Intentional replantation of a removable partial denture abutment tooth: a case report.

    PubMed

    Cowan, R D; Addy, N L; Ritchie, G M; Myers, T L

    1992-01-01

    Intentional tooth replantation is a last-resort procedure, recommended only when all other techniques, short of tooth extraction, have been exhausted or are impractical. Although most endodontic textbooks describe the procedure, and many reports of intentional replantation have appeared in the dental literature, none have reported use of the technique to retain a removable partial denture abutment tooth. This article presents such a case and the rationale for the decision to intentionally replant. Eighteen-month follow-up clinical and radiographic results are presented.

  15. 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.

  16. Use of CAD/CAM technology to fabricate a removable partial denture framework.

    PubMed

    Williams, R J; Bibb, Richard; Eggbeer, Dominic; Collis, John

    2006-08-01

    This article reports on the first patient-fitted chromium cobalt removable partial denture framework produced by computer-assisted design, computer-assisted manufacture and rapid prototype technologies. Once the dental cast was scanned, virtual surveying and design of the framework on a 3-dimensional computer model was accomplished. A rapid prototype machine was used for direct fabrication of the alloy framework. Traditional finishing techniques were applied, the framework was assessed by a clinician in a conventional manner, fitted to the patient, and judged to be satisfactory by both the patient and clinician. PMID:16911885

  17. Removable Partial Denture in a Cleft Lip and Palate Patient: A Case Report

    PubMed Central

    Özdemir, Eylem

    2008-01-01

    This clinical report described the oral rehabilitation of a cleft lip and palate patient with removable partial denture. Although implant-supported fixed treatment was presented as part of the optimum treatment plan to achieve the best result, the patient declined this option due to the significant financial burden. Persons with a congenital or craniofacial defect are unique, and oral problems must be evaluated individually to the most ideal treatment. The changes in appearance, function, and psychological wellbeing have an enormous impact on patients' personal lives and are rewarding for the maxillofacial prosthodontist providing this care. PMID:18955808

  18. A technique for fabricating patterns for removable partial denture frameworks using digitized casts and electronic surveying.

    PubMed

    Williams, R J; Bibb, Richard; Rafik, Tahseen

    2004-01-01

    Although computer-aided design and manufacture techniques have shown some promising applications in the fabrication of crowns, inlays, and maxillofacial and oral surgery, the field of removable prosthodontics has not embraced these technologies so far. This article describes the development and investigation of computer-aided techniques that may eventually enable prosthodontic procedures such as surveying and the production of sacrificial patterns to be performed digitally. A 3-dimensional computer model of a conventional cast from a patient was obtained using an optical surface capture device (a scanner). The shape of a number of components of a removable partial denture framework was modeled on the 3-dimensional scan electronically, using computer-aided design software. A physical plastic shape of the components was produced using a Rapid Prototyping machine and used as a sacrificial pattern. Techniques to allow digital cast surveying before the production of sacrificial patterns were also developed. The results show that digital dental surveying and machine-produced sacrificial patterns can be accomplished. This article forms a basis for further developments leading to a fully integrated approach to the computer-aided design and fabrication of removable partial denture frameworks.

  19. Clinical evaluation of removable partial dentures 10 years after insertion: success rates, hygienic problems, and technical failures.

    PubMed

    Wagner, B; Kern, M

    2000-06-01

    The aim of this retrospective study was to examine the condition and success rate of various designs of removable partial dentures 10 years after placement. Seventy-four patients treated with 101 mainly conical crown-retained dentures (CCRDs), clasp-retained removable partial dentures (RPDs), or a combination of conical crown and clasp-retained dentures (CRPDs) were reexamined. Prosthetic findings were compared to baseline values at insertion and checked for factors that may affect them. Overall, 36.6% of the prostheses were regarded as successes, 23.8% as partial successes, and 39.6% as failures. Also, only one-third of the prostheses showed neither hygienic problems nor technical failures. The statistical analysis identified no single parameter as significantly affecting the success rate of the partial dentures. Prostheses supported by several abutment teeth had improved success, and RPDs had a higher failure rate (66.7%) than CCRDs (33.3%) and CRPDs (44.8%); however, because of the limited number of RPDs these differences were not statistically significant. Although the prostheses were unsupervised in service, the 60.4% overall success rate of the dentures was somewhat higher than in other studies on precision-retained prostheses.

  20. 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

  1. Removable partial denture design using milled abutment surfaces and minimal soft tissue coverage for periodontally compromised teeth: a clinical report.

    PubMed

    Chaiyabutr, Yada; Brudvik, James S

    2008-04-01

    This clinical report describes the treatment of a partially edentulous patient with periodontally compromised teeth using a combination of single crowns and a removable partial denture (RPD). The RPD was designed to combine the benefits of milled surfaces and hygienic principles while allowing modification and addition of artificial teeth, should natural teeth be lost.

  2. Maxillary and mandibular overlay removable partial dentures for restoration of worn teeth. A three-year follow-up.

    PubMed

    Almog, Dov M; Ganddini, Mario R

    2006-01-01

    This clinical report describes the fabrication and a three-year follow-up of maxillary and mandibular cast overlay removable partial dentures for the restoration of severely worn dentition with accompanying loss of vertical dimension of occlusion. The frameworks supported porcelain veneers for esthetics, and metal occlusal surfaces for strength and durability.

  3. 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.

  4. 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.

  5. 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

  6. 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

  7. 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.

  8. 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

    2016-06-14

    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.

  9. Prevalence of signs and symptoms of temporomandibular disorders (TMD) in patients wearing bimaxillary complete dentures, removable partial dentures and in students with natural dentition.

    PubMed

    Bordin, Thaisa B; Conci, Ricardo A; Pezzini, Maristela M G; Pezzini, Rolando P; Mendonça, Márcio J

    2013-01-01

    Temporomandibular Disorder (TMD) has attained a prominent role within the context of dental care due to its high prevalence. The aim of this study was to evaluate the prevalence of signs and symptoms of TMD in students at the State University of West of Paraná (UNIOESTE) with natural dentition, and in patients with removable partial dentures and double complete dentures. A total of 210 randomly selected individuals of both genders were evaluated, being divided into three groups: seventy students at the UNIOESTE with natural dentition (Group 1), seventy patients with removable partial dentures (Group 2) and seventy patients with bimaxillary complete dentures (Group 3). The data were collected by a single examiner using the American Academy of Orofacial Pain questionnaire for triage, where a single affirmative response to any of the situations mentioned was enough to carry out clinical evaluation. Kolmogorov Smirnov, Mann Whitney, Chi-Square, ANOVA and Tukey's statistical tests were performed. The most prevalent signs and symptoms of TMD in Group 1 were pain or difficulty in chewing or talking, perception of recent change in bite and deviations during the course of mandibular movements. In Group 2 they were perceptions of recent changes in the bite, deflections in the mandibular movements, presence of joint sounds, pain during excursive movements and muscle tenderness. The most prevalent signs and symptoms in Group 3 were limited to mouth opening and poor stability and retention of at least one of the prostheses. Group 3 also reported having received treatment for headaches or facial pain with a high prevalence. Group 2 had the highest prevalence of signs and symptoms. Prevalence was similar in Groups 1 and 3.

  10. 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.

  11. 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.

  12. 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

  13. 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.

  14. 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

  15. A critically appraised topic review of computer-aided design/computer-aided machining of removable partial denture frameworks.

    PubMed

    Lang, Lisa A; Tulunoglu, Ibrahim

    2014-01-01

    A critically appraised topic (CAT) review is presented about the use of computer-aided design (CAD)/computer-aided machining (CAM) removable partial denture (RPD) frameworks. A systematic search of the literature supporting CAD/CAM RPD systems revealed no randomized clinical trials, hence the CAT review was performed. A PubMed search yielded 9 articles meeting the inclusion criteria. Each article was characterized by study design and level of evidence. No clinical outcomes research has been published on the use of CAD/CAM RPDs. Low levels of evidence were found in the available literature. Clinical research studies are needed to determine the efficacy of this treatment modality.

  16. Titanium for removable dentures. I. Laboratory procedures.

    PubMed

    Mori, T; Togaya, T; Jean-Louis, M; Yabugami, M

    1997-05-01

    To test the hypothesis that titanium (Ti) removable partial dentures (RPDs) would function for a period of at least 2 years without failure, 10 patients were selected to receive dentures made from Ti and Co-Cr. The Ti RPDs were constructed identically to conventional cobalt-chromium (Co-Cr) dentures. Five complete Ti dentures were also included and the laboratory procedures involved for making both complete and partial dentures were evaluated. The detection of internal defects by radiography made the screening of Ti castings possible and led to a rejection of specimens showing porosities of more than 0.5 mm in flexible members. Co-Cr frames on the other hand cannot be screened in this way. The success rate in the casting of Ti was 60% for both partial and complete dentures, but as casting technology has since improved, the rate is expected to be higher, particularly where complete denture palates have optimum thickness. The success rate in the casting of Co-Cr RPDs was 100% without radiographic screening. The weight difference between Ti and Co-Cr RPDs was in the range of 1.3 to 3.9 g at issue and is generally higher as the volume of denture frames increases. A large difference would be of clinical significance in maxillary complete dentures. The low density of Ti allows for the adoption of a useful pre-clinical quality-control process using commonly available dental X-ray units. PMID:9183026

  17. A clinical survey of removable partial dentures. --Analysis of follow-up examinations over a sixteen-year period--.

    PubMed

    Nakazawa, I

    1977-03-01

    In order to carry out the proper prosthetic treatment, it is necessary to select the method of treatment on the basis of accurate information concerning the prognosis of the prosthetic appliance. The oral structures are particularly proved to change when partial dentures are being used because the structures of the partial dentures are quite complex and they are easily broken. Therefore, in an attempt to analyze the changes that occur in the oral structures and partial dentures after insertion of the partial dentures, we conducted 3 series of follow-up examinations. The author sent out questionnaires and also conducted follow-up examinations of the patients. A summary of the major findings is as follows: 1) The percentage of those patients who came for their follow-up examinations, using metal based dentures, rose sharply over time. There were only 11.99% of the patients using the metal based dentures at the time the first study was conducted, but this rose to 58.13% at the time of the second study and 73.73% at the time of the third study. 2) The proportion of the patients who had anterior partial dentures declined over time from 9.36% at the time of the first study to 8.74% at the time of the second study and finally to 5.61% at the time of the third study. 3) The proportion of the partial dentures that had fractured was 23.15% at the time of the first study and 16.37% at the time of the second study and 16.67% at the time of the third study. 4) There was a striking difference in the fracture frequency of the acrylic resin based partial dentures and that of the metal based partial dentures. The denture bases of the acrylic resin-based partial dentures fractured about four times as often as those of the metal based partial dentures. 5) In all three studies it was found that about 60% of the caries occuring on the abutment tooth occurred on the edentulous proximal side. 6) Changes in the mucous membrane, such as inflammation or development of ulcers, had occurred

  18. Comparative evaluation of chewing function with removable partial dentures and fixed prostheses supported by the single-crystal sapphire implant in the Kennedy Class II partially edentulous mandible.

    PubMed

    Akagawa, Y; Okane, H; Kondo, N; Tsuga, K; Tsuru, H

    1989-01-01

    Differential chewing function with removable partial dentures (RPDs) and fixed prostheses supported by the single-crystal sapphire implant was evaluated in five subjects with Kennedy Class II partially edentulous mandibles by means of electromyography. Rehabilitation with the single-crystal sapphire implant resulted in regular chewing patterns with a low variation coefficient and higher activity of chewing-side masticatory muscles compared to RPD rehabilitation. This difference in chewing function between the two rehabilitation modalities could be the result of differences in stability of occlusion and neurophysiologic feedback systems.

  19. Veterans Administration Cooperative Dental Implant Study--comparisons between fixed partial dentures supported by blade-vent implants and removable partial dentures. Part IV: Comparisons of patient satisfaction between two treatment modalities.

    PubMed

    Kapur, K K

    1991-10-01

    This study compares treatment assessments made by two groups of patients with Kennedy class I or class II mandibular edentulous conditions, who received either a removable partial denture (RPD) (N = 115) or one or two fixed partial dentures (FPDs), each supported distally by a blade implant (N = 113). Two questionnaires were administered, one at 16 weeks after the implant or RPD insertion and at the 6-month interval and the other at 18, 36, and 60 months. Marked functional improvements were perceived by a large majority of patients in both groups after the insertion of prosthesis. At 6 months, a higher percent of patients with RPDs than those with FPDs found it easy to clean their RPDs and experienced chewing discomfort, restriction of food choices, feeling of insecurity with their RPDs, and difficulty with their pronunciation. The exclusion of assessments by 25 RPD patients, whose treatment was judged to be a failure functionally, made the mean differences between the two treatments statistically significant (p less than 0.05) only for ease of cleaning in favor of the RPD and fewer restrictions of food choices in favor of the FPD group. At 60 months, significant differences between the percents of patients with the most favorable responses occurred for perceptions of eating enjoyment, food particles seldom getting under the removable partial denture, and improvement in social life in favor of the FPD treatment and for the ease of cleaning the removable partial denture in favor of the RPD treatment. The results seem to support superiority of the FPD in terms of patient satisfaction, but not enough to favor this type of prosthesis over the RPD without consideration of other pertinent factors. PMID:1791565

  20. Management of long span partially edentulous maxilla with fixed removable denture prosthesis

    PubMed Central

    Jeyavalan, Mahilan I.; Narasimman, M.; Venkatakrishnan, C. J.; Philip, Jacob M.

    2012-01-01

    Restoration of a long span partially edentulous maxilla with tooth supported prosthesis is challenging because of inherent anatomic limitations and unfavourable biomechanics present after the loss of teeth. A tooth supported fixed-removable prosthesis is a treatment option for restoration of such long span partially edentulous maxillary arches. This prosthesis meets the requirements for esthetics, phonetics, comfort, and hygiene, as well as favourable biomechanical stress distribution to the remaining natural tooth abutments. This article presents a procedure for fabrication of a fixed-removable prosthesis that has cement-retained custom cast bar metal substructure and a ball attachment retained removable superstructure prosthesis. PMID:23293488

  1. Management of long span partially edentulous maxilla with fixed removable denture prosthesis.

    PubMed

    Jeyavalan, Mahilan I; Narasimman, M; Venkatakrishnan, C J; Philip, Jacob M

    2012-07-01

    Restoration of a long span partially edentulous maxilla with tooth supported prosthesis is challenging because of inherent anatomic limitations and unfavourable biomechanics present after the loss of teeth. A tooth supported fixed-removable prosthesis is a treatment option for restoration of such long span partially edentulous maxillary arches. This prosthesis meets the requirements for esthetics, phonetics, comfort, and hygiene, as well as favourable biomechanical stress distribution to the remaining natural tooth abutments. This article presents a procedure for fabrication of a fixed-removable prosthesis that has cement-retained custom cast bar metal substructure and a ball attachment retained removable superstructure prosthesis. PMID:23293488

  2. 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

  3. 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

  4. 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

  5. Restoration of occlusal vertical dimension by means of a silica-coated onlay removable partial denture in conjunction with dentin bonding: a clinical report.

    PubMed

    Trushkowsky, R D; Guiv, B

    1991-09-01

    The prosthesis described in this article allowed restoration of occlusal height by means of an onlay removable partial denture and composite resin bonded veneers. Reasons for its selection are: 1. It is a reversible procedure. 2. The patient can easily clean any plaque accumulation due to supragingival margins. 3. The cost to the patient was much lower than that of a fixed prostheses. 4. Chair time is less than with a fixed prosthesis. 5. Tooth structure remains relatively unaltered except for recontouring prior to onlay construction. 6. Repairs are easily done. 7. The onlays of the removable partial denture transfer the occlusal load on the abutment teeth along their long axes. 8. The procedure is less stressful and fatiguing to the patient than that involving a fixed prosthesis.

  6. 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

  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.

  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. 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.

  10. 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

  11. 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

  12. [Removal of fixed partial dentures without destruction, our experience with the KaVo CORONAflex crown removing instrument].

    PubMed

    Bertold, Molnár; Endre, Somogyi; Pál, Fejérdy

    2006-12-01

    Removal of fixed, cemented restorations is a great challenge for dental practitioner in the everyday activity. After all, prosthodontic textbooks cover only briefly the destructive methods of fixed restoration's removal and does not deal with other techniques. In many cases--i.e. at fracture of porcelain that can not be repaired in the mouth, or loosening of one anchor in a multi-unit bridgework--it would be necessary to remove the bridge without destruction. Only few literature data is available on this topic. From 1998 we have made an attempt with the KaVo CORONAflex instrument to remove various types of fixed restorations without destruction. The indication of removal, the material of the bridge, location of abutment teeth in the dental arch and success of the removal were documented in each cases. From the 81 fixed prostheses 61 were successfully removed without any destruction. Sixty two of the restorations were porcelain fused to metal; 19 of them were cast restorations with acrylic resin facing (single crowns or bridges). In most of the cases the removal of the fixed prostheses was successful without any damage, and consequently remaking of the restorations was not necessary. In this way the additional stresses associated with the patients' dental treatment could be avoided and also time and dental as well as laboratory fees could be spared.

  13. Flexible, removable partial denture for a patient with systemic sclerosis (scleroderma) and microstomia: a clinical report and a three-year follow-up.

    PubMed

    Samet, Nachum; Tau, Shmuel; Findler, Michael; Susarla, Srinivas M; Findler, Mordechai

    2007-01-01

    This article describes an optional mode of treatment for a partially edentulous patient with severe microstomia, severe changes to the intraoral soft tissues, and compromised hand function. The principles discussed in this article describe a patient with systemic sclerosis but are applicable to any patient who suffers from scarring in the oral and facial areas due to disease, trauma, or burning injuries. Since dental implants were contraindicated, it was determined that long-term comfort and function could be achieved only through the use of a removable partial denture (RPD). A Valplast flexible RPD was used because of its unique characteristics and a specially designed folded custom impression tray was used to obtain an accurate impression of hard and soft tissues. This article describes the complete process and management of the patient's needs, focusing on the decision-making process for the chosen treatment plan, the special impression technique, and the completion of the RPD. PMID:18050582

  14. Failing four-unit maxillary fixed partial denture: part 2.

    PubMed

    Vailati, Francesca

    2006-08-01

    In this two-part treatment planning series, the case of a 54-year-old woman with a failing four-unit fixed partial denture (FPD) is presented. Part 1 presented pretreatment strategies, occlusal and periodontal status, and the advantages and disadvantages of three treatment options: removable partial denture, tooth-supported FPD, and implant-supported FPD. In this follow-up article, the treatment selected for the case is revealed, and the rationale--including indications and contraindications for the different treatment options--is discussed. The treatment sequence is then outlined, and the final outcome is presented.

  15. 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

  16. 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.

  17. [Fiber-reinforced adhesive partial dentures].

    PubMed

    Kreulen, C M

    2003-06-01

    Dental applications of fiber-reinforced polymers include adhesive partial dentures. Dental resin composite materials can be reinforced by several types of fibres. Fiber orientation, proper wetting of the fibers by the resin and fiber volume are important. An application of fiber reinforced composites is the composite inlay bridge. This paper deals with some aspects of this type of adhesive partial denture. Advantages include the satisfactory esthetics and the minimally invasive character. Not clear yet is the long-term survival. The adhesive properties of fiber-reinforced adhesive partial dentures require an adaptation of the current dental philosophy, in which direct and indirect restorative techniques can be combined. An increase in knowledge and experience is needed to determine the dental applications. PMID:12852063

  18. A Survey of Removable Partial Denture (RPD) Retentive Elements in Relation to the Type of Edentulism and Abutment Teeth Found in Commercial Laboratories, Athens, Greece

    PubMed Central

    Sotiriou, Michael; Zissis, Alcibiades

    2014-01-01

    Objective The aim of this survey was to record removable partial denture (RPD) retentive elements and abutment teeth in partially edentulous patients, identified in commercial laboratories in Athens, Greece. Material and Methods 628 master casts with the corresponding cast metal frameworks used in the construction of RPDs were evaluated. Casts were photographed to identify the number and position of existing teeth, the partial edentulism class and the retentive elements. Prevalence tables and the x2 test were used for the statistical analysis of the collected data (α=.05). Results There were 276 maxillary (43.9%) and 352 (56.1%) mandibular casts. Maxillary edentulism entailed almost a total absence of right third molars in 96.7% and left third molars 96.0% of casts, with lower rates for the first and second molars. Edentulism in the posterior mandible presented a similar pattern. The most profound findings concerning retentive elements were: 91.9% of the retainers used were clasps and the remaining 8.1% were attachments. Of the clasps used, 48.9% were of the Roach Τ type, a finding more common in Kennedy Class I as compared to other Kennedy Classes (p<0.01). The circumferential clasps accounted for 19.3% of the total clasps used, and it was less frequently presented (8.8%) in Kennedy I Classes (p<0.01). Conclusions Roach clasps were used in the majority of cases whereas RPI clasps and attachments were rarely used.

  19. 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...

  20. 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...

  1. 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...

  2. Denture quality has a minimal effect on health-related quality of life in patients with removable dentures.

    PubMed

    Inoue, M; John, M T; Tsukasaki, H; Furuyama, C; Baba, K

    2011-11-01

    The present study examined the association of denture quality and health-related quality of life (HRQoL) in patients with removable dentures. In a study of 171 consecutive patients with removable partial dentures or complete dentures (mean age: 68·0 ± 9·3 years) at a university-based prosthodontic clinic, dentists rated two aspects of denture quality (stability and aesthetics) using a 100-mm visual analog scale (VAS). HRQoL was evaluated using the mental and physical component summary (MCS and PCS) scores of the Medical Outcomes Study Short-Form 36-Item Health Survey (SF-36). Oral health-related quality of life (OHRQoL) was evaluated using the Oral Health Impact Profile-Japanese version (OHIP-J). The associations among denture quality, OHRQoL, and HRQoL were examined by linear regression models. Bivariable linear regression analyses revealed that denture stability was significantly associated with the SF-36 MCS [regression coefficient = 0·52 for a 10-unit increase in denture stability on a 0-100 VAS, 95% confidence interval (CI): 0·03-1·00, P = 0·04], but not with the PCS (0·11, 95% CI: -0·49 to 0·70). Denture aesthetics was not related to the PCS or the MCS (0·22, 95% CI: -0·44 to 0·88 or 0·07, 95%CI: -0·47 to 0·62). When OHIP-J was added to the regression model, this variable was substantially and significantly associated with the MCS and PCS summary scores; in addition, the regression coefficient for denture quality decreased in magnitude and was statistically nonsignificant in all analyses. The quality of removable dentures had a minimal effect on HRQoL in patients with removable dentures, and this association was mediated by OHRQoL.

  3. 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.

  4. 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.

  5. 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

  6. 21 CFR 872.3600 - Partially fabricated denture kit.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Partially fabricated denture kit. 872.3600 Section 872.3600 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3600 Partially fabricated denture kit....

  7. 21 CFR 872.3600 - Partially fabricated denture kit.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Partially fabricated denture kit. 872.3600 Section 872.3600 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3600 Partially fabricated denture kit....

  8. Prosthetic rehabilitation of hypophosphatasia with precision attachment retained unconventional partial denture: a case report.

    PubMed

    Suvarna, Gayatri Sheena; Nadiger, Ramesh Khandurao; Guttal, Satyabodh Shesharaj; Shetty, Omkar

    2014-12-01

    Deficiency of the alkaline phosphatase isoenzyme can lead to a rare hereditary disorder called Hypophosphatasia. It is characterized by defective mineralization of the skeletal and dental structures of the body. Hypophophatasia is classified into six clinical forms namely, perinatal lethal, perinatal benign, infantile, childhood, adult and odontohypophosphatasia. This clinical report describes the prosthetic rehabilitation of an 18-year-old girl with Hypophosphatasia with partial anodontia and no occlusion. A precision attachment retained unconventional removable partial denture in the maxillary arch and conventional removable partial denture in the mandibular were fabricated to establish an acceptable masticatory function, speech, occlusion and aesthetics for the patient.

  9. [Complete removable dentures and prognathism].

    PubMed

    Postaire, M; Raux, D

    1991-06-01

    Further to some reminders concerning terminology and resorption, this article presents the full denture prosthetic treatment for two patients with total edentation and a prognathic malocclusion. The first case presents a tridimensional symptomatology, described by: a progeny; a voluminous mandibular terrain; a concave profile; a rather closed mandibular angle; a mandible ridge which circumscribes the upper jaw; The particularities of the prosthetic treatment in this case are: a lowering of the posterior occlusal plane; a mounting of the teeth in a limited external position, that is to say, the maxillary lingual cuspids and the mandibular mesio-distal groove on the inter-crest line; the mandibular incisors and cuspids placed with a lingual inclination to obtain an edge-to-edge occlusal contact. The second case is of vertical symptomatology type, described by: a macrogeny; a moderate concavity of the profile; a very marked increase of the vertical dimension; an open mandibular angle; a short ramus; a long mandibule; a very marked overjet between the anterior crests. The particularities of the prosthetic treatment for this case are: a posterior teeth placement, avoiding cross-bite position, taken into account the strong convergence of the intercrest lines; a strong lingual inclination of the mandibular incisors and cuspids, in order to obtain an edge-to-edge occlusal contact. In the light of these two specific cases, emphasis is placed on the particularities of the treatment and on the teeth placement proposed in order to avoid any cross-bite teeth mounting.

  10. Endoscopic Removal of Ingested Dentures and Dental Instruments: A Retrospective Analysis

    PubMed Central

    Takahashi, Kazuya; Tominaga, Kentaro; Nishigaki, Yuki; Sato, Hiroki; Ikarashi, Satoshi; Hayashi, Kazunao; Yamamoto, Takashi; Honda, Yutaka; Hashimoto, Satoru; Kamimura, Kenya; Takeuchi, Manabu; Yokoyama, Junji; Sato, Yuichi; Kobayashi, Masaaki; Terai, Shuji

    2016-01-01

    Background. Dentures and dental instruments are frequently encountered ingested foreign bodies. The aim of the present study was to assess the safety and efficacy of endoscopically removing ingested dental objects. Methods. Twenty-nine consecutive patients with 29 dental objects who were treated at the Niigata University Medical and Dental Hospital from August 2009 to December 2015 were retrospectively reviewed. Characteristics of the patients and the ingested dental objects, the clinical features and findings of radiological imaging tests, and outcomes of endoscopic removal were analyzed. Results. Patients' mean age was 62.9 ± 21.0 years. The ingested dental objects included 23 dentures (13 crowns, 4 bridges, 4 partial dentures, and 2 other dentures) and 6 dental instruments. Twenty-seven upper gastrointestinal endoscopies and 2 colonoscopies were performed, and their success rates were 92.6% and 100%, respectively. There were 2 cases of removal failure; one case involved an impacted partial denture in the cervical esophagus, and this case required surgical removal. Conclusions. Endoscopic removal of ingested dentures and dental instruments is associated with a favorable success rate and acceptable complications. The immediate intervention and appropriate selection of devices are essential for managing ingested dental objects. PMID:27738426

  11. Modified soft tissue cast for fixed partial denture: a technique

    PubMed Central

    2011-01-01

    In process of fabrication of a fixed partial denture, dies are trimmed to expose margins of the preparations. The need for the soft tissue cast is quite evident as the soft tissue emergence profile that surrounds the prepared tooth is destroyed in the process of fabrication. This article describes a modified technique to fabricate the soft tissue cast for the conventional fixed partial denture. The impression made with the polyvinylsiloxane was first poured to prepare the die cast. After retrieval of the cast, the same impression was poured second time with the resin based resilient material to cover the facial and proximal gingival areas. The remaining portion of the impression was poured with the gypsum material. This technique does not require additional clinical appointment, second impression procedure, technique sensitive manipulations with impression, or cumbersome laboratory procedures. The simplicity of this technique facilitates and justifies its routine use in fabrication of the fixed partial denture. PMID:21503191

  12. Classification system for conventional crown and fixed partial denture failures.

    PubMed

    Manappallil, John Joy

    2008-04-01

    The dental literature is replete with reports on the many aspects of failure encountered with traditional fixed prosthodontic treatment, including longitudinal survival studies of crowns and fixed partial dentures and reasons for failures. However, criteria for grading or classifying the type and severity of these failures are inadequate. A classification system for conventional fixed prosthodontic failures based on severity is presented.

  13. 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

  14. 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

  15. 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.

  16. 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

  17. 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

  18. 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

  19. Use of an alternative pontic foundation technique for a fiber-reinforced composite fixed partial denture: a clinical report.

    PubMed

    Ayna, Emrah; Celenk, Sema

    2005-05-01

    This article describes the treatment of a patient for whom a fiber-composite laminate dowel and core and polyethylene fiber were used as a conservative alternative to provide a dowel-and-core and fixed partial denture foundation. The treatment plan included removing the existing restoration on the maxillary right first molar, placing a fiber-reinforced resin dowel and core for retention and reinforcement of the maxillary first premolar, and fabricating a definitive restoration using polyethylene fiber to reinforce the fixed partial denture.

  20. [A modified method for the volumetric modelling of the base for a complete removable denture].

    PubMed

    Savvidi, G L

    1997-01-01

    A modified method of bulky modeling of the basis of a complete removable denture is proposed. The author considers that it will permit forming all the surfaces of the basis for complete removable denture under mastication pressure and with the mouth closed under conditions maximally approximated to those when the denture will be used. PMID:9148514

  1. Conservative inlay fixed partial denture: a clinical and laboratory technique.

    PubMed

    Ajlouni, Raed; Ajlouni, Khaldoun; Oonsombat, Charuphan; Ruder, Gary

    2005-01-01

    Fiber-reinforced composite (FRC) fixed partial dentures (FPDs) offer a clinical alternative for the restoration of single missing teeth and short-span posterior and anterior FPDs. This treatment modality is conservative and cost-efficient. The continuous improvement of adhesives and resin-based composite systems makes this type of restoration successful with good esthetic and functional results. This article reports the case of a patient who received an FRC FPD as a treatment modality and illustrates the clinical procedure as well as a new laboratory technique utilizing a clear matrix for the fabrication of the prosthesis. PMID:16158794

  2. Overlay removable denture for treatment of worn teeth.

    PubMed

    Beyth, Nurit; Tamari, Israel; Buller Sharon, Anat

    2014-01-01

    Rehabilitation of partially edentulous patients with excessively worn dentitions can be challenging. Factors including medical history as well as the cost of the treatment and patient wishes for simpler approaches must be considered. This manuscript describes the use of an overlay partial denture to treat patients with excessive wear of the maxillary teeth. We describe a technique to restore severely worn teeth using heat-cured acrylic as part of a partial or full denture. Minimal preparations of the teeth are required, and the restoration provides protection from further wear, and stabilizes the occlusion. This solution was functionally and esthetically suitable to the patients. The technique can be used in medically complex patients where extractions are contraindicated, such as post radiation therapy or bisphosphonate treatment.

  3. 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 ...

  4. 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

  5. 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

  6. Finite element analysis of fiber-reinforced fixed partial dentures.

    PubMed

    Nakamura, Takashi; Ohyama, Tatsuo; Waki, Tomonori; Kinuta, Soichiro; Wakabayashi, Kazumichi; Takano, Naoki; Yatani, Hirofumi

    2005-06-01

    Two-dimensional finite element models were created for a three-unit posterior fixed partial denture. An experimental resin-impregnated glass fiber was used as the fiber-reinforced composite (FRC) for the framework. The FRC was evaluated using varying combinations of position and thickness, alongside with two types of veneering composite. A load of 50 N simulating bite force was applied at the pontic in a vertical direction. Tensile stress was examined using a finite element analysis program. Model without FRC showed tensile stress concentrations within the veneering composite on the cervical side of the pontic--from the connector area to the bottom of the pontic. Model with FRC at the top of the pontic had almost the same stress distribution as the model without FRC. Models with 0.4-0.8 mm thick FRC positioned at the bottom of the pontic showed maximum tensile stresses reduced by 4-19% within the veneering composite. PMID:16022451

  7. Incorporation of a cast, embossed identification plate into a partial denture framework.

    PubMed

    Matsumura, Hideo; Shimoe, Saiji

    2002-08-01

    This article presents a technique for the fabrication and incorporation of a stable and fireproof identification plate into a cast partial denture framework. Embossing tape is embedded in the wax pattern of the major connector. The resulting casting reproduces the embossed lettering, which is identifiable through the tissue-colored acrylic denture base resin.

  8. 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.

  9. Intraoral Repair of All Ceramic Fixed Partial Denture Utilizing Preimpregnated Fiber Reinforced Composite

    PubMed Central

    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

  10. Biomechanical factors related to occlusal load transfer in removable complete dentures.

    PubMed

    Żmudzki, Jarosław; Chladek, Grzegorz; Kasperski, Jacek

    2015-08-01

    Owing to economic conditions, removable dentures remain popular despite the discomfort and reduced chewing efficiency experienced by most denture wearers. However, there is little evidence to confirm that the level of mucosal load exceeds the pressure pain threshold. This discrepancy stimulated us to review the current state of knowledge on the biomechanics of mastication with complete removable dentures. The loading beneath dentures was analyzed in the context of denture foundation characteristics, salivary lubrication, occlusal forces, and the biomechanics of mastication. The analysis revealed that the interpretation of data collected in vivo is hindered due to the simultaneous overlapping effects of many variables. In turn, problems with determining the pressure beneath a denture and analyzing frictional processes constitute principal limitations of in vitro model studies. Predefined conditions of finite element method simulations should include the effects of oblique mastication forces, simultaneous detachment and sliding of the denture on its foundation, and the stabilizing role of balancing contacts. This review establishes that previous investigations may have failed because of their unsubstantiated assumption that, in a well-working balanced occlusion, force is only exerted perpendicular to the occlusal plane, allowing the denture to sit firmly on its foundation. Recent improvements in the simulation of realistic biomechanical denture behavior raise the possibility of assessing the effects of denture design on the pressures and slides beneath the denture.

  11. Neglected partial denture in the lower oesophagus presenting after 7 days.

    PubMed

    Boopathy, Vinoth; Bakshi, Satvinder Singh; Balasubramanian, Padhmini; Dakshinamoorthy, Suganthy

    2015-09-30

    Accidental ingestion of a denture is an acute emergency, and the denture is usually removed on the same day it is discovered. We present a patient who had a seizure while asleep, during which his denture broke; he accidentally swallowed a major part of it, which had a clasp attached. He was unaware that he had ingested the denture, since he was asymptomatic, but he started developing symptoms after 5 days and presented to us on the eighth day of ingestion. With much difficulty, the impacted section of the denture in the distal oesophagus was removed with the combined effort of flexible endoscopy and a rigid oesophagoscopy. Post-procedure, the patient developed mediastinitis, which was managed conservatively; he is doing well on follow-up.

  12. 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

  13. 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

  14. Adaptation of all-ceramic fixed partial dentures

    PubMed Central

    Borba, Márcia; Cesar, Paulo F.; Griggs, Jason A.; Della Bona, Álvaro

    2011-01-01

    Objectives To measure the marginal and internal fit of three-unit fixed partial dentures (FPDs) using the micro-CT technique, testing the null hypothesis that there is no difference in the adaptation between the ceramic systems studied. Methods Stainless steel models of prepared abutments were fabricated to design the FPDs. Ten FPDs were produced from each framework ceramic (YZ - Vita In-Ceram YZ and IZ - Vita In-Ceram Zirconia) using CEREC inLab according to the manufacturer instructions. All FPDs were veneered using the recommended 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-sections images. Five measuring locations were used as follows: MG – marginal gap; CA - chamfer area; AW - axial wall; AOT - axio-occlusal transition area; OA - occlusal area. The horizontal marginal discrepancy (HMD) was evaluated in another set of images. Results were statistically analyzed using ANOVA and Tukey tests (α=0.05). Results The mean values for MG, CA, AW, OA and HMD were significantly different for all tested groups (p<0.05). IZ exhibited greater mean values than YZ for all measuring locations except for AW and AOT. OA showed the greatest mean gap values for both ceramic systems. MG and AW mean gap values were low for both systems. Significance The ceramic systems evaluated showed different levels of marginal and internal fit, rejecting the study hypothesis. Yet, both ceramic systems showed clinically acceptable marginal and internal fit. PMID:21920595

  15. Scanning electron microscopic examination of different cleaners: surface contaminant removal from dentures.

    PubMed

    Kulak, Y; Arikan, A; Albak, S; Okar, I; Kazazoğlu, E

    1997-03-01

    Dentures were examined by scanning electron microscopy to evaluate removal of surface contaminants. Five complete dentures were obtained during patient appointments. The palatal surface of each denture was divided into eight pieces (1 cm2) then each sample cleaned with Corega, Dentipur, Fittydent, sodium hypochloride, Savlon, Ipanol, brushing methods and one sample was also kept as a control. They were prepared for SEM examination and photographed at x500. One photograph of each sample was evaluated in random order by three judges for a total of 120 observations. Photographs were compared with one of a clean denture sample. Statistical analysis of the results showed that soaking dentures in sodium hypochloride and Savlon removed significantly more contaminants than any of the other methods used in this study.

  16. [Clinical, microbiological and immunological findings in peri-implantitis patients with bar-retained lower removable partial dentures, compared to a healthy control group (12-month-follow-up)].

    PubMed

    Mesmer, Christian; Forster, András; Antal, Márk; Nagy, Katalin

    2012-06-01

    Cause, treatment strategies and prognosis of peri-implantitis is not well understood. The aim of this study was to followup clinical, microbiological and immunological findings in individuals wearing bar-retained lower partial dentures with and without peri-implantitis, pre and post treatment. From the Tuebingen Implant Registry recall program 16 peri-implantitis patients were compared to 16 healthy individuals in a prospective, unblinded study. Peri-implantitis was treated with a single anti-inflammatory therapy according to the CIST protocol while the controls received professional implant cleaning. The following findings were recorded at four time points before treatment (T1) and 30, 90, 360 days post treatment (T2-T4): sulcular fluid flow rate, probing depth, plaque and bleeding index, implant stability (Periotest); sulcular concentrations of interleukin-1 beta, plasminogen activator inhibitor 2, prostaglandin E2, and the sum score of five periodonto-pathogenic bacteria species by PCR (Hain Microldent test). Statistically significant differences between healthy and diseased implants were found for probing depth, bleeding on probing, bacterial load, and implant stability. For the first three, a significant decrease in severity was observed after treatment, but reached initial pre-treatment values within one year. No changes could be observed in the individuals without peri-implantitis. The results of the present study confirm marked differences in peri-implant findings between healthy and diseased sites. They demonstrate that a single anti-inflammatory intervention can initially--but not sustained--reduce probing depth, bleeding on probing, and the total bacterial load as evident from PCR diagnostics. Further immunological diagnostic measures do not seem to provide more information in the patients investigated.

  17. Broncho-Oesophageal Fistula (BOF) Secondary to Missing Partial Denture in an Alcoholic in a Low Resource Country.

    PubMed

    Odigie, Vincent I; Yusufu, Lazarus Md; Abur, Peter; Edaigbini, Sunday A; Dawotola, David A; Mai, Ahmad

    2011-01-01

    The clinical course of a missing partial denture with secondary BOF in an alcoholic is presented. In the index case we report an exceptional clinical course of a patient who did not ascribe his symptoms to his ''missing'' dentures for several years, the odontologist who replaced an unrecovered denture, and the generalist who administered the barium swallow in an unsuspected BOF. Preoperative optimization of the patient was by blenderized local feeds through a feeding tube gastrostomy and by chest physiotherapy. Extraction of the denture and closure of fistula were done through a right thoracotomy. The importance of a high index of clinical suspicion of BOF in a low resource setting to avoid the morbidity and mortality associated with missing dentures is discussed. Odontologists, caregivers and clinicians must educate patients on the hazards of missing dentures and cases of missing / lost dentures should be adequately investigated / explored in the patient's history and clinical assessment before they are replaced. PMID:22043381

  18. Inlay fixed partial denture as a conservative approach for restoring posterior missing teeth: a clinical report.

    PubMed

    Iglesia-Puig, Miguel A; Arellano-Cabornero, Alfonso

    2003-05-01

    Inlay fixed partial dentures luted by use of adhesive procedures offer a clinical alternative for the restoration of single missing posterior teeth. The introduction of ceromers and fiber-reinforced composites and the continuous improvement of adhesive systems and luting agents make this type of restoration possible, offering good aesthetic and functional results. The procedure is minimally invasive and conservative. This clinical report reviews the factors influencing the diagnosis and the clinical indications for an inlay fixed partial denture. In addition, a patient treatment is presented to illustrate the clinical procedures involved.

  19. An overlay partial denture to restore worn mandibular anterior teeth.

    PubMed

    Samant, Asha; DeSciscio, Peter

    2014-01-01

    Restoring worn anterior mandibular teeth is a challenge, especially when teeth are small, esthetics are a concern, the long-term prognosis is questionable, and/or patient finances are an issue. This article describes an alternate treatment for a patient with a collapsed bite, missing posterior mandibular teeth, an ill-fitting complete maxillary denture with poor esthetics, and irregular, worn mandibular anterior teeth.

  20. Partial denture prosthodontic procedures employed by practising graduates of the University of the Witwatersrand, Johannesburg.

    PubMed

    Dullabh, H D; Slabbert, J C; Becker, P J

    1993-03-01

    This study sought answers to the following two questions related to the teaching of partial denture prosthodontics in the Department of Prosthetic Dentistry at the University of the Witwatersrand, Johannesburg (Wits). Firstly, do practising graduates from Wits assiduously apply, or do they perhaps ignore, the concepts, principles, and practices taught to them at undergraduate level? Secondly, is there any merit in providing additional tutorials on partial denture prosthodontics to undergraduate students at Wits? A questionnaire was mailed to dentists who had graduated at Wits between 1979 and 1986. This sample of 302 subjects was divided into two groups: Group I--those who had graduated between 1979 and 1982; Group II--those who had graduated between 1983 and 1986 and had received additional tutorials on partial denture design. The results suggest that a wide gap exists between faculty beliefs about partial denture design and fabrication and the methods used in general dental practice. Moreover, additional tutorials had some effect on the attitudes and practices of the respondents.

  1. 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

  2. Patients' perceptions of esthetics and technical quality in crowns and fixed partial dentures.

    PubMed

    Rimmer, S E; Mellor, A C

    1996-03-01

    To assess patients' perceptions of different types of fixed anterior restorations, their responses to (1) metal-ceramic versus all-ceramic restorations; (2) National Health Service versus private-contract metal-ceramic restorations; and (3) normal versus overbuilt metal-ceramic restorations were compared. More people thought the all-ceramic crowns were more natural and preferred those restorations. More people thought the metal-ceramic fixed partial dentures were more natural, and those were also preferred. For both crowns and fixed partial dentures, respondents thought the private work was more natural looking, but the National Health Service work was preferred for the crowns. Respondents thought the crowns and fixed prostheses with normal margins were of a higher technical standard, and those restorations were preferred. The shade and color of the restorations were the most important factors in the patients' assessments. PMID:9063227

  3. Survey of Impression Materials and Techniques in Fixed Partial Dentures among the Practitioners in India.

    PubMed

    Moldi, Arvind; Gala, Vimal; Puranik, Shivakumar; Karan, Smita; Deshpande, Sumit; Neela, Neelima

    2013-01-01

    Objective. Anecdotal evidence suggests that impression materials and techniques used in general dental practice for fixed partial dentures vary from those taught in dental schools. The aim of this survey was to integrate impression techniques evolved all over the years for fixed partial dentures and to know the techniques and materials which are used in the present day by the practitioners. Materials and Methods. A total of 1000 questionnaires were sent to various practitioners in India, out of which 807 questionnaires were filled. Results. The results showed that 84.8% of prosthodontists (65.56%, urban areas) use elastomeric impression materials as well as irreversible hydrocolloids and 15.2% use irreversible hydrocolloid only. Amongst other practitioners, 55.46% use irreversible hydrocolloid (45%, rural and semiurban areas) and 44.54% use elastomeric impression materials. Elastomeric impression technique practiced most commonly is putty reline with/without spacer (77.2%); other techniques are multiple-mix and monophase techniques. Conclusion. The ideal materials, technique, and armamentarium are required for the long-term success of the treatment for fixed partial denture. Also, if the ideal procedure is not followed, it will lead to a compromised fit of the final prosthesis and failure of the treatment.

  4. Evaluation of a glass-fiber-reinforced, bonded, inlay-supported fixed partial denture--4-year results.

    PubMed

    Jain, Poonam; Cobb, Deborah

    2002-09-01

    Glass-fiber-reinforced composite resin systems may be used as conservative alternatives to conventional fixed partial dentures (FPDs) for the replacement of a single missing tooth. This article describes a clinical technique and 4-year evaluation of an inlay bonded FPD. The patient presented with a missing maxillary right second premolar. A high-caries risk and moderate-to-advanced attachment loss around the abutment teeth, which were clinically stable, were noted. The patient had a strong desire to maintain his remaining dentition. Advantages of supragingival margins and minimal tooth structure removal made the bonded inlay bridge a viable alternative to a conventional FPD for this compromised restorative situation. The clinical performance of this glass-fiber-reinforced resin inlay FPD at the 4-year follow-up is provided. The restoration has served satisfactorily for more than 4 years and holds promise as a conservative, esthetic alternative to the conventional FPD in certain clinical cases.

  5. Broncho-Oesophageal Fistula (BOF) Secondary to Missing Partial Denture in an Alcoholic in a Low Resource Country

    PubMed Central

    Odigie, Vincent I.; Yusufu, Lazarus MD.; Abur, Peter; Edaigbini, Sunday A.; Dawotola, David A.; Mai, Ahmad

    2011-01-01

    The clinical course of a missing partial denture with secondary BOF in an alcoholic is presented. In the index case we report an exceptional clinical course of a patient who did not ascribe his symptoms to his ‘‘missing’’ dentures for several years, the odontologist who replaced an unrecovered denture, and the generalist who administered the barium swallow in an unsuspected BOF. Preoperative optimization of the patient was by blenderized local feeds through a feeding tube gastrostomy and by chest physiotherapy. Extraction of the denture and closure of fistula were done through a right thoracotomy. The importance of a high index of clinical suspicion of BOF in a low resource setting to avoid the morbidity and mortality associated with missing dentures is discussed. Odontologists, caregivers and clinicians must educate patients on the hazards of missing dentures and cases of missing / lost dentures should be adequately investigated / explored in the patient’s history and clinical assessment before they are replaced. PMID:22043381

  6. 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.

  7. Alternative fabrication method for chairside fiber-reinforced composite resin provisional fixed partial dentures.

    PubMed

    Ballo, Ahmed; Vallittu, Pekka

    2011-01-01

    A high level of clinical skill is required for fabricating a provisional fixed partial denture with fiber-reinforced composite resin (FRC) using either the direct or chairside technique. The freehand approach to restoring missing teeth represents a challenge to the clinician, particularly when shaping and finishing a hygienic pontic. This technical report describes a simplified method for chairside fabrication of a fixed dental prosthesis with FRC. It is based on using a translucent template to guide the buildup procedure and to ensure optimal anatomy and function. PMID:21909486

  8. [Removable dentures with implants for edentulous lower jaw].

    PubMed

    Oszlánszky, Judit; Kádár, László; Hermann, Péter; Schmidt, Péter; Gyulai-Gaál, Szabolcs

    2013-09-01

    Fabrication of a complete mandibular denture that offers patient comfort, function, and aesthetics along with stability and acceptable retention remains one of the most challenging procedures in dental practice. Based on a thorough treatment planning and a successful surgical procedure implants have been shown to be reliable abutment for both retention and support of overdentures. During planning important relevant factors must be considered such as old age, systemic diseases, increased financial capability, etc. Implants retained overdentures can be divided into three groups according to the type of support: mucosal, muco-implantal and implantal. Key factors concerning the planning of prosthetic rehabilitation are the number and length of the implants, together with the quality and quantity of the anchoring bone tissue.

  9. 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.

  10. 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.

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

    PubMed Central

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

    2015-01-01

    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

  12. The teaching of fixed partial dentures in undergraduate dental schools in Ireland and the United Kingdom.

    PubMed

    Lynch, C D; Singhrao, H; Addy, L D; Gilmour, A S M

    2010-12-01

    All areas of the practice of dentistry are evolving at a considerable pace. One area in particular which has seen a rapid revolution is the oral rehabilitation of partially dentate adults. The aim of this study was to describe the contemporary teaching of fixed partial dentures (FPDs) in dental schools in Ireland and the United Kingdom. An online questionnaire which sought information in relation to the current teaching of FPDs was developed and distributed to 15 Irish and UK dental schools with undergraduate teaching programmes in Spring 2009. Responses were received from 12 schools (response rate=80%). All schools offer teaching programmes in relation to FPDs. The number of hours devoted to pre-clinical/phantom head teaching of FPDs ranged from 3 to 42h (mean: 16h). The staff/student ratio for pre-clinical teaching courses in FPDs ranged from 1:6 to 1:18 (mode: 1:12). Cantilever resin-retained FPDs were the most popular type of FPD provided clinically (average=0·83 per school; range=1-2). Five schools (42%) report that they have requirements (e.g. targets, quotas, competencies) which students must complete prior to graduation in relation to FPDs. Fixed partial dentures form an important part of the undergraduate teaching programme in UK and Irish dental schools. While this teaching is subjected to contemporary pressures such as lack of curriculum time and a lack of available clinical facilities and teachers, there is evidence that teaching programmes in this area are evolving and are sensitive to current clinical practice trends and evidence-based practice.

  13. Biomechanical Response in Mandibular Bone due to Mastication Loading on 3-Unit Fixed Partial Dentures

    PubMed Central

    Field, Clarice; Li, Qing; Li, Wei; Swain, Michael

    2010-01-01

    An understanding of functional responses in oral bone is a crucial component of dental biomechanics. The purpose of this study was to investigate the potential biological remodelling response during mastication on the mandibular pre- and post-insertion of a fixed partial denture (FPD). A series of three-dimensional (3D) finite element analysis (FEA) models were presented pre- and postextraction to determine the biomechanical responses to masticatory loading in the anterior mandible. Equivalent strains were analysed at lingual/buccal and mesial/distal areas of the premolar to molar region and quantified to anticipate bone remodelling response. Mandibular bone incorporating an FPD experienced substantially greater stress/strain magnitudes than that prior to placement of fixed prosthodontics, which is suggestive of engagements of bone remodelling. The results suggest similar outcomes to those reported clinically. Developing a simulation reflecting the outcomes of restorative treatment can provide meaningful insight into restorative treatment planning, clinical outcomes, and fixed prosthodontics designs. PMID:20981154

  14. Single Tooth Replacement Using InCeram Resin Bonded Fixed Partial Denture: A Clinical Report

    PubMed Central

    Moslehifard, Elnaz; Farid, Farzaneh

    2014-01-01

    This clinical report describes a treatment option for replacement of a missing mandibular anterior tooth using InCeram resin bonded fixed partial denture (RBFPD). The conventional approach for replacing mandibular incisors dictates the placement of either a conventional porcelain-fused-to-metal (PFM) bridge, Maryland bridge, or fiber-reinforced composite veneer bridge and several appearance-related disadvantages have been reported in the use of a prosthesis that incorporates a metal substructure. The InCeram bridge is a minimally invasive restoration and eliminates undesirable incisal graying frequently observed in metal RBFPDs. This method was successfully clinically applied to overcome shortcomings of other approaches that may require a minimal invasive technique to preserve lasting sound tooth structure. PMID:24910683

  15. Biomechanical Response in Mandibular Bone due to Mastication Loading on 3-Unit Fixed Partial Dentures.

    PubMed

    Field, Clarice; Li, Qing; Li, Wei; Swain, Michael

    2010-01-01

    An understanding of functional responses in oral bone is a crucial component of dental biomechanics. The purpose of this study was to investigate the potential biological remodelling response during mastication on the mandibular pre- and post-insertion of a fixed partial denture (FPD). A series of three-dimensional (3D) finite element analysis (FEA) models were presented pre- and postextraction to determine the biomechanical responses to masticatory loading in the anterior mandible. Equivalent strains were analysed at lingual/buccal and mesial/distal areas of the premolar to molar region and quantified to anticipate bone remodelling response. Mandibular bone incorporating an FPD experienced substantially greater stress/strain magnitudes than that prior to placement of fixed prosthodontics, which is suggestive of engagements of bone remodelling. The results suggest similar outcomes to those reported clinically. Developing a simulation reflecting the outcomes of restorative treatment can provide meaningful insight into restorative treatment planning, clinical outcomes, and fixed prosthodontics designs.

  16. Fiber-reinforced composite fixed partial denture to restore missing posterior teeth: a case report.

    PubMed

    Rappelli, Giorgio; Coccia, Erminia

    2005-11-15

    In patients refusing implant surgery for psychological reasons, when minimal tooth reduction is desired, a fiber-reinforced composite inlay fixed partial denture (IFPD) can be used to replace missing teeth. In comparison to other restorative systems this conservative approach carries a lower risk of pulp exposure and/or periodontal inflammation, maintaining the health of supporting tissues. The purpose of this case report is to describe the clinical procedure for fabricating an IFPD with a pre-impregnated glass fiber system and a hybrid composite. Fiber-reinforced composite, in combination with adhesive techniques, appears promising for an IFPD. Further clinical investigation will be required to provide additional information on this technique. PMID:16299619

  17. 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

  18. [Functional state of mastication muscles and of separate factors of oral local immunity during non removable dentures use].

    PubMed

    Kochubeĭnik, A V

    2010-01-01

    There were examined 100 people of the age from 18 to 31 years with intact dentitions and physiological byte (control group) and 65 patients of the age from 19 to 60 years with hard dental tissue defects, one- and two-sided included defects of dentitions requiring in installation of non removable dentures. Significantly different indicators in healthy persons and in persons with periodontal diseases and mastication muscles para-functions and also in patients before and after prosthetic treatment by non removable dentures were found.

  19. Multiple Logistic Regression Analysis of Risk Factors Associated with Denture Plaque and Staining in Chinese Removable Denture Wearers over 40 Years Old in Xi’an – a Cross-Sectional Study

    PubMed Central

    Chai, Zhiguo; Chen, Jihua; Zhang, Shaofeng

    2014-01-01

    Background Removable dentures are subject to plaque and/or staining problems. Denture hygiene habits and risk factors differ among countries and regions. The aims of this study were to assess hygiene habits and denture plaque and staining risk factors in Chinese removable denture wearers aged >40 years in Xi’an through multiple logistic regression analysis (MLRA). Methods Questionnaires were administered to 222 patients whose removable dentures were examined clinically to assess wear status and levels of plaque and staining. Univariate analyses were performed to identify potential risk factors for denture plaque/staining. MLRA was performed to identify significant risk factors. Results Brushing (77.93%) was the most prevalent cleaning method in the present study. Only 16.4% of patients regularly used commercial cleansers. Most (81.08%) patients removed their dentures overnight. MLRA indicated that potential risk factors for denture plaque were the duration of denture use (reference, ≤0.5 years; 2.1–5 years: OR = 4.155, P = 0.001; >5 years: OR = 7.238, P<0.001) and cleaning method (reference, chemical cleanser; running water: OR = 7.081, P = 0.010; brushing: OR = 3.567, P = 0.005). Potential risk factors for denture staining were female gender (OR = 0.377, P = 0.013), smoking (OR = 5.471, P = 0.031), tea consumption (OR = 3.957, P = 0.002), denture scratching (OR = 4.557, P = 0.036), duration of denture use (reference, ≤0.5 years; 2.1–5 years: OR = 7.899, P = 0.001; >5 years: OR = 27.226, P<0.001), and cleaning method (reference, chemical cleanser; running water: OR = 29.184, P<0.001; brushing: OR = 4.236, P = 0.007). Conclusion Denture hygiene habits need further improvement. An understanding of the risk factors for denture plaque and staining may provide the basis for preventive efforts. PMID:24498369

  20. 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

  1. 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

  2. Adhesive placement of a zirconia fixed partial denture to replace a maxillary central incisor: a clinical report.

    PubMed

    Kalogirou, Marietta; Trushkowsky, Richard; Andrade, Jorje; David, Steven

    2011-01-01

    The replacement of a single maxillary incisor is an esthetic challenge. Many options provide various degrees of longevity and ease of fabrication. The introduction of zirconia-supported fixed partial dentures (FPDs) has seen increased use in the last several years. However, abutment preparation guidelines and laboratory fabrication have to adhere to the guidelines established by the manufacturers and clinical researchers. Zirconia FPDs can provide long-term strength and esthetics if they are designed and fabricated appropriately. PMID:21462621

  3. CAD/CAM systems, materials, and clinical guidelines for all-ceramic crowns and fixed partial dentures.

    PubMed

    McLaren, Edward A; Terry, Douglas A

    2002-07-01

    Advances in dental ceramic materials and the development of computer-aided design/computer-aided manufacturing (CAD/CAM) and milling technology have facilitated the development and application of superior dental ceramics. CAD/CAM allows the use of materials that cannot be used with conventional dental processing techniques. This article reviews the main techniques and new materials used in dentistry for CAD/CAM-generated crowns and fixed partial dentures. Also covered are the clinical guidelines for using these systems.

  4. 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.

  5. Fiber-reinforced fixed partial dentures: a preliminary retrospective clinical study.

    PubMed

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

    2006-04-01

    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

  6. 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

  7. 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

  8. 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

  9. 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

  10. 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

  11. 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

  12. Vinyl polysiloxane impression material in removable prosthodontics. Part 2: Immediate denture and reline impressions.

    PubMed

    Cagna, David R; Massad, Joseph J

    2007-09-01

    Accurate impressions are important elements in both the fabrication and maintenance phases of complete denture therapy. For patients possessing nonrestorable, periodontally hopeless residual dentitions, immediate denture therapy is often the treatment of choice. An impression procedure capable of accurately registering functional vestibular anatomy facilitates successful therapy. For complete dentures currently in function, periodic assessment and correction of fit extends long-term prosthesis performance. To maintain optimal tissue-base relationships, use of specialized impressions, and subsequent laboratory reline procedures is often indicated. For both of these impression procedures (ie, immediate denture impressions and denture reline impressions), vinyl polysiloxane (VPS) impression material offers distinct advantages. Part 2 of this article series reports on the use of VPS for immediate denture and reline impression procedures.

  13. Vinyl polysiloxane impression material in removable prosthodontics. Part 2: immediate denture and reline impressions.

    PubMed

    Cagna, David R; Massad, Joseph J

    2009-01-01

    Accurate impressions are important elements in both the fabrication and maintenance phases of complete denture therapy. For patients possessing nonrestorable, periodontally hopeless residual dentitions, immediate denture therapy is often the treatment of choice. An impression procedure capable of accurately registering functional vestibular anatomy facilitates successful therapy. For complete dentures currently in function, periodic assessment and correction of fit extends long-term prosthesis performance. To maintain optimal tissue-base relationships, use of specialized impressions, and subsequent laboratory reline procedures is often indicated. For both of these impression procedures (i.e., immediate denture impressions and denture reline impressions), vinyl polysiloxane (VPS) impression material offers distinct advantages. Part 2 of this article series reports on the use of VPS for immediate denture and reline impression procedures.

  14. 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

  15. The influence of the design of removable dentures on patient's voice quality.

    PubMed

    Broka, Kristine; Vidzis, Aldis; Grigorjevs, Juris; Sokolovs, Janis; Zigurs, Guntis

    2013-01-01

    The main condition for speech intelligibility is the specific anatomical characteristics of the human speech apparatus and harmonious work of all organs in the human vocal apparatus. The voice quality is characterized by speech intelligibility (relationship between the voice pitch, volume, timbre and speech speed). Improper functional quality (related to retention,support, stability), inappropriate design of the prosthetic base and disposition of artificial teeth are the basic reasons for dyslalia - impairment of utterance with abnormality of external speech organs. In the case of dyslalia a patient may suffer from a defective utterance of separate phonemes. When designing removable dental prostheses, it is important to evaluate the disposition of the artifical teeth (taking into account phonetic pronunciation), make a phonetically beneficial construction of the base of the dentures and restore the lost alveolar bone with the basis of removable prostheses. The aim of this study was to review literature on voice quality and the way it can be affected after the insertion of removable dental prostheses and to research the literature describing the ways how voice quality can be improved. The literature reviewed in the paper was retrieved from Science Direct, PubMed, MD Consult, Cochrane Libary databases and dates back to the period from 1990 to 2012.

  16. Photoelastic stress analysis of different designs of cement-retained fixed partial dentures on Morse taper oral implants.

    PubMed

    Menani, Luiz Ricardo; Tiossi, Rodrigo; de Torres, Érica Miranda; Ribeiro, Ricardo Faria; de Almeida, Rossana Pereira

    2011-03-01

    There is no consensus in literature regarding the best plan for prosthetic rehabilitation with partial multiple adjacent implants to minimize stress generated in the bone-implant interface. The aim of this study was to evaluate the biomechanical behavior of cemented fixed partial dentures, splinted and nonsplinted, on Morse taper implants and with different types of coating material (ceramic and resin), using photoelastic stress analysis. A photoelastic model of an interposed edentulous space, missing a second premolar and a first molar, and rehabilitated with 4 different types of cemented crowns and supported by 2 adjacent implants was used. Groups were as follows: UC, splinted ceramic crowns; IC, nonsplinted ceramic crowns; UR, splinted resin crowns; and IR, nonsplinted resin crowns. Different vertical static loading conditions were performed: balanced occlusal load, 10 kgf; simultaneous punctiform load on the implanted premolar and molar, 10 kgf; and alternate punctiform load on the implanted premolar and molar, 5 kgf. Changes in stress distribution were analyzed in a polariscope, and digital photographs were taken of each condition to allow comparison of stress pattern distribution around the implants. Cementation of the fixed partial dentures generated stresses between implants. Splinted restorations distributed the stresses more evenly between the implants than nonsplinted when force was applied. Ceramic restorations presented better distribution of stresses than resin restorations. Based on the results obtained, it was concluded that splinted ceramic restorations promote better stress distribution around osseointegrated implants when compared with nonsplinted crowns; metal-ceramic restorations present less stress concentration and magnitude than metal-plastic restorations.

  17. 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

  18. Denture problems

    MedlinePlus

    ... dentures with plain soap and lukewarm water after eating. Take out your dentures overnight to prevent sores, infections, and inflammation. Keep your dentures in a denture cleaner overnight. Clean, rest, and massage your gums regularly. Rinse daily ...

  19. [The mechanical behavior and biocompatibility of different modern ideas of partial fixed free-end saddle dentures].

    PubMed

    Lubespere, A; Lebig, A; Jourdan, P

    1992-01-01

    This research is aimed to check the mechanical holding and the biocompatibility at various conceptions of removable partial dentures with free saddles, constituted from satellite alloys. As a matter of fact, the duality of the supporting surface in this kind of dental prosthesis sets biological problems, that one must try to sort out in the best way. It consists of three in vitro experimentations to point out the type or the types of framework answering in the best way to biomechanical and biological requirements. The very same equipment has been used on that three experimentations adapting it to the needs. It's "a machine to overdrive", imagined into the building of "L'Ecole supérieure d'Aéronautique de Toulouse"; this machine is made of an electric engine with an axis of rotation, of two speed reducers giving a motion, of one turn by second, of a knee-joint converting a rotary motion to an alternating motion, of a lever-arm enclosing supporting the weights, of a needle with a foam point which secure the saddles or the strategic zones, of two supporting mandibular and maxillary framework resin patterns, and on the areas representing the osteo-mucosa support capped uniformly with a compressible silicone material of on millimetre thick, of one dynamometer and of an accurate comparator to check the strength used, and the displacement tested zones. The first part consists in testing the amplitude of the saddle displacement and the mobilization of strategic joining areas from various frameworks used. So we can infer the impact on the mucosa during the function. That is why six types of frameworks have been achieved in Wironit satellite alloy showing mechanical qualities admitted to be excellent and to be subject to very accurate experiment conditions with 30 Kz strength (Lundeen and Gibbs, 1982). The results are interpreted through the reading of histograms which X-AXIS represent the points where motions have been located and the Y-AXIS represent the motion at 1

  20. 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

  1. Use of a prefabricated fiber-reinforced composite resin framework to provide a provisional fixed partial denture over an integrating implant: a clinical report.

    PubMed

    Meiers, Jonathan C; Freilich, Martin A

    2006-01-01

    The development of fiber-reinforced composites offers new possibilities in minimally invasive tooth replacement approaches. This article describes the use of a prefabricated fiber-reinforced composite resin framework for the chairside fabrication of a provisional fixed partial denture over an integrating implant. The framework fabrication, theory, and a clinical scenario are illustrated. PMID:16399269

  2. Preimpregnated, fiber-reinforced prostheses. Part II. Direct applications: splints and fixed partial dentures.

    PubMed

    Meiers, J C; Duncan, J P; Freilich, M A; Goldberg, A J

    1998-12-01

    This article is the second in a series that describes the development, physical properties, and clinical applications of fiber-reinforced composite materials. The development of fiber-reinforced composite technology has opened new avenues for fabricating direct tooth replacements and splints that are esthetic and simple in design and execution and have the potential for excellent durability. Splinting techniques for hypermobile dentitions or postorthodontic retention and the replacement of anterior and posterior teeth using a groove preparation, a denture tooth, and a fiber-reinforced composite framework will be described.

  3. Comparison of two cleansing pastes for the removal of biofilm from dentures and palatal lesions in patients with atrophic chronic candidiasis.

    PubMed

    Andrucioli, Marcela Cristina Damião; de Macedo, Leandro Dorigan; Panzeri, Heitor; Lara, Elza Helena Guimarães; Paranhos, Helena de Freitas Oliveira

    2004-01-01

    The efficacy of 2 oral hygiene products, an experimental toothpaste specific for complete denture cleansing and a regular standard toothpaste, was compared in terms of denture biofilm removal and cure of palatal lesions in patients with atrophic chronic candidiasis. The degree of correlation between presence of biofilm and mucosa erythema was also evaluated. Twenty-four complete denture wearers (45-80 years old) were divided into 2 groups: experimental paste and standard toothpaste (Sorriso-Kolynos, Brazil). Both groups received soft toothbrushes. The internal surfaces of upper dentures were stained using 1% sodium fluorescein and photographed at a 45 masculine angle at 0, 15, 30 and 60 days. The slides were scanned and the areas of interest (denture total area and biofilm area) were measured (Image Tool software). The degree of erythema was evaluated on slides according to the Prosthesis Tissue Index. There was a significant reduction (1%) in the degree of biofilm (ANOVA/Tukey) between the two initial visits (0 and 15 days) and the two final visits (30 and 60 days), and in the average erythema scores (Kruskal-Wallis) between 0 and 60 days, in both groups. The Mann-Whitney test showed a significant difference (1%) between pastes in terms of biofilm degree, but no difference was found for the erythema score. Correlation values between biofilm and erythema degree were 0.3801 (experimental paste) and (0.3678 (standard toothpaste). We may therefore conclude that the experimental product was efficient for the removal of denture plaque biofilm.

  4. Using a fiber-reinforced composite fixed partial denture to restore a missing posterior tooth: a case report.

    PubMed

    Soares, Carlos Jose; Barreto, Bruno Castro Ferreira; Santos-Filho, Paulo Cesar de Freitas; Raposo, Luis Henrique de Araujo; Martins, Luis Roberto Marcondes

    2013-01-01

    With the advent of new adhesive technologies, fiber-reinforced composite fixed partial dentures (FRC-FPDs) have become an inexpensive, esthetic and useful restorative option for patients missing a single tooth. This article describes a case involving an inlay-retained FRC-FPD with a prefabricated fiber-reinforced pontic substructure. In addition, a 6-year follow-up is presented. The FRC-FPD fully restored the single missing molar with simple and conservative intracoronal preparations in the proximal teeth and was deemed clinically acceptable after the evaluation period. The clinical procedures to build a FRC-FPD with a prefabricated fiber-reinforced pontic substructure typically are finished by the clinician in 1 or 2 visits without laboratory assistance, making it a viable alternative for patients who cannot afford implant-based treatment or a conventional metal-ceramic FPD. PMID:23649577

  5. Using a fiber-reinforced composite fixed partial denture to restore a missing posterior tooth: a case report.

    PubMed

    Soares, Carlos Jose; Barreto, Bruno Castro Ferreira; Santos-Filho, Paulo Cesar de Freitas; Raposo, Luis Henrique de Araujo; Martins, Luis Roberto Marcondes

    2013-01-01

    With the advent of new adhesive technologies, fiber-reinforced composite fixed partial dentures (FRC-FPDs) have become an inexpensive, esthetic and useful restorative option for patients missing a single tooth. This article describes a case involving an inlay-retained FRC-FPD with a prefabricated fiber-reinforced pontic substructure. In addition, a 6-year follow-up is presented. The FRC-FPD fully restored the single missing molar with simple and conservative intracoronal preparations in the proximal teeth and was deemed clinically acceptable after the evaluation period. The clinical procedures to build a FRC-FPD with a prefabricated fiber-reinforced pontic substructure typically are finished by the clinician in 1 or 2 visits without laboratory assistance, making it a viable alternative for patients who cannot afford implant-based treatment or a conventional metal-ceramic FPD.

  6. 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

  7. 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

  8. The relevance of a new generation of monobloc posts and impression copings for implant-supported fixed partial dentures: a 2-year clinical prospective study with the FM-Clip system on EVL implants (SERF).

    PubMed

    Leclercq, Philippe; Zenati, Charlotte; Dohan, David M

    2006-01-01

    The use of monobloc posts for implant-supported fixed partial dentures is interesting for biomechanical and biological reasons, but it suffers from a lack of precision during the impression phase. The use of a new generation of monobloc posts associated with individual impression copings with a piston offers a simple and efficient impression procedure for small and medium implant-supported fixed partial dentures. This article presents the FM-Clip system for EVL implants composed of new straight monobloc posts and small impression copings with a piston for precise impressions and easy production of implant-supported fixed partial dentures.

  9. 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.

  10. In Vitro Assessment of Single-Retainer Tooth-Colored Adhesively Fixed Partial Dentures for Posterior Teeth

    PubMed Central

    Bortolotto, Tissiana; Monaco, Carlo; Onisor, Ioana; Krejci, Ivo

    2010-01-01

    The purpose of this paper was to investigate, by means of marginal adaptation and fracture strength, three different types of single retainer posterior fixed partial dentures (FPDs) for the replacement of a missing premolar. Two-unit cantilever FPDs were fabricated from composite resin, feldspathic porcelain, and fiber-reinforced composite resin. After luting procedures and margin polishing, all specimens were subjected to a Scanning Electron Microscopic marginal evaluation both prior to and after thermomechanical loading with a custom made chewing simulator comprising both thermal and mechanical loads. The results indicated that the highest score of marginal adaptation, that is, the closest score to 100% of continuous margins, at the tooth-composite resin interface was attained by the feldspathic porcelain group (88.1% median), followed by the fiber-reinforced composite resin group (78.9% median). The worse results were observed in the composite resin group (58.05% median). Fracture strength was higher in feldspathic porcelain (196N median) when compared to resin composite (114.9 N median). All the fixed prostheses made of fiber-reinforced composite resin detached from the abutment teeth before fracturing, suggesting that the adhesive surface's retainer should be increased. PMID:20652071

  11. 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

  12. Integrating fixed and removable provisional restorations.

    PubMed

    Curtis, S R

    1993-10-01

    When both fixed and removable components are required, provisional restorations can be difficult. This article describes a technique where provisional restoration "shells" are made with a plastic stent of the diagnostic wax-up on lightly prepared teeth of a diagnostic cast. An acrylic removable partial denture is then waxed to the shells. The shells are relined intraorally after tooth preparation with the partial denture in place.

  13. 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

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

    PubMed

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

    2015-09-01

    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.

  15. Epidemiology and etiology of denture stomatitis.

    PubMed

    Gendreau, Linda; Loewy, Zvi G

    2011-06-01

    Denture stomatitis, a common disorder affecting denture wearers, is characterized as inflammation and erythema of the oral mucosal areas covered by the denture. Despite its commonality, the etiology of denture stomatitis is not completely understood. A search of the literature was conducted in the PubMed electronic database (through November 2009) to identify relevant articles for inclusion in a review updating information on the epidemiology and etiology of denture stomatitis and the potential role of denture materials in this disorder. Epidemiological studies report prevalence of denture stomatitis among denture wearers to range from 15% to over 70%. Studies have been conducted among various population samples, and this appears to influence prevalence rates. In general, where reported, incidence of denture stomatitis is higher among elderly denture users and among women. Etiological factors include poor denture hygiene, continual and nighttime wearing of removable dentures, accumulation of denture plaque, and bacterial and yeast contamination of denture surface. In addition, poor-fitting dentures can increase mucosal trauma. All of these factors appear to increase the ability of Candida albicans to colonize both the denture and oral mucosal surfaces, where it acts as an opportunistic pathogen. Antifungal treatment can eradicate C. albicans contamination and relieve stomatitis symptoms, but unless dentures are decontaminated and their cleanliness maintained, stomatitis will recur when antifungal therapy is discontinued. New developments related to denture materials are focusing on means to reduce development of adherent biofilms. These may have value in reducing bacterial and yeast colonization, and could lead to reductions in denture stomatitis with appropriate denture hygiene.

  16. Clinical performance of a light-cured denture base material compared to polymethylmethacrylate--a randomized clinical study.

    PubMed

    Gohlke-Wehrße, Hanna-Lena; Giese-Kraft, Katja; Wöstmann, Bernd

    2012-06-01

    The aim of this study was to evaluate the clinical long-term performance of a visible light-cured resin (VLCR) denture base material and to compare it to a well-established polymethylmethacrylate (PMMA)-based denture acrylic in a randomized split-mouth clinical long-term study. One hundred removable partial dentures in 90 patients, with at least two saddles each, were investigated. One saddle was made of VLCR, while the other was made of PMMA at random. Plaque adhesion, tissue reaction, and technical parameters of the dentures were assessed 6, 12, and 18 months after treatment. Statistical analysis was performed using the Wilcoxon rank-sum test. Though VLCR showed higher plaque adhesion than PMMA after 6, 12, and 18 months (p < 0.001), there were no important differences with regard to tissue reaction. Concerning plaque adhesion, surface quality with regard to the lower side, interfaces between denture acrylic and metal and the boundary between denture acrylic and denture tooth PMMA was rated higher than VLCR. The surface quality of the upper side of the denture saddles showed no significant differences (p > 0.05). Neither VLCR nor PMMA showed discoloration at any point in time (p > 0.05). It can be concluded that VLCR is a viable alternative for the production of removable dentures. Especially in patients with hypersensitivities to PMMA, VLCR is particularly suitable for clinical use.

  17. Effectiveness of denture cleanser associated with microwave disinfection and brushing of complete dentures: in vivo study.

    PubMed

    Sesma, Newton; Rocha, Alessandra Lima; Laganá, Dalva Cruz; Costa, Bruno; Morimoto, Susana

    2013-01-01

    Complete dentures acts as a reservoir for microbial colonization, which may lead to systemic infections. Microwave irradiation has been used as an efficient method of denture disinfection. Even though current methods eliminate denture-base microorganisms, a recurrence rate of denture stomatitis (DS) is still observed among denture-wearing patients. It was hypothesized that microwave disinfection kills microorganisms but do not remove dead bacteria from the denture surface. To test this hypothesis, the biofilm found in the dentures of 10 patients with DS was evaluated. In addition, the effects of microwave irradiation plus brushing (MW+B) on the denture biofilm and the combination of denture cleanser with microwave irradiation and brushing (MW+DC+B) for the removal of denture-accumulating microorganisms were investigated. Microbiological data were analyzed statistically by nonparametric analysis (Friedman/Wilcoxon, α=0.05). MW+B and MW+DC+B were effective in reducing the rate of microorganisms (99.2% and 99.5% respectively), but without significant difference between them (p=0.553). However, it was observed that the complete removal of microorganisms from denture surface was only possible when all regimens were combined (MW+DC+B). Microwave irradiation in combination with soaking in denture cleanser and brushing effectively disinfected the dentures and removed denture biofilm.

  18. 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

  19. 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

  20. Three-dimensional finite element analysis of posterior fiber-reinforced composite fixed partial denture Part 2: influence of fiber reinforcement on mesial and distal connectors.

    PubMed

    Aida, Nobuhisa; Shinya, Akikazu; Yokoyama, Daiichiro; Lassila, Lippo V J; Gomi, Harunori; Vallittu, Pekka K; Shinya, Akiyoshi

    2011-01-01

    The aim of this study was to evaluate the influence of connectors under two different loading conditions on displacement and stress distribution generated in isotropic hybrid composite fixed partial denture (C-FPD) and partially anisotropic fiber-reinforced hybrid composite fixed partial denture (FRC-FPD). To this end, two three-dimensional finite element (FE) models of three-unit FPD from mandibular second premolar to mandibular second molar - intended to replace the mandibular first molar - were developed. The two loading conditions employed were a vertical load of 629 N (applied to eight points on the occlusal surface) and a lateral load of 250 N (applied to three points of the pontic). The results suggested that the reinforcing fibers in FRC framework significantly improved the rigidity of the connectors against any twisting and bending moments induced by loading. Consequently, maximum principal stress and displacement generated in the connectors of FRC-FPD were significantly reduced because stresses generated by vertical and lateral loading were transferred to the reinforcing fibers. PMID:21282891

  1. Repeated adjustment of new dentures for dysphagia.

    PubMed

    Hotta, Hiromi; Kanai, Yuki; Yamashita, Shuichiro

    2012-01-01

    When multiple tooth loss causes loss of occlusal-masticatory function, functional recovery is normally obtained with the help of removable dentures. After resection of the jawbone or tongue because of tumors, the movement of the tongue and its surrounding tissues is limited, and patients exhibit a more pronounced loss of chewing and swallowing than that observed in other cases of multiple tooth loss. In such cases, it is necessary to take extra care in determining the position of the mandible, arrangement of artificial teeth, and morphology of the palate. In the present case, the left lower jawbone was resected because of a gingival tumor, and when the new denture was manufactured, the intercuspal position was based on the resting position of the mandible. The stability of the lower complete denture was a priority and the artificial teeth were partially arranged on the lingual side. The new denture, however, caused insufficient closing of the mouth aperture and insufficient impact between tongue and palate, resulting in dysphagia. Therefore, the vertical dimension of occlusion was reduced multiple times to improve chewing and swallowing function.

  2. 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

  3. Partial nitrification for nitrogen removal from sanitary landfill leachate.

    PubMed

    Spagni, Alessandro; Psaila, Giuliana; Rizzo, Andrea

    2014-09-19

    Biological nitrogen removal using nitrite as a shortcut has recently been proposed for the treatment of high strength landfill leachate. The aim of this study was to assess the application of the SHARON (Single reactor High activity Ammonium Removal Over Nitrite) process for the partial nitrification of leachate generated in old landfills. Particular attention was given to the start-up phase of the process. This study demonstrated that partial nitrification can be obtained when treating raw leachate after biomass acclimation. Only a fraction (50-70%) of the ammonia present in the leachate can be oxidised due to a limited amount of alkalinity available. Stable nitritation was obtained by applying a hydraulic retention time (HRT) of 4-5 d, which is higher than the values proposed for the effluent of anaerobic digesters. This higher HRT could probably be allowed by the high concentration of free ammonia present in the leachate, which could severely inhibit the growth of nitrite-oxidising bacteria.

  4. Flexible Removable Partial Denture Prosthesis: A Survey of Dentists’ Attitudes and Knowledge in Greece and Croatia

    PubMed Central

    Lagouvardos, Panagiotis; Kranjcic, Josip; Vojvodic, Denis

    2015-01-01

    Purpose The aim of this study was to investigate through a questionnaire the knowledge, attitudes and possible differences in the use of flexible RPDPs among dentists in Greece and Croatia. Material and Methods A questionnaire of 16 questions was originally created in English, translated into Greek and Croatian language following a two way translation and tested for apprehension, precision, clarity and homogeneity by a number of native English speaking Greek and Croatian dentists. Following the necessary corrections, the questionnaires replicated in two online surveys and their addresses with an informed consent were sent by emails to nearly 4000 dentists in each country to participate. Collected data were analyzed by chi-square tests at a= .05 level of significance. Results 378 dentists from Greece and 304 from Croatia participated in the study. 137(36.2%) dentists from Greece and 56(18.4%) from Croatia provided flexible RPDPs to their patients. Statistical analysis for all providers indicated no significant difference between genders (P>.05), significant differences between age groups (P<.01), years of practice (P<.05), specialization (P <.001), and instruction on flexible prostheses (P <.001). The analysis between the two countries showed differences for gender and age groups (P<.01) but no differences between experienced, specialized or instructed groups (P >.05). Conclusion The survey indicated differences between the two countries in the percentages of dentists using, selecting and providing RPDPs for their patients. Practitioners’ age, years in practice and instruction were associated with the provision of the prostheses, while comfort, esthetics and cost were the reasons for deciding to use the flexible RPDPs. Conclusion Although dentists are not educated in their schools about flexible RPDPs, almost a third of them offer this treatment to their patients. Long term success of these devices depends on clinical education, more experience and definitely more research.

  5. Flexible Removable Partial Denture Prosthesis: A Survey of Dentists’ Attitudes and Knowledge in Greece and Croatia

    PubMed Central

    Lagouvardos, Panagiotis; Kranjcic, Josip; Vojvodic, Denis

    2015-01-01

    Purpose The aim of this study was to investigate through a questionnaire the knowledge, attitudes and possible differences in the use of flexible RPDPs among dentists in Greece and Croatia. Material and Methods A questionnaire of 16 questions was originally created in English, translated into Greek and Croatian language following a two way translation and tested for apprehension, precision, clarity and homogeneity by a number of native English speaking Greek and Croatian dentists. Following the necessary corrections, the questionnaires replicated in two online surveys and their addresses with an informed consent were sent by emails to nearly 4000 dentists in each country to participate. Collected data were analyzed by chi-square tests at a= .05 level of significance. Results 378 dentists from Greece and 304 from Croatia participated in the study. 137(36.2%) dentists from Greece and 56(18.4%) from Croatia provided flexible RPDPs to their patients. Statistical analysis for all providers indicated no significant difference between genders (P>.05), significant differences between age groups (P<.01), years of practice (P<.05), specialization (P <.001), and instruction on flexible prostheses (P <.001). The analysis between the two countries showed differences for gender and age groups (P<.01) but no differences between experienced, specialized or instructed groups (P >.05). Conclusion The survey indicated differences between the two countries in the percentages of dentists using, selecting and providing RPDPs for their patients. Practitioners’ age, years in practice and instruction were associated with the provision of the prostheses, while comfort, esthetics and cost were the reasons for deciding to use the flexible RPDPs. Conclusion Although dentists are not educated in their schools about flexible RPDPs, almost a third of them offer this treatment to their patients. Long term success of these devices depends on clinical education, more experience and definitely more research. PMID:27688416

  6. 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

  7. 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

  8. 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

  9. Cell multiplication following partial enzymatic removal of surface coat.

    PubMed

    Wyroba, E

    1978-08-01

    Treatment of Paramecium aurelia with trypsin or pronase (1 mg per 10(5) cells, at 0 to 4 degrees C) partially removes the surface coat and modifies significantly multiplication of cells. The division rate after 24 hours of cultivation is diminished approximately twice in the case of pronase-treated cells and 1.5 for tyrpsin-digested ciliates as compared with the control. On the second day the division rate increases rapidly and number of cell divisions exceeds the values observed in the control. After 72 hours of cultivation the division rate in both untreated and enzyme-treated cells is almost the same. It is concluded that the observed inhibition of cell fission results from the enzymatic removal of the surface coat--the integrity of this surface coat seems to be necessary in the process of cell division. The influence of environmental factors on the rate of growth is presented.

  10. 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

  11. Rehabilitation with implant-retained removable dentures and its effects on perioral aesthetics: a prospective cohort study

    PubMed Central

    Lupi, Saturnino Marco; Cislaghi, Matteo; Rizzo, Silvana; Rodriguez y Baena, Ruggero

    2016-01-01

    Background The onset of perioral wrinkles often prompts patients to request treatment. This aesthetic deterioration linked to aging may be associated with tooth and alveolar bone loss in fully edentulous patients. Purpose To evaluate perioral wrinkles before and after maxillary and mandibular rehabilitation with implant-retained dentures in fully edentulous patients. Methods In this prospective cohort, single-center, blinded study, patients requiring maxillary and mandibular rehabilitation with implant-retained dentures were enrolled. The patients were photographed in the same position before and after oral rehabilitation. Wrinkles were evaluated in the photographs by blinded observers using validated rating scales. The following parameters were analyzed: upper and lower radial lip lines, marionette lines, upper and lower lip fullness, nasolabial folds, corner of the mouth lines, and the labiomental crease. Statistical analysis was performed using the Wilcoxon signed ranks test for paired data, with P<0.05 considered significant. Results Upper and lower implant-retained dentures were applied in 31 patients (15 males; mean ± standard deviation age 62.13±8.69 years, range 47–77 years). The oral rehabilitation procedures significantly improved (P<0.05) the upper and lower radial lip lines, marionette lines, upper and lower lip fullness, the nasolabial folds, and the corner of the mouth lines. Conclusion Maxillary and mandibular rehabilitation with implant-retained dentures in fully edentulous patients improves perioral aesthetics. Patients requiring oral rehabilitation and desiring perioral aesthetic improvement could benefit from treatment with this type of prosthesis. PMID:27757052

  12. An effective technique for denture border evaluation.

    PubMed

    Phoenix, R D; DeFreest, C F

    1997-09-01

    Proper extension and adjustment of denture borders is a critical component in successful removable prosthodontic treatment. Unfortunately, commonly marketed disclosing media may not provide appropriate viscosities for the accurate assessment of denture border extensions. This article provides a technique for the mixing, unit-dose packaging, and utilization of a disclosing medium that is extremely well-suited for denture border applications. The technique employs commonly available materials and compiles with current "unit-dose" guidelines.

  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.

  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.

  15. 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

  16. Effect of proximal contact strength on the three-dimensional displacements of implant-supported cantilever fixed partial dentures under axial loading

    PubMed Central

    Peng, Zhen-zhen; Chen, Xin-min; Wang, Jun; Li, Ai-jie; Xu, Zu-jie

    2013-01-01

    Objective: This study investigated the effect of proximal contact strength on the three-dimensional displacements of cantilever fixed partial denture (CFPD) under vertically concentrated loading with digital laser speckle (DLS) technique. Methods: Fresh mandible of beagle dog was used to establish the implant-supported CFPD for specimen. DLS technique was employed for measuring the three-dimensional displacement of the prosthesis under vertically concentrated loading ranging from 200 to 3 000 g. The effect of the contact tightness on the displacement of CFPD was investigated by means of changing the contact tightness. Results: When an axial concentrated loading was exerted on the pontic of the implant-supported CFPD, the displacement of the CFPD was the greatest. The displacement of the prosthesis decreased with the increase of contact strength. When the contact strength was 0, 0.95, and 3.25 N, the displacement of the buccolingual direction was smaller than that of the mesiodistal direction but greater than that of the occlusogingival direction. When the force on the contact area was 6.50 N, the mesiodistal displacement of the prosthesis was the biggest while the buccolingual displacement was the smallest. Conclusions: The implant-supported CFPD is an effective therapy for fully or partially edentulous patients. The restoration of the contact area and the selection of the appropriate contact strength can reduce the displacement of the CFPD, and get a better stress distribution. The most appropriate force value is 3.25 N in this study. PMID:23733430

  17. Internal characterization of denture base by using acrylic stains and tissue paper.

    PubMed

    Pattanaik, Seema; Pattanaik, Bikash

    2011-09-01

    Characterization of an artificial denture is required to give the denture a more natural appearance. This article describes the laboratory procedures for internal characterization of denture base in a removable prosthesis using acrylic stains and absorbent tissue paper incorporated in the heat cure polymerizing denture base resin at the stage of packing.

  18. [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.

  19. Fracture strength of direct surface-retained fixed partial dentures: effect of fiber reinforcement versus the use of particulate filler composites only.

    PubMed

    Kumbuloglu, Ovul; Ozcan, Mutlu; User, Atilla

    2008-03-01

    This study compared the fracture strengths and analyzed the failure types of direct, surface-retained, anterior fixed-partial-dentures (FPD), reinforced with four types of fiber-reinforced composites (FRC) versus non-fiber-reinforced FPDs made of three particulate filler composites (PFC). To this end, surface-retained anterior FPDs (N = 70, 10 per group) were prepared and divided into seven experimental groups, where Group 1: FRC1 (everStick) + PFC1 (Clearfil Photo Posterior); Group 2: FRC2 (BR 100) + PFC1; Group 3: FRC3 (Interling) + PFC1; Group 4: FRC4 (Ribbond) + PFC1; Group 5: PFC1 only; Group 6: PFC2 only (Sinfony); and Group 7: PFC3 only (Estenia). Fracture strength test was performed after water storage at 37 degrees C for three days (universal testing machine, 1 mm/min). No significant differences were found among the four FRC types veneered with PFC1 (1490 +/- 548--1951 +/- 335 N) (p < 0.05) (ANOVA, Tukey's test). Among all the experimental groups, PFC1 presented a significantly higher mean value (2061 +/- 270 N) than PFC2 (1340 +/- 395 N) (p < 0.05) and all the other FRC-reinforced groups (p < 0.05). Complete pontic fracture was 100% and 70% for PFC2 and PFC3 respectively. PMID:18540392

  20. 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 ...

  1. 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

  2. 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

  3. ALL-CERAMIC AND PORCELAIN-FUSED-TO-METAL FIXED PARTIAL DENTURES: A COMPARATIVE STUDY BY 2D FINITE ELEMENT ANALYSES

    PubMed Central

    Motta, Andréia Barreira; Pereira, Luiz Carlos; da Cunha, Andréia R.C.C

    2007-01-01

    All-ceramic fixed partial dentures (FPDs) have an esthetic approach for oral rehabilitation. However, metal-ceramic FPDs are best indicated in the posterior area where the follow-up studies found a lower failure rate. This 2D finite element study compared the stress distribution on 3-unit all-ceramic and metal-ceramic FPDs and identified the areas of major risk of failure. Three FPD models were designed: (1) metal-ceramic FPD; (2) All-ceramic FPD with the veneering porcelain on the occlusal and cervical surface of the abutment tooth; (3) All-ceramic FPD with the veneering porcelain only on the occlusal surface. A 100 N load was applied in an area of 0.5 mm2 on the working cusps, following these simulations: (1) on the abutment teeth and the pontic; (2) only on the abutment teeth; and (3) only on the pontic. Relative to the maximum stress values found for the physiological load, all-ceramic FPD with only occlusal veneering porcelain produced the lowest stress value (220 MPa), followed by all-ceramic FPD with cervical veneering porcelain (322 MPa) and metal-ceramic FPD (387 MPa). The stress distribution of the load applied on the abutments was significantly better compared to the other two load simulations. The highest principal stress values were low and limited in a small area for the three types of models under this load. When the load was applied on the pontic, the highest stress values appeared on the connector areas between the abutments and pontic. In conclusion, the best stress values and distribution were found for the all-ceramic FPD with the veneering porcelain only on the occlusal surface. However, in under clinical conditions, fatigue conditions and restoration defects must be considered. PMID:19089168

  4. 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

  5. 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

  6. 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

  7. Metal-ceramic screw-retained implant fixed partial denture with intraoral luted framework to improve passive fit.

    PubMed

    Baig, Mirza Rustum; Gunaseelan, Rajan

    2012-04-01

    Passive fit of a long-span screw-retained implant prosthesis is an important criteria for the success of the restoration. This article describes a technique for fabricating a ceramometal implant fixed dental prosthesis (FDP) for a long-span partially edentulous situation by altering the conventional screw-retained design. The possibility of a passive fit is maximized by intraoral luting of the cast frame to milled abutments, and the potential framework distortion during fabrication is compensated to a major extent. Retrievability is ensured by screw retention of the prosthesis to the implants. Compared with conventional porcelain fused to metal screw-retained FDP, this prosthesis is relatively inexpensive to fabricate. PMID:20932151

  8. 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 OTC denture cleanser is a device that consists of material in the form of a powder, tablet, or paste 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, 2014 CFR

    2014-04-01

    ...) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3520 OTC denture cleanser. (a) Identification. An OTC denture cleanser is a device that consists of material in the form of a powder, tablet, or paste that is intended to remove debris from removable prosthetic dental appliances, such as bridges...

  10. 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 OTC denture cleanser is a device that consists of material in the form of a powder, tablet, or paste that is intended to remove debris from removable prosthetic dental appliances, such as bridges...

  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. [Contemporary methods and mobile denture cleansers and theirs significance for older population].

    PubMed

    Strajnić, Ljiljana; Dokić, Miodrag; Vucinić, Predrag

    2011-01-01

    A dramatic increase in the number of people living in their seventies, eighties and nineties is associated with a loss of teeth and the use of mobile dentures. The aim of this paper was to highlight the consequences of poor denture hygiene on oral and general health in vulnerable elderly people, in long-term hospitalized elderly patients and in long-term institutionalized elderly in nursing homes. DENTURE DEPOSITS AND CONSEQUENCES OF POOR DENTURE HYGIENE: The number of bacteria living in the mouth is getting larger after putting denture on. Namely, a small "space" develops between jaw and denture, creating perfect conditions for bacterial growth. Denture becomes a "reservoir" of micro-organisms. Denture deposits such as bacterial plaque, fungi, tartar and remnants could be responsible for stomatitis prothetica, cheilitis angularis, inflammatory fibrous hyperplasia, halitosis (bad breath), dental caries in mobile denture carriers, mucositis and periimplantitis in mobile implant over-dentures carriers, accelerated destruction of denture materials for underlying, such as denture base soft liners, respiratory airways diseases, bacterial endocarditis and gastrointestinal infections. REMOVAL OF DENTURE DEPOSITS: It is recommendable to combine mechanical and chemical denture cleaning. Denture submersion into a commercial cleansing solution for less than one hour is an effective cleaning method. Commercial cleanser: specifically intended for dentures with metal parts should be used for those dentures. Commercial cleansers with a new component of silicon polymer, whose thin layer surrounds all denture surfaces and disables oral bacteria to agglomerate, are effective and useful. Preventive hygienic treatments are very important in hospitals and homes for the aged, bearing in mind that old and ill persons reside here. Those institutions are recommended to get equipped with ultrasound denture cleaners. IMPORTANCE OF WRITTEN BROCHURE ON PROPER DENTURE HYGIENE: Patients should

  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. Complications associated with implant-retained removable prostheses.

    PubMed

    Vahidi, Farhad; Pinto-Sinai, Gitanjali

    2015-01-01

    Implant-supported removable prostheses improve patients' satisfaction with treatment and quality of life. Improvements in the implant's surface and in attachment elements have made this treatment method very successful. However, some biological and mechanical complications remain. Mechanical complications associated with implant-supported overdentures and implant-supported removable partial dentures are loss of retention of attachment systems, the need to replace retention elements and to reline or repair the resin portion of the denture, and implant fracture. Despite their success, implant-supported removable prostheses require periodic maintenance.

  15. 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.

  16. 21 CFR 872.3520 - OTC denture cleanser.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ...) 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...

  17. 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...

  18. Remedy for Repeated Implant Retained Denture Fracture-A Challenging Case Report

    PubMed Central

    Reddy M, Ramu; Metta, Kiran Kumar; Charry N, Sudheer; B, Chittaranjan

    2014-01-01

    The most common site of fracture in a maxillary or a mandibular complete denture is along an anteroposterior line that coincides with the labial notch in in the denture which used to provide the frenum relief. Osseointegrated implants have been a boon to the patients who are completelly edentulous and are not satisfied with the conventional removable complete denture approach.Implant supported dentures have proven to provide superior retention and support for removable complete dentures. Nevertheless, fracture of the denture bases is a common complication of implant-supported mandibular overlay dentures,ecspecially when the artificial denture is opposing natural dentition. This article describes and illustrates a method of reinforcing implant-supported mandibular overdentures to overcome this problem. PMID:25584333

  19. Review of adhesive techniques used in removable prosthodontic practice.

    PubMed

    Shimizu, Hiroshi; Takahashi, Yutaka

    2012-09-01

    There are several benefits in using adhesive technique in removable prosthodontics as well as fixed prosthodontics. Previous studies have examined denture-base surface treatments that improve bond strength between a denture base resin and autopolymerizing repair resin. Dichloromethane and ethyl acetate are organic solvents that swell the denture base surface, thereby permitting diffusion of the acrylic resin. The optimal treatment duration is 5-10 s for dichloromethane and 120 s for ethyl acetate. It was reported that the bond durability of dichloromethane was superiorto that of ethyl acetate. Bonding between metal components and the denture base resin has an important role in the longevity of removable prostheses. The combination of metal conditioners and alumina air-abrasion is effective in fabricating and repairing removable dentures. Acidic monomers (4-META and MDP) are appropriate for base metal alloys, including Co-Cr alloy and titanium alloy, while thione monomers (MTU-6 and VBATDT) are suitable for noble metal alloys such as gold alloy and silver-palladium-copper-gold (Ag-Pd-Cu-Au) alloy. As an alternative to conventional restorations, resin-bonded restorations can provide precisely parallel guide planes with well-made rest seats. Careful consideration should be paid to stabilizing loosened teeth by fixing them with resin-bonded splints or fixed partial dentures. PMID:23047030

  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.

  1. [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

  2. Oral health: dentures and dental implants.

    PubMed

    Martonffy, Andrea Ildiko

    2015-01-01

    More than 35 million Americans have lost all of their teeth, and 178 million are missing at least one tooth. Left unmanaged, tooth loss, or edentulism, can lead to nutritional deficiencies, oral pain, and poor psychosocial functioning. The family physician may be the first clinician to discuss tooth loss as a health concern with the patient. A patient who is interested in replacing missing teeth may be a candidate for dentures, implants, or a combination of these. The patient's preferences, general health, degree of edentulism, ability to follow up regularly, smoking status, and overall oral health should be considered when the prosthodontist makes recommendations for treatment. Smoking can delay tissue healing; therefore, heavy smoking may be a contraindication to implant placement. If a patient chooses dentures, the family physician should perform regular oral examinations, because up to 70% of denture wearers are affected by denture stomatitis at some point. Poor fit, poor hygiene, nighttime wearing of removable dentures, and bacterial or candidal infections can all be identified and managed by the family physician. The physician also can reinforce proper wear and care instructions for dentures and proper care of implants.

  3. Replacement of a lost removable partial dental prosthesis using ball-attachment analogs: a clinical report.

    PubMed

    Uludag, Bulent; Sahin, Volkan; Polat, Serdar

    2011-08-01

    Attachment-retained removable partial dental prostheses (RPDPs) may be lost. Although in such situations, the RPDP should be remade, no method has yet been described for replacing lost attachment-retained RPDPs. This report describes a method for fabrication of a replacement for a lost maxillary RPDP using ball-attachment analogs.

  4. Development of a Contemporary Animal Model of Candida albicans-Associated Denture Stomatitis Using a Novel Intraoral Denture System

    PubMed Central

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

    2012-01-01

    Denture stomatitis (DS) is a fungal infection characterized by inflammation of the oral mucosa in direct contact with the denture and affects up to 50% of denture wearers. Despite the prevalence, very little is known about the role of fungal or host factors that contribute to pathogenesis. Recently, we developed a novel intraoral denture system for rodent research. This denture system consists of custom-fitted fixed and removable parts to allow repeated sampling and longitudinal studies. The purpose of this study was to use this denture system to develop a clinically relevant animal model of DS. To establish DS, rats were inoculated with pelleted Candida albicans, which resulted in sustained colonization of the denture and palate for 8 weeks postinoculation. Biofilm formation on the denture was observed by week 4 and on the palate by week 6 postinoculation. Rats were monitored for clinical signs of disease by assigning a clinical score after macroscopic examination of the palate tissue according to Newton's method. By week 4 postinoculation, the majority of inoculated rats with dentures exhibited a clinical score of 1 (pinpoint erythema). By week 6 and week 8 postinoculation, increasing percentages of rats exhibited a clinical score of 2 (diffuse erythema/edema). Histological analysis of palate tissue demonstrated progressively increasing inflammatory cell recruitment throughout the time course of the infection. Palatal biofilm formation was commensurate with development of palatal erythema, which suggests a role for biofilm in the inflammatory response. PMID:22392931

  5. Development of a contemporary animal model of Candida albicans-associated denture stomatitis using a novel intraoral denture system.

    PubMed

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

    2012-05-01

    Denture stomatitis (DS) is a fungal infection characterized by inflammation of the oral mucosa in direct contact with the denture and affects up to 50% of denture wearers. Despite the prevalence, very little is known about the role of fungal or host factors that contribute to pathogenesis. Recently, we developed a novel intraoral denture system for rodent research. This denture system consists of custom-fitted fixed and removable parts to allow repeated sampling and longitudinal studies. The purpose of this study was to use this denture system to develop a clinically relevant animal model of DS. To establish DS, rats were inoculated with pelleted Candida albicans, which resulted in sustained colonization of the denture and palate for 8 weeks postinoculation. Biofilm formation on the denture was observed by week 4 and on the palate by week 6 postinoculation. Rats were monitored for clinical signs of disease by assigning a clinical score after macroscopic examination of the palate tissue according to Newton's method. By week 4 postinoculation, the majority of inoculated rats with dentures exhibited a clinical score of 1 (pinpoint erythema). By week 6 and week 8 postinoculation, increasing percentages of rats exhibited a clinical score of 2 (diffuse erythema/edema). Histological analysis of palate tissue demonstrated progressively increasing inflammatory cell recruitment throughout the time course of the infection. Palatal biofilm formation was commensurate with development of palatal erythema, which suggests a role for biofilm in the inflammatory response.

  6. 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.

  7. [Oral candidiasis and dentures].

    PubMed

    Ahariz, M; Loeb, I; Courtois, P

    2010-04-01

    Yeasts belonging to the Candida genus usually colonize the human oral cavity. Immunocompromised patients or individuals with an imbalance of their oral microflora can develop yeast infections from this reservoir. However, saliva protects oral mucosa against candidosis; in turn, dry mouth is associated with increased yeast counts and candidosis risk. In vivo and in vitro studies have shown Candida incorporation into biofilms covering different biomaterials such as dentures: these biofilms may be an increased risk factor for invasive candidosis when the host immune system is compromised. Daily denture brushing is recommended to all wearers. Family or healthcare workers must take over this task when there is autonomy loss, especially in the elderly. In case of candidosis in denture wearers, decontamination of dentures is mandatory. Antimycotics (azoles, nystatin) must be kept for curative treatments of infected patients; they are less active against Candida biofilms on dentures and could lead to emergent resistance if applied daily to dentures against yeast colonization. There are several antiphlogistic solutions with antifungal properties. Nevertheless, literature data does not integrate all aspects of denture care: welfare of denture wearers, prevention of candidosis, biomaterial defects after decontamination processing, and taking into account possible Candida biofilm development. Daily brushing of dentures remains the key recommendation.

  8. Cast titanium overlay denture for a geriatric patient with a reduced vertical dimension.

    PubMed

    Guttal, Satyabodh; Patil, Narendra P

    2005-12-01

    An older patient reporting to the dental surgery for his/her dental treatment is becoming a common occurrence. Improved oral hygiene has meant that teeth are retained for a longer time, along with the potential problems of attrition, decreased vertical dimension, temporomandibular joint discomfort/strain, and poor aesthetics. The case in question is that of a 65-year-old male patient who had severe attrition in the lower arch, temporomandibular joint pain and reduced vertical dimension. The maxillary arch had previously been restored with a fixed partial prosthesis. For restoration of the lower teeth, a removable cast titanium overlay denture was fabricated incorporating an increased vertical dimension. Porcelain facings were placed to restore the aesthetics of the anterior teeth. The titanium was cast in a semi-automatic electric arc, pressure type casting machine. A titanium overlay denture with porcelain facing on the anterior teeth may provide a means of restoring a patient's concerns regarding aesthetics and function.

  9. [Team communication needed in treatment for denture prosthesis. 1) Opinion from dentist's standpoint].

    PubMed

    Koide, Kaoru; Sekisuke, Miyamoto

    2005-06-01

    The objectives of using a denture to treat a defect are preservation of remaining tissue and improvement in the functional recovery rate. Close cooperation between dentist and dental technician and a shared understanding of fundamental knowledge and technology, from denture design to production, are indispensable in order to successfully achieve a combination of these objectives. Furthermore, accurate communication from dentist to dental technician of all patient information gained from the preoperative examination and necessary for production of the prosthesis is essential for a successful treatment outcome. This information should be shared by both the dentist and the dental technician. It is extremely important to describe this information appropriately and to append other information as needed in order to convey this information from the dentist to the dental technician by means of a dental technician specification. While this exchange of opinions by means of accompanying materials is of course useful in the denture production process, these materials are also valuable for re-evaluating the design of the prosthesis and handling by the technician in case a problem related to preservation of remaining tissue or improvement in the functional recovery rate arises during a subsequent visit by the patient. It is important for the dentist and the dental technician to consider the following six factors using the same criteria when treating a patient using a removable partial denture: (1) minimization of denture movement, (2) occlusion, (3) reduction of burden on the abutment, (4) consideration of periodontal tissue, (5) consideration of sensation, and (6) aesthetic considerations. To that end, the authors have found clinical application of a "design chart" to be useful. PMID:15961912

  10. Prosthodontic Rehabilitation of Hereditary Ectodermal Dysplasia in an 11-Year-Old Patient with Flexible Denture: A Case Report

    PubMed Central

    Jain, Neha; Naitam, Dinesh; Wadkar, Arti; Nemane, Anuradha; Katoch, Shiva; Dewangan, Ashish

    2012-01-01

    Hereditary ectodermal dysplasia is a rare group of inherited disorders characterized by aplasia or dysplasia of two or more tissues of ectodermal origin such as hair, nails, teeth, and skin. The dental characteristics of this syndrome include anodontia or hypodontia of the primary and/or permanent teeth, hypoplastic conical teeth, and underdevelopment of the alveolar ridges. The options for a definitive treatment plan include fixed, removable or implant-supported prostheses, singly or in combination. This clinical report describes the prosthetic rehabilitation of an 11-year-old boy with hereditary ectodermal dysplasia. Maxillary flexible removable partial denture and mandibular conventional complete denture were fabricated to establish an acceptable masticatory function, speech, and esthetics for the patient. PMID:23320200

  11. Complete denture technique using natural anterior teeth.

    PubMed

    Kafandaris, N M; Theodorou, T P

    1975-05-01

    A technique has been described which permits the use of desirable natural anterior teeth in complete dentures (Fig. 3). The main characteristic of this technique is the use of cast copings with dowels to which the natural teeth are attached. The cast copings securely fit the natural teeth to the base of the denture (Fig, 4). The use of NATURAL teeth in a denture may encourage discoloration of fracture. Discoloration of the natural teeth may be prevented by the immediate removal of the pulp tissue, the attentive cleaning of the pulp chamber with normal saline, and the storage of the teeth in an atmosphere of 100 per cent humidity. Adequate vertical and horizontal overlaps insure stability of the denture and suitable protection of the natural teeth from cracknig or curshing during function of the denture. If accidental fracture or discoloration of a natural tooth should occur, ti may be replaced by an acrylic resin tooth duplicated from the natural tooth or by an artifical tooth of proper size and color. PMID:1092840

  12. 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.

  13. Combining fixed and removable restorations with linear occlusion to treat combination syndrome: a clinical report.

    PubMed

    Jameson, W S

    2004-01-01

    Proper treatment sequencing is critical when a patient requires multiple fixed restorations in conjunction with a removable partial and complete denture. The vertical dimension, centric relation, and horizontal occlusal plane must be determined first, followed by a diagnostic wax-up that incorporates linear occlusal concepts to prevent anterior hyperfunction. A more predictable treatment outcome is possible when individual components are defined clearly.

  14. 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

  15. 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.

  16. Management of flabby ridges using liquid supported denture: a case report

    PubMed Central

    Aras, Meena Ajay; Chitre, Vidya

    2011-01-01

    Flabby ridges commonly occur in edentulous patients. Inadequate retention and stability of a complete denture are the often encountered problems in these patients. A liquid supported denture due to its flexible tissue surface allows better distribution of stress and hence provides an alternate treatment modality in such cases. This case report presents the use of a liquid supported denture in a patient with completely edentulous maxillary arch with flabby tissue in anterior region opposing a partially edentulous mandibular arch. PMID:21503193

  17. 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

  18. Partial extracorporeal carbon dioxide removal using a standard continuous renal replacement therapy device: a preliminary study.

    PubMed

    Quintard, Jean-Marie; Barbot, Olivier; Thevenot, Florence; de Matteis, Olivier; Benayoun, Laurent; Leibinger, Frank

    2014-01-01

    To test the feasibility, safety, and efficacy of partial extracorporeal CO2 removal (PECCO2R) using a standard continuous renal replacement (CRRT) device with a pediatric oxygenation membrane introduced into the circuit in a serial manner. In this retrospective single-center study, we have studied mechanically ventilated patients with persistent significant respiratory acidosis and acute renal failure requiring ongoing CRRT. Sixteen patients were treated with our PECCO2R device. PaCO2 and arterial pH were measured before as well as at 6 and 12 hours after PECCO2R implementation. Hemodynamic parameters were continuously monitored. Our PECCO2R system was efficient to significantly reduce PaCO2 and increase arterial pH. The median PaCO2 before treatment was 77 mm Hg (59-112) with a median reduction of 24 mm Hg after 6 hours and 30 mm Hg after 12 hours (31% and 39%, respectively). The median pH increase was 0.16 at 6 hours and 0.23 at 12 hours. Partial extracorporeal CO2 removal treatment had no effect on oxygenation. No complication was observed. Our PECCO2R approach based on the simple introduction of a pediatric extracorporeal membrane oxygenation membrane into the circuit of a standard CRRT device is easy to implement, safe, and efficient to improve respiratory acidosis.

  19. 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.

  20. 42 CFR 440.120 - Prescribed drugs, dentures, prosthetic devices, and eyeglasses.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Prescribed drugs, dentures, prosthetic devices, and... Definitions § 440.120 Prescribed drugs, dentures, prosthetic devices, and eyeglasses. (a) “Prescribed drugs... full or partial set of teeth. (c) “Prosthetic devices” means replacement, corrective, or...

  1. 42 CFR 440.120 - Prescribed drugs, dentures, prosthetic devices, and eyeglasses.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 4 2011-10-01 2011-10-01 false Prescribed drugs, dentures, prosthetic devices, and... Definitions § 440.120 Prescribed drugs, dentures, prosthetic devices, and eyeglasses. (a) “Prescribed drugs... full or partial set of teeth. (c) “Prosthetic devices” means replacement, corrective, or...

  2. 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

  3. Denture labeling: A new approach.

    PubMed

    Bansal, Pardeep K; Sharma, Akshey; Bhanot, Rajesh

    2011-04-01

    The need for denture labeling is important for forensic and social reasons in case patients need to be identified individually. The importance of denture marking has long been acknowledged by the dental profession. Over the years, various denture marking systems have been reported in the literature, but none till date fulfills all the prescribed ADA specifications. A simple, easy, inexpensive procedure for marking accurate identification marks on dentures with a lead foil is described here. The label caring the patient information is incorporated in the acrylic resin during the denture processing.

  4. Ammonium removal by partial nitritation and Anammox processes from wastewater with increased salinity.

    PubMed

    Malovanyy, Andriy; Plaza, Elzbieta; Trela, Jozef; Malovanyy, Myroslav

    2015-01-01

    This work is dedicated to the biological treatment of wastewater with increased salinity using a combination of partial nitritation and Anammox processes. Two one-stage deammonification moving bed biofilm reactors were operated with the increase in NaCl concentration every two weeks by 5 and 2.5 g/L. The strategy with a step of 5 g/L of salinity increase led to complete inhibition of the process at the salinity level of 15 g/L. The strategy with a step of 2.5 g/L gave possibility to adapt bacteria to the elevated salinity. After reaching the salinity level of 10 g NaCl/L, the reactor was operated during 92 days with a nitrogen removal rate of 0.39±0.19 g N/(m2·day) (0.078±0.038 kg N/m3·day) and an average nitrogen removal efficiency of 59%. It was shown that conductivity cannot be used for monitoring the process when a reactor is treating wastewater with increased salinity, whereas pH can be correlated to effluent ammonium concentration regardless of wastewater salinity.

  5. 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.

  6. [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

  7. 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

  8. 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

  9. 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.

  10. Prosthodontic management of segmental mandibulectomy patient with guidance appliance and overlay denture.

    PubMed

    Aruna, U; Thulasingam, C

    2013-12-01

    Patients who undergo segmental or hemi-mandibulectomy suffer from various postoperative problems in esthetics and function. The solution to such problem is providing a mandibular guidance appliance to correct mandibular deviation to resected side due to loss of muscle action on the affected side. This article describes the treatment of a female patient who underwent segmental mandibulectomy on right side secondary to adenoid cystic carcinoma of the base of tongue. An acrylic guidance appliance was constructed to help control the mandibular deviation and co-ordinate masticatory movements. The prosthesis was worn continuously by the patient for 1 month which corrected the occlusion on the left side. To compensate for the open-bite caused due to rotation of mandible following partial mandibulectomy, an overlay removable partial denture was given. The patient was satisfied with the improvement in esthetics and mastication.

  11. Responses of fungal and plant communities to partial humus removal in mid-boreal N-enriched forests.

    PubMed

    Tarvainen, Oili; Hamberg, Leena; Ohenoja, Esteri; Strömmer, Rauni; Markkola, Annamari

    2012-10-15

    Partial removal of the forest humus layer was performed in nitrogen-enriched urban Scots pine forest stands in the northern Finland in order to improve soil conditions for ectomycorrhizal (ECM) fungi, important symbionts of trees. Aboveground part of understory vegetation and the uppermost half of the humus layer were removed (REMOVAL treatment) from sample plots in six urban and eight rural reference forest sites at the beginning of the 2001 growing season. During the seasons 2001-2005, we inventoried sporocarp production of ECM and saprophytic fungi, and in 2003 the recovery of understory vegetation. The REMOVAL treatment resulted in a higher number of fruiting ECM species and sporocarps than controls at the rural, but not at urban sites. The sporocarp number of saprophytic fungi declined in the REMOVAL subplots at the urban sites. The recovery of bryophytes and lichens in the REMOVAL treatment was slow at both the urban and rural sites, whereas Vaccinium dwarf shrub cover, and herb and grass cover returned rapidly at the urban sites. We conclude that the partial vegetation and humus layer removal as a tool to promote the reproduction of ECM fungal species is limited in the boreal urban forests.

  12. Combination of ion exchange and partial nitritation/Anammox process for ammonium removal from mainstream municipal wastewater.

    PubMed

    Malovanyy, Andriy; Plaza, Elzbieta; Trela, Jozef; Malovanyy, Myroslav

    2014-01-01

    In this study, a new technology of nitrogen removal from mainstream municipal wastewater is proposed. It is based on ammonium removal by ion exchange and regeneration of ion exchange material with 10-30 g/L NaCl solution with further nitrogen removal from spent regenerant by partial nitritation/Anammox process. Influence of regenerant strength on performance of ion exchange and biological parts of the proposed technology was evaluated. Moreover, the technology was tested in batch mode using pretreated municipal wastewater, strong acid cation (SAC) resin and partial nitritation/Anammox biomass. It was shown that with ion exchange it is possible to remove 99.9% of ammonium from wastewater while increasing the concentration of ammonium in spent regenerant by 18 times. Up to 95% of nitrogen from spent regenerant, produced by regeneration of SAC resin with 10 g/L NaCl solution, was removed biologically by partial nitritation/Anammox biomass. Moreover, the possibilities of integration of the technology into municipal wastewater treatment technology, and the challenges and advantages are discussed.

  13. Effect of denture adhesive on stability of complete dentures and the masticatory function.

    PubMed

    Hasegawa, Sho; Sekita, Toshiaki; Hayakawa, Iwao

    2003-12-01

    This study examines the effects of denture adhesive on the retention and stability of complete dentures and the masticatory function. The authors estimated the stability of complete dentures from 3-dimensional (3-D) denture movement and rotational denture movement and additionally the masticatory function from cycle time and chewing time. Six edentulous subjects who participated in this study had old and newly fabricated complete dentures. Upper denture movement was recorded using a 3-D motion capture system while chewing 3 kinds of food (peanuts, fish paste, raisins). Both the new and old dentures showed that using a denture adhesive contributes to reducing 3-D denture movement, rotational denture movement and chewing time during chewing the various foods. The cycle time in new and old dentures was statistically unaffected by applying denture adhesive. There was no statistically significant difference in improvement in 3-D denture movement or rotational denture movement between the new and old dentures, for any of the foods. This study observes the overall effect of denture adhesive during use for both dentures. The results of this study suggest that denture adhesive contributes to reducing denture movement and so improves chewing function.

  14. Bonding of acrylic denture teeth to resin denture bases.

    PubMed

    Geerts, G A V M; Stuhlinger, M E

    2012-07-01

    Anterior teeth debonding from dentures is a common problem. This study tested the bond strength of denture teeth to two types of denture resin, with and without grooving the ridge-lap surface. Bond strength and fracture type of three different groups were compared: 1. Teeth bonded to heat-cured polymethyl methacrylate (PMMA); 2. Teeth bonded to pour-type PMMA; 3. Grooved teeth bonded to pour-type PMMA. Specimens were manufactured following ISO standard 22112. Force values at failure were analysed using one-way analysis of variance, using the mixed procedure with confidence interval of 95%. Types of failure were identified as adhesive, cohesive or combination. In descending order, mean failure forces were 418.55N (Group One), 367.55N (Group Two) and 290.05N (Group Three). There was no significant difference between the means of groups 1 and 2 (p = 0.0627). Group Three differed from both other groups (p < 0.001). Groups One and Two showed predominantly cohesive fractures wthin denture teeth (83% and 72% respectively); group Three showed predominantly cohesive fractures within the denture PMMA (75%). Without ridge-lap modification, the bond strengths of denture teeth to pour-type and heat-cured denture resin were similar. Failures were predominantly of cohesive nature within the teeth themselves. Grooving the ridge-lap reduced fracture resistance and led to breakages predominantly in denture PMMA.

  15. [Polyurethane denture base material "Pentalur" and modified polyurethane compositions: comparative study of mechanical properties].

    PubMed

    Al'ter, Iu M; Tkachuk, A-M P; Poiurovskaia, I Ia; Sutugina, T F; Ogorodnikov, M Iu

    2013-01-01

    Results of laboratory tests of polyurethane based material "Pentalur" conducted to determine its mechanical properties proved the material to meet basic requirements for removable dentures materials. The introduction of simple poluethers with certain molecular weight as well as 1,4-butanediol allows varying polyurethane properties in a fairly wide range. This range of polyurethane mechanical properties along with good biocompatibility opens new possibilities in creation of removable dentures with improved functional properties as well as maxillofacial prosthesis.

  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.

  17. 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

  18. 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.

  19. 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%.

  20. 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

  1. [Correlation of psychoemotional status and adaptation to complete dentures].

    PubMed

    Barkan, I Yu; Stafeev, A A; Repin, V S

    2015-01-01

    Patients with full adentia are characterized by the formation of specific psycho-emotional status. Rational psychotherapeutic support of these patients largely determines the efficiency of dental prosthetic treatment. At the same time, the definition of mental and emotional status is not included in the diagnostic examination protocol. Considering the above the purpose of the study was to evaluate mental and emotional status of patients receiving complete dentures. Prosthetic rehabilitation of 30 patients with complete teeth loss was performed and clinical evaluation and evaluation of mental and emotional status were carried out before and after treatment. Patients with negative experiences of prosthetics showed a higher level of personal and situational anxiety. There was correlation of adaptation to removable dentures and the patient's personality traits. It is determined that emotional instability during treatment tends to decrease affecting the timing of adaptation to complete dentures. It is noted that patients with repeated prosthetics have earlier recovery of coordination ability of the masticatory muscles. PMID:26953428

  2. 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

  3. 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.

  4. A Study on Effect of Surface Treatments on the Shear Bond Strength between Composite Resin and Acrylic Resin Denture Teeth.

    PubMed

    Chatterjee, Nirmalya; Gupta, Tapas K; Banerjee, Ardhendu

    2011-03-01

    Visible light-cured composite resins have become popular in prosthetic dentistry for the replacement of fractured/debonded denture teeth, making composite denture teeth on partial denture metal frameworks, esthetic modification of denture teeth to harmonize with the characteristics of adjacent natural teeth, remodelling of worn occlusal surfaces of posterior denture teeth etc. However, the researches published on the bond strength between VLC composite resins and acrylic resin denture teeth is very limited. The purpose of this study is to investigate the effect of five different methods of surface treatments on acrylic resin teeth on the shear bond strength between light activated composite resin and acrylic resin denture teeth. Ninety cylindrical sticks of acrylic resin with denture teeth mounted atop were prepared. Various treatments were done upon the acrylic resin teeth surfaces. The samples were divided into six groups, containing 15 samples each. Over all the treated and untreated surfaces of all groups, light-cured composite resin was applied. The shear strengths were measured in a Universal Testing Machine using a knife-edge shear test. Data were analyzed using one way analysis of variance (ANOVA) and mean values were compared by the F test. Application of bonding agent with prior treatment of methyl methacrylate on the acrylic resin denture teeth resulted in maximum bond strength with composite resin.

  5. 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.

  6. Management of oral candidiasis in denture wearers.

    PubMed

    Hoshi, Noriyuki; Mori, Hiroshi; Taguchi, Hisashi; Taniguchi, Motoe; Aoki, Hiromochi; Sawada, Tomofumi; Kawabata, Masatsuna; Kuwabara, Atsushi; Oono, Akinori; Tanaka, Kinya; Hori, Norio; Toyoda, Minoru; Kimoto, Katsuhiko

    2011-01-01

    In many cases, dentists try to manage denture pain by adjusting dentures. However, some patients complain of oral discomfort over a long period even after appropriate denture adjustments. In some of these situations, simple denture adjustment does not alleviate the discomfort of these patients. It is known that denture stomatitis may occur in response to plaque accumulation on dentures. One of the chief pathogenic microorganisms causing this type of inflammation is Candida albicans. A common symptom of oral candidiasis is pain in the oral mucosa complicated by angular stomatitis. In this paper, we report a case of oral candidiasis that was diagnosed and managed based on the patient's complaints.

  7. Foldable Denture: For Microstomia Patient

    PubMed Central

    Kumar, Sandeep; Arora, Aman; Yadav, Reena

    2012-01-01

    Microstomia may result from surgical treatment of orofacial neoplasms, cleft lips, maxillofacial trauma, burns, radiotherapy, or scleroderma. A maximal oral opening that is smaller than the size of a complete denture can make prosthetic treatment challenging. This clinical paper presents the prosthodontic management of a total edentulous patient with microstomia. Sectional mandibular and maxillary trays and foldable mandibular and maxillary denture were fabricated for the total edentulous patient. PMID:22957279

  8. 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

    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.

  9. 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

  10. 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

    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

  11. Influence of denture plaque biofilm on oral mucosal membrane in patients with chronic obstructive pulmonary disease.

    PubMed

    Przybyłowska, D; Mierzwińska-Nastalska, E; Rubinsztajn, R; Chazan, R; Rolski, D; Swoboda-Kopeć, E

    2015-01-01

    Patients with chronic obstructive pulmonary disease (COPD) have the lower airways colonized with pathogenic bacteria in a stable period of the disease and during exacerbations. The etiology of bacterial exacerbations of COPD depends on the underlying disease, the frequency of exacerbations and antibiotic therapy. Microorganisms can be aspirated off the denture plaque biofilm into the lower respiratory tract and could reduce the patient's immunity and cause pneumonia. COPD patients, who are using acrylic dentures in oral cavity, are exposed to denture stomatitis and oral candidiasis. The aim of this study was to establish the composition of denture plaque biofilm and its impact on the oral mucosa in COPD patients. The study included patients in a stable phase of COPD using removable denture and the control group included healthy wearer's appliances. Examinations concerned the oral mucosal membrane and the hygienic condition of prosthetic restorations. Microbiological examinations were performed by taking a direct swab from the surface of acrylic dentures. Seventeen bacterial and fungal strains were isolated from denture plaque of COPD patients, which could be a reservoir of pathogens in the upper and lower airways. The results showed a greater frequency of prosthetic stomatitis complicated by mucosal infections among COPD patients compared to healthy subjects.

  12. 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.

  13. Fourth-order oriented partial-differential equations for noise removal of two-photon fluorescence images.

    PubMed

    Wang, Yu; Ji, Xiangyang; Dai, Qionghai

    2010-09-01

    We derive the fourth-order oriented partial-differential equations (PDEs) for noise removal of two-photon fluorescence images. We consider it from two aspects: one is based on a variational method; the other is based on controlling the diffusion direction. Our filtering model makes the diffusion along only the special orientation--decided via all the information in the established filtering window, so the edges are protected during filtering. Compared with related PDEs models, our model shows superior performance in terms of both objective criteria and subjective human vision via processing simulated and experimental noisy images.

  14. [Denture stomatitis - definition, etiology, classification and treatment].

    PubMed

    Cubera, Katarzyna

    2013-01-01

    Denture stomatitis pertains to a number of pathological symptoms in the oral cavity caused by wearing acrylic dentures. Etiological factors include: mucosal trauma, fungal infection and accumulation of denture plaque. All of these factors appear to increase the ability of Candida albicans to colonize both the denture and oral mucosal surfaces. Antifungal treatment can eradicate C. albicans contamination and relieve stomatitis symptoms. Early diagnosis of the lesion is essential to assure rational therapy.

  15. 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

  16. 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

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

    PubMed

    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.

  18. 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.

  19. Use of a permanent soft denture liner in the retromylohyoid eminence and knife-edge ridge areas of the mandible to aid in retention and stability.

    PubMed

    Mendez, Maritza; Lee, Christina

    2013-01-01

    Many edentulous patients who wear complete dentures have alveolar ridge resorption. While retention is a concern in both arches, the mandibular arch presents more of a challenge due to less available bone. Mini-implants may not be an option in a case with knife-edge ridges. Lingual undercuts in the posterior mandibular region of the retromylohyoid eminence can be used to increase retention. A permanent soft denture liner is ideal for this application. It is softer than the acrylic denture material that is typically utilized, thus there is less discomfort when the patient inserts or removes the denture. A literature search indicates underutilization or lack of knowledge of this technique. This article presents a case involving a patient who could not tolerate traditional dentures. A silicone-based permanent soft denture liner was placed over the knife-edge ridge and retromylohyoid areas of the mandible.

  20. [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.

  1. A persistent sinus tract from the vagina to the sacrum after treatment of mesh erosion by partial removal of a GORE-TEX soft tissue patch.

    PubMed

    Unger, J B

    1999-09-01

    Mesh erosion is an unfortunate complication of abdominal sacral colpopexy. A sinus tract from the vagina to the sacrum developed in a patient after partial removal of a GORE-TEX Soft Tissue Patch because of mesh erosion. Successful management eventually required complete removal of all GORE-TEX material and resection of the sinus tract. PMID:10486501

  2. Partial removal of brown adipose tissue enhances humoral immunity in warm-acclimated Mongolian gerbils (Meriones unguiculatus).

    PubMed

    Yang, Deng-Bao; Xu, Yan-Chao; Wang, De-Hua

    2012-01-01

    Temperate rodent species experience marked seasonal fluctuations in environmental temperatures. High thermoregulatory demands during winter usually weaken immune function. Brown adipose tissue (BAT) plays a crucial role in adaptive thermoregulatory process. Thus, we proposed the hypothesis that BAT might participate in the regulation of seasonal changes in immune function. The present study examined the trade-off between thermoregulation and immune function and the potential role of BAT in regulating seasonal changes in immune function in Mongolian gerbils. Specifically, surgical removal of interscapular BAT (34% of total BAT) was performed in male gerbils, and subsequently acclimated to either warm (23 ± 1 °C) or cold (4 ± 1 °C) conditions. Gerbils were then challenged with innocuous antigens and the immune responses were measured. Resting metabolic rate (RMR) and nonshivering thermogenesis (NST) were increased under cold conditions. However, the cost of thermoregulation during cold acclimation did not suppress T-cell mediated immunity and humoral immunity or decrease spleen mass, thymus mass and white blood cells. Partial removal of BAT significantly enhanced humoral immunity in warm-acclimated, but not in cold-acclimated gerbils. T-cell mediated immunity, white blood cells and immune organs were not affected by BAT removal under both warm and cold conditions. Collectively, our results imply that BAT has a suppressive effect on humoral immunity in warm-acclimated gerbils and differential effects of BAT on humoral immunity under different temperatures (e.g., summer and winter) might be benefit to their survival.

  3. 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

  4. Implant Supported Distal Extension over Denture Retained by Two Types of Attachments. A Comparative Radiographic Study by Cone Beam Computed Tomography

    PubMed Central

    Mahrous, Ahmed I; Aldawash, Hussien A; Soliman, Tarek A; Banasr, Fahad H; Abdelwahed, Ahmed

    2015-01-01

    Background: This study was conducted to compare and evaluate the effect of two different attachments (locator attachment and ball and socket [B&S] attachment) on implants and natural abutments supporting structures, in cases of limited inter-arch spaces in mandibular Kennedy Class I implant supported removable partial over dentures by measuring the bone height changes through the cone beam radiographic technology. Materials and Methods: Two implants were positioned in the first or second molar area following the two-stage surgical protocol. Two equal groups were divided ten for each: Group I: Sides were the placed implants restored by the locator attachment. Group II: The other sides, implants were restored by B&S attachment. Evaluation of the implants and main abutments supporting structures of each group was done at the time of removable partial over denture insertion, 6, 12 and 18 months by measuring the bone height changes using cone beam computed tomography. Results: Implants with locator attachment showed marginal bone height better effects on implants and main abutments supporting structures. Conclusion: Implants restored by locator attachment shows better effects on bone of both main natural abutments and implant than those restored with ball and socket. PMID:26028894

  5. 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.

  6. 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

  7. Chronic Maxillary Sinusitis Caused by Denture Lining Material.

    PubMed

    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

  8. Effectiveness of two methods of denture sterilization.

    PubMed

    Webb, B C; Thomas, C J; Harty, D W; Willcox, M D

    1998-06-01

    Species of Candida and in particular Candida albicans may be involved in the aetiology of denture stomatitis. Studies have shown that Candida and other oral micro-organisms including Streptococcus gordonii are associated with denture plaque; hence denture hygiene is an important factor in the prevention and treatment of the disease. The aim of this investigation was to test in vitro the efficacy of two methods of denture sterilization: (1) microwave irradiation and (2) sodium hypochlorite soak. Twenty upper acrylic dentures were prepared for microbiological assay; 10 were inoculated with C. albicans H1 and 10 with S. gordonii LGR2. Within each group, five dentures were tested in a domestic microwave oven for optimal exposure time and temperature to ensure sterilization; the five control dentures were not microwaved. Microbiological analyses showed that the inoculated dentures became sterile after six min of irradiation at medium setting (2450 MHz, 350 W). Damage to the microorganisms after microwave irradiation was clearly visible by scanning electron microscopy (SEM). Following the same protocol as above, experimental dentures were soaked for 8 h in either 0.02%, or 0.0125% sodium hypochlorite solution and control dentures soaked in distilled water. Microbiological analyses showed that the experimental dentures inoculated with C. albicans H1 became sterile. By contrast, those inoculated with S. gordonii LGR2 did not become sterile, and the SEM procedures confirmed these findings. The results of this study indicate that microwaving may be a more effective method of denture sterilization than denture soaking in sodium hypochlorite. However, compared with microwaving, hypochlorite reduces the levels of residual non-viable micro-organisms attached to the denture surface. PMID:9687113

  9. 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

  10. 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

  11. Effect of Denture-Related Stomatitis Fluconazole Treatment on Oral Candida albicans Susceptibility Profile and Genotypic Variability.

    PubMed

    Figueiral, Maria Helena; Fonseca, Patrícia; Lopes, Maria Manuel; Pinto, Eugénia; Pereira-Leite, Teresa; Sampaio-Maia, Benedita

    2015-01-01

    Denture-related stomatitis (DRS) is the most common condition affecting removable-denture wearers, and Candida albicans the most frequent pathogenic agent. Systemic antifungal treatment is indicated but recurrences are frequent. The aim of this study was to characterize the oral load, fluconazole susceptibility profile and genotypic variability of oral C. albicans isolates from patients with DRS before (T0), immediately after fluconazole treatment (Tat) and after 6-months follow-up (T6m). Eighteen patients presenting DRS and treated with fluconazole were followed at the Faculty of Dentistry of Oporto University. Seventy C. albicans isolates were obtained and identified using standard cultural and biochemical multi-testing. Fluconazole susceptibility was tested by E-test(®). Microsatellite-primed PCR was performed to assess the genotypic variability of C. albicans isolates. The patients' mean age was 58.0±3.2 years, and 55.6%/44.4% had total/partial dentures. Before treatment, 22.2%, 44.4% and 33.3% of the patients presented DRS type I, II or III, respectively. Fluconazole treatment healed or improved DRS in 77.8% of the patients, accompanied by an 83.5% reduction in oral C. albicans load. However, after 6-months, oral C. albicans load increased significantly and DRS severity was similar to the one observed before treatment. Moreover, the prevalence of patients presenting fluconazole resistant isolates of C. albicans increased significantly throughout the study: T0-5.6%, Tat-10.0% and T6m-42.9%. A change in the genotypic variability of C. albicans isolates was also verified, being mostly associated to fluconazole susceptibility profile change. In conclusion, fluconazole presents a good short-term DRS treatment efficiency, but may be associated to a long-term emergence of C. albicans fluconazole resistance.

  12. Effect of Denture-Related Stomatitis Fluconazole Treatment on Oral Candida albicans Susceptibility Profile and Genotypic Variability

    PubMed Central

    Figueiral, Maria Helena; Fonseca, Patrícia; Lopes, Maria Manuel; Pinto, Eugénia; Pereira-Leite, Teresa; Sampaio-Maia, Benedita

    2015-01-01

    Denture-related stomatitis (DRS) is the most common condition affecting removable-denture wearers, and Candida albicans the most frequent pathogenic agent. Systemic antifungal treatment is indicated but recurrences are frequent. The aim of this study was to characterize the oral load, fluconazole susceptibility profile and genotypic variability of oral C. albicans isolates from patients with DRS before (T0), immediately after fluconazole treatment (Tat) and after 6-months follow-up (T6m). Eighteen patients presenting DRS and treated with fluconazole were followed at the Faculty of Dentistry of Oporto University. Seventy C. albicans isolates were obtained and identified using standard cultural and biochemical multi-testing. Fluconazole susceptibility was tested by E-test®. Microsatellite-primed PCR was performed to assess the genotypic variability of C. albicans isolates. The patients’ mean age was 58.0±3.2 years, and 55.6%/44.4% had total/partial dentures. Before treatment, 22.2%, 44.4% and 33.3% of the patients presented DRS type I, II or III, respectively. Fluconazole treatment healed or improved DRS in 77.8% of the patients, accompanied by an 83.5% reduction in oral C. albicans load. However, after 6-months, oral C. albicans load increased significantly and DRS severity was similar to the one observed before treatment. Moreover, the prevalence of patients presenting fluconazole resistant isolates of C. albicans increased significantly throughout the study: T0-5.6%, Tat-10.0% and T6m-42.9%. A change in the genotypic variability of C. albicans isolates was also verified, being mostly associated to fluconazole susceptibility profile change. In conclusion, fluconazole presents a good short-term DRS treatment efficiency, but may be associated to a long-term emergence of C. albicans fluconazole resistance. PMID:25674171

  13. Invitro Antifungal Evaluation of Denture Soft Liner Incorporated with Tea Tree Oil: A New Therapeutic Approach Towards Denture Stomatitis

    PubMed Central

    Nadendla, Lakshmi Kavitha; Alluri, Leela Subhashini Choudary; Tahseen, Huma; Sajja, Navya Poojitha

    2015-01-01

    Aim Adherence and colonization of candida on denture soft liners is the most important contributing factor in development of denture stomatitis. This invitro study is undertaken to investigate whether the incorporation of tea tree oil into denture soft liners would inhibit the growth of candida albicans. Materials and Methods Each 10 specimen disks incorporated with tea tree oil into soft liners (St) and without tea tree oil (S) were prepared. Both the tea tree oil daily. These disks were inoculated with candida albicans suspension for assessment of fungal growth and were rinsed with sterile water to remove loosely attached surface organisms. The attached yeasts were measured by inoculating them on saboraud’s agar. Treated and control disks were stored in distilled water for 1, 30, 60 days and washed daily with wet cotton. Data between treated and control disks were compared by applying t-test. Results The mean colony forming units (CFU) per mm2 for specimens without tea tree oil after water storage and wash with wet cotton for 1, 30 and 60 days was 7.1 × 106, 6.5 × 106, 6.8 × 106, respectively and for specimens with tea tree oil CFU decreased significantly to 2.1 × 106, 2.8 × 106, 3.1 × 106 after 1, 30 and 60 days. Treated disks were effective in controlling the growth of C.albicans for two months following water storage. Conclusion Addition of tea tree oil to denture soft liner significantly reduced growth of C.albicans suggesting a new form of intra oral effective antifungal management for denture stomatitis. PMID:26266221

  14. Quantification of oxidative metabolism in masseter muscle of denture wearers.

    PubMed

    Fujii, A; Shinogaya, T; Toda, S; Hayakawa, I

    2005-09-01

    This study aimed to quantify oxidative metabolism in masseter muscle using near-infrared spectroscopy, in particular for denture wearers. Fourteen normal dentate subjects without malocclusion (ND group, 25-50 years) participated in the quantification of oxidative metabolism. Eleven partially edentulous patients without occlusal stops (PD group, 64-80 years) and ten edentulous patients (CD group, 57-84 years) also participated after prosthodontic treatment. Oxidative metabolism was recorded during gum chewing, maximum clenching and regulated clenching at 5 kgf. The oxygenated hemoglobin at 5 kgf clenching level was normalized to the oxygenated hemoglobin at the lowest blood flow and expressed as oxygen consumption rate (OCR). The relationship of the OCR to the maximum clenching force was analyzed using Pearson's correlation coefficient, and differences between the PD and CD groups were tested by unpaired Student's t-test. The OCR showed a significant negative correlation with maximum clenching force in the ND group. The OCR of the PD group was significantly greater than that of the CD group, although the difference in maximum clenching force was not significant between both groups. These results suggest that the aerobic ability of masseter muscle in complete denture wearers is relatively greater than in partial denture wearers with same age level.

  15. 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

  16. Implant-supported denture rehabilitation on a hemimandibulectomized patient: a case report

    PubMed Central

    Carini, Fabrizio; Gatti, Giambattista; Saggese, Vito; Monai, Dario; Porcaro, Gianluca

    2012-01-01

    Summary Aim of the study the treatment of oral cancer requires different surgical approaches such as marginal or segmental mandibular resection in order to allow a safe removal of the neoplastic lesion. The aim of this work is to evaluate the efficacy of an implant-supported denture rehabilitation for restoring oral function and facial appearance on a hemimandibulectomized patient. Materials and methods the patient was a 64 years old man, hard smoker and moderate drinker. Due to a jaw neoplastic lesion, he underwent a hemimandibulectomy, followed by the insertion of 4 implant fixtures at the chin cap symphysis site. The denture rehabilitation consisted in an over-denture mounted onto a bar furnished by a condylar eminence in articulation with the glenoid fossa of the upper denture. Results this type of implant-supported denture rehabilitation allows the recovery of the masticatory function and the mandibular reposition with a satisfactory restoration of the proper facial symmetry and appearance. Conclusion in the edentulous patient implant-supported denture with artificial condyle allows the recovery of the masticatory function without the need of additional operations to re-establish the temporomandibular joint anatomy. It is currently considered as a low invasive technique with very low risk of side effects. PMID:23285319

  17. Gingival necrosis due to the ill-fitting denture

    PubMed Central

    Boras, Vucicevic

    2014-01-01

    We present a case of an 80-year-old male who was referred to the Department of Oral Medicine, School of Dental Medicine University of Zagreb, Croatia due to gingival ulcer which was present for eight days. Clinical examination has revealed exposed bone on the toothless alveolar ridge in the lower molar region on the right side of 0.8 cm in diameter. Otherwise, the patient was taking doxazosin due to urinary problems and ipatropium bromide due to respiratory problems. The patient wore a 6-year-old partial lower denture. He was initially treated with periodontal bandage (Resopack, HagenWerken, Germany) for the first three days and was instructed not to wear the denture; however, no benefit could be seen. Therefore, we added a local corticosteroid (betamethasone) and am oral antiseptic (chlorhexidine digluconate) applied three times a day. After 3 weeks the lesion healed. A list of possible causative factors regarding gingival ulcers is included.

  18. [Only a denture sore? Causes of a possible denture sore from a maxillary complete denture].

    PubMed

    Albrecht, Dominic; Regina, Mericske-Stern; Zix, Jorgen

    2010-01-01

    This case presentation documents the treatment sequence of a 74 years old patient who complained about a sore spot of the palatal mucosa underneath the complete denture. The intraoral examination revealed a dark spot, redness and swelling of the mucosa around this spot and halitosis. The mucosa exhibited a perforation of 3 x 10 mm in diameter. A radiographic 3-D picture showed an impacted canine tooth, which was partly covered by the palatal bone. Firstly the denture base was relieved and the swelling gradually disappeared. Then a biopsy was taken for histological analysis to exclude any malignant process. In local anesthesia the tooth was extracted, which exhibited a deep carious lesion of the entire crown. After surgery a visible collapse of the jaw crest was observed. During a period of two months the denture was relined with a soft material to improve its fit and to enhance the healing process. With a final rebasement, the existing denture could be adapted again and the patient continued to wear it. PMID:21043092

  19. 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

  20. Color degradation of acrylic resin denture teeth as a function of liquid diet: ultraviolet-visible reflection analysis.

    PubMed

    Hipólito, Ana Carolina; Barão, Valentim A; Faverani, Leonardo P; Ferreira, Mayara B; Assunção, Wirley G

    2013-10-01

    The effect of different beverages on acrylic resin denture teeth color degradation is evaluated. Ten acrylic resin denture teeth brands were evaluated: Art Plus (AP), Biolux (BX), Biotone IPN (BI), Magister (MG), Mondial 6 (MD), Premium 6 (PR), SR Vivodent PE (SR), Trilux (TR), Trubyte Biotone (TB), and Vipi Dent Plus (VP). Teeth were immersed in staining solutions (coffee, cola, and orange juice) or artificial saliva (control) (n=6) for 1, 7, 15, or 30 days. Specimen colors were evaluated spectrophotometrically based on the Commission Internationale d'Eclairage L*a*b* system. Color differences (ΔE) were calculated between the baseline and post-staining results. Data were evaluated by analysis of variance and Tukey test (α = 0.05). BI (1.82 ± 0.95) and TR (1.78 ± 0.72) teeth exhibited the greatest ΔE values, while BX (0.88 ± 0.43) and MD (1.09 ± 0.44) teeth were the lowest, regardless of solution and measurement period, and were different from BI and TR teeth (P < 0.05). Cola and coffee promoted higher denture teeth color alterations than orange juice and saliva (P < 0.05). Saliva generated the lowest denture teeth color alterations. Greater immersion times caused higher denture teeth color changes. The lifespan of removable dentures and the aesthetic satisfaction of several edentulous patients may be increased with the use of stain-resistant artificial denture teeth.

  1. [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

  2. Individualized impression trays from existing complete dentures.

    PubMed

    McArthur, D R

    1980-11-01

    This technique can be used to avoid the making of preliminary impressions for complete dentures in patients with abnormally small oral openings. With this method, the patient must have existing dentures, and the border extensions must be adequate to serve as individualized impression trays.

  3. Overlay dentures. Philosophy and practice. II.

    PubMed

    Taylor, R L; Duckmanton, N A; Boyks, G

    1976-12-01

    The practical stages in the construction of mandibular overlay dentures, with and without precision attachment anchors, are described and illustrated in detail. The importance of post-insertion maintenance, continuing effective oral hygiene and patient care, as a prerequisite for a successful overlay denture experience, is emphasized.

  4. Digital immediate dentures treatment: A clinical report of two patients.

    PubMed

    Neumeier, Toni Tien; Neumeier, Harold

    2016-09-01

    The use of computer-aided engineering (CAE) and computer-aided design and computer-aided manufacturing (CAD-CAM) technology to fabricate complete dentures was introduced in 2011. Clinical procedures for digital immediate dentures can be identical to those for conventional immediate dentures and can be simplified by leaving all remaining dentition until the time of extraction and denture placement. Through the digital process, a single digital design and a definitive digital record are created which can be used to fabricate the immediate digital denture and surgical reduction guide for alveoloplasty. Digital immediate dentures can be relined using the same process as for conventional dentures. The definitive digital dentures can be fabricated with a reline impression and new centric relation record, using the existing digital immediate denture without additional clinical procedures. Providing patients with digital immediate dentures is a viable trend.

  5. 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

  6. 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

  7. 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).

  8. 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.

  9. Defining the posterior palatal seal on a definitive impression for a maxillary complete denture by using a nonfluid wax addition technique.

    PubMed

    Wicks, Russell; Ahuja, Swati; Jain, Vinay

    2014-12-01

    The posterior palatal seal area is defined as the soft tissue area at or beyond the junction of the hard and soft palates on which pressure within physiologic limits can be applied by a removable complete denture to aid in its retention. The retention of the maxillary denture is affected by the extent and the design of the posterior palatal seal. This article discusses a method of defining the posterior palatal seal on a definitive impression for a maxillary complete denture by using microabrasion and a nonfluid wax addition technique.

  10. Maxillomandibular relationship record for implant complete mouth rehabilitation with elastomeric material and facial surface index of existing denture

    PubMed Central

    Patil, Pravinkumar G.; Nimbalkar-Patil, Smita

    2015-01-01

    Introduction: The maxillomandibular relationship (MMR) record is a critical step to establish the new occlusion in implant supported complete mouth rehabilitation. Using patients existing denture for recording the MMR requires implant definitive cast to be modified extensively to completely seat the denture (with unaltered flanges) on it. This may influence the correct seating of the denture on the implant definitive cast causing faulty recording of the MMR. Materials and Method: Elastomeric record bases, reinforced with the resin framework, are fabricated and relined with the light body elastomeric material when all the healing abutments are in place. The MMR is recorded with these elastomeric record bases using vacuum formed facial surface index of the occluded existing dentures as a guideline. Results: The elastomeric record bases with facial surface index of the existing dentures can allow clinicians to record MMR records without removing the healing abutments from the mouth with acceptable accuracy. This can save chair-side time of the procedure. The record of facial surfaces of existing complete denture in the form of vacuum formed sheet helps to set the occlusal vertical dimension. Conclusion: Use of facial surface index together with the elastomeric record bases can be the useful alternative technique to record the MMR in patients with implant supported full mouth rehabilitation. Further study is required to prove its routine clinical utility. PMID:26929537

  11. 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

  12. 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

  13. 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.

  14. Conversion in denture base polymers.

    PubMed

    Ruyter, I E; Oysaed, H

    1982-09-01

    The purpose of this investigation was to determine residual monomers, the insoluble gel fraction, and singly reacted dimethacrylate monomers in heat-polymerized, auto-polymerized conventional and pour-type denture base materials. Residual monomers were determined by HPLC analysis of tetrahydrofuran extracts of denture base polymers. The gel fraction was determined by gravimetric analysis of the nonextractable portion. The pendant methacrylate groups in the gel fraction were determined by quantitative IR (infrared) spectrometry. It was demonstrated that the heat-polymerized materials had the lowest content of residual monomers. Generally, the content of pendant methacrylate groups in the gel was dependent on the initial quantity of crosslinking agent in the monomer liquids. The gel fractions of the heat-polymerized materials were larger than the quantity of reacted monomers and were also dependent on the quantity of crosslinking agent. These findings showed that some of the linear prepolymer, poly(methyl methacrylate) (PMMA), had been incorporated into the crosslinked polymer system. The gel fraction of the auto-polymerized pour-type materials corresponded to the quantity of reacted monomers, whereas the conventional auto-polymerized materials took an intermediate position between pour type materials and heat-polymerized materials in this respect.

  15. A Comparative Clinical Study of the Effect of Denture Cleansing on the Surface Roughness and Hardness of Two Denture Base Materials

    PubMed Central

    Moussa, Amani Ramadan; Dehis, Wessam Mohamed; Elboraey, Asmaa Nabil; ElGabry, Hisham Samir

    2016-01-01

    AIM: This study aimed to verify the influence of oral environment and denture cleansers on the surface roughness and hardness of two different denture base materials. METHODS: A total of sixteen identical removable disc specimens (RDS) were processed. Eight RDS were made from heat-cured acrylic resin (AR) and the other eight were fabricated from thermoplastic injection moulded resin (TR). Surface roughness and hardness of DRS were measured using ultrasonic profilometry and Universal testing machine respectively. Then the four RDS (two AR and two of TR) were fixed to each maxillary denture, after three months RDS were retrieved. Surface roughness and hardness of RDS have measured again. RESULTS: The surface roughness measurements revealed no significant difference (p >0.05) for both disc groups at baseline. However, both groups showed a significant increase in the surface roughness after three months with higher mean value for (TR) group. On the other hand, the (AR) group showed higher hardness mean value than (TR) group at baseline with no significant decrease in the hardness values (p >0.05) following three months follow-up period. CONCLUSIONS: Denture cleansers have an effect on the denture’s surface roughness and hardness concurrently with an oral condition which will consequently influence the complete dentures’ lifetime and patients’ satisfaction. PMID:27703578

  16. Effect of accelerated aging on the microhardness and color stability of flexible resins for dentures.

    PubMed

    Goiato, Marcelo Coelho; Santos, Daniela Micheline dos; Haddad, Marcela Filie; Pesqueira, Aldiéris Alves

    2010-01-01

    Acrylic resins have been widely used due to their acceptable esthetics and desirable characteristics such as easy handling, good thermal conductivity, low permeability to oral fluids and color stability. Flexible resins were introduced on the market as an alternative to the use of conventional acrylic resins in the construction of complete and partial removable dentures. Although these resins present advantages in terms of esthetics and comfort, studies assessing chromatic and microhardness alterations of these materials are still scarce in the related literature. The aim of this study was to evaluate the chromatic and microhardness alterations of two commercial brands of flexible resins in comparison to the conventional resin Triplex when submitted to accelerated aging. The resins were manipulated according to manufacturers' instructions and inserted into a silicone matrix to obtain 21 specimens divided into 3 groups: Triplex, Ppflex and Valplast. Triplex presented the highest microhardness value (p < 0.05) for all the aging periods, which was significantly different from that of the other resins, followed by the values of Valplast and Ppflex. Comparison between the flexible resins (Ppflex and Valplast) revealed a statistically significant difference (p < 0.05) as regards color. The flexible resin Ppflex and the conventional resin Triplex presented no statistically significant difference (p < 0.05) as regards aging. The accelerated aging significantly increased the microhardness values of the resins, with the highest values being observed for Triplex. Valplast presented the greatest chromatic alteration after accelerated aging. PMID:20339724

  17. Partial nitrification and nutrient removal in intermittently aerated sequencing batch reactors treating separated digestate liquid after anaerobic digestion of pig manure.

    PubMed

    Zhang, Mingchuan; Lawlor, Peadar G; Wu, Guangxue; Lynch, Brendan; Zhan, Xinmin

    2011-11-01

    The performance of an intermittently aerated sequencing batch reactor (IASBR) technology was investigated in achieving partial nitrification, organic matter removal and nitrogen removal from separated digestate liquid after anaerobic digestion of pig manure. The wastewater had chemical oxygen demand (COD) concentrations of 11,540 ± 860 mg/L, 5-day biochemical oxygen demand (BOD(5)) concentrations of 2,900 ± 200 mg/L and total nitrogen (TN) concentrations of 4,041 ± 59 mg/L, with low COD:N ratios (2.9) and BOD(5):COD ratios (0.25). Synthetic wastewater, simulating the separated digestate liquid with similar COD and nitrogen concentrations but BOD(5) of 11,500 ± 100 mg/L, was also treated using the IASBR technology. At a mean organic loading rate of 1.15 kg COD/(m(3) d) and a nitrogen loading rate of 0.38 kg N/(m(3) d), the COD removal efficiency was 89.8% in the IASBR (IASBR-1) treating digestate liquid and 99% in the IASBR (IASBR-2) treating synthetic wastewater. The IASBR-1 effluent COD was mainly due to inert organic matter and can be further reduced to less than 40 mg/L through coagulation. The partial nitrification efficiency of 71-79% was achieved in the two IASBRs and one cause for the stable long-term partial nitrification was the intermittent aeration strategy. Nitrogen removal efficiencies were 76.5 and 97% in IASBR-1 and IASBR-2, respectively. The high nitrogen removal efficiencies show that the IASBR technology is a promising technology for nitrogen removal from low COD:N ratio wastewaters. The nitrogen balance analysis shows that 59.4 and 74.3% of nitrogen removed was via heterotrophic denitrification in the non-aeration periods in IASBR-1 and IASBR-2, respectively.

  18. Efficacy of denture adhesives in maxillary dentures using gnathodynamometry: a comparative study.

    PubMed

    Polyzois, Gregory; Lagouvardos, Panagiotis; Frangou, Maria; Stefaniotis, Theodoros

    2011-07-01

    The purpose of this study was to investigate the effect of four commercially available denture adhesives on the incisal and premolar dislodgement forces of maxillary complete dentures by using an electronic and disposable gnathodynamometer and compare the measured incisal forces for differences. This study was conducted with 12 complete maxillary denture wearers. Four commercially available denture adhesives Super Corega(®), Corega Ultra(®), Super Corega Powder(®) and Fittydent Cationic(®) were investigated. Testing protocol and sequence included baseline measurements without adhesives (control) for previous and new dentures and then replications of measurements with the four adhesives. Maximum dislodgement forces were recorded in two sites between central incisors and the left 2nd premolars by using an electronic and disposable gnathodynamometer. To estimate the effect of the different adhesives on the dislodgement forces, data were analyzed by a 2- and 3-way ANOVA, while for estimating the agreement of the two devices a Bland-Altman and Mountain plots were used. ANOVAs indicated significant differences between adhesives (p < 0.05), denture types (p < 0.05) and biting sites (p < 0.05) with both devices. Bland-Altman plot and Mountain plots indicated a poor agreement of the two devices. It was concluded that denture adhesives increase the denture dislodgement forces, but with differences among them. The two devices do not highly agree with each other, but each one alone is useful in estimating dislodgement forces in clinical practice and research.

  19. 21 CFR 872.3570 - OTC denture repair kit.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ...) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3570 OTC denture repair kit. (a) Identification. An OTC denture repair kit is a device consisting of a material, such as a resin monomer system...

  20. 21 CFR 872.3560 - OTC denture reliner.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ...) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3560 OTC denture reliner. (a) Identification. An OTC denture reliner is a device consisting of a material such as plastic resin that is intended to...

  1. 21 CFR 872.3570 - OTC denture repair kit.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ...) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3570 OTC denture repair kit. (a) Identification. An OTC denture repair kit is a device consisting of a material, such as a resin monomer system...

  2. 21 CFR 872.3570 - OTC denture repair kit.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ...) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3570 OTC denture repair kit. (a) Identification. An OTC denture repair kit is a device consisting of a material, such as a resin monomer system...

  3. 21 CFR 872.3560 - OTC denture reliner.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ...) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3560 OTC denture reliner. (a) Identification. An OTC denture reliner is a device consisting of a material such as plastic resin that is intended to...

  4. 21 CFR 872.3560 - OTC denture reliner.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ...) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3560 OTC denture reliner. (a) Identification. An OTC denture reliner is a device consisting of a material such as plastic resin that is intended to...

  5. Complete denture biofilm after brushing with specific denture paste, neutral soap and artificial saliva.

    PubMed

    Paranhos, Helena de Freitas Oliveira; Salles, Antônio Eduardo Sparça; Macedo, Leandro Dorigan de; Silva-Lovato, Cláudia Helena da; Pagnano, Valéria Oliveira; Watanabe, Evandro

    2013-01-01

    This study compared the levels of biofilm in maxillary and mandibular complete dentures and evaluated the number of colony-forming units (cfu) of yeasts, after using auxiliary brushing agents and artificial saliva. Twenty-three denture wearers with hyposalivation and xerostomia were instructed to brush the dentures 3 times a day during 3 weeks with the following products: Corega Brite denture dentifrice, neutral liquid soap, Corega Brite combined with Oral Balance (artificial saliva) or tap water. For biofilm quantification, the internal surfaces of the dentures were disclosed, photographed and measured using a software. For microbiological analysis, the biofilm was scrapped off, and the harvested material was diluted, sown in CHROMagar™ Candida and incubated at 37°C for 48 h. Data were analyzed statistically by two-way ANOVA and Tukey's test (α=0.05). Mandibular dentures presented a mean biofilm percentage (µ=26.90 ± 21.10) significantly greater than the maxillary ones (µ=18.0 ± 15.0) (p<0.05). Brushing using Corega Brite combined with Oral Balance (µ=15.87 ± 18.47) was more effective (p<0.05) than using the denture dentifrice (µ=19.47 ± 17.24), neutral soap (µ=23.90 ± 18.63) or tap water (control; µ=32.50 ± 20.68). For the microbiological analysis, the chi-square test did not indicate significant difference between the hygiene products for either type of denture. The more frequently isolated species of yeasts were C. albicans, C. tropicalis and C. glabrata. In conclusion, mandibular dentures had more biofilm formation than maxillary ones. Denture brushing with Corega Brite dentifrice combined with the use of Oral Balance was the most effective method for reduction of biofilm levels, but the use of products did not show difference in yeast cfu counts. PMID:23657413

  6. Denture wearing during sleep doubles the risk of pneumonia in the very elderly.

    PubMed

    Iinuma, T; Arai, Y; Abe, Y; Takayama, M; Fukumoto, M; Fukui, Y; Iwase, T; Takebayashi, T; Hirose, N; Gionhaku, N; Komiyama, K

    2015-03-01

    Poor oral health and hygiene are increasingly recognized as major risk factors for pneumonia among the elderly. To identify modifiable oral health-related risk factors, we prospectively investigated associations between a constellation of oral health behaviors and incident pneumonia in the community-living very elderly (i.e., 85 years of age or older). At baseline, 524 randomly selected seniors (228 men and 296 women; mean age, 87.8 years) were examined for oral health status and oral hygiene behaviors as well as medical assessment, including blood chemistry analysis, and followed up annually until first hospitalization for or death from pneumonia. During a 3-year follow-up period, 48 events associated with pneumonia (20 deaths and 28 acute hospitalizations) were identified. Among 453 denture wearers, 186 (40.8%) who wore their dentures during sleep were at higher risk for pneumonia than those who removed their dentures at night (log rank P = 0.021). In a multivariate Cox model, both perceived swallowing difficulties and overnight denture wearing were independently associated with an approximately 2.3-fold higher risk of the incidence of pneumonia (for perceived swallowing difficulties, hazard ratio [HR], 2.31; and 95% confidence interval [CI], 1.11-4.82; and for denture wearing during sleep, HR, 2.38; and 95% CI, 1.25-4.56), which was comparable with the HR attributable to cognitive impairment (HR, 2.15; 95% CI, 1.06-4.34), history of stroke (HR, 2.46; 95% CI, 1.13-5.35), and respiratory disease (HR, 2.25; 95% CI, 1.20-4.23). In addition, those who wore dentures during sleep were more likely to have tongue and denture plaque, gum inflammation, positive culture for Candida albicans, and higher levels of circulating interleukin-6 as compared with their counterparts. This study provided empirical evidence that denture wearing during sleep is associated not only with oral inflammatory and microbial burden but also with incident pneumonia, suggesting potential

  7. Denture Wearing during Sleep Doubles the Risk of Pneumonia in the Very Elderly

    PubMed Central

    Iinuma, T.; Arai, Y.; Abe, Y.; Takayama, M.; Fukumoto, M.; Fukui, Y.; Iwase, T.; Takebayashi, T.; Hirose, N.; Gionhaku, N.; Komiyama, K.

    2015-01-01

    Poor oral health and hygiene are increasingly recognized as major risk factors for pneumonia among the elderly. To identify modifiable oral health–related risk factors, we prospectively investigated associations between a constellation of oral health behaviors and incident pneumonia in the community-living very elderly (i.e., 85 years of age or older). At baseline, 524 randomly selected seniors (228 men and 296 women; mean age, 87.8 years) were examined for oral health status and oral hygiene behaviors as well as medical assessment, including blood chemistry analysis, and followed up annually until first hospitalization for or death from pneumonia. During a 3-year follow-up period, 48 events associated with pneumonia (20 deaths and 28 acute hospitalizations) were identified. Among 453 denture wearers, 186 (40.8%) who wore their dentures during sleep were at higher risk for pneumonia than those who removed their dentures at night (log rank P = 0.021). In a multivariate Cox model, both perceived swallowing difficulties and overnight denture wearing were independently associated with an approximately 2.3-fold higher risk of the incidence of pneumonia (for perceived swallowing difficulties, hazard ratio [HR], 2.31; and 95% confidence interval [CI], 1.11–4.82; and for denture wearing during sleep, HR, 2.38; and 95% CI, 1.25–4.56), which was comparable with the HR attributable to cognitive impairment (HR, 2.15; 95% CI, 1.06–4.34), history of stroke (HR, 2.46; 95% CI, 1.13–5.35), and respiratory disease (HR, 2.25; 95% CI, 1.20–4.23). In addition, those who wore dentures during sleep were more likely to have tongue and denture plaque, gum inflammation, positive culture for Candida albicans, and higher levels of circulating interleukin-6 as compared with their counterparts. This study provided empirical evidence that denture wearing during sleep is associated not only with oral inflammatory and microbial burden but also with incident pneumonia, suggesting

  8. Denture hyperplasia with areas simulating oral inverted ductal papilloma.

    PubMed

    Vargas, Pablo Agustin; Perez, Danyel Elias da Cruz; Jorge, Jacks; Rangel, Ana Lúcia Carrinho Ayrosa; León, Jorge Esquiche; Almeida, Oslei Paes de

    2005-07-01

    Denture hyperplasia is a reactive lesion of the oral mucosa, usually associated to an ill-fitting denture. This lesion is easily diagnosed and in some cases distinct microscopic variations such as osseous, oncocytic and squamous metaplasia may be found. These metaplastic alterations probably are associated with the lymphocytic infiltrate usually present in denture hyperplasia. We present a case of denture hyperplasia containing salivary gland tissue with ductal alterations mimicking an oral inverted ductal papilloma.

  9. Trial of duplication procedure for complete dentures by CAD/CAM.

    PubMed

    Kawahata, N; Ono, H; Nishi, Y; Hamano, T; Nagaoka, E

    1997-07-01

    The purpose of this study was to duplicate the shapes of complete dentures by using a computer-aided design/manufacturing (CAD/CAM) system. The shapes of the complete dentures of an edentulous patient were measured using a non-contact type shape measurement system and morphological data at the interval of 0.25 mm were obtained in the X-axis and Y-axis directions. Measurement was performed from the occlusal surface and mucosal surface sides. Based on the three-dimensional morphological data, cutter paths for cutting were generated. For cutting, the three-step method consisting of rough cutting, finish cutting, and partial finish cutting was used and for duplicating the dentures the modelling wax was cut using a computerized numerical control (CNC) processor and ball-end mills with diameters of 6 mm and 1 mm. The method for the controlling of three axes (X, Y, and Z) of CNC machine was used, and cutting was performed only from two directions. Although further improvements are needed in the measurement and cutting in acute slope areas, the duplication of complete dentures appears to be possible using the CAD/CAM system. PMID:9250843

  10. Reinforcement of a mandibular complete denture with internal metal framework.

    PubMed

    Balch, J Heath; Smith, Pamela D; Marin, Mark A; Cagna, David R

    2013-03-01

    Metal framework reinforcement is used in complete dentures to improve the fracture resistance, dimensional stability, accuracy, weight, and retention of a definitive prosthesis. A novel technique for suspending a metal framework within the denture base of mandibular complete dentures is described.

  11. 21 CFR 872.3530 - Mechanical denture cleaner.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Mechanical denture cleaner. 872.3530 Section 872...) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3530 Mechanical denture cleaner. (a) Identification. A mechanical denture cleaner is a device, usually AC-powered, that consists of a container...

  12. 21 CFR 872.3530 - Mechanical denture cleaner.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Mechanical denture cleaner. 872.3530 Section 872...) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3530 Mechanical denture cleaner. (a) Identification. A mechanical denture cleaner is a device, usually AC-powered, that consists of a container...

  13. 21 CFR 872.3530 - Mechanical denture cleaner.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Mechanical denture cleaner. 872.3530 Section 872...) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3530 Mechanical denture cleaner. (a) Identification. A mechanical denture cleaner is a device, usually AC-powered, that consists of a container...

  14. 21 CFR 872.3580 - Preformed gold denture tooth.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Preformed gold denture tooth. 872.3580 Section 872...) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3580 Preformed gold denture tooth. (a) Identification. A preformed gold denture tooth is a device composed of austenitic alloys or alloys containing...

  15. 21 CFR 872.3580 - Preformed gold denture tooth.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Preformed gold denture tooth. 872.3580 Section 872...) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3580 Preformed gold denture tooth. (a) Identification. A preformed gold denture tooth is a device composed of austenitic alloys or alloys containing...

  16. 21 CFR 872.3580 - Preformed gold denture tooth.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Preformed gold denture tooth. 872.3580 Section 872...) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3580 Preformed gold denture tooth. (a) Identification. A preformed gold denture tooth is a device composed of austenitic alloys or alloys containing...

  17. 21 CFR 872.3300 - Hydrophilic resin coating for dentures.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Hydrophilic resin coating for dentures. 872.3300... (CONTINUED) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3300 Hydrophilic resin coating for dentures. (a) Identification. A hydrophilic resin coating for dentures is a device that consists of a...

  18. 21 CFR 872.3540 - OTC denture cushion or pad.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 8 2014-04-01 2014-04-01 false OTC denture cushion or pad. 872.3540 Section 872...) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3540 OTC denture cushion or pad. (a) Identification. An OTC denture cushion or pad is a prefabricated or noncustom made disposable device that...

  19. 21 CFR 872.3540 - OTC denture cushion or pad.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 8 2013-04-01 2013-04-01 false OTC denture cushion or pad. 872.3540 Section 872...) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3540 OTC denture cushion or pad. (a) Identification. An OTC denture cushion or pad is a prefabricated or noncustom made disposable device that...

  20. 21 CFR 872.3540 - OTC denture cushion or pad.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 8 2012-04-01 2012-04-01 false OTC denture cushion or pad. 872.3540 Section 872...) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3540 OTC denture cushion or pad. (a) Identification. An OTC denture cushion or pad is a prefabricated or noncustom made disposable device that...

  1. 21 CFR 872.3580 - Preformed gold denture tooth.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Preformed gold denture tooth. 872.3580 Section 872...) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3580 Preformed gold denture tooth. (a) Identification. A preformed gold denture tooth is a device composed of austenitic alloys or alloys containing...

  2. 21 CFR 872.3590 - Preformed plastic denture tooth.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Preformed plastic denture tooth. 872.3590 Section... (CONTINUED) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3590 Preformed plastic denture tooth. (a) Identification. A preformed plastic denture tooth is a prefabricated device, composed of materials such as...

  3. 21 CFR 872.3590 - Preformed plastic denture tooth.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Preformed plastic denture tooth. 872.3590 Section... (CONTINUED) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3590 Preformed plastic denture tooth. (a) Identification. A preformed plastic denture tooth is a prefabricated device, composed of materials such as...

  4. 21 CFR 872.3590 - Preformed plastic denture tooth.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Preformed plastic denture tooth. 872.3590 Section... (CONTINUED) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3590 Preformed plastic denture tooth. (a) Identification. A preformed plastic denture tooth is a prefabricated device, composed of materials such as...

  5. Fabrication of a metal-ceramic crown to fit an existing partial removable dental prosthesis using ceramic pressed to metal technique: a clinical report

    PubMed Central

    Seo, Jae-Min

    2014-01-01

    Fabricating a crown to retrofit an existing abutment tooth for a partial removable dental prosthesis (PRDP) is one of the most time-consuming and labor-intensive clinical procedures. In particular, when the patient is concerned with esthetic aspects of restoration, the task of fabricating becomes more daunting. Many techniques for the fabrication of all-metallic or metal-ceramic crowns have been discussed in the literature. This article was aimed to describe a simple fabrication method in which a retrofitting crown was fabricated for a precise fit using a ceramic-pressed-to-metal system. PMID:25006389

  6. Use of cystourethroscopy to remove an indwelling double-J ureteral stent 6 years following simultaneous radical sigmoid colon cancer and partial bladder resection: A case report

    PubMed Central

    GU, YAN; ZHANG, JING; WANG, GUOZENG

    2016-01-01

    Ureteral stents are widely used to ensure good urinary drainage and to relieve obstruction, pain and infection during urologic procedures. However, long-term indwelling ureteral stents can cause various complications, such as encrustation, hematuria and infection. Here, the case of an 88-year-old man who had undergone simultaneous radical resection of sigmoid colon cancer and partial resection of the bladder 6 years prior is presented. The patient complained of urinary frequency and urgency, dysuria and intermittent fever. A kidney ureter bladder X-ray examination revealed the presence of an entire coiled double-J stent with calculi from the kidney to the bladder. A computed tomography scan revealed mild hydronephrosis of the left kidney and one J end of the stent in the bladder. The stent was removed successfully by cystourethroscopy and holmium laser lithotripsy. This report describes the clinical experience of the removal of a long-term stent by endoscopic manipulation. PMID:27313675

  7. Corneal haze and visual outcome after collagen crosslinking for keratoconus: A comparison between total epithelium off and partial epithelial removal methods

    PubMed Central

    Razmjoo, Hasan; Rahimi, Behrooz; Kharraji, Mona; Koosha, Nima; Peyman, Alireza

    2014-01-01

    Background: Keratoconus is an asymmetric, bilateral, progressive noninflammatory ectasia of the cornea that affects approximately 1 in 2000 of the general population. This may cause a significant negative impact on quality of life. Corneal collagen crosslinking (CXL) is one of the recently introduced methods that have been used to decrease the progression of keratoconus, in particular, as well as other corneal-thinning processes. Materials and Methods: A total of 44 keratoconic eyes of 22 patients were enrolled in this randomized prospective study, after obtaining informed consent. In the first group, the corneal epithelium were totally removed and in the second group, the central 3 mm of epithelium was kept intact and partial removal was performed. After collagen crosslinking in both groups, comprehensive ophthalmologic examination was performed on all patients before and 6 months after the surgery. This article is registered at www.clinicaltrial.gov with registration number NCT01809977. Results: The difference between the two groups was not statistically significant regarding postoperative corneal haziness, refraction, and visual acuity (P > 0.05). However, comparison of pre- and postoperative parameters within each group revealed that total removal of the cornea has resulted in significant improvement of K-max (P value: 0.01) and Q-value (P value: 0.009); while eyes in partial removal group had better improvement of corrected vision (P value: 0.006). Both methods had significant and similar increase in optical corneal density (P < 0.0001). Conclusion: In our study, keeping the central corneal epithelium intact was not beneficial for decreasing corneal haziness, however, this method caused better improvement in corrected vision. Total epithelium off technique resulted in better improvement of K-max and Q-value. PMID:25538907

  8. The feasibility of an up-flow partially aerated biological filter (U-PABF) for nitrogen and COD removal from domestic wastewater.

    PubMed

    Tao, Chen; Peng, Tong; Feng, Chuanping; Chen, Nan; Hu, Qili; Hao, Chunbo

    2016-10-01

    An up-flow partially aerated biological filter (U-PABF) was developed to study the removal of nitrogen and chemical oxygen demand (COD) from synthetic domestic wastewater. The removal of NH4(+)-N was primarily attributed to adsorption in the zeolite U-PABF and to bioprocesses in the ceramic U-PABF. When the hydraulic retention time (HRT) was 5.2h, the ceramic U-PABF achieved a good performance and the NH4(+)-N, total nitrogen (TN), and COD removal efficiency reached 99.08±8.79%, 72.83±0.68%, and 89.38±1.04%, respectively. The analysis of NH4(+)-N, NO3(-)-N, NO2(-)-N, and TN at different depths revealed the simultaneous existence of nitrification-denitrification, and anaerobic ammonium oxidation (anammox) in ceramic U-PABF. Illumina pyrosequencing confirmed the existence of Planctomycetes, which are responsible for anammox. The results indicated that the nitrification-denitrification and anammox all contributed to the high removal of NH4(+)-N, TN, and COD in the U-PABF. PMID:27372011

  9. The feasibility of an up-flow partially aerated biological filter (U-PABF) for nitrogen and COD removal from domestic wastewater.

    PubMed

    Tao, Chen; Peng, Tong; Feng, Chuanping; Chen, Nan; Hu, Qili; Hao, Chunbo

    2016-10-01

    An up-flow partially aerated biological filter (U-PABF) was developed to study the removal of nitrogen and chemical oxygen demand (COD) from synthetic domestic wastewater. The removal of NH4(+)-N was primarily attributed to adsorption in the zeolite U-PABF and to bioprocesses in the ceramic U-PABF. When the hydraulic retention time (HRT) was 5.2h, the ceramic U-PABF achieved a good performance and the NH4(+)-N, total nitrogen (TN), and COD removal efficiency reached 99.08±8.79%, 72.83±0.68%, and 89.38±1.04%, respectively. The analysis of NH4(+)-N, NO3(-)-N, NO2(-)-N, and TN at different depths revealed the simultaneous existence of nitrification-denitrification, and anaerobic ammonium oxidation (anammox) in ceramic U-PABF. Illumina pyrosequencing confirmed the existence of Planctomycetes, which are responsible for anammox. The results indicated that the nitrification-denitrification and anammox all contributed to the high removal of NH4(+)-N, TN, and COD in the U-PABF.

  10. Denture-Related Biomechanical Factors for Fixed Partial Dentures Retained on Short Dental Implants.

    PubMed

    Pommer, Bernhard; Hingsammer, Lukas; Haas, Robert; Mailath-Pokorny, Georg; Busenlechner, Dieter; Watzek, Georg; Fürhauser, Rudolf

    2015-01-01

    Prosthodontically driven biomechanical considerations are essential for longterm successful outcomes in dental implant therapy. Correct protocols seek to preclude potential consequences associated with functional and parafunctional occlusal overload such as screw loosening, component fracture, compromised marginal bone maintenance, and the integrity of the induced osseointegration response. Other concerns also need to be addressed, more especially when other implants are selected, for example: bridge insertion torque (BIT) in cases of immediate loading, cantilever length-anteroposterior spread ratio (CL-AP), overall crown-to-implant ratio (oCIR), total bone-to-implant surface area (tBICA), and the status of the opposing dentition. In spite of promising clinical results, evidence-based clinical protocols demand that such biomechanical limits still need to be determined.

  11. Effect of immersion cleansing in color stability and hardness of soft denture reliners.

    PubMed

    Niarchou, Artemis; Ntala, Polyxeni; Pantopoulos, Antonis; Polyzois, Gregory; Frangou, Mary

    2012-03-01

    Hygienic care of removable prostheses is important, and denture cleansers selected must be efficient and maintain the physicomechanical properties of soft reliners. Microwave energy has been reported to increase the sanitation effectiveness of denture cleansers. The purpose of the study was to evaluate hardness and color stability of some visible light polymerized and autopolymerized soft reliners after exposure in different denture-cleansing treatments. Six soft denture reliners (2 autopolymerized silicones, 1 autopolymerized acrylic, and 3 visible light polymerized ones) were exposed to 4 cleansing treatments (Corega Whitening, Polident 5-Minute, Corega Whitening + microwaving, Polident 5-Minute + microwaving). Hardness was measured with a Shore A durometer, and color changes were evaluated by a tristimulus colorimeter. The results were subjected to 2-way analysis of variance and Scheffé test for post hoc comparisons at a confidence level of α = 0.05. Sofreliner showed the smallest hardness change, and LightLiner the greatest. Versasoft and Sofreliner seem to have the lowest color change for every cleansing treatment examined, whereas LightLiner and Eversoft presented the greatest. Silicone-based materials demonstrated the smallest changes in both hardness and color, either when using water or with any of the other cleansing treatments.

  12. Partial Removal of Nail Matrix in the Treatment of Ingrown Nails: Prospective Randomized Control Study Between Curettage and Electrocauterization.

    PubMed

    Kim, Maru; Song, In-Guk; Kim, Hyung Jin

    2015-06-01

    The aim of this study was to compare the result of electrocauterization and curettage, which can be done with basic instruments. Patients with ingrown nail were randomized to 2 groups. In the first group, nail matrix was removed by curettage, and the second group, nail matrix was removed by electrocautery. A total of 61 patients were enrolled; 32 patients were operated by curettage, and 29 patients were operated by electrocautery. Wound infections, as early complication, were found in 15.6% (5/32) of the curettage group, 10.3% (3/29) of the electrocautery group patients each (P = .710). Nonrecurrence was observed in 93.8% (30/32) and 86.2% (25/29) of the curettage and electrocautery groups, respectively, (lower limit of 1-sided 90% confidence interval = -2.3% > -15% [noninferiority margin]). To remove nail matrix, the curettage is effective as well as the electrocauterization. Further study is required to determine the differences between the procedures.

  13. [Prosthetic rehabilitation of partially edentulous patients: fixed - removable - combined? Metal - ceramics - all - ceramics? Implants? Anything goes! Part 2: two case studies represent the fixed, respectively the combined fixed-removable prosthetic restoration by utilization of implants].

    PubMed

    Schnabl, Dagmar

    2015-01-01

    The prosthetic rehabilitation of two partially edentulous patients is presented: one Patient was restored by permanent crowns and bridges attached to natural teeth and to implants, the second was treated by crowns attached to natural teeth and removable implant- supported prostheses. Depending on esthetic requirements and the localization of preparation margins all- or metal-ceramics were used for single crowns, metal-ceramics was used for bridges. In general, a well coordinated cooperation of dentist, surgeon and dental technician in treatment planning and realization is required for a successful prosthetic rehabilitation. PMID:25734274

  14. [Prosthetic rehabilitation of partially edentulous patients: fixed - removable - combined? Metal - ceramics - all - ceramics? Implants? Anything goes! Part 2: two case studies represent the fixed, respectively the combined fixed-removable prosthetic restoration by utilization of implants].

    PubMed

    Schnabl, Dagmar

    2015-01-01

    The prosthetic rehabilitation of two partially edentulous patients is presented: one Patient was restored by permanent crowns and bridges attached to natural teeth and to implants, the second was treated by crowns attached to natural teeth and removable implant- supported prostheses. Depending on esthetic requirements and the localization of preparation margins all- or metal-ceramics were used for single crowns, metal-ceramics was used for bridges. In general, a well coordinated cooperation of dentist, surgeon and dental technician in treatment planning and realization is required for a successful prosthetic rehabilitation.

  15. Light weight dentures: An innovative technique.

    PubMed

    Gundawar, Sham; Zamad, Aakanksha; Gundawar, Sneha

    2014-01-01

    Retention, stability and support are the basic principles on which the success of a complete denture relies. The severely resorbed maxillary and mandibular edentulous arches that are narrow and constricted with increased interarch space provide decreased support, retention and stability. To decrease the leverage, reduction in the weight of the prosthesis was recommended and also found beneficial. This article describes a simple procedure to reduce the weight of maxillary complete denture by use of an autopolymerizing acrylic resin shell which is incorporated during the packing stage. This method has the advantage of being easy and requires very little additional time. Hollow maxillary complete denture considerably reduces the weight of the prosthesis, which in turn prevents transmission of detrimental forces by reducing leverage action. This results in increased retention and stability and up to some extent it also preserves the existing residual alveolar ridge. The technique uses a clear matrix of trial denture to facilitate shaping of dough spacer to ensure an even thickness of acrylic to resist deformation and prevent seepage of saliva into the cavity making this technique more predictable. An autopolymerizing acrylic resin shell which creates hollow space and also has strength. Technique is simple to execute, easy economical and matching the shade of autopolymerizing acrylic resin with heat cures acrylic resin enhances esthetics. Light weight hollow dentures provide healthy and comfortable living for the geriatric edentulous patient.

  16. Complete Denture in a Microstomia Patient

    PubMed Central

    Gujjari, Anil K.

    2015-01-01

    Microstomia is the term used to describe a condition of reduction in the size of oral aperture which can be either acquired or congenital and affects the quality of life. Dentists occasionally come across patients with constricted oral openings. Limited oral opening makes access to the oral cavity for any dental procedure difficult. It’s the duty of a dentist to provide every possible care to the patient with microstomia. This paper describes the treatment of a microstomia patient requiring complete dentures using sectional dentures. The cause of microstomia in the indexed patient was developmental in nature as all other causes of related conditions were ruled out. Finally upper and lower complete denture with sectional components were given to the patient after modification in conventional steps of its construction. PMID:26155580

  17. Prosthetic rehabilitation with collapsible hybrid acrylic resin and permanent silicone soft liner complete denture of a patient with scleroderma-induced microstomia.

    PubMed

    Singh, Kunwarjeet; Gupta, Nidhi; Gupta, Ridhimaa; Abrahm, Dex

    2014-07-01

    Scleroderma is an autoimmune multisystem rheumatic condition characterized by fibrosis of connective tissues of the body, resulting in hardening and impairment of the function of different organs. Deposition of collagen fibers in peri-oral tissues causes loss of elasticity and increased tissue stiffness, resulting in restricted mouth opening. A maximal oral opening smaller than the size of a complete denture can make prosthetic treatment challenging. Patients with microstomia who must wear removable dental prostheses (RDPs) often face the difficulty of being unable to insert or remove a conventional RDP. A sectional-collapsible denture is indicated for the prosthetic management of these patients, but reduced manual dexterity often makes intraoral manipulation of the prosthesis difficult. A single collapsible complete denture is a better choice for functional rehabilitation of these patients. This clinical report describes in detail the prosthodontic management of a maxillary edentulous patient with restricted mouth opening induced by scleroderma with a single collapsible removable complete denture fabricated with heat-polymerized silicone soft liner and heat-cured acrylic resin. The preliminary and secondary impressions were made with moldable aluminum trays by using putty and light-body poly(vinyl siloxane) elastomeric impression material. The collapsed denture can be easily inserted and removed by the patient and also provides adequate function in the mouth.

  18. CHIPPING FRACTURE RESISTANCE OF DENTURE TOOTH MATERIALS

    PubMed Central

    Quinn, G. D.; Giuseppetti, A. A.; Hoffman, K. H.

    2014-01-01

    Objective The applicability of the edge chipping method to denture tooth materials was assessed. These are softer materials than those usually tested by edge chipping. The edge chipping fracture resistances of polymethylmethacrylate (PMMA) based and two filled resin composite denture tooth materials were compared. Methods An edge chipping machine was used to chip rectangular blocks and flattened anterior denture teeth. Force versus edge distance data were collected over a broad range of forces and distances. Between 20 and 65 chips were made per condition depending upon the material, the scatter, and the indenter type. Different indenter types were used including Rockwell C, sharp conical 120°, Knoop, and Vickers. The edge toughness, Te, was evaluated for different indenter types. Results The edge chipping data collected on the blocks matched the data collected from flattened teeth. High scatter, particularly at large distances and loads, meant that many tests (up to 64) were necessary to compare the denture tooth materials and to ascertain the appropriate data trends. A linear force – distance trend analysis was adequate for comparing these materials. A power law trend might be more appropriate, but the large scatter obscured the definitive determination of the precise trend. Different indenters produce different linear trends, with the ranking of: sharp conical 120°, Rockwell C, and Knoop, from lowest to highest edge toughness. Vickers indenter data were extremely scattered and a sensible trend could not be obtained. Edge toughness was inversely correlated to hardness. Significance Edge chipping data collected either from simple laboratory scale test blocks or from actual denture teeth may be used to evaluate denture materials. The edge chipping method’s applicability has been extended to another class of restorative materials. PMID:24674342

  19. Anterior crossbite correction in primary and mixed dentition with removable inclined plane (Bruckl appliance).

    PubMed

    Jirgensone, Irena; Liepa, Andra; Abeltins, Andris

    2008-01-01

    Anterior crossbite correction in early mixed dentition is highly recommended as this kind of malocclusion do not diminish with age. Uncorrected anterior crossbite may lead to abnormal wear of the lower incisors, dental compensation of mandibular incisors leading to thinning of labial alveolar plate and/or gingival recession. There are several methods for solving this problem. In this article we would like to describe removable inclined plane. This is a removable simple functional appliance on the lower arch (jaw), which works as inclined plane. One of the advantage of the Bruckl appliance is that it can also be used as retention appliance after active treatment as well as it is possible to add acrylic teeth if necessary. Therefore it can be used as a removable partial denture in lower jaw in case where there is a premature loss of the primary teeth. The use of this appliance is illustrated with three cases.

  20. Microbial characteristics and nitrogen removal of simultaneous partial nitrification, anammox and denitrification (SNAD) process treating low C/N ratio sewage.

    PubMed

    Liang, Yuhai; Li, Dong; Zhang, Xiaojing; Zeng, Huiping; Yang, Zhuo; Zhang, Jie

    2014-10-01

    Simultaneous partial nitrification, anammox and denitrification (SNAD) process was successfully realized for treating low C/N ratio sewage, nitrogen and COD removal achieved to 3.26 kg m(-3) d(-1), 81%, respectively. The nitrogen removal performance, microbial community and distribution of the functional microorganisms were investigated. Results suggested that the presence of COD performed activity inhibition on both aerobic ammonia-oxidizing bacteria (AerAOB) and anaerobic ammonia-oxidizing bacteria (AnAOB), and led to the number decreasing of both AerAOB and AnAOB. Even though COD presence resulted in the biodiversity increasing of AerAOB and decreasing of AnAOB, the dominant species were always Nitrosomonas and Candidatus brocadia during the whole experiment. Clone-sequencing of 16S rRNA results suggested the emergence of five different denitrifying species, which then led to a higher nitrogen removal. Results in this study demonstrated that the applied start-up strategy was feasible for SNAD process treating low C/N ratio sewage.

  1. Assessment of Candida species colonization and denture-related stomatitis in complete denture wearers.

    PubMed

    Zomorodian, Kamiar; Haghighi, Neda Nejabat; Rajaee, Naeem; Pakshir, Keyvan; Tarazooie, Bita; Vojdani, Mahroo; Sedaghat, Farzaneh; Vosoghi, Mehrdad

    2011-02-01

    Candida species are considered the primary causative agents of denture stomatitis, but their role in colonization and disease in denture wearers remains undefined. In this study, we investigated risk factors associated with progression to Candida-related denture stomatitis in patients using complete dentures, and we genetically identified Candida isolates associated with disease and colonization. We recruited 114 retirement home residents for this study, from whom oral mucosa samples were collected and cultured following oral cavity exams. Morphologic analysis was used to identify potential yeast-positive cultures, which were then characterized further by RFLP analysis. C. albicans was the most frequently recovered species (61; 41.5%), followed by C. glabrata (27; 18.4%), and C. tropicalis (19; 12.9%). In addition, 16 isolates (10.9%) of C. dubliniensis were recovered, which was the first identification of this species in clinical samples from Iran. This study demonstrated a significant association between the duration of denture wear and oral candidiasis. Furthermore, we noted a high prevalence of C. dubliniensis in complete denture wearers.

  2. [Complete bridge on osseointegrated fixtures avoiding a temporary complete denture].

    PubMed

    Bunni, J

    1990-06-01

    The possibility of placing fixtures between periodontically compromised teeth enables the immediate conversion from a fixed prosthesis supported by natural abutments to a temporary one supported by osseo-integrated fixtures. During the second surgical stage, the bridge on natural teeth is removed, the abutments are placed on the osseo-integrated fixtures and a new temporary bridge is prepared out of acrylic resin and gold cylinders screwed on the titanium abutments after the extraction of the residual teeth. The temporary bridge is realised for one side of the arc and then the other in order to control at all time the occlusion as well as the cosmetic aspect of the bridge. This approach avoids the passage by a mobile denture, shortens the healing period from 18 to 6 months and enables the prosthodentist to foresee the potential problems with the permanent fixed prosthesis.

  3. Opportunistic microorganisms in individuals with lesions of denture stomatitis.

    PubMed

    Pereira, Cristiane Aparecida; Toledo, Bruna Costa; Santos, Camila Teles; Pereira Costa, Anna Carolina Borges; Back-Brito, Graziella Nuernberg; Kaminagakura, Estela; Jorge, Antonio Olavo Cardoso

    2013-08-01

    The aim of this study was to isolate, quantify, identify, and compare opportunistic microorganisms (Candida and Staphylococcus genera and Enterobacteriaceae/Pseudomonadaceae families) from prosthesis-fitting surfaces, the hard palate, and mouth rinses of individuals wearing removable maxillary prosthesis with (50) and without (50) lesions of denture stomatitis (DS). The strains were collected and identified using phenotypic, biochemical and molecular tests. The counts of microorganisms were significantly higher in the group of individuals with DS (P < 0.05). C. albicans was the most frequently isolated yeast species in both groups, following by C. tropicalis and C. glabrata. Six isolates were identified as C. dubliniensis. S. aureus and S. epidermidis were the most frequent Staphylococcus species in both groups. Klebsiella pneumoniae was the predominant species in both groups. The association between Candida spp. and bacteria isolated in this study with DS suggests that these microorganisms may play important roles in the establishment and persistence of this disease.

  4. Clinical evaluation of the essential oil of Pelargonium graveolens for the treatment of denture stomatitis

    PubMed Central

    Sabzghabaee, Ali Mohammad; Shirdare, Zahra; Ebadian, Behnaz; Aslani, Abolfazl; Ghannadi, Alireza

    2011-01-01

    Background: Natural products are proved to play a good role as an alternative to synthetic chemicals in clinical conditions. Previous studies showed that Pelargonium graveolens has anti-inflammatory and antifungal activity against Candida albicans. The aim of this study was to evaluate the efficacy of essential oil of Pelargonium graveolens in the treatment of denture stomatitis. Materials and Methods: In this double-blind randomized clinical trial conducted in Isfahan (Iran), 80 (51 females and 29 males) eligible wearers of complete denture were included. According to the patients’ profiles number, they randomly divided to 2 groups of 40 patients’ case and 40 patients control treated with Pelargonium 1% gel or placebo, respectively. They were recommended to apply the gel twice daily for a 14-day course. All data were analyzed using SPSS® for windows (v.18). We have used the χ2 test for analyzing qualitative and Student t-test for quantitative data considering as P<0.05 as significant. Results: According to mycological data and clinical observation after treatment in the case group, 34% of patients had been improved completely, 56% partially and 10% had no improvement. In the control group, 5% of patients had complete recovery, 25% partial recovery, and 70% no improvement. A significant reduction in fungal growth was observed in case group rather than the control group (P value<0.0001). Conclusion: It seems that the application of a 1% Geranium oil topical gel formulation is more effective than placebo in the treatment of denture stomatitis. PMID:23372587

  5. Immediate disappearance of hemifacial spasm after partial removal of ponto-medullary junction anaplastic astrocytoma: case report.

    PubMed

    Castiglione, Melina; Broggi, Morgan; Cordella, Roberto; Acerbi, Francesco; Ferroli, Paolo

    2015-04-01

    Hemifacial spasm (HFS) is generally caused by a neurovascular conflict (NC) at the root exit zone (REZ) of the facial nerve at the brainstem. Although a direct compression to the seventh cranial nerve (CN) by the anterior inferior cerebellar artery (AICA) is generally the most frequent cause, secondary HFS may be related to other pathological conditions. HFS due to an intracranial mass lesion is exceptionally rare and it has been reported in very few cases. The online database was searched for English-language articles reporting cases of HFS due to brainstem mass lesions and the possible pathophysiological mechanisms involved in its genesis. A 47-year-old man affected by an anaplastic astrocytoma of the brainstem at the level of the ponto-medullary junction developed right HFS. He underwent a subtotal surgical removal of the tumor with complete resolution of the HFS. This is the ninth reported case of HFS caused by an intrinsic brainstem tumor. The exceptional rarity of the relationship between intra-axial tumors and peripheral HFS was analyzed. PMID:25382264

  6. Design of aquifer remediation systems: (2) estimating site-specific performance and benefits of partial source removal.

    PubMed

    Wood, A Lynn; Enfield, Carl G; Espinoza, Felipe P; Annable, Michael; Brooks, Michael C; Rao, P S C; Sabatini, David; Knox, Robert

    2005-12-01

    A Lagrangian stochastic model is proposed as a tool that can be utilized in forecasting remedial performance and estimating the benefits (in terms of flux and mass reduction) derived from a source zone remedial effort. The stochastic functional relationships that describe the hydraulic "structure" and non-aqueous phase liquid (NAPL) "architecture" have been described in a companion paper (Enfield, C.G., Wood, A.L., Espinoza, F.P., Brooks, M.C., Annable, M., Rao, P.S.C., this issue. Design of aquifer remediation systems: (1) describing hydraulic structure and NAPL architecture using tracers. J. Contam. Hydrol.). The previously defined functions were used along with the properties of the remedial fluids to describe remedial performance. There are two objectives for this paper. First, is to show that a simple analytic element model can be used to give a reasonable estimate of system performance. This is accomplished by comparing forecast performance to observed performance. The second objective is to display the model output in terms of change in mass flux and mass removal as a function of pore volumes of remedial fluid injected. The modelling results suggest that short term benefits are obtained and related to mass reduction at the sites where the model was tested.

  7. 21 CFR 872.3420 - Carboxymethylcellulose sodium and cationic polyacrylamide polymer denture adhesive.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... polyacrylamide polymer denture adhesive. 872.3420 Section 872.3420 Food and Drugs FOOD AND DRUG ADMINISTRATION....3420 Carboxymethylcellulose sodium and cationic polyacrylamide polymer denture adhesive. (a) Identification. A carboxymethylcellulose sodium and cationic polyacrylamide polymer denture adhesive is a...

  8. 21 CFR 872.3420 - Carboxymethylcellulose sodium and cationic polyacrylamide polymer denture adhesive.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... polyacrylamide polymer denture adhesive. 872.3420 Section 872.3420 Food and Drugs FOOD AND DRUG ADMINISTRATION....3420 Carboxymethylcellulose sodium and cationic polyacrylamide polymer denture adhesive. (a) Identification. A carboxymethylcellulose sodium and cationic polyacrylamide polymer denture adhesive is a...

  9. 21 CFR 872.3420 - Carboxymethylcellulose sodium and cationic polyacrylamide polymer denture adhesive.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... polyacrylamide polymer denture adhesive. 872.3420 Section 872.3420 Food and Drugs FOOD AND DRUG ADMINISTRATION....3420 Carboxymethylcellulose sodium and cationic polyacrylamide polymer denture adhesive. (a) Identification. A carboxymethylcellulose sodium and cationic polyacrylamide polymer denture adhesive is a...

  10. 21 CFR 872.3420 - Carboxymethylcellulose sodium and cationic polyacrylamide polymer denture adhesive.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... polyacrylamide polymer denture adhesive. 872.3420 Section 872.3420 Food and Drugs FOOD AND DRUG ADMINISTRATION....3420 Carboxymethylcellulose sodium and cationic polyacrylamide polymer denture adhesive. (a) Identification. A carboxymethylcellulose sodium and cationic polyacrylamide polymer denture adhesive is a...

  11. 21 CFR 872.3420 - Carboxymethylcellulose sodium and cationic polyacrylamide polymer denture adhesive.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... polyacrylamide polymer denture adhesive. 872.3420 Section 872.3420 Food and Drugs FOOD AND DRUG ADMINISTRATION....3420 Carboxymethylcellulose sodium and cationic polyacrylamide polymer denture adhesive. (a) Identification. A carboxymethylcellulose sodium and cationic polyacrylamide polymer denture adhesive is a...

  12. Effects of temperature-responsive hydrogel on viscosity of denture adhesives.

    PubMed

    Zhao, Huizi; Akiba, Norihisa; Tanimoto, Hiroyuki; Yoshizaki, Taro; Yalikun, Kaidiliya; Minakuchi, Shunsuke

    2016-01-01

    The cream type of denture adhesives after use cannot be easily removed from oral mucosa and have the potential risk to change the oral flora. The effects of the temperature-responsive hydrogel Pluronic F-127 (PF) on the complex viscosity of denture adhesives were evaluated. Carboxy methylcellulose (CMC) mass fractions (1, 2, 3 and 4%) were added to 20 and 25% PF hydrogels. Complex viscosity was measured over a temperature cycle (40→10→40°C) and fixed temperature points (23 and 37°C). Adhesive strength tests were performed with 2 resin plates at 23 and 37°C. One commercial cream-type denture adhesive, New Poligrip® (NP), was evaluated as a control. Complex viscosity values for PF20% groups at 23°C were lower than those for NP at 37°C. Adhesive strength of PF20% with CMC2%, was higher at 23°C when compared to NP at 37°C, which suggests that PF20%CMC2% is an effective adhesive and is easily removed after mouth rinsing.

  13. Computer-printer denture microlabeling system.

    PubMed

    Ling, B C

    1998-03-01

    This procedure is easy to use and is cost-effective because it uses equipment that exist in any office or institution. The material used, transparency film for use with plain paper copier, is less expensive than either photographic slide film or normal slide films. Moreover, the transparency sheet can be used again for photocopying until the sheet is fully used up. There is no added cost of development of film, or is it necessary to wait for the whole roll of film to be used before the label can be retrieved and used. The background of the label is clear and only the black images of the characters of the label can be clearly seen. The effect of the transparency film, photocopy ink, and adhesive glue is not known. But no adverse effects have been noted. Microlabels have advantages over conventional labels with characters in font size 8 to 12, because more information, such as the full name of the patient, sex, country of origin, and national identification number can be incorporated. With more detailed information, quick identification of a deceased person can be made. Microlabels with a clear background will have minimal esthetic impact on the patient. The disadvantages of the technique is that it may not withstand a fire. In situations where the deceased body is badly burned, the denture and its identification strip may be burned, too. However, this risk can be minimized by placing the strip in the most posterior part of the denture-palatal in the maxillary denture and distal lingual in the mandibular denture. For testing of durability, dentures with the labels were placed in water for up to 4 months. The labels showed no sign of fading or deterioration.

  14. 21 CFR 872.3760 - Denture relining, repairing, or rebasing resin.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... SERVICES (CONTINUED) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3760 Denture relining... device composed of materials such as methylmethacrylate, intended to reline a denture surface...

  15. 21 CFR 872.3760 - Denture relining, repairing, or rebasing resin.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... SERVICES (CONTINUED) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3760 Denture relining... device composed of materials such as methylmethacrylate, intended to reline a denture surface...

  16. 21 CFR 872.3760 - Denture relining, repairing, or rebasing resin.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... SERVICES (CONTINUED) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3760 Denture relining... device composed of materials such as methylmethacrylate, intended to reline a denture surface...

  17. Evaluation of a complete denture trial method applying rapid prototyping.

    PubMed

    Inokoshi, Masanao; Kanazawa, Manabu; Minakuchi, Shunsuke

    2012-02-01

    A new trial method for complete dentures using rapid prototyping (RP) was compared with the conventional method. Wax dentures were fabricated for 10 edentulous patients. Cone-beam CT was used to scan the wax dentures. Using 3D computer-aided design software, seven 3D denture images with different artificial teeth arrangements were made and seven trial dentures per patient were fabricated accordingly. Two prosthodontists performed a denture try-in for one patient using both conventional and RP methods. The prosthodontists and patients rated satisfaction for both methods using a visual analogue scale. Satisfaction ratings with both conventional and RP methods were compared using the Wilcoxon signed-rank test. Regarding prosthodontist's ratings, esthetics and stability were rated significantly higher with the conventional method than with the RP method, whereas chair time was rated significantly longer with the RP method than with the conventional method. Although further improvements are needed, the trial method applying RP seems promising.

  18. Different Occlusal Schemes in a Persistent Protruding Complete Denture Wearer

    PubMed Central

    Iegami, Carolina Mayumi; Lopes, Danilo de Melo; Nakamae, Atlas Edson Moleros; Uehara, Priscila Nakasone; Tamaki, Regina

    2016-01-01

    Different types of artificial teeth and occlusal designs can be used in complete dentures. Bilateral balanced occlusion, lingualized occlusion, canine guidance, and monoplane are the main occlusal designs; however there is no agreement on which tooth arrangement is ideal for achieving success in complete dentures. This report presents an alternative for persistent involuntary protruding complete denture wearers through the use of artificial teeth with higher cusps. Due to an old and worn pair of complete dentures, the patient had the habit of protruding. New dentures were made with Biotone artificial teeth and in the trial session, the patient would still protrude. A new set was made with Premium artificial teeth, which present higher cusps. With these dentures, the involuntary protrusion did not occur. From the delivery to the follow-up sessions, the patient stopped protruding. PMID:27069698

  19. Fatigue Life of Cast Titanium Alloys Under Simulated Denture Framework Displacements

    NASA Astrophysics Data System (ADS)

    Koike, Mari; Chan, Kwai S.; Hummel, Susan K.; Mason, Robert L.; Okabe, Toru

    2013-02-01

    The objective of the study was to evaluate the hypothesis that the mechanical properties and fatigue behavior of removable partial dentures (RPD) made from cast titanium alloys can be improved by alloying with low-cost, low-melting elements such as Cu, Al, and Fe using commercially pure Ti (CP-Ti) and Ti-6Al-4V as controls. RPD specimens in the form of rest-shaped, clasp, rectangular-shaped specimens and round-bar tensile specimens were cast using an experimental Ti-5Al-5Cu alloy, Ti-5Al-1Fe, and Ti-1Fe in an Al2O3-based investment with a centrifugal-casting machine. The mechanical properties of the alloys were determined by performing tensile tests under a controlled displacement rate. The fatigue life of the RPD specimens was tested by the three-point bending in an MTS testing machine under a cyclic displacement of 0.5 mm. Fatigue tests were performed at 10 Hz at ambient temperature until the specimens failed into two pieces. The tensile data were statistically analyzed using one-way ANOVA (α = 0.05) and the fatigue life data were analyzed using the Kaplan-Meier survival analysis (α = 0.05). The experimental Ti-5Al-5Cu alloy showed a significantly higher average fatigue life than that of either CP-Ti or Ti-5Al-1Fe alloy ( p < 0.05). SEM fractography showed that the fatigue cracks initiated from surface grains, surface pores, or hard particles in surface grains instead of the internal casting pores. Among the alloys tested, the Ti-5Al-5Cu alloy exhibited favorable results in fabricating dental appliances with an excellent fatigue behavior compared with other commercial alloys.

  20. Controlling fungal biofilms with functional drug delivery denture biomaterials.

    PubMed

    Wen, Jianchuan; Jiang, Fuguang; Yeh, Chih-Ko; Sun, Yuyu

    2016-04-01

    Candida-associated denture stomatitis (CADS), caused by colonization and biofilm-formation of Candida species on denture surfaces, is a significant clinical concern. We show here that modification of conventional denture materials with functional groups can significantly increase drug binding capacity and control drug release rate of the resulting denture materials for potentially managing CADS. In our approach, poly(methyl methacrylate) (PMMA)-based denture resins were surface grafted with three kinds of polymers, poly(1-vinyl-2-pyrrolidinone) (PNVP), poly(methacrylic acid) (PMAA), and poly(2-hydroxyethyl methacrylate) (PHEMA), through plasma-initiated grafting polymerization. With a grafting yield as low as 2 wt%, the three classes of new functionalized denture materials showed significantly higher drug binding capacities toward miconazole, a widely used antifungal drug, than the original PMMA denture resin control, leading to sustained drug release and potent biofilm-controlling effects against Candida. Among the three classes of functionalized denture materials, PNVP-grafted resin provided the highest miconazole binding capability and the most powerful antifungal and biofilm-controlling activities. Drug binding mechanisms were studied. These results demonstrated the importance of specific interactions between drug molecules and functional groups on biomaterials, shedding lights on future design of CADS-managing denture materials and other related devices for controlled drug delivery. PMID:26731194

  1. Hollow dentures: treatment option for atrophic ridges. a clinical report.

    PubMed

    Caculo, Shweta Pandurang; Aras, Meena Ajay; Chitre, Vidya

    2013-04-01

    Severely atrophic ridges provide decreased retention, support, and stability and pose a clinical challenge to the success of complete denture prostheses. Extreme ridge resorption also increases the interridge distance. Restoration of the vertical dimension and esthetics thus demands increased height of the prosthesis and in turn leads to an increase in prosthesis weight. Reducing the weight of the denture enhances stability and retention and reduces further resorption of the jaw, thereby favoring the prognosis of the denture. This report describes the rehabilitation of an edentulous patient with resorbed maxillary and mandibular ridges and an increased interridge distance using simplified techniques of fabricating hollow dentures.

  2. Shock-absorbing behavior of four processed soft denture liners.

    PubMed

    Kawano, F; Kon, M; Koran, A; Matsumoto, N

    1994-12-01

    The cushioning effect of soft denture liners was evaluated with the use of a free drop test with an accelerometer. The materials tested included SuperSoft, Kurepeet-Dough, Molteno Soft, and Molloplast-B brands. All materials were found to reduce the impact force when compared with denture base resin. A 2.4 mm layer of soft denture material demonstrated good shock absorption. The Molloplast-B and Molteno Soft materials showed excellent shock absorption. When the soft denture liner was stored in distilled water for 180 days, the damping effect recorded for all materials tested was increased. The aging of all materials also affected the cushioning effect.

  3. Denture bar-coding: An innovative technique in forensic dentistry

    PubMed Central

    Dineshshankar, Janardhanam; Venkateshwaran, Rajendran; Vidhya, J.; Anuradha, R.; Mary, Gold Pealin; Pradeep, R.; Senthileagappan, A. R.

    2015-01-01

    Denture markers play an important role in forensic odontology and also in identifying a person. A number of methods are there for identifying dentures from a less expensive technique to a more expensive technique. Out of different denture markers, the bar-coding system is a way of collecting data from the mobile. Even a huge amount of data can be stored in that. It can be easily incorporated during acrylization of the denture and thus could be helpful in identification. This article reviews the strengths of bar-coding and how easily it can be used in the routine procedure. PMID:26538876

  4. Controlling fungal biofilms with functional drug delivery denture biomaterials.

    PubMed

    Wen, Jianchuan; Jiang, Fuguang; Yeh, Chih-Ko; Sun, Yuyu

    2016-04-01

    Candida-associated denture stomatitis (CADS), caused by colonization and biofilm-formation of Candida species on denture surfaces, is a significant clinical concern. We show here that modification of conventional denture materials with functional groups can significantly increase drug binding capacity and control drug release rate of the resulting denture materials for potentially managing CADS. In our approach, poly(methyl methacrylate) (PMMA)-based denture resins were surface grafted with three kinds of polymers, poly(1-vinyl-2-pyrrolidinone) (PNVP), poly(methacrylic acid) (PMAA), and poly(2-hydroxyethyl methacrylate) (PHEMA), through plasma-initiated grafting polymerization. With a grafting yield as low as 2 wt%, the three classes of new functionalized denture materials showed significantly higher drug binding capacities toward miconazole, a widely used antifungal drug, than the original PMMA denture resin control, leading to sustained drug release and potent biofilm-controlling effects against Candida. Among the three classes of functionalized denture materials, PNVP-grafted resin provided the highest miconazole binding capability and the most powerful antifungal and biofilm-controlling activities. Drug binding mechanisms were studied. These results demonstrated the importance of specific interactions between drug molecules and functional groups on biomaterials, shedding lights on future design of CADS-managing denture materials and other related devices for controlled drug delivery.

  5. Partial removal of pore and loosely bound water by low-energy drying decreases cortical bone toughness in young and old donors.

    PubMed

    Nyman, Jeffry S; Gorochow, Lacey E; Adam Horch, R; Uppuganti, Sasidhar; Zein-Sabatto, Ahbid; Manhard, Mary Katherine; Does, Mark D

    2013-06-01

    With an ability to quantify matrix-bound and pore water in bone, (1)H nuclear magnetic resonance (NMR) relaxometry can potentially be implemented in clinical imaging to assess the fracture resistance of bone in a way that is independent of current X-ray techniques, which assess bone mineral density as a correlate of bone strength. Working towards that goal, we quantified the effect of partial dehydration in air on the mechanical and NMR properties of human cortical bone in order to understand whether NMR is sensitive to water-bone interactions at low energy and whether such interactions contribute to the age-related difference in the toughness of bone. Cadaveric femurs were collected from male and female donors falling into two age groups: 21-60 years of age (young) and 74-99 years of age (old). After extracting two samples from the medial cortex of the mid-shaft, tensile tests were conducted on Wet specimens and paired, Partially Dry (PtlD) specimens (prepared by low-energy drying in air to remove ∼3% of original mass before testing). Prior analysis by micro-computed tomography found that there were no differences in intra-cortical porosity between the Wet and PtlD specimens nor did an age-related difference in porosity exist. PtlD specimens from young and old donors had significantly less toughness than Wet specimens, primarily due to a dehydration-related decrease in post-yield strain. The low-energy drying protocol did not affect the modulus and yield strength of bone. Subsequent dehydration of the PtlD specimens in a vacuum oven at 62°C and then 103°C, with quantification of water loss at each temperature, revealed an age-related shift from more loosely bound water to more tightly bound water. NMR detected a change in both bound and pore water pools with low-energy air-drying, and both pools were effectively removed when bone was oven-dried at 62°C, irrespective of donor age. Although not strictly significant due to variability in the drying and testing

  6. Partial removal of pore and loosely bound water by low-energy drying decreases cortical bone toughness in young and old donors.

    PubMed

    Nyman, Jeffry S; Gorochow, Lacey E; Adam Horch, R; Uppuganti, Sasidhar; Zein-Sabatto, Ahbid; Manhard, Mary Katherine; Does, Mark D

    2013-06-01

    With an ability to quantify matrix-bound and pore water in bone, (1)H nuclear magnetic resonance (NMR) relaxometry can potentially be implemented in clinical imaging to assess the fracture resistance of bone in a way that is independent of current X-ray techniques, which assess bone mineral density as a correlate of bone strength. Working towards that goal, we quantified the effect of partial dehydration in air on the mechanical and NMR properties of human cortical bone in order to understand whether NMR is sensitive to water-bone interactions at low energy and whether such interactions contribute to the age-related difference in the toughness of bone. Cadaveric femurs were collected from male and female donors falling into two age groups: 21-60 years of age (young) and 74-99 years of age (old). After extracting two samples from the medial cortex of the mid-shaft, tensile tests were conducted on Wet specimens and paired, Partially Dry (PtlD) specimens (prepared by low-energy drying in air to remove ∼3% of original mass before testing). Prior analysis by micro-computed tomography found that there were no differences in intra-cortical porosity between the Wet and PtlD specimens nor did an age-related difference in porosity exist. PtlD specimens from young and old donors had significantly less toughness than Wet specimens, primarily due to a dehydration-related decrease in post-yield strain. The low-energy drying protocol did not affect the modulus and yield strength of bone. Subsequent dehydration of the PtlD specimens in a vacuum oven at 62°C and then 103°C, with quantification of water loss at each temperature, revealed an age-related shift from more loosely bound water to more tightly bound water. NMR detected a change in both bound and pore water pools with low-energy air-drying, and both pools were effectively removed when bone was oven-dried at 62°C, irrespective of donor age. Although not strictly significant due to variability in the drying and testing

  7. Effects of partial stone removal on the co-composting of olive-oil processing solid residues with poultry manure and the quality of compost.

    PubMed

    Hachicha, R; Rigane, H; Ben Khodher, M; Nasri, M; Medhioub, K

    2003-01-01

    Full scale composting studies were performed with stoned (SEOOPSW) and non stoned exhausted olive-oil processing solid waste (NSEOOPSW) mixed with 20% poultry manure to reach a C/N ratio of around 30 and to improve the chemical and microbiological properties of the end products. The experiment was performed on two windrows (3 m wide, 2.5 m high and 10 tonne weight) to investigate the effects of stone removal and poultry manure addition on composting process efficiency and on the quality of composts. The partially stone removal operation reduced the total composting time by at least one month compared with the untreated waste. The addition of poultry manure improved the chemical quality of the end product, as shown by the doubling of the nitrogen concentration after four months composting together with the increased amount of P and K. Compost from stoned exhausted olive-oil processing solid waste had higher levels of cation exchange capacity (CEC) and humic acid content with a lower [FA/HA] ratio indicating a high polymerisation level. Agronomic field test showed that both composts are not phytotoxic. When applied at the rate of 40 tonne ha(-1) to a potato culture, they produced approximately the same yield (46 and 48.5 tonne ha(-1)) but they acted differently in terms of plant development. Compost produced from the NSEOOPSW acted more positively on the stem length (84.1 against 77.6 cm) and on leaf weight (354 against 238 g), whereas compost from the SEOOPSW more positively affected tuber sizes (76% large grade compared to 55%).

  8. Complete nitrogen removal from municipal wastewater via partial nitrification by appropriately alternating anoxic/aerobic conditions in a continuous plug-flow step feed process.

    PubMed

    Ge, Shijian; Peng, Yongzhen; Qiu, Shuang; Zhu, Ao; Ren, Nanqi

    2014-05-15

    This study assessed the technical feasibility of removing nitrogen from municipal wastewater by partial nitrification (nitritation) in a continuous plug-flow step feed process. Nitrite in the effluent accumulated to over 81.5  ± 9.2% but disappeared with the transition of process operation from anoxic/oxic mode to the anaerobic/anoxic/oxic mode. Batch tests showed obvious ammonia oxidizing bacteria (AOB) stimulation (advanced ammonia oxidation rate) and nitrite (NOB) oxidizing bacteria inhibition (reduced nitrite oxidation rate) under transient anoxic conditions. Two main factors contributed to nitritation in this continuous plug-flow process: One was the alternating anoxic and oxic operational condition; the step feed strategy guaranteed timely denitrification in anoxic zones, allowing a reduction in energy supply (nitrite) to NOB. Fluorescence in Situ Hybridization and quantitative real-time polymerase chain reaction analysis indicated that NOB population gradually decreased to 1.0  ± 0.1% of the total bacterial population (dominant Nitrospira spp., 1.55 × 10(9) copies/L) while AOB increased approximately two-fold (7.4  ± 0.9%, 1.25 × 10(10) copies/L) during the above anoxic to anaerobic transition. Most importantly, without addition of external carbon sources, the above wastewater treatment process reached 86.0  ± 4.2% of total nitrogen (TN) removal with only 7.23 ± 2.31 mg/L of TN in the effluent, which met the discharge requirements. PMID:24602864

  9. Fatigue properties of acrylic denture base resins.

    PubMed

    Fujii, K

    1989-12-01

    Observations were made of fractured surfaces caused by flexural and tensile fatigue tests made in polymethyl methacrylate denture base resins (PMMA). In addition, the changes in dynamic viscoelastic and tensile properties of the materials along with fatigue propagation were investigated. In the tensile and flexural fatigue tests, both the fractured surfaces, which had striations on their surfaces and cracks near the fractured section, closely resembled each other in appearance. On the other hand, all of the tensile properties, such as elastic modulus, toughness and tensile strength, decreased with the increase of the number of stress cycles in the fatigue test. The storage modulus (E') of the material decreased gradually along with fatigue propagation over the whole range of temperatures tested. The loss modulus (E") and mechanical loss tangent (tan delta) increased slightly. The fatigue limit of four commercial denture base resins varied widely from one product to another.

  10. Tongue support of complete dentures in the elderly.

    PubMed

    Chen, Yu-Fen; Yang, Yi-Hsin; Lee, Ji-Hua; Chen, Jen-Hao; Lee, Huey-Er; Chou, Tsau-Mau

    2012-05-01

    This study aimed to evaluate the tongue's role in supporting maxillary denture retention (MDR), in providing additional stabilization for the mandibular denture, and the tongue's relationship with the oral health-related well being in elderly complete denture patients. Four hundred elderly individuals, 263 males and 137 females, were enrolled in this study. All were older than 65 years, and wore complete dentures. Intraoral examinations were performed in accordance with the 10 criteria embedded in the Functional Assessment of Dentures (FAD). Participants also received personal interviews and completed the Oral Health Impact Profile-14 (OHIP-14) questionnaire. The associations between MDR (tongue support) with the mean OHIP-14 sum scores and FAD categories were analyzed using the t test or analysis of variance (ANOVA). Combinations of MDR (tongue support), MDR (resistance to vertical pull), and mandibular denture stability (anterior-posterior movement) were also assessed with the remaining FAD criteria and OHIP-14 domain scores. Individuals with adequate MDR (tongue support) were significantly associated with denture articulation, denture occlusion, MDR (resistance to vertical pull), maxillary denture stability (pronounced rocking), and mandibular denture stability (anterior-posterior movement). When individuals with adequate MDR (tongue support) were analyzed in conjunction with adequate MDR (resistance to vertical pull) and adequate mandibular denture stability (anterior-posterior movement), significant associations were observed with the mean OHIP-14 sum score and three individual OHIP-14 domains: functional limitation, physical pain, and physical disability (p < 0.05). The mean OHIP-14 sum score was lower among individuals with both adequate MDR (tongue support) and inadequate MDR (resistance to vertical pull) than among participants with both inadequate MDR (tongue support) and inadequate MDR (resistance to vertical pull). MDR (tongue support) demonstrated

  11. Comparison of the Effect of two Denture Cleansers on Tensile bond Strength of a Denture Liner

    PubMed Central

    Farzin, M; Bahrani, F; Adelpour, E

    2013-01-01

    Statement of Problem: One of the most clinical challenging issues in prosthodontics is debonding of soft liners from the denture base. Purpose: The aim of this study was to evaluate and compare tensile bond strength between soft liner and heat-cured acrylic resin when immersed in two different types of denture cleanser and distilled water, at different period of times. Materials and Method: In this experimental in vivo study, 238 heat-cured acrylic blocks were made. A soft liner was embedded between the acrylic blocks. Samples were divided into four groups: 17 samples were in the control group and were not soaked in any solution .The remaining samples were divided into 3 groups (Distilled water, Calgon and Fittydent). Each group was then subdivided into two subcategories, regarding the immersion time variable; 15 and 45 minutes. All samples were placed in tension force and tensile bond strength was recorded with the testing machine. One- way ANOVA and Tucky HSD post-hoc test were adopted to analyze the yielded data (α> 0.05). Results: Specimens which were immersed in two denture cleansers (Fittydent and Calgon) and in distilled water showed significant difference (p= 0.001) in bonding strength when compared to the control group. The subjects immersed in denture cleanser solutions and distilled water did not reveal any significant difference (p= 0.90). For all groups; most of the bonding failures (72%) were cohesive type. Conclusion: The effect of the denture cleansers and distilled water on the bond strength was not statistically different; however, the difference was significant between the immersed groups with the non-immersed group. Moreover, type of the denture cleanser did not show any effect on the tensile strength. The tensile strength increases with time of immersion. PMID:24724134

  12. The role of surface treatments on the bond between acrylic denture base and teeth.

    PubMed

    Bragaglia, Lauro Egídio; Prates, Luiz Henrique Maykot; Calvo, Maria Cristina Marino

    2009-01-01

    The aim of this study was to compare the bond strength between acrylic denture base and teeth subjected to 6 surface treatments. Ninety-six specimens were made with poly(methylmethacrylate) teeth bonded to a microwave-polymerized acrylic denture base material. The specimens were distributed into 6 groups (n=16) according to surface treatments: CT - no treatment (control); MN - methylmethacrylate monomer etching; AO - 50-microm-particle aluminum oxide air abrasion; BR - glaze removal with a round bur; ST - surface grinding with an aluminum oxide abrasive stone; group CV - cavity preparation (diatorics). The control and surface-treated groups were subjected to a compressive load at 45 masculine angle to the long axis of the teeth. Data were analyzed by one-way ANOVA, followed by Scheffé's test (p<0.05). Bond strength means and (SD) in kgf for groups were: CT: 18.19 (7.14), MN: 18.34 (5.28), AO: 23.82 (5.40), BR: 23.30 (4.79), ST: 25.39 (7.80) and CV: 17.48 (7.17). There was statistically significant difference (p=0.037997) only between ST and CV. In conclusion, ridge lap surface grinding with an aluminum oxide abrasive stone provided the highest bond strength, though it differed significantly only when compared to diatorics. The other surface treatments provided similar bond between the acrylic denture base and teeth. PMID:19738950

  13. Surface Passivation of ZrO2 Artificial Dentures by Magnetized Coaxial Plasma deposition

    NASA Astrophysics Data System (ADS)

    Arai, Soya; Kurumi, Satoshi; Matsuda, Ken-Ichi; Suzuki, Kaoru; Hara, Katsuya; Kato, Tatsuya; Asai, Tomohiko; Hirose, Hideharu; Masutani, Shigeyuki; Nihon University Team

    2015-09-01

    Recent growth and fabrication technologies for functional materials have been greatly contributed to drastic development of oral surgery field. Zirconia based ceramics is expected to utilize artificial dentures because these ceramics have good biocompatibility, high hardness and aesthetic attractively. However, to apply these ceramics to artificial dentures, this denture is removed from a dental plate because of weakly bond. For improving this problem, synthesis an Al passivation-layer on the ceramics for bonding with these dental items is suitable. In order to deposit the passivation layer, we focused on a magnetized coaxial plasma deposition (MCPD). The greatest characteristic of MCPD is that high-melting point metal can be deposited on various substrates. Additionally, adhesion force between substrate and films deposited by the MCPD is superior to it of general deposition methods. In this study, we have reported on the growth techniques of Al films on ZrO2 for contributing to oral surgery by the MCPD. Surface of deposited films shows there were some droplets and thickness of it is about 200 nm. Thickness is increased to 500 nm with increasing applied voltage.

  14. The effect of cleaning substances on the surface of denture base material

    PubMed Central

    Žilinskas, Juozas; Junevičius, Jonas; Česaitis, Kęstutis; Junevičiūtė, Gabrielė

    2013-01-01

    Bakcground The aim of this study was to evaluate the effect of substances used for hygienic cleaning of dentures on the surface of the denture base material. Material/Methods Meliodent Heat Cure (Heraeus-Kulzer, Germany) heat-polymerized acrylic resin was used to produce plates with all the characteristics of removable denture bases (subsequently, “plates”). Oral-B Complete toothbrushes of various brush head types were fixed to a device that imitated tooth brushing movements; table salt and baking soda (frequently used by patients to improve tooth brushing results), toothpaste (“Colgate Total”), and water were also applied. Changes in plate surfaces were monitored by measuring surface reflection alterations on spectrometry. Measurements were conducted before the cleaning and at 2 and 6 hours after cleaning. Results No statistically significant differences were found between the 3 test series. All 3 plates used in the study underwent statistically significant (p<0.05changed) – the reflection became poorer. The plates were most affected by the medium-bristle toothbrush with baking soda – the total reflection reduction was 4.82±0.1%; among toothbrushes with toothpaste, the hard-type toothbrush had the greatest reflection-reducing effect – 4.6±0.05%, while the toothbrush with table salt inflicted the least damage (3.5 ± 0.16%) due to the presence of rounded crystals between the bristles and the resin surface. Toothbrushes with water had a uniform negative effect on the plate surface – 3.89±0.07%. Conclusions All substances used by the patients caused surface abrasion of the denture base material, which reduced the reflection; a hard toothbrush with toothpaste had the greatest abrasive effect, while soft toothbrushes inflicted the least damage. PMID:24326781

  15. A clinical evaluation denture adhesives used by patients with xerostomia.

    PubMed

    Bogucki, Zdzislaw A; Napadlek, Piotr; Dabrowa, Tomasz

    2015-02-01

    The purpose of study was to analyze the participants' opinions concerning the effectiveness of 6 denture adhesives (DA). The study group included 60 participants. Criteria for selecting the patients were as follows: reduced retention and stabilization of maxillary complete dentures and xerostomia. These features were evaluated on basis of clinical examination and standard sialometry tests (u-SFR). Retention of maxillary dentures was scored by modified Kapur index before application of DA. All participants were divided randomly into 6 groups regarding the use of the 6 DA during a 6-month period. After this time, participants completed an HRQL questionnaire. DA noticeably improved retention and stabilization of maxillary complete dentures. DA in the glue form had the best retention effectiveness in participants with xerostomia. These materials are difficult to clean from the denture base. The data are presented in tables and figures. The results of the study collected positive influence of adhesives on retention of dentures in xerostomia patients. The cleaning dentures and denture bearing tissues was difficult. DA help in the use of prostheses, but it is also necessary for the treatment of the causes and symptoms of xerostomia.

  16. The William Parks exhibition denture--a hidden gem.

    PubMed

    Jordan, Peter

    2014-01-01

    This paper describes a previously unknown denture constructed from hippopotamus ivory. The denture is unusual in that it is anatomically correct in terms of tooth morphology. It is believed that it was a demonstration item for the Great Exhibition of 1851. PMID:24620435

  17. Characterization of acquired denture pellicle from healthy and stomatitis patients.

    PubMed

    Edgerton, M; Levine, M J

    1992-10-01

    Little information is available about the acquired pellicle layer that is formed on denture surfaces or its role in regulating microbial colonization of the prosthetic surface. Because denture-induced stomatitis is associated with increased numbers of Candida albicans and other microorganisms on the denture surface, the acquired denture pellicle (ADP) may play a role in modulating this colonization. This study examined and compared ADP from healthy patients and patients with stomatitis by chemical and immunochemical methods. The ADP was found to be composed of a selectively adsorbed layer containing salivary amylase, high molecular weight mucin (MG1), lysozyme, albumin, and sIgA. Salivary cystatins, proline-rich proteins, and low molecular weight mucin (MG2) were not detected. ADP amino acid composition was distinct from any of the ductal salivas, but had many similarities with enamel pellicle. Immunoblots of ADP from patients with stomatitis identified additional serum components, degradation products, and C. albicans cell components that were not detected in ADP from healthy patients. Quantification of these molecules in ADP could lead to a diagnostic test for oral mucosal disease underlying a denture base. Identification of specific molecules in denture pellicle that promote adhesion of C. albicans may elucidate a mechanism of fungal cell colonization on the denture surface. Future studies that chemically modify the denture acrylic resin surface to immobilize antimicrobial proteins may be a means of decreasing pathogenic plaque development.

  18. 21 CFR 872.3540 - OTC denture cushion or pad.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false OTC denture cushion or pad. 872.3540 Section 872.3540 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3540 OTC denture cushion or pad....

  19. 21 CFR 872.3590 - Preformed plastic denture tooth.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Preformed plastic denture tooth. 872.3590 Section 872.3590 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3590 Preformed plastic denture tooth....

  20. 21 CFR 872.3580 - Preformed gold denture tooth.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Preformed gold denture tooth. 872.3580 Section 872.3580 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3580 Preformed gold denture tooth....

  1. 21 CFR 872.3570 - OTC denture repair kit.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 8 2011-04-01 2011-04-01 false OTC denture repair kit. 872.3570 Section 872.3570 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3570 OTC denture repair kit. (a)...

  2. 21 CFR 872.3560 - OTC denture reliner.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false OTC denture reliner. 872.3560 Section 872.3560 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3560 OTC denture reliner. (a) Identification....

  3. 21 CFR 872.3570 - OTC denture repair kit.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false OTC denture repair kit. 872.3570 Section 872.3570 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3570 OTC denture repair kit. (a)...

  4. 21 CFR 872.3560 - OTC denture reliner.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 8 2011-04-01 2011-04-01 false OTC denture reliner. 872.3560 Section 872.3560 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3560 OTC denture reliner. (a) Identification....

  5. 21 CFR 872.3590 - Preformed plastic denture tooth.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Preformed plastic denture tooth. 872.3590 Section 872.3590 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3590 Preformed plastic denture tooth....

  6. 21 CFR 872.3530 - Mechanical denture cleaner.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Mechanical denture cleaner. 872.3530 Section 872.3530 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3530 Mechanical denture cleaner....

  7. 21 CFR 872.3530 - Mechanical denture cleaner.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Mechanical denture cleaner. 872.3530 Section 872.3530 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3530 Mechanical denture cleaner....

  8. 21 CFR 872.3540 - OTC denture cushion or pad.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 8 2011-04-01 2011-04-01 false OTC denture cushion or pad. 872.3540 Section 872.3540 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3540 OTC denture cushion or pad....

  9. Color stability of long-term soft denture liners.

    PubMed

    Shotwell, J L; Razzoog, M E; Koran, A

    1992-11-01

    The use of resilient denture liners in complete denture construction has become increasingly popular for providing comfort for denture wearers. The primary disadvantage of these materials is that the physical and mechanical properties change rapidly with time in a service environment. The purpose of this study is to evaluate the color stability of five commercially available soft denture liners as a function of accelerated aging. Color measurements were made before aging with a colorimeter and data processor. The samples were then weathered for 100 hours in an accelerated aging chamber in the presence of a xenon ultraviolet visible-light source, an intermittent water spray at 110 degrees F, and 90% humidity. After aging, color measurements were made again and color differences (delta E) were calculated. Results were statistically tested with analysis of variance and Scheffé intervals were calculated at 0.96. It was concluded that accelerated aging can be used to evaluate color stability of soft denture liners.

  10. [The stability of complete dentures in the construction of functional movement patterns].

    PubMed

    Landeck, E

    1978-07-01

    In a cross-sectional study involving 185 full denture wearers, the stability of upper and lower dentures was determined by means of active test movements according to Herbst. The percentages of instable dentures and their confidence intervals were calculated. It was found that all sections of upper full dentures can be regarded as equal with regard to stability, whereas the sections of lower full dentures showed considerable differences. Finally, practice-relevant conclusions are drawn from the results of the present study.

  11. Does Hollowing of Complete Denture Enhance Retention? – A Pilot Study

    PubMed Central

    Kalra, Ashish; Iyer, Satish R; Mittal, Manish; Kalra, Shilpa; Yadav, Shweta

    2015-01-01

    Introduction Prosthetic rehabilitation is an extremely challenging task in extreme resorption cases of the maxillary denture-bearing area. Reducing the weight of a maxillary obturator has been seen as beneficial. But whether reducing the weight of conventional complete denture also increases retention or not, is still very dubious. The aim of this pilot study was to determine the effect of maxillary denture weight on denture retention and stability. Materials and Methods For this study, a total of 10 patients were considered for the pilot study (06 female and 04 male) with an average age of 70 y. Each patient was provided with two sets of maxillary complete dentures, one hollow labeled as A and one conventional maxillary denture labeled as B. Results It was shown that mean values for retention using MKIS for retention for hollow dentures (A) was 7.8 and for conventional dentures (B) it was 8.2 and the stability for maxillary dentures was more with conventional dentures (B) than hollow maxillary dentures (A) and it was significant as p-value was 0.015 (p<.1). Conclusion The denture retention and stability, chewing and comfort values of conventional dentures and hollow dentures were slightly better for conventional dentures. PMID:26155561

  12. Fit accuracy of metal partial removable dental prosthesis frameworks fabricated by traditional or light curing modeling material technique: An in vitro study

    PubMed Central

    Anan, Mohammad Tarek M.; Al-Saadi, Mohannad H.

    2015-01-01

    Objective The aim of this study was to compare the fit accuracies of metal partial removable dental prosthesis (PRDP) frameworks fabricated by the traditional technique (TT) or the light-curing modeling material technique (LCMT). Materials and methods A metal model of a Kennedy class III modification 1 mandibular dental arch with two edentulous spaces of different spans, short and long, was used for the study. Thirty identical working casts were used to produce 15 PRDP frameworks each by TT and by LCMT. Every framework was transferred to a metal master cast to measure the gap between the metal base of the framework and the crest of the alveolar ridge of the cast. Gaps were measured at three points on each side by a USB digital intraoral camera at ×16.5 magnification. Images were transferred to a graphics editing program. A single examiner performed all measurements. The two-tailed t-test was performed at the 5% significance level. Results The mean gap value was significantly smaller in the LCMT group compared to the TT group. The mean value of the short edentulous span was significantly smaller than that of the long edentulous span in the LCMT group, whereas the opposite result was obtained in the TT group. Conclusion Within the limitations of this study, it can be concluded that the fit of the LCMT-fabricated frameworks was better than the fit of the TT-fabricated frameworks. The framework fit can differ according to the span of the edentate ridge and the fabrication technique for the metal framework. PMID:26236129

  13. Polyamide as a Denture Base Material: A Literature Review.

    PubMed

    Vojdani, Mahroo; Giti, Rashin

    2015-03-01

    The purpose of this article was to review the biocompatibility, physical, and mechanical properties of the polyamide denture base materials. An electronic search of scientific papers from 1990-2014 was carried out using PubMed, Scopus and Wiley Inter Science engines using the search terms "nylon denture base" and "polyamide denture base". Searching the key words yielded a total of 82 articles. By application of inclusion criteria, the obtained results were further reduced to 24 citations recruited in this review. Several studies have evaluated various properties of polyamide (nylon) denture base materials. According to the results of the studies, currently, thermo-injectable, high impact, flexible or semi-flexible polyamide is thought to be an alternative to the conventional acrylic resins due to its esthetic and functional characteristics and physicochemical qualities. It would be justifiable to use this material for denture fabrication in some cases such as severe soft/ hard tissue undercuts, unexplained repeated fracture of denture, in aesthetic-concerned patients, those who have allergy to other denture base materials, and in patients with microstomia.  Although polyamide has some attractive advantages, they require modifications to produce consistently better properties than the current polymethyl methacrylate (PMMA) materials. Moreover, since there is a very limited knowledge about their clinical performance, strict and careful follow-up evaluation of the patients rehabilitated with polyamide prosthesis is recommended.

  14. Polyamide as a Denture Base Material: A Literature Review

    PubMed Central

    Vojdani, Mahroo; Giti, Rashin

    2015-01-01

    The purpose of this article was to review the biocompatibility, physical, and mechanical properties of the polyamide denture base materials. An electronic search of scientific papers from 1990-2014 was carried out using PubMed, Scopus and Wiley Inter Science engines using the search terms “nylon denture base” and “polyamide denture base”. Searching the key words yielded a total of 82 articles. By application of inclusion criteria, the obtained results were further reduced to 24 citations recruited in this review. Several studies have evaluated various properties of polyamide (nylon) denture base materials. According to the results of the studies, currently, thermo-injectable, high impact, flexible or semi-flexible polyamide is thought to be an alternative to the conventional acrylic resins due to its esthetic and functional characteristics and physicochemical qualities. It would be justifiable to use this material for denture fabrication in some cases such as severe soft/ hard tissue undercuts, unexplained repeated fracture of denture, in aesthetic-concerned patients, those who have allergy to other denture base materials, and in patients with microstomia.  Although polyamide has some attractive advantages, they require modifications to produce consistently better properties than the current polymethyl methacrylate (PMMA) materials. Moreover, since there is a very limited knowledge about their clinical performance, strict and careful follow-up evaluation of the patients rehabilitated with polyamide prosthesis is recommended. PMID:26106628

  15. Application of carbon fiber (CF)-cloth reinforcement to upper complete denture base.

    PubMed

    Miyairi, H; Nagai, M; Takayama, Y

    1983-12-01

    The acrylic resin denture base is used more than the usual metal denture base because of the low cost, simple process to make and easy rebasing. But, as the strength of the resin is weaker, the upper resin denture base is three to four times as thick as the metal denture base. So, a study was made to make the upper complete resin denture base thinner while maintaining the strength of the resin denture bases currently in use now. To make the palatal area of the denture base thinner was made possible by the application of carbon fiber (CF)-cloth reinforcement. The resin denture base reinforced by the CF-cloth was of a thickness of 0.7 mm and was evaluated for the mechanical properties of bending. As a result, it was found that both the stiffness and strength were improved by 10% or more as compared with those of the ordinary resin denture bases. PMID:6589087

  16. Functional Impressions in Complete Denture and Overdenture Treatment

    PubMed Central

    Kršek, Hrvoje

    2015-01-01

    Tooth loss can cause loss of occlusal, masticatory, esthetic, physiognomic, phonetic and psychosocial function of patients. The most frequently used treatment method of completely edentulous patients and patients with a small number of remaining teeth are complete dentures or overdentures. One of the most important clinical and laboratory procedures in their fabrication is functional impression taking. The aim of this paper was to present procedures of taking functional impressions in fabrication of complete dentures and overdentures, using standardized techniques and materials. An accurate functional impression together with other correctly performed clinical and laboratory procedures ensure good retention and stability of dentures, which is a precondition for restoring patients’ lost functions. PMID:27688385

  17. Functional Impressions in Complete Denture and Overdenture Treatment.

    PubMed

    Kršek, Hrvoje; Dulčić, Nikša

    2015-03-01

    Tooth loss can cause loss of occlusal, masticatory, esthetic, physiognomic, phonetic and psychosocial function of patients. The most frequently used treatment method of completely edentulous patients and patients with a small number of remaining teeth are complete dentures or overdentures. One of the most important clinical and laboratory procedures in their fabrication is functional impression taking. The aim of this paper was to present procedures of taking functional impressions in fabrication of complete dentures and overdentures, using standardized techniques and materials. An accurate functional impression together with other correctly performed clinical and laboratory procedures ensure good retention and stability of dentures, which is a precondition for restoring patients' lost functions.

  18. Bond strength of denture teeth to acrylic bases.

    PubMed

    Cunningham, J L

    1993-10-01

    The literature relating to the determination of the bond strength of plastic denture teeth to acrylic resin denture material is reviewed. The papers are presented in chronological order with information on specimen preparation, batch sizes and methods of testing. The lack of uniformity in experimental techniques and the diverse range of products assessed makes recommendations for laboratory practice difficult to formulate. One consistent observation is that tooth surface contamination with wax decreases the bond strength between the teeth and the denture base material. A universal testing method needs to be formulated to replace the various techniques now employed.

  19. Functional Impressions in Complete Denture and Overdenture Treatment

    PubMed Central

    Kršek, Hrvoje

    2015-01-01

    Tooth loss can cause loss of occlusal, masticatory, esthetic, physiognomic, phonetic and psychosocial function of patients. The most frequently used treatment method of completely edentulous patients and patients with a small number of remaining teeth are complete dentures or overdentures. One of the most important clinical and laboratory procedures in their fabrication is functional impression taking. The aim of this paper was to present procedures of taking functional impressions in fabrication of complete dentures and overdentures, using standardized techniques and materials. An accurate functional impression together with other correctly performed clinical and laboratory procedures ensure good retention and stability of dentures, which is a precondition for restoring patients’ lost functions.

  20. Residual ridge resorption, lower denture stability and subjective complaints among edentulous individuals.

    PubMed

    Huumonen, S; Haikola, B; Oikarinen, K; Söderholm, A-L; Remes-Lyly, T; Sipilä, K

    2012-05-01

    Residual ridge resorption in the mandible after tooth loss may lead to worsening of complete denture stability and to various subjective complaints. The aim was to evaluate the association between radiologically assessed residual ridge resorption in the mandible, clinically assessed stability of lower complete denture and subjective complaints among elderly denture wearers. The study population consisted of 326 (115 men and 211 women) edentulous subjects aged 60-78years, all of whom were wearing complete dentures in the mandible. Data on subjective complaints were obtained from questionnaires and interviews. Denture stability was assessed clinically. Residual ridge resorption was analysed from panoramic radiographs. The results showed that women were significantly more often satisfied with their lower dentures and reported fewer problems with eating than men. They also had significantly more often residual ridge resorption than men. Among women, residual ridge resorption was significantly associated with poor chewing ability, low satisfaction with dentures and poor denture stability. Among men, residual ridge resorption did not associate with subjective complaints or denture stability. Poor satisfaction with dentures associated significantly with poor denture stability in both genders. In conclusion, these results highlight the importance of denture maintenance treatment. As the extent of residual ridge resorption in the mandible was the most important factor that increased dissatisfaction with lower complete dentures, it is also important to inhibit the progression of resorption by preventing tooth loss or by using implant-retained dentures.

  1. Clinical effects of glazing denture acrylic resin bases using an ultraviolet curing method.

    PubMed

    Budtz-Jörgensen, E; Kaaber, S

    1986-12-01

    Control of denture plaque accumulation is essential to obtain and maintain a healthy oral mucosa in denture wearers. The present study was designed to study the effect on denture plaque accumulation and denture stomatitis of coating the fitting denture surface by a glaze. Twenty-one subjects wearing complete dentures participated in the study. Glazing of the denture surface was performed using a Perma Cure System. Plaque accumulation was studied clinically and using a semiquantitative microbiologic technique. Plaque accumulation on the glazed and the non-glazed halves of the fitting denture surface was compared after 1 wk. There was significantly less plaque on the glazed half of the denture (P less than 0.001), and the calculated number of CFU of bacteria/cm2 was significantly lower from the test area of the glazed half than from the test area of the non-glazed half of the denture (P less than 0.001). When the patients were re-examined 1 month after the entire fitting denture surface had been glazed plaque scores, yeast scores and number of CFU of bacteria/cm2 were not significantly different from those observed before glazing. There was a reduction of the erythema of the palatal mucosa in 14/19 patients with denture-induced stomatitis. The study indicates that coating of the fitting denture surface by a glaze may be a means to improve denture cleanliness; however, the present glazing system should be further developed to produce a more uniform glazing.

  2. The Biomechanical Effect of Different Denture Base Materials on the Articular Disc in Complete Denture Wearers: A Finite Element Analysis

    PubMed Central

    El-Zawahry, Mohamed M.; El-Ragi, Ahmed A.; El-Anwar, Mohamed I.; Ibraheem, Eman M.

    2015-01-01

    AIM: The objective of the present study was to evaluate the effect of different denture base materials on the stress distribution in TMJ articular disc (AD) in complete denture wearers. MATERIAL AND METHODS: A three dimensional Finite Element (FEA) models of an individual temporomandibular joint (TMJ) was built on the basis CT scan. The FEA model consisted of four parts: the condyle, the articular disc, the denture base, and the articular eminence skull. Acrylic resin and chrome-cobalt denture base materials were studied. Static loading of 300N was vertically applied to the central fossa of the mandibular second premolar. Stress and strain were calculated to characterize the stress/strain patterns in the disc. RESULTS: The maximum tensile stresses were observed in the anterior and posterior bands of (AD) on load application with the two denture base materials. The superior boundaries of the glenoid fossa showed lower stress than those on the inferior boundaries facing the condyle. CONCLUSIONS: Within the limitations of the present study it may be concluded that: The denture base material may have an effect in stress-strain pattern in TMJ articular disc. The stiffer denture base material, the better the distribution of the load to the underling mandibular supporting structures & reducing stresses induced in the articular disc. PMID:27275270

  3. Evaluation of flexural strength and color stability of different denture base materials including flexible material after using different denture cleansers

    PubMed Central

    Shah, Vrinda R.; Shah, Darshana Nilesh; Chauhan, Chirag J.; Doshi, Paras J.; Kumar, Ashish

    2015-01-01

    Aims: Present study aimed at evaluating the colour stability and flexural strength of flexible denture base materials (Valplast) and Polymethyl methacrylate (PMMA) denture base material (Meliodent) processed by two different methods (Injection moulding and compression moulding) after immersing them in three different denture cleansers with acidic, basic and neutral PH. Methods and Materials: Total 120 specimens (65 × 10 × 3 mm3), 40 specimens of each material (Valplast, Meliodent compression moulding and injection moulding) were immersed in denture cleansers having different PH; Valclean (Acidic), Clinsodent (Basic) and Polident (Neutral) as well as Distilled Water. Color changes were measured with a spectrophotometer after 1 month, 3 months and 6 months of immersion cycle. A flexural 3-point bending test was carried out by using an Instron universal testing machine after 6 months of soaking. Data were analyzed using SPSS software Results: Maximum effect on colour stability was noted with Clinsodent followed by Valclean. Least color changes were observed after immersion in Polident. Colour difference was increased significantly as the immersion time increased. For both Meliodent and Nylon resins, statistically significant change in flexural strength occurred with immersion in all denture cleansers. Clinsodent has greater effect as compared to Valclean and Polident. Conclusions: Polident and Valclean can be safely used as denture cleanser for both nylon and acrylic resin denture base materials as far as colour stability and flexural strength both are concerned. PMID:26929541

  4. Processing dentures using a microwave technique.

    PubMed

    Ilbay, S G; Güvener, S; Alkumru, H N

    1994-01-01

    In this research the technique of curing denture base acrylic resins by microwave energy was investigated with respect to polymerization method, hardness, mechanical and physical properties. Twenty-one different polymerization methods were used by varying radiation power and curing time. The Vickers hardness test was applied to the samples which were polymerized. The average value was found to be 22.46 VHN (Vicker hardness number), that is, almost the same as conventionally cured acrylic. The recommended polymerization method of curing acrylic was 3 min at 550 W in a microwave oven. Mechanical and physical tests were applied to the samples which were cured by the recommended polymerization method. The average transverse load to fracture value was found to be 7.6 kg, and the transverse deflection value was 1.5 mm at 3500 g, and 2.9 mm at 5000 g. Water sorption of acrylic resin cured by microwave energy was 0.72 mg cm-2 and the solubility rate in water was 0.038 mg cm-2. Results conformed with the ADA specification. The findings showed that acrylic resin cured by microwave energy is more resistant to mechanical failure than conventionally cured acrylic and this technique can safely be applied to the production of denture bases.

  5. Clinical gap changes after porcelain firing cycles of zirconia fixed dentures

    PubMed Central

    Bugurman, Bugurman Burcu

    2014-01-01

    PURPOSE The aim of this study was to measure the changes on the marginal and internal adaptation of zirconia based anterior fixed partial dentures after the porcelain firing process. MATERIALS AND METHODS A total of 34 anterior fixed partial dentures using LAVA CAD/CAM system (3M ESPE, Germany) were applied. Two silicone replicas were obtained: one is obtained before porcelain firing process (initial) and the other is obtained after porcelain firing process (final), followed by the examination under a binocular stereomicroscope. Kruskal Wallis and Wilcoxon Signed Ranks tests were used for the statistical analysis (P<.05). RESULTS No statistically significant difference was found between initial and final marginal gap values (P>.05). At the internal gap measurements, final marginal area values (59.54 µm) were significantly lower than the initial marginal area values (68.68 µm)(P<.05). The highest and the lowest internal gap values were observed at the incisal/occlusal area and at the marginal area, respectively. In addition, lower internal gap values were obtained for canines than for central incisors, lateral incisors and premolars at the incisal area (P<.05). CONCLUSION The firing cycles did not affect the marginal gap of Lava CAD/CAM system, but it is controversial for the internal gap. PMID:25006381

  6. Characteristics of denture thermoplastic resins for non-metal clasp dentures.

    PubMed

    Takabayashi, Yota

    2010-08-01

    Six thermoplastic resins and conventional acrylic resin were examined to characterize their mechanical and physical properties, water sorption, solubility, flexural strength, modulus of elasticity, tensile strength and color stability. Thermoplastic resins for non-metal clasp dentures exhibiting low water sorption and solubility offer hygienic advantages. Since they have a low modulus of elasticity and are easily manipulated, these materials make it possible for larger undercuts to be used for retention compared to acrylic resin. Not all of the thermoplastic resins tested fractured after the bending test in contrast to the conventional denture base resin, which fractured when tested beyond its proportional limit. It was also found that clinically noticeable staining may occur on the polyamide resins and polyethylene terephtalate resins. PMID:20644329

  7. The effect of denture design and fixatives on the retention of mandibular complete dentures tested on a novel in-vitro edentulous model.

    PubMed

    Johnson, A; Al-Kaisy, N; Miller, C A; Martin, N

    2013-06-01

    The aim of this study was to evaluate the effect of the design (extension and adaptation) of a mandibular complete acrylic denture and the use of denture adhesives using a novel in-vitro edentulous model. The model is a highly anatomically accurate replica based on a moderately resorbed human mandibular edentulous arch. The model has been designed and fabricated by means of an elaborate clinical and technical process that employs synthetic elastomeric materials with properties that attempts to reproduce in-vitro characteristics of the soft tissues overlying the ridges and immediate reflected tissues. This model was used to measure and compare the retention of mandibular dentures ofvarying designs (well-fitting, over- and under-extended) with and without the aid of denture fixatives. Retention tests were conducted with different volumes of artificial saliva at a cross head speed of 50 mm/min with 4 equidistant holding points on the denture occlusal surface, using a universal tensile testing machine in an axial pull direction. The effect of three denture adhesives on denture retention was also tested on the same denture types at different times over a period of 5 hours and beyond. The in-vitro model presented can be effectively used to test the retention of mandibular complete dentures. The speed of dislodgement force and amount of saliva are important variables in mandibular denture retention. The retention of well-fitting dentures was statistically higher than that of ill-fitting dentures. A significantly higher retention force was needed to dislodge mandibular dentures (well and ill-fitting dentures) when using a denture adhesive.

  8. [Theoretical physical thoughts on the masticatory stability of complete dentures].

    PubMed

    Hofmann, M; Pröschel, P

    1979-08-01

    On the basis of physical-theoretical representations, the standard parameters and influencial dimensions for occlusally stable tooth alignment with complete dentures were explained, and suggestions were given for a statistically favorable construction of the grinding surfaces.

  9. Do flexible acrylic resin lingual flanges improve retention of mandibular complete dentures?

    PubMed Central

    Ahmed Elmorsy, Ayman Elmorsy; Ahmed Ibraheem, Eman Mostafa; Ela, Alaa Aboul; Fahmy, Ahmed; Nassani, Mohammad Zakaria

    2015-01-01

    Objectives: The aim of this study was to compare the retention of conventional mandibular complete dentures with that of mandibular complete dentures having lingual flanges constructed with flexible acrylic resin “Versacryl.” Materials and Methods: The study sample comprised 10 completely edentulous patients. Each patient received one maxillary complete denture and two mandibular complete dentures. One mandibular denture was made of conventional heat-cured acrylic resin and the other had its lingual flanges made of flexible acrylic resin Versacryl. Digital force-meter was used to measure retention of mandibular dentures at delivery and at 2 weeks and 45 days following denture insertion. Results: The statistical analysis showed that at baseline and follow-up appointments, retention of mandibular complete dentures with flexible lingual flanges was significantly greater than retention of conventional mandibular dentures (P < 0.05). In both types of mandibular dentures, retention of dentures increased significantly over the follow-up period (P < 0.05). Conclusions: The use of flexible acrylic resin lingual flanges in the construction of mandibular complete dentures improved denture retention. PMID:26539387

  10. [Analysis of occlusion and stability in complete dentures].

    PubMed

    Zamacona, J M; Kutz, R

    1991-09-01

    The prosthetic treatment of edentulous patients must be carried out with the dual objective of preserving the residual ridges and re-establishing the functional activities of the masticatory system. The authors propose to investigate the subjective efficiency of the prosthesis by an interview of the patients, and the objective efficiency by clinical testing, after one year of use. In this study, a group of 41 patients, males and females, are supplied with bimaxillary full dentures according to GERBER's technique. Special attention is given to the teeth position in relation to the base stabilisation surface. The teeth likely to unbalance the prostheses were not mounted. The inter-maxillary relationship at the horizontal level was obtained by using a gothic arch recording. After one year of use, the following results were obtained: patients very satisfied with their upper denture: 43.9%; patients very satisfied with their lower denture: 39%; satisfied: 51% for the upper denture; satisfied: 56.1% for the lower denture; not satisfied: 4.9% for the two dentures. Only 12 patients (29.2%) had all of their posterior teeth put in. The decrease in the number of teeth did not reveal any significant decrease in the mastication efficiency, according to the patients opinion (2.4%). The original occlusion was restored in 78% of the cases. The authors emphasized the importance of the occlusal relationship and of the posterior teeth for stability and efficiency in the treatment of edentulous patients.

  11. Wispy Prosthesis: A Novel Method in Denture Weight Reduction

    PubMed Central

    Anne, Gopinadh; Budeti, Sreedevi; Anche, Sampath Kumar; Zakkula, Srujana; Atla, Jyothi; Jyothula, Ravi Rakesh Dev; Peddinti, Vijaya Kumar

    2016-01-01

    Introduction Stability and retention of the denture becomes at stake with the increase in weight of the denture prosthesis. As a consequence, different materials and methods have been introduced to overcome these issues but denture weight reduction still remains to be a cumbersome and strenuous procedure. Aim To introduce a novel technique for the fabrication of denture prosthesis where in the weight of the denture will not affect the retention and stability of the denture. Materials and Methods Four groups with a sample size of 10 each, were included where in one group was control and other three were study groups. The control group samples were made completely solid and the study group samples were packed with materials like bean balls, cellulose balls and polyacrylic fibers. The weight of all the samples of each study group was measured and compared with the control group. The observations were analyzed statistically by paired t-test. Results It was observed that the bean balls group produced a weight reduction of 31.3%, cellulose balls group 27.4% and polyacrylic fibers group 24.5% when compared to that of the control group. Conclusion This novel technique will eliminate the problems that were associated in creating hollowness and at the same time will reduce the weight of the prosthesis and among all the study groups, bean balls group were found to reduce maximum weight of the prosthesis. PMID:27190947

  12. Micro secure digital card: A novel method for denture identification

    PubMed Central

    Colvenkar, Shreya S.; Gopal, Sujatha

    2014-01-01

    Aim: Denture labeling is of vital significance in social and forensic scenario. Numerous published work have attempted to present best method for denture marking, however not all satisfy crucial requirement either in terms of cost or storage of large amount of information. Hence, this paper describes a simple, cheap, and feasible denture marking system using portable Micro Secure Digital (MicroSD) card. These cards are created to store, modify, and view large amount of information with mobile phones, which forms an important part in majority of household in India. Materials and Methods: After try-in make a depression slightly wider than the size of the MicroSD card on the external lingual flange of the trial mandibular denture. Process the denture together with acrylic wax flap according to manufacturer's instructions. The acrylic flap is planned in such a way that it is well-flushed with surrounding areas and can be lifted on one side to access the card. MicroSD card is placed in the denture and flap is closed. Conclusion: The proposed method is simple, cheap, and can store large amount of information. PMID:25177141

  13. Achieving an esthetic smile with fixed and removal prosthesis using extracoronal castable precision attachments.

    PubMed

    Vaidya, Sharad; Kapoor, Charu; Bakshi, Yujika; Bhalla, Sonam

    2015-01-01

    Satisfactory restoration in a patient with a partially edentulous situation can be challenging especially when unilateral or bilateral posterior segment of teeth is missing. Successful restoration can be done with various conventional and contemporary treatment options. One such treatment modality is attachment-retained cast partial dentures. A key to success for an attachment retained cast partial denture is the strategic selection of teeth for retention. This clinical report discusses rehabilitation of a patient with the help of a combined prosthesis in the upper arch and stud retained overdenture in the lower arch.

  14. Achieving an esthetic smile with fixed and removal prosthesis using extracoronal castable precision attachments

    PubMed Central

    Vaidya, Sharad; Kapoor, Charu; Bakshi, Yujika; Bhalla, Sonam

    2015-01-01

    Satisfactory restoration in a patient with a partially edentulous situation can be challenging especially when unilateral or bilateral posterior segment of teeth is missing. Successful restoration can be done with various conventional and contemporary treatment options. One such treatment modality is attachment-retained cast partial dentures. A key to success for an attachment retained cast partial denture is the strategic selection of teeth for retention. This clinical report discusses rehabilitation of a patient with the help of a combined prosthesis in the upper arch and stud retained overdenture in the lower arch. PMID:26929527

  15. Evaluation of the rigidity of dentures made of injection-molded materials.

    PubMed

    Wadachi, Juro; Sato, Masayuki; Igarashi, Yoshimasa

    2013-01-01

    Dentures made of 2 different types of injection-molded thermoplastic resins (polyamide resin and polyester resin) and a denture made of conventional heat-polymerized resin were used to create an experimental model of a mandibular molar region with a two-tooth gap. In the experimental model, a force of 100 N was applied onto the mesial fossa of the first molars of the dentures, and comparisons were performed by measuring the pressure applied under the denture base and the subsidence rate of the denture. The polyamide resin denture showed the highest subsidence, exerted the highest pressure on the underlying mucosa, and showed significant differences with the other types of dentures. The findings showed that polyamide resins have the lowest degree of elasticity, and that when resins with such low elasticities are used in the denture base, they should preferably be reinforced with metals.

  16. Evaluation of the rigidity of dentures made of injection-molded materials.

    PubMed

    Wadachi, Juro; Sato, Masayuki; Igarashi, Yoshimasa

    2013-01-01

    Dentures made of 2 different types of injection-molded thermoplastic resins (polyamide resin and polyester resin) and a denture made of conventional heat-polymerized resin were used to create an experimental model of a mandibular molar region with a two-tooth gap. In the experimental model, a force of 100 N was applied onto the mesial fossa of the first molars of the dentures, and comparisons were performed by measuring the pressure applied under the denture base and the subsidence rate of the denture. The polyamide resin denture showed the highest subsidence, exerted the highest pressure on the underlying mucosa, and showed significant differences with the other types of dentures. The findings showed that polyamide resins have the lowest degree of elasticity, and that when resins with such low elasticities are used in the denture base, they should preferably be reinforced with metals. PMID:23719015

  17. Reestablishment of Occlusal Vertical Dimension in Complete Denture Wearing in Two Stages

    PubMed Central

    Marin, Danny Omar Mendoza; Leite, Andressa Rosa Perin; de Oliveira Junior, Norberto Martins; Compagnoni, Marco Antonio; Pero, Ana Carolina; Arioli Filho, João Neudenir

    2015-01-01

    The assessment and reestablishment of the occlusal vertical dimension (OVD) are considered important factors in the treatment of complete denture wearers. The long-time use of a complete denture can result in jaw displacement due to abrasion of the artificial teeth and residual ridge resorption, causing esthetic complications. Most patients with old dentures and incorrect OVD accept reestablishment of the OVD with new complete dentures, even if they were used to their old dentures. The present clinical report describes a method of gradual reestablishment of OVD using a diagnostic acrylic splint on artificial teeth in old complete dentures before the manufacture of new complete dentures. Clinical Significance. The use of a reversible treatment for reestablishment of the OVD in old complete dentures with a diagnostic occlusal acrylic splint allows for the reestablishment of the intermaxillary relationship, providing physiological conditions of masticatory performance associated with the recovery of facial esthetics in edentulous patients. PMID:26587296

  18. Removal of supragingival plaque in an intraoral model by use of the Sonicare toothbrush.

    PubMed

    Stanford, C M; Srikantha, R; Kirchner, H L; Wu, C D

    2000-10-01

    This study was performed to evaluate plaque removal efficacy of a mechanical toothbrush in a controlled in vivo trial. The study used enamel sections, obtained from extracted human teeth, to evaluate the efficacy of supragingival plaque removal by a mechanical powered toothbrush in various modes of use. Enamel sections were positioned in milled depressions on metal extensions of a maxillary partial denture that bilaterally extended along the buccal corridors. Four sections were used per side, positioned zero, 2 or 3mm from the surface of the metal extension. The prosthesis was worn for 16 hours, whereupon four enamel sections (two per side) were removed. Intra-oral brushing was then performed for 5 or 15 seconds on the remaining four sections. The total of adherent bacteria was then assayed from all enamel sections. Ten to twenty trials were performed (n=4 pairs/trial) for each set of variables. When the electric toothbrush was used as a manual brush ('off'), it was equivalent in plaque removal to a conventional toothbrush (Oral-B 35; P = 0.49). However, when the powered brush was in its active mode ('on'), it removed more bacteria (P < 0.0001); this efficacy was observed even when the bristle tips were at a distance from the plaque surface.

  19. 21 CFR 872.3410 - Ethylene oxide homopolymer and/or carboxymethylcellulose sodium denture adhesive.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... carboxymethylcellulose sodium denture adhesive. 872.3410 Section 872.3410 Food and Drugs FOOD AND DRUG ADMINISTRATION....3410 Ethylene oxide homopolymer and/or carboxymethylcellulose sodium denture adhesive. (a) Identification. An ethylene oxide homopolymer and/or carboxymethylcellulose sodium denture adhesive is a...

  20. 21 CFR 872.3410 - Ethylene oxide homopolymer and/or carboxymethylcellulose sodium denture adhesive.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... carboxymethylcellulose sodium denture adhesive. 872.3410 Section 872.3410 Food and Drugs FOOD AND DRUG ADMINISTRATION....3410 Ethylene oxide homopolymer and/or carboxymethylcellulose sodium denture adhesive. (a) Identification. An ethylene oxide homopolymer and/or carboxymethylcellulose sodium denture adhesive is a...

  1. 21 CFR 872.3410 - Ethylene oxide homopolymer and/or carboxymethylcellulose sodium denture adhesive.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... carboxymethylcellulose sodium denture adhesive. 872.3410 Section 872.3410 Food and Drugs FOOD AND DRUG ADMINISTRATION....3410 Ethylene oxide homopolymer and/or carboxymethylcellulose sodium denture adhesive. (a) Identification. An ethylene oxide homopolymer and/or carboxymethylcellulose sodium denture adhesive is a...

  2. 21 CFR 872.3480 - Polyacrylamide polymer (modified cationic) denture adhesive.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Polyacrylamide polymer (modified cationic) denture... polymer (modified cationic) denture adhesive. (a) Identification. A polyacrylamide polymer (modified cationic) denture adhesive is a device composed of polyacrylamide polymer (modified cationic) intended...

  3. 21 CFR 872.3480 - Polyacrylamide polymer (modified cationic) denture adhesive.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Polyacrylamide polymer (modified cationic) denture... polymer (modified cationic) denture adhesive. (a) Identification. A polyacrylamide polymer (modified cationic) denture adhesive is a device composed of polyacrylamide polymer (modified cationic) intended...

  4. 21 CFR 872.3480 - Polyacrylamide polymer (modified cationic) denture adhesive.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Polyacrylamide polymer (modified cationic) denture... polymer (modified cationic) denture adhesive. (a) Identification. A polyacrylamide polymer (modified cationic) denture adhesive is a device composed of polyacrylamide polymer (modified cationic) intended...

  5. Photoelastic analysis of stresses transmitted by complete dentures lined with hard or soft liners.

    PubMed

    Pereira, Izabella P; Consani, Rafael L X; Mesquita, Marcelo F; Nóbilo, Mauro A A

    2015-10-01

    Stresses transmitted on the alveolar bone ridge by lined conventional complete mandibular dentures can decrease the bone absorption level. The aim of this in vitro study was to evaluate the stresses induced on the alveolar bone ridge of lined conventional complete mandibular dentures by using photoelastic analysis. One maxillary and three mandibular conventional dentures were developed for the following treatments: 1 - Unlined denture (control), 2 - Denture lined with resin-based material, and 3 - Denture lined with silicone-based material. The photoelastic analysis took place with the dentures in the position of maximum intercuspation, and the mandibular photoelastic models were axially loaded with 10 kgf (98 N). Unlined denture (control) presented stresses along the model, especially on the anterior and left lateral sides with less stresses on the right side. On the left lateral side, the denture base lined with resin-based material demonstrated similar stresses to that of the control; however, lower stresses occurred in the premolar and retromolar regions. Denture bases lined with silicone-based material showed decreased fringe orders and homogeneous distribution of induced stresses. Both lined dentures exhibited lower stresses when compared to unlined dentures. Silicone-based material provided a more homogeneous distribution of stresses.

  6. Spectrogram Analysis of Complete Dentures with Different Thickness and Palatal Rugae Materials on Speech Production

    PubMed Central

    Zaki Mahross, Hamada; Baroudi, Kusai

    2015-01-01

    Objective. To investigate the influence of reproduction of different thickness and palatal rugae materials on complete dentures speech using Computerized Speech Lab (CSL) (spectrogram). Materials and Methods. Three completely edentulous male patients (aged 50–60 years) were selected for reading a paragraph. Twelve upper dentures were constructed, four for each patient. The patients' speech groups were divided into five groups, Group I: patients without dentures; Group II: patients rehabilitated with conventional acrylic dentures; Group III: patients with conventional acrylic dentures with rugae reproduction; Group IV: patients with dentures with metallic framework of minimal thickness and direct ragged metallic palatal surface at rugae area; Group V: patients with dentures with palatal rugae constructed from resilient acrylic resin material with thickness less than conventional denture. Speech samples were recorded after insertion of each denture for groups using Computerized Speech Lab (CSL) (spectrogram). The sounds selected were lingopalatal /s/z/sh/t/d/ and /l/. Results. Group III produced high mean significant difference with /sh/t/ sound. For Group IV, the difference was noticed with /s/z/sh/t/ and /d/ sounds, while for Group V the difference was shown with /z/l/ sound (P < 0.05). Conclusion. It is recommended to reproduce the rugae area in complete denture because the phonetic quality of complete denture with rugae is superior to the conventional denture. PMID:25883655

  7. Electromyographic Evaluation of the Effect of Lined Dentures on Masticatory Muscle Activity in Edentulous Subjects

    PubMed Central

    Srivastava, Shitij; Gaur, Abhishek; Dupare, Arun; Rastogi, Shiksha; Kamatagi, Laxmikant

    2015-01-01

    Aim The purpose of this study was to examine changes in relative electromyographic (EMG) activities of temporal and masseter muscles after relining the dentures with silicone and acrylic-resin based denture liners. Materials and Methods Conventional complete dentures were fabricated for 20 edentulous patients. One month after completing adjustments of the dentures, electromyography of the masseter and temporalis muscle during maximum intercuspation was recorded. The dentures were then relined with a silicone denture liner and after an adaptation period of one month, were again subjected for electromyographic evaluation. Further, the dentures were relined with acrylic denture liner and subjected to electromyographic evaluation. Data was analysed using Statistical Package for Social Sciences (SPSS) version 15.0. Intergroup comparisons were done using ANOVA followed by post-hoc assessments using Tukey HSD test. Results Mean amplitude and duration with conventional dentures was found to be significantly lower as compared to silicone lined and acrylic lined dentures for all the comparisons. Statistically, no significant difference between silicone lined and acrylic lined dentures was observed for any of the comparisons. Conclusion Within the limitations of this experimental design, it was concluded that relining significantly increases electromyographic activity of the masseter and temporalis muscles. Thus, resulting in an improved biting force, chewing efficiency and masticatory performance. There were no significant differences between silicone and acrylic based denture liners for both electromyographic variables. PMID:26436054

  8. Spectrogram analysis of complete dentures with different thickness and palatal rugae materials on speech production.

    PubMed

    Zaki Mahross, Hamada; Baroudi, Kusai

    2015-01-01

    Objective. To investigate the influence of reproduction of different thickness and palatal rugae materials on complete dentures speech using Computerized Speech Lab (CSL) (spectrogram). Materials and Methods. Three completely edentulous male patients (aged 50-60 years) were selected for reading a paragraph. Twelve upper dentures were constructed, four for each patient. The patients' speech groups were divided into five groups, Group I: patients without dentures; Group II: patients rehabilitated with conventional acrylic dentures; Group III: patients with conventional acrylic dentures with rugae reproduction; Group IV: patients with dentures with metallic framework of minimal thickness and direct ragged metallic palatal surface at rugae area; Group V: patients with dentures with palatal rugae constructed from resilient acrylic resin material with thickness less than conventional denture. Speech samples were recorded after insertion of each denture for groups using Computerized Speech Lab (CSL) (spectrogram). The sounds selected were lingopalatal /s/z/sh/t/d/ and /l/. Results. Group III produced high mean significant difference with /sh/t/ sound. For Group IV, the difference was noticed with /s/z/sh/t/ and /d/ sounds, while for Group V the difference was shown with /z/l/ sound (P < 0.05). Conclusion. It is recommended to reproduce the rugae area in complete denture because the phonetic quality of complete denture with rugae is superior to the conventional denture. PMID:25883655

  9. 21 CFR 872.3480 - Polyacrylamide polymer (modified cationic) denture adhesive.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Polyacrylamide polymer (modified cationic) denture... polymer (modified cationic) denture adhesive. (a) Identification. A polyacrylamide polymer (modified cationic) denture adhesive is a device composed of polyacrylamide polymer (modified cationic) intended...

  10. 21 CFR 872.3480 - Polyacrylamide polymer (modified cationic) denture adhesive.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Polyacrylamide polymer (modified cationic) denture... polymer (modified cationic) denture adhesive. (a) Identification. A polyacrylamide polymer (modified cationic) denture adhesive is a device composed of polyacrylamide polymer (modified cationic) intended...

  11. [Mechanical studies on casting titanium alloy denture base].

    PubMed

    Ito, M

    1990-03-01

    The mechanical properties of the Akers type clasp, bar and frame made by the newly developed Ti-20Cr-0.2Si alloy were studied in order to obtain the indices for designing the cast partial denture base. In the case of the clasp, the bending strength of the Ti-20Cr-0.2Si alloy and pure Ti was lower than that of the Co-Cr alloy. The Ti-20Cr-0.2Si alloy and pure Ti may have the same retentive force as the gold type IV alloy because its bending behavior was similar to that of the gold alloy. In the cyclic bending test, the permanent deflection of the Ti-20Cr-0.2Si alloy was lower than that of the pure Ti and Co-Cr alloy. It had almost the same value as that of the gold alloy. Considering the permanent deflection and fracture, it is preferable that the undercut of the abutment tooth for the Ti-20Cr-0.02Si alloy clasp is 0.50mm or less. The Ti-20Cr-0.2Si alloy bars and frame showed the same bending behavior and strain distribution as the gold alloy. In the case of the Ti-20Cr-0.2Si alloy bar thickened about 30%, the strain was decreased and close to that of the Co-Cr alloy. It was suggested that the Ti-20Cr-0.2Si alloy bar or frame should be designed like the gold alloy. PMID:2196313

  12. Commercial and Plant Extract Denture Cleansers in Prevention of Candida albicans Growth on Soft Denture Reliner: In Vitro Study

    PubMed Central

    Dhaded, Sunil; Joshi, Shalini

    2016-01-01

    Objective To evaluate and compare the efficacy of two plant extracts and two commercially available denture cleansers against candida albicans adherent to soft denture reline material. Materials and Methods In this study 60 specimens of soft denture reliner material specimens were fabricated with dimensions 10x10x2 mm. The sterile specimens were inoculated by immersion in Sabourand broth containing Candida albicans for 16 hours at 37°C in an incubator. Then the specimens were washed and immersed in denture cleansers which were divided into group five groups from Group I-V for CD Clean®, Nigella sativa, thyme essential oil, Fittydent® and distilled water respectively, for 8 hours at room temperature. Then they were washed, fixed with methanol and stained with crystal violet. Candida cells adherent to the specimens were counted under microscope. The number of cells adherent to test samples were compared with that adherent to control. Results The effectiveness of Fittydent® was more than CD Clean® in reducing the adherent candida albicans and the difference was statically significant (p = <0.001). Both thyme essential oil and nigella sativa were almost same in effectiveness against candida albicans but the difference was not statically significant (p= 0.79). Post-hoc Tukey’s test was performed which indicated that Fittydent® was the most effective amongst the denture cleansers tested in this study, followed by thyme essential oil, nigella sativa and CD Clean®. Conclusion The results of the study showed that all denture cleansers used in the study were significantly effective. The study indicated that Fittydent is more effective amongst the denture cleansers because of its mechanism of action; however the plant extracts used in this study were also significantly effective against candida albicans. PMID:27042584

  13. Conventional versus implant-retained overlay dentures: a pilot study of masseter and anterior temporalis electromyography.

    PubMed

    Dakhilalian, Mansour; Rismanchian, Mansour; Fazel, Akbar; Basiri, Keyvan; Azadeh, Hamid; Mahmoodi, Maryam; Fayazi, Sara; Sadr-Eshkvari, Pooyan

    2014-08-01

    Implant-supported overlay dentures (ISODs) have been widely accepted among patients using conventional removable complete dentures (CRCDs). The present study aimed to comparatively study conventional and ISODs in terms of function and coordination of masticatory muscles using electromyograms. Included were 10 patients with ISODs (each with 2 implants in the intercanine area). The mean wave range (MWR) and frequency (MWF) of masseter and temporalis were recorded with (ISOD) and without (CRCD) ball attachments while maximum clenching on cotton rolls (cotton roll clenching), maximum intercuspal clenching (clenching), and unilateral gum chewing (chewing) using electromyography. Data were analyzed in SPAW using t-paired for matched groups and independent-sample t tests for unmatched ones. The MWF differences were not statistically significant with or without attachments (P > .05). Without attachments in place, the MWF of both masseter and temporalis muscles significantly decreased when patients clenched on cotton rolls (P = .01 and .02, respectively) and when chewing unilaterally (both P = .01). With attachments present, the right and left temporalis muscles did not show identical mean wave ranges while chewing (P = .01). Without attachments, this disharmony was seen in the left and right masseter muscles (P = .03). The MWR of masseter was higher in men while chewing with attachments (P = .02). Without attachments, the MWR of temporalis was higher in women while cotton roll clenching (P = .03) and chewing (P = .02). These findings are seemingly in favor of improved masticatory function and coordination in edentulous patients with the application of ISODs.

  14. [Effectivity and durability of telescopic dentures on abutment teeth].

    PubMed

    van den Wijngaarden, E; van Pelt, A W J; Meisberger, E W; Tams, J; Cune, M S

    2016-03-01

    In a study, the effectivity and durability of telescopic dentures on abutment teeth provided with telescope crowns were investigated. The prognosis for the prosthetic structure and for the abutment teeth were both investigated. The survival rate of 234 telescopic dentures (886 abutment teeth) in 147 patients in a general dental practice were retrospectively evaluated on the basis of a status study. The mean survival rate was calculated. This is the moment when 50% of the telescopic dentures had failed. For telescopic dentures in the maxilla, this was 22.3±2.8 years, which did not represent a statistically significant difference from the mandible (20.9±1.9 years). Of the 886 abutment teeth that were used, 127 (14.3%) were extracted after an average period of 11.7 years. Periodontal complications were the primary reason for extraction. Based on this investigation, one could conclude that telescopic dentures are also a durable and sustainable solution in the long term. Loss of abutment teeth is relatively rare and has limited influence on the survival of the prosthetic structure. PMID:26973985

  15. "Denture marking" as an aid to forensic identification.

    PubMed

    Mohan, Jayashree; Kumar, C Dhinesh; Simon, Paul

    2012-09-01

    "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. Denture marking or labeling is not a new concept in either Prosthetic or Forensic dentistry and its routine practice has been urged by Forensic dentists internationally for many years. Denture marking is accepted as a means of identifying dentures and persons in geriatric institutions or post mortem during war, crimes, and civil unrest, natural and mass disasters. Prosthodontists are playing very important role in forensic dentistry as they are concerned with fabrication of various prostheses 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. The main objective of this article is to discuss the various methods of denture marking and to emphasize the importance of denture marking for person identification in medico legal investigations.

  16. Evaluation of the effect of denture adhesives on surface roughness of two chemically different denture base resins

    PubMed Central

    Darwish, Mahmoud; Nassani, Mohammad Zakaria

    2016-01-01

    Objective: To evaluate the effect of four commercially available denture adhesives (DAs) on surface roughness of two chemically different denture base materials. Materials and Methods: Fifty specimens of heat-cured polymethyl methacrylate, and another fifty specimens of light-cured urethane dimethacrylate were divided into five groups (n = 10), each was immersed in four prepared DAs (Corega Super Cream, Corega Ultra Powder, Olivafix Cream, Protefix Cream) as well as distilled water (control group). The mean surface roughness (Ra) of the polished and unpolished surfaces of the specimens was recorded using profilometer device. T-test for paired observation was used to indicate any changes in surface roughness between the baseline and after 30 days of immersion in the DA. Results: Almost all the tested DAs had no significant effect on the roughness of polished and unpolished surfaces of both denture base materials. The Corega super cream DA produced significant increase in the roughness of the polished surfaces of both types of acrylic specimens (P < 0.05). Conclusion: The majority of the investigated DAs appears not to affect the surface roughness of denture base materials. Only Corega super cream DA produced detectable increase in the roughness of polished surfaces of denture base specimens. PMID:27403047

  17. Deterioration of polymethyl methacrylate dentures in the oral cavity.

    PubMed

    Matsuo, Hiroshi; Suenaga, Hanako; Takahashi, Masatoshi; Suzuki, Osamu; Sasaki, Keiichi; Takahashi, Nobuhiro

    2015-01-01

    Polymethyl methacrylate (PMMA)-made prostheses used in the oral cavity were evaluated by multimodal assessment in order to elucidate the biodeterioration of PMMA. In used dentures (UD), the micro-Vickers hardness of the polished denture surface and denture basal surface was lower than that of the torn surface (p<0.05), whereas the shaved surface approximately 100 µm from the polished surface showed a similar value to the torn surface. By contrast, there were no differences among these surfaces in new resin (NR). The volatile content of UD was higher than that of NR (p<0.05). Component analysis by ATR-FTIR showed specific spectra (1,700-1,400 cm(-1)) only in UD. This study revealed that PMMA deteriorated during long-term use in the oral cavity in terms of hardness and volatile content with component alteration, and suggests the involvement of biodeterioration, possibly due to saliva and oral microbiota.

  18. Hader bar and clip attachment retained mandibular complete denture

    PubMed Central

    Singh, Kunwarjeet; Gupta, Nidhi; Kapoor, Vikram; Gupta, Ridhimaa

    2013-01-01

    Bar and clip attachments significantly improve the level of satisfaction of denture-wearing patients by enhancing the retention and stability of the prosthesis. These attachments have been most commonly used for connecting the prosthesis to implants, but they can be effectively used to retain tooth-supported prosthesis as well. The primary functions of bar attachments are splinting the abutments together, even distribution of forces to the abutments and supporting areas, guiding the prosthesis into place, improving the retention, stability, support and comfort of the patient. The primary requirement for the use of bar attachments is the availability of sufficient vertical and buccolingual space for the proper placement of the bar, sleeves, teeth arrangement and sufficient thickness of acrylic denture base to minimise incidence of denture fracture in the area of bar assembly. PMID:24145505

  19. Complete denture prescription--an audit of performance.

    PubMed

    Basker, R M; Ogden, A R; Ralph, J P

    1993-04-24

    The quality of clinical records obtained during the various stages of complete denture construction was assessed in a survey conducted in five large dental laboratories in 1989. The most common fault in approximately half of 188 upper and 158 lower impressions was overextension in the labial and buccal sulci. Of the 87 occlusal records examined, the rims indicated the intended incisal relationship in about 50% of cases. The border of the eventual denture was defined by the technician rather than by the dentist in most instances. The post-dam was prescribed by the dentist in only 16% of the 50 trial dentures inspected. It is argued that a major cause of the lack of prescription is the level of the NHS fee, coupled with the fact that the laboratory expenses are deducted from that fee.

  20. The influence of mandibular ridge anatomy on treatment outcome with conventional complete dentures.

    PubMed

    Ribeiro, Jaiane A M; de Resende, Camila M B M; Lopes, Ana L C; Farias-Neto, Arcelino; Carreiro, Adriana da F P

    2014-01-01

    Since prognostic indicators are likely to take on increasing importance as a diagnostic tool for selection of patients for implant provision, this study investigated the influence of the shape and resiliency of the mandibular alveolar ridge on the retention and stability of conventional complete dentures. Ninety- three edentulous patients wearing both maxillary and mandibular conventional complete dentures composed the sample. Data were collected regarding shape and resiliencyof the mandibular residual ridge. Dentures were assessed for retention and stability using an objective and reproducible tool.The associations between the clinical characteristics of the mandibular alveolar ridge and denture retention and stability were analyzed using chi-square and Fisher exact tests (a = 0.05). A significant association between ridge shape and denture stability (p < 0.05) was found, while ridge resiliency was significantly associated to denture retention (p < 0.001). Based on the results, mandibular ridge shape and resiliency influenced the retention and stability of conventional complete dentures.

  1. Effect of curing cycle on the tensile strength of the bond between heat cured denture base acrylic resin and acrylic resin denture teeth.

    PubMed

    Dalal, Ayesha; Juszczyk, Andrzej S; Radford, David R; Clark, Robert K F

    2009-12-01

    The effect of different curing cycles on the tensile strength of the bond between one brand of cross-linked acrylic resin teeth and three heat cured denture base acrylic resins was tested. There were differences in the tensile bond strength between the three heat cured denture base acrylic resins and the three curing cycles used. The bond strength of the acrylic resin denture base material made by the same manufacturer as the cross-linked acrylic resin denture teeth was higher. The bond strength following the short cycle was lowest in all cases, individual differences between curing cycles failed to reach statistical significance. PMID:20158054

  2. Is the bond between acrylic resin denture teeth and denture base resin stronger if they are both made by the same manufacturer?

    PubMed

    Patil, Reshma; Juszczyk, Andrzej S; Radford, David R; Clark, Robert K F

    2010-03-01

    A previous study suggested that a stronger bond may be achieved between acrylic resin denture base material and acrylic denture teeth when both are made by the same manufacturer. Three denture base acrylic resins from three different manufacturers were bonded to three different acrylic resin denture teeth, one of which was manufactured by each of the manufacturers of the base material. In each group there was a trend that the bond strength achieved between the teeth and base material from the same manufacturer was higher than the unmatched pairs but statistical significance was not achieved. PMID:20397502

  3. Denture barcoding in forensic dentistry: A future option.

    PubMed

    Basavanna, Jayaprakash Mugur; Jain, Abhishek; Misra, Sumit Kumar

    2016-01-01

    Neurodegenerative disorders are commonly seen in elderly individuals. Parkinson's disease (PD) is the most common example with memory loss, lack of logic, reasoning and analytical thinking. In this case report simple method of 2D Bar code technique of denture marking has been explained which will not only useful in patients with memory loss but it is very helpful in identifying the individuals in case of natural calamities like floods, earthquake, tornedo, state of unconsciousness and accidents. Such patients can be traced easily by denture barcoding. This technique is a major breakthrough in the field of forensic dentistry. PMID:27051224

  4. Denture barcoding in forensic dentistry: A future option

    PubMed Central

    Basavanna, Jayaprakash Mugur; Jain, Abhishek; Misra, Sumit Kumar

    2016-01-01

    Neurodegenerative disorders are commonly seen in elderly individuals. Parkinson's disease (PD) is the most common example with memory loss, lack of logic, reasoning and analytical thinking. In this case report simple method of 2D Bar code technique of denture marking has been explained which will not only useful in patients with memory loss but it is very helpful in identifying the individuals in case of natural calamities like floods, earthquake, tornedo, state of unconsciousness and accidents. Such patients can be traced easily by denture barcoding. This technique is a major breakthrough in the field of forensic dentistry. PMID:27051224

  5. Comparative Evaluation of Sorption, Solubility and Microhardness of Heat Cure Polymethylmethacrylate Denture Base Resin & Flexible Denture Base Resin

    PubMed Central

    Bulbule, Nilesh; Kulkarni, Shilpa; Shah, Riddhi; Kakade, Dilip

    2014-01-01

    Aim: The aim of the study was to evaluate and compare sorption, solubility and microhardness of heat cure polymethylmethacrylate (PMMA) denture base resin and flexible (thermoplastic polyamide nylon) denture base resin. Materials and Methods: Sorption, solubility and microhardness were assessed to determine compliance with ADA Specification no. 12. Results were assessed using statistical and observational analyses. Result: All materials satisfied ADA requirements for sorption, solubility and microhardness. Heat cure PMMA showed more sorption, solubility and microhardness than flexible (thermoplastic polyamide nylon). Conclusion: Flexible (thermoplastic polyamide nylon) resin absorbs less water, is less soluble and is more flexible than PMMA. PMID:25302291

  6. [Preparation of carbon fiber reinforced fluid type resin denture (author's transl)].

    PubMed

    Kasuga, H; Sato, H; Nakabayashi, N

    1980-01-01

    Transverse strength of cured fluid resins is weaker than that of the heat cured. We have studied to improve the mechanical strength of self-cured acrylic resin by application of carbon fibers as reinforcement and simple methods which must be acceptable for technicians are proposed. A cloth type carbon fiber was the best reinforcement among studied carbon fibers such as chopped or mat. The chopped fibers were difficult to mix homogeneously with fluid resins and effectiveness of the reinforcement was low. Breaking often occurred at the interface between the reinforcement and resin in the cases of mat which gave defects to the test specimens. To prepare reinforced denture, the cloth was trimmed on the master cast after removal of wax and the prepreg was formed with the alginate impression on the cast by Palapress and the cloth. Other steps were same as the usual fluid resin. PMID:6929856

  7. [Preparation of carbon fiber reinforced fluid type resin denture (author's transl)].

    PubMed

    Kasuga, H; Sato, H; Nakabayashi, N

    1980-01-01

    Transverse strength of cured fluid resins is weaker than that of the heat cured. We have studied to improve the mechanical strength of self-cured acrylic resin by application of carbon fibers as reinforcement and simple methods which must be acceptable for technicians are proposed. A cloth type carbon fiber was the best reinforcement among studied carbon fibers such as chopped or mat. The chopped fibers were difficult to mix homogeneously with fluid resins and effectiveness of the reinforcement was low. Breaking often occurred at the interface between the reinforcement and resin in the cases of mat which gave defects to the test specimens. To prepare reinforced denture, the cloth was trimmed on the master cast after removal of wax and the prepreg was formed with the alginate impression on the cast by Palapress and the cloth. Other steps were same as the usual fluid resin.

  8. Enhancing Fracture and Wear Resistance of Dentures/Overdentures Utilizing Digital Technology: A Case Series Report.

    PubMed

    Afify, Ahmed; Haney, Stephan

    2016-08-01

    Since it was first introduced into the dental world, computer-aided design/computer-aided manufacturing (CAD/CAM) technology has improved dramatically in regards to both data acquisition and fabrication abilities. CAD/CAM is capable of providing well-fitting intra- and extraoral prostheses when sound guidelines are followed. As CAD/CAM technology encompasses both surgical and prosthetic dental applications as well as fixed and removable aspects, it could improve the average quality of dental prostheses compared with the results obtained by conventional manufacturing methods. The purpose of this article is to provide an introduction into the methods in which this technology may be used to enhance the wear and fracture resistance of dentures and overdentures. This article will also showcase two clinical reports in which CAD/CAM technology has been implemented. PMID:26916680

  9. Prevalence of Candida spp. among healthy denture and nondenture wearers with respect to hygiene and age.

    PubMed

    Prakash, Bharathi; Shekar, Malathi; Maiti, Biswajit; Karunasagar, Indrani; Padiyath, Sreeshma

    2015-01-01

    Dentures are inert and nonshading surfaces and therefore get easily colonized by Candida species. Subsequent biofilm produced by them lead to denture stomatitis and candidiasis. This study was aimed to understand the prevalence of Candida species among healthy denture and nondenture wearers with respect to their age and hygiene status. Swabs were collected from 50 complete dentures and 50 non-denture wearers and processed on Sabouraud's dextrose agar. Identification of Candida species was done by staining and a battery of biochemical tests. Data obtained was correlated with age & oral hygiene and statistical analysis was performed. Candida was isolated from both denture and nondenture wearers. Prevalence of different Candida species was significantly higher in denture wearers and found predominated by C. albicans, C. tropicalis, C. dubliensis and C. glabrata. Among nondenture wearers, C. albicans and C. tropicalis were isolated. Prevalence of Candida increased with increasing age among denture wearers. Men presented declining denture hygiene compared to women with increasing age. In comparison to nondenture wearers, multispecies of Candida colonized the dentures thus presenting higher risk of candidiasis especially with increasing age.

  10. Clinical study on thermography, as modern investigation method for Candida-associated denture stomatitis.

    PubMed

    Iosif, Laura; Preoteasa, Cristina Teodora; Murariu-Măgureanu, Cătălina; Preoteasa, Elena

    2016-01-01

    Candida-associated denture stomatitis is an infectious inflammatory condition of the oral mucosa, with frequent recurrences. The aim of this study was to assess the use of infrared thermography as investigation method for Candida-associated denture stomatitis (as inflammatory disorder of the maxillary denture bearing area), by comparing disease and non-disease groups. An observational study was conducted on maxillary edentulous patients treated by acrylic dentures, with and without Candida-associated denture stomatitis. Diagnostic test methods used were clinical examination for denture stomatitis and conventional microbiological culture method for oral candidiasis. Thermography analysis of the maxillary denture bearing area was made using the ThermaCAM PM350 infrared camera (Inframetrics, Flir Systems) and ThermaGram Pro 95 software, data being acquired by usage of standard protocol of thermographic registrations. The sample included 52 patients, 21 with and 31 without Candida-associated denture stomatitis. The temperature of the maxillary mucosa corresponding to the denture bearing area was found to be statistically significantly higher in Candida-associated denture stomatitis (mean 36.20°C), compared to healthy oral mucosa (mean 34.85°C). The thermal threshold value of 35.44°C was identified as best differentiating a pathological from normal state of the maxillary mucosa corresponding to the denture bearing area. In conclusion, infrared thermography, a rapid non-invasive investigation method, has the premises to bring valuable data in inflammatory disorders of the maxillary denture bearing area, as Candida-associated denture stomatitis that may be used for screening, diagnostic or monitoring purposes.

  11. [Technical quality and satisfaction related to full conventional dentures].

    PubMed

    Costa, Anna Paula Serêjo da; Machado, Flávia Christiane de Azevedo; Pereira, Anna Lepríncia Bezerra Pontes; Carreiro, Adriana da Fonte Porto; Ferreira, Maria Ângela Fernandes

    2013-02-01

    Tooth loss is highly prevalent in Brazil, especially among the elderly, where more than three million need bimaxillary dentures. The federal government instituted Specialized Dental Care Centers (SDCC) to remedy this situation. The scope of this study was to evaluate one attribute of these Centers, namely the provision of full conventional dentures (FCD) from the perspective of quality and satisfaction related to this product. A cross-sectional study was conducted with 149 individuals fitted with such dentures in SDCC of Rio Grande do Norte between 2007 and 2009. Data were obtained by questionnaire and clinical examination of FCD regarding its retention, stability, aesthetics, and fixation. From the 233 dentures evaluated, 52.7% of upper FCD and 9.5% of lower FCD were technically satisfactory. With respect to the association between technical quality and satisfaction, the chi-square test indicated that upper FCDs were technically adequate (p = 0.041), particularly in terms of retention (p = 0.002) and stability (p = 0.000) and were associated with patient satisfaction. Thus, the FCD satisfied the users, despite the technical defects. However, this satisfaction may come from the fitting itself rather than its functionality.

  12. Copper vapour laser ID labelling on metal dentures and restorations.

    PubMed

    Ling, B C; Nambiar, P; Low, K S; Lee, C K

    2003-06-01

    Denture marking is accepted as a means of identifying dentures and persons in geriatric institutions, or post-mortem during war, crimes, civil unrest, natural and mass disasters. Labelling on the acrylic resin component of the denture can easily be damaged or destroyed by fire but on cobalt-chromium components it would be more resistant. A copper vapour laser (CVL) can be used to label the cobalt-chromium components of dentures and metal restorations easily, and legibly, and miniaturised for the incorporation of more personal particulars necessary for the identification of the deceased person. The CVL beam is focussed by its optics and delivered to the material surface by the two-axis scanner mounted with mirrors. A personal computer controls the movement of the scanner and the firing of the CVL. The high peak power of the pulsed CVL is focussed to very high energy density producing plasma ablation of the alloy surface. Very fine markings of a few microns width can be produced enabling the storage of detailed information of the deceased person on a metal surface for the purpose of rapid identification.

  13. 21 CFR 872.3300 - Hydrophilic resin coating for dentures.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Hydrophilic resin coating for dentures. 872.3300 Section 872.3300 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3300 Hydrophilic resin coating...

  14. Denture-Related Stomatitis Is Associated with Endothelial Dysfunction

    PubMed Central

    Osmenda, Grzegorz; Nowakowski, Daniel; Wilk, Grzegorz; Maciąg, Anna; Mikołajczyk, Tomasz; Sagan, Agnieszka; Filip, Magdalena; Dróżdż, Mirosław; Guzik, Tomasz J.

    2014-01-01

    Oral inflammation, such as periodontitis, can lead to endothelial dysfunction, accelerated atherosclerosis, and vascular dysfunction. The relationship between vascular dysfunction and other common forms of oral infections such as denture-related stomatitis (DRS) is unknown. Similar risk factors predispose to both conditions including smoking, diabetes, age, and obesity. Accordingly, we aimed to investigate endothelial function and major vascular disease risk factors in 44 consecutive patients with dentures with clinical and microbiological features of DRS (n = 20) and without DRS (n = 24). While there was a tendency for higher occurrence of diabetes and smoking, groups did not differ significantly in respect to major vascular disease risk factors. Groups did not differ in main ambulatory blood pressure, total cholesterol, or even CRP. Importantly, flow mediated dilatation (FMD) was significantly lower in DRS than in non-DRS subjects, while nitroglycerin induced vasorelaxation (NMD) or intima-media thickness (IMT) was similar. Interestingly, while triglyceride levels were normal in both groups, they were higher in DRS subjects, although they did not correlate with either FMD or NMD. Conclusions. Denture related stomatitis is associated with endothelial dysfunction in elderly patients with dentures. This is in part related to the fact that diabetes and smoking increase risk of both DRS and cardiovascular disease. PMID:25045683

  15. [Gynaecological complications following ovariohysterectomy in dogs, due to: (1) Partial removal of the ovaries. (2) Inflammation of the uterocervical stump (author's transl)].

    PubMed

    Okkens, A C; Dieleman, S J; v d Gaag, I

    1981-11-15

    Of the total number of dogs with complications following ovario-hysterectomy submitted during the period from January 1977 to July 1979 (109), fifty-five showed gynaecological symptoms such as discharge of the vulva (28), attractiveness to male dogs (37), periods of heat (28) and pseudopregnancy (14). In addition to a general clinical examination, the dogs (forty-two of these fifty-five weighing more than 20 kg) underwent a selective gynaecological examination usually consisting in clinical, cytological and bacteriological studies and estimation of the progesterone level of the peripheral blood. At the same time, the progesterone levels of the peripheral blood of six beagles were studied for comparative purposes during pro-oestrus, oestrus and metoestrus; the maximum progesterone level was recorded about day 20 and varied from 35 to 60 ng/ml. The average progesterone level was determined in thirty-nine beagles during anoestrus and found to be 0.24 +/- 0.02 SEM ng/ml. The basal progesterone level was determined in eight dogs in which total ovariohysterectomy had been performed (0.14 +/- 0.02 SEM ng of progesterone /ml). When a cytological study was done in the dogs with residual ovarian tissue, an oestrus pattern was observed in 39 per cent of the cases, the progesterone level of the peripheral blood being above the basal level in 70 per cent of the cases. Remnants of ovarian tissue were removed during laparotomy in forty-seven dogs, on the right side in forty-one cases and on the left in twenty-two cases. The uterocervical stump was shortened when uterine tissue was probably or obviously present. The uterine stump was more or less severely inflamed in nineteen cases. The procedure was confined to shortening of the uterocervical stump in eight dogs in which ovarian tissue was not found to be present. The inflamed stump contained an unabsorbable ligature in seven dogs, the uterocervical stump of the eighth dog not being examined.

  16. [The production of denture by preform compression molding method. Part 2. Model material and fittability].

    PubMed

    Kimura, H; Teraoka, F; Saitoh, Y; Tamura, M

    1989-01-01

    A preform compression molding method to make polysulfone denture was reported previously by paper. Properties of the mold, adaptability of the molded denture to master model and the movement of artificial teeth were examined. It was necessary to raise the temperature of the crystbalite-stone model above 270 degrees C to obtain stable expansion. Mold made using 22 wt%-colloidal silica showed strong compressive strength under the compression molding condition. Displacement of artificial teeth between wax denture and polysulfone denture was independent of the mold expansion, and the displacement was equal to that of heat-curing acrylic denture. Adaptability of the molded denture to the master model was associated with expansion of the model. Good adaptability was obtained under the expansion of the model, such as setting expansion about 0.30% and total expansion 1.05-1.10%, with about 0.2 mm average discrepancy.

  17. Effect of denture cleansers on surface hardness of resilient denture liners at various time intervals- an in vitro study

    PubMed Central

    Pahuja, Rasleen Kaur; Bansal, Sanjay

    2013-01-01

    PURPOSE This study was aimed to determine the effect of two chemically distinct denture cleansers and water on the surface hardness of acrylic and silicone based soft denture liners at various time intervals. MATERIALS AND METHODS Two commonly used commercial resilient liner material were selected based on their chemical composition (silicone- and acrylic-based soft liners) for this investigation. 120 cylindrical specimens were made of 15 mm × 10 mm dimensions (according to ASTM: D-2240-64T) in a custom made metal mold. All specimens were stored in artificial saliva throughout the study. Forty specimens were cleansed daily in 0.5% sodium hypochlorite solution; forty were cleansed in sodium perborate and remaining forty specimens were daily rinsed in water. Testing was done at 1 week, 1 month, 3 months and 6 months for surface hardness using a Shore A Durometer. A mean of 3 reading for each sample was subjected to one-way ANOVA, Post Hoc test and pair-t test for statistical analysis. P values of less than 0.05 were taken as statistically significant. RESULTS Surface hardness of all the samples was significantly higher after a period of 6 months irrespective of the cleansing treatment. Minor changes were observed between control, sodium hypochlorite and sodium perborate groups with time. Greater change was observed in surface hardness of acrylic-based soft denture liners as compared to silicone-based soft liners for all groups, as time progressed. CONCLUSION Silicone-based soft denture liners performed significantly better in all cleansing treatments than acrylic-based soft denture liners. PMID:24049568

  18. Prevalence of mutans streptococci isolated from complete dentures and their susceptibility to mouthrinses.

    PubMed

    André, Rodrigo Fernando Gonçalves; Andrade, Ingrid Machado de; Silva-Lovato, Cláudia Helena; Paranhos, Helena de Freitas Oliveira; Pimenta, Fabiana Cristina; Ito, Izabel Yoko

    2011-01-01

    The aims of this study were to evaluate the incidence of mutans streptococci (MS - sessile form) on complete maxillary dentures after use of a specific denture paste, and to determine the minimum inhibitory concentration (MIC) and maximum inhibitory dilution (MID) of 3 oral mouthrinses: Cepacol, Plax and Periogard. Seventy-seven complete denture wearers were randomly assigned into 2 groups, according to the product used for denture cleaning: Control group - conventional dentifrice (Kolynos-Super White); and Test group: experimental denture cleaning paste. Denture biofilm was collected at baseline and after 90 and 180 days after treatment by brushing the dentures with saline solution. After decimal serial dilution, samples were seeded onto agar sucrose bacitracin to count colonies with morphological characteristics of MS. MS identification was performed by the sugar fermentation tests. After this procedure, brain heart infusion broth (BHI) was added to oral mouthrinses (Plax, Cepacol e Periogard) and seeded on Petri dishes. The colonies were seeded using the Steers multiplier and, after the incubation, the MIC and MID of the mouthrinses were calculated. The results showed an incidence of 74.0% (n=57) of MS in the 77 complete dentures examined in the study, being 76.3% (n=29) of the Control group (conventional dentifrice) and 71.8% (28) of the Test group (experimental denture cleaning paste). In both groups, the number of positive cases for MS decreased from day 0 to day 180. In the Test group there was a slight decrease in the incidence of Streptococcus mutans 90 days after use of the experimental denture cleaning paste, which was not observed in the Control group. As regards to mouthrinses, for both groups, Periogard showed antimicrobial action with the highest dilution, followed by Cepacol and Plax. In conclusion, the incidence of MS in complete dentures was high and Periogard was the mouthrinse with the strongest antimicrobial action against MS. The experimental

  19. Zirconia Intra Mucosal Inserts as a Retentive Aid for Maxillary Complete Dentures: A Case Report.

    PubMed

    Harianawala, Husain; Kheur, Mohit; Jambhekar, Shantanu S

    2014-12-01

    Complete dentures fabricated for edentulous patients with resorbed ridges generally have compromised retention and stability. The use of intramucosal inserts in order to aid retention of a maxillary denture has been reported in the past. Zirconia is a tissue compatible biomaterial whose scope and application in dentistry is on the rise. This paper reports the fabrication of zirconia intramucosal inserts and the technique of its incorporation in the maxillary complete denture in order to enhance retention, stability and thereby oral function.

  20. Surgical and prosthetic management of a complex edentulous patient for fabrication of complete dentures.

    PubMed

    Comut, A Alper; Somohano, Tanya

    2015-03-01

    Fabrication of well-fitting complete dentures becomes a challenge in the presence of epulis fissuratum in the maxilla or severely resorbed alveolar tissue in the mandible. This clinical report describes the surgical and prosthetic treatment of a patient who presented with both problems. The neutral zone technique was used to improve the stability of the mandibular complete denture. Both dentures were fabricated prior to surgical excision of the epulis fissuratum and inserted immediately following the surgery.

  1. Alternative procedure to improve the stability of mandibular complete dentures: a modified neutral zone technique.

    PubMed

    Rehmann, Peter; Zenginel, Martha; Wostmann, Bernd

    2012-01-01

    The aim of this report is to describe an alternative technique to record the neutral zone. An acrylic resin base with posterior occlusal rims was applied using a thermoplastic denture adhesive. After being worn for 2 days, the base was transferred into an acrylic resin complete denture. Most patients reported an improvement in denture stability and a reduction of pressure sores. This procedure seems to be helpful to improve denture function, especially in the mandible, in patients who cannot be treated with implants. However, because of its complexity, this neutral zone technique cannot be recommended for routine clinical use.

  2. Hybrid approach to fabrication of hollow internally weighted mandibular denture: A case report

    PubMed Central

    Hazari, Puja; Mishra, Sunil Kumar

    2015-01-01

    Preservation of ridge dimensions is critical for denture success. For long the concept of an internally weighted denture, which suggested that gravity and the additional weight to the mandibular complete denture aids in prosthetic retention is widely accepted. However, excessive weight and pressure can accelerate bone resorption. Here, we describe a unique modification of internally weighted metal denture base for the resorbed mandibular ridge with an incorporated additional hollow section over the anterior knife-edge ridge. The weight provided retention and stability while the hollow portion prevented further resorption of the bone. PMID:26604604

  3. Role of Salivary and Candidal Proteins in Denture Stomatitis; an exploratory proteomic analysis

    PubMed Central

    Byrd, Warren C.; Schwartz-Baxter, Sarah; Carlson, Jim; Barros, Silvana; Offenbacher, Steven; Bencharit, Sompop

    2014-01-01

    Denture stomatitis, inflammation and redness beneath a denture, affects nearly half of all denture wearers. Candida organism, the presence of a denture, saliva, and host immunity are the key etiological factors for the condition. The role of salivary proteins in denture stomatitis is not clear. In this study 30 edentulous subjects wearing a maxillary complete denture were recruited. Unstimulated whole saliva from each subject was collected and pooled into two groups (n=15 each); healthy and stomatitis (Newton classification II and III). Label-free multidimensional liquid chromatography/tandem mass spectrometry (2D-LC-MS/MS) proteomics on two mass spectrometry platforms were used to determine peptide mass differences between control and stomatitis groups. Cluster analysis and principal component analysis were used to determine differential expression among the groups. The two proteomic platforms identified 97 and 176 proteins (ANOVA; p<0.01) differentially expressed among the healthy, type 2 and 3 stomatitis groups. Three proteins including carbonic anhydrase 6, cystatin C, and cystatin SN were found to be the same as previous study. Salivary proteomic profiles of patients with denture stomatitis were found to be uniquely different from controls. Analysis of protein components suggests that certain salivary proteins may predispose some patients to denture stomatitis while others are believed to be involved in the reaction to fungal infection. Analysis of candidal proteins suggest that multiple species of candidal organisms play a role in denture stomatitis. PMID:24947908

  4. Evaluation of satisfaction and complications in patients with existing complete dentures.

    PubMed

    Bilhan, Hakan; Geckili, Onur; Ergin, Selen; Erdogan, Ozge; Ates, Gokcen

    2013-03-01

    The aim of this clinical trial was to assess satisfaction, as well as the frequency and type of prosthetic complications in terms of several variables, in patients with complete dentures that had been supplied at private clinics. The study subjects were 64 patients with a mean age of 63.48 years wearing complete dentures provided at private clinics, and requesting new ones. The degree of patient satisfaction with their dentures was assessed, as well as complications and parameters related to the dentures such as the accuracy of vertical dimensions and centric relation, arrangement and possible malposition of the artificial teeth, and the border length of the denture bases. The most common complication was loss of retention (85.9%), followed by ulceration (44.2%). Mandibular dentures with long vestibular borders showed a significantly higher incidence of epulis fissuratum (P = 0.017), and denture-related sore spots influenced patients' speech ability (P = 0.023). Routine recalls seem to be important for wearers of complete dentures, as several insidious complications may develop and cause damage to the dentures as well as the patients' oral tissues.

  5. Role of salivary and candidal proteins in denture stomatitis: an exploratory proteomic analysis.

    PubMed

    Byrd, Warren C; Schwartz-Baxter, Sarah; Carlson, Jim; Barros, Silvana; Offenbacher, Steven; Bencharit, Sompop

    2014-07-29

    Denture stomatitis, inflammation and redness beneath a denture, affects nearly half of all denture wearers. Candidal organisms, the presence of a denture, saliva, and host immunity are the key etiological factors for the condition. The role of salivary proteins in denture stomatitis is not clear. In this study 30 edentulous subjects wearing a maxillary complete denture were recruited. Unstimulated whole saliva from each subject was collected and pooled into two groups (n = 15 each), healthy and stomatitis (Newton classification II and III). Label-free multidimensional liquid chromatography/tandem mass spectrometry (2D-LC-MS/MS) proteomics on two mass spectrometry platforms were used to determine peptide mass differences between control and stomatitis groups. Cluster analysis and principal component analysis were used to determine the differential expression among the groups. The two proteomic platforms identified 97 and 176 proteins (ANOVA; p < 0.01) differentially expressed among the healthy, type 2 and 3 stomatitis groups. Three proteins including carbonic anhydrase 6, cystatin C, and cystatin SN were found to be the same as previous study. Salivary proteomic profiles of patients with denture stomatitis were found to be uniquely different from controls. Analysis of protein components suggests that certain salivary proteins may predispose some patients to denture stomatitis while others are believed to be involved in the reaction to fungal infection. Analysis of candidal proteins suggests that multiple species of candidal organisms play a role in denture stomatitis.

  6. Complete denture services: clinical technique, lab costs, manpower, and reimbursement. One-year review.

    PubMed

    Ewoldsen, Nels

    2011-01-01

    Complete denture services at comprehensive care public health clinics are not common in part because of clinician concerns regarding outcomes. Educational debt forgiveness has attracted recent dental graduates to public health dentistry; however, not all recent graduates receive denture education experiences necessary to attain proficiency. While fundamental patient assessment and denture construction are taught, psychological assessment and communication with denture patients requires experience. A thorough understanding of occlusion, phonetics, esthetics and laboratory steps is also necessary. Expecting recent dental graduates to become proficient providing complete dentures at minimal reimbursement levels, with no mentorship or on-site laboratory support, is unrealistic. Public health dental clinics operate at full capacity performing emergency, preventive and restorative procedures. Complete dentures come with a laboratory fee approximately one-half the total reimbursement, meaning a remake drops clinic revenue to zero while doubling expenses. It is understandable that full schedules, marginal reimbursement, unpredictability and the risk of an occasional failure block clinician interest in providing denture services. This one-year report of services describes a three-appointment complete denture technique offering improved patient and laboratory communication, reduced chair time and controlled cost, resulting in high-quality complete dentures.

  7. 42 CFR 440.120 - Prescribed drugs, dentures, prosthetic devices, and eyeglasses.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS SERVICES: GENERAL PROVISIONS Definitions § 440.120 Prescribed drugs, dentures, prosthetic devices, and eyeglasses. (a) “Prescribed...

  8. 42 CFR 440.120 - Prescribed drugs, dentures, prosthetic devices, and eyeglasses.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS SERVICES: GENERAL PROVISIONS Definitions § 440.120 Prescribed drugs, dentures, prosthetic devices, and eyeglasses. (a) “Prescribed...

  9. 42 CFR 440.120 - Prescribed drugs, dentures, prosthetic devices, and eyeglasses.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS SERVICES: GENERAL PROVISIONS Definitions § 440.120 Prescribed drugs, dentures, prosthetic devices, and eyeglasses. (a) “Prescribed...

  10. The Prevalence of Oral Inflammation Among Denture Wearing Patients with Chronic Obstructive Pulmonary Disease.

    PubMed

    Przybyłowska, D; Rubinsztajn, R; Chazan, R; Swoboda-Kopeć, E; Kostrzewa-Janicka, J; Mierzwińska-Nastalska, E

    2015-01-01

    Oral inflammation is an important contributor to the etiology of chronic obstructive pulmonary disease, which can impact patient's health status. Previous studies indicate that people with poor oral health are at higher risk for nosocomial pneumonia. Denture wearing is one promoting factor in the development of mucosal infections. Colonization of the denture plaque by Gram-negative bacteria, Candida spp., or other respiratory pathogens, occurring locally, may be aspirated to the lungs. The studies showed that chronic obstructive pulmonary disease (COPD) patients treated with combinations of medicines with corticosteroids more frequently suffer from Candida-associated denture stomatitis. Treatment of oral candidiasis in patients with COPD constitutes a therapeutic problem. Therefore, it is essential to pay attention to the condition of oral mucosal membrane and denture hygiene habits. The guidelines for care and maintenance of dentures for COPD patients are presented in this paper. The majority of patients required improvement of their prosthetic and oral hygiene. Standard oral hygiene procedures in relation to dentures, conducted for prophylaxis of stomatitis complicated by mucosal infection among immunocompromised patients, are essential to maintain healthy oral tissues. The elimination of traumatic denture action in dental office, compliance with oral and denture hygiene, proper use and storage of prosthetic appliances in a dry environment outside the oral cavity can reduce susceptibility to infection. Proper attention to hygiene, including brushing and rinsing the mouth, may also help prevent denture stomatitis in these patients.

  11. Validation of the Geriatric Oral Health Assessment Index in complete denture wearers.

    PubMed

    Campos, J A D B; Zucoloto, M L; Geremias, R F; Nogueira, S S; Maroco, J

    2015-07-01

    To perform a validation of the Geriatric Oral Health Assessment Index (GOHAI) for complete denture wearers and present a proposal for estimation of perceived oral health. This is a cross-sectional study with non-probabilistic sampling. A total of 211 subjects with a mean age of 62·5 (s.d. = 11·4) years participated, being 169 female. The GOHAI was applied in a personal interview. The construct/convergent/discriminant validity was tested using structural equation modelling. Confirmatory factor analysis was used to verify the fit of three proposals of the GOHAI: three-factor, one-factor and second-order hierarchical models. The stability of the models was evaluated in independent samples. The three-factor model presented an inadequate fit, and items 3, 4 and 9 were removed. The new structure presented an acceptable fit and strong invariance in independent samples. The convergent, discriminant validity and internal consistency were below adequate. The one-factor model presented an adequate fit to the sample. Convergent validity was compromised. A strong invariance of the one-factor model was observed. To calculate the overall scores of the GOHAI factors (three-factor model) or of the oral health perception (one-factor model), a matrix of regression weights for each item in the model was presented as a suggestion. We found an adequate fit of the both structures of the GOHAI for denture wearers, but the three-factor structure was more parsimonious. We suggested considering the weights of the regression model to calculate the overall score of perceived oral health or of its factors in different samples.

  12. [Follow-up studies and clinical evaluation of model cast dentures with periodontal and periodonto-gingival support].

    PubMed

    Ebersbach, W; Lesche, M

    1977-11-01

    The authors examined 746 cast denture constructions with an average wearing time of 6 years to study the influence of cast denture constructions on caries increment. The mode of wear of the cast denture constructions had no influence on caries incidence, whereas effects exerted by the duration of wear and the presence of soft deposits could be detected. The evaluation of the functional performance of cast denture constructions showed that the clinical serviceability amounts to more than 8 years.

  13. Tensile bond strength of silicone-based soft denture liner to two chemically different denture base resins after various surface treatments.

    PubMed

    Akin, Hakan; Tugut, Faik; Guney, Umit; Kirmali, Omer; Akar, Turker

    2013-01-01

    This study evaluated the effect of various surface treatments on the tensile bond strength of a silicone-based soft denture liner to two chemically different denture base resins, heat-cured polymethyl methacrylate (PMMA), and light-activated urethane dimethacrylate or Eclipse denture base resin. PMMA test specimens were fabricated and relined with a silicone-based soft denture liner (group AC). Eclipse test specimens were prepared according to the manufacturer's recommendation. Before they were relined with a silicone-based soft denture liner, each received one of three surface treatments: untreated (control, group EC), Eclipse bonding agent applied (group EB), and laser-irradiated (group EL). Tensile bond strength tests (crosshead speed = 5 mm/min) were performed for all specimens, and the results were analyzed using the analysis of variance followed by Tukey's test (p = 0.05). Eclipse denture base and PMMA resins presented similar bond strengths to the silicone-based soft denture liner. The highest mean force was observed in group EL specimens, and the tensile bond strengths in group EL were significantly different (p < 0.05) from those in the other groups.

  14. Comparative evaluation of the effect of denture cleansers on the surface topography of denture base materials: An in-vitro study

    PubMed Central

    Jeyapalan, Karthigeyan; Kumar, Jaya Krishna; Azhagarasan, N. S.

    2015-01-01

    Aims: The aim was to evaluate and compare the effects of three chemically different commercially available denture cleansing agents on the surface topography of two different denture base materials. Materials and Methods: Three chemically different denture cleansers (sodium perborate, 1% sodium hypochlorite, 0.2% chlorhexidine gluconate) were used on two denture base materials (acrylic resin and chrome cobalt alloy) and the changes were evaluated at 3 times intervals (56 h, 120 h, 240 h). Changes from baseline for surface roughness were recorded using a surface profilometer and standard error of the mean (SEM) both quantitatively and qualitatively, respectively. Qualitative surface analyses for all groups were done by SEM. Statistical Analysis Used: The values obtained were analyzed statistically using one-way ANOVA and paired t-test. Results: All three denture cleanser solutions showed no statistically significant surface changes on the acrylic resin portions at 56 h, 120 h, and 240 h of immersion. However, on the alloy portion changes were significant at the end of 120 h and 240 h. Conclusion: Of the three denture cleansers used in the study, none produced significant changes on the two denture base materials for the short duration of immersion, whereas changes were seen as the immersion periods were increased. PMID:26538915

  15. Cytotoxicity of denture base acrylic resins: a literature review.

    PubMed

    Jorge, Janaina Habib; Giampaolo, Eunice Teresinha; Machado, Ana Lúcia; Vergani, Carlos Eduardo

    2003-08-01

    Acrylic resins are widely used in the fabrication of denture bases and have been shown to be cytotoxic as a result of substances that leach from the resin. The primary eluate is residual monomer. Numerous reports suggest that residual monomer may be responsible for mucosal irritation and sensitization of tissues. This information is important, not only to assess the biologic effects of such materials, but also to enable a comparison among the different polymerization methods, thus assisting the clinician in selecting a material with minimal cytotoxicity. This article reviews the literature published from 1973 to 2000, selected by use of a Medline search, associated with cytotoxic effects usually ascribed to acrylic denture base materials.

  16. Head and cervical spine postures in complete denture wearers.

    PubMed

    Salonen, M A; Raustia, A M; Huggare, J

    1993-01-01

    Signs and symptoms in the stomatognathic system and head and cervical spine postures were evaluated in 10 edentulous patients prior to renewal of their dentures, as well as immediately and six months after insertion of new dentures. Natural head posture was recorded using the fluid-level method and measured from the roentgen cephalograms. It was shown that the variables duration of edentulousness and free-way space displayed positive correlations with the dysfunction symptoms. In addition, the patients who needed oral rehabilitation the most, who received the greatest reduction in their free-way space, were seen to have raised their heads more than average. There was also an inverse correlation between the reduction of clinical dysfunction index score and cervical spine postures.

  17. Evaluation of the Effect of Upper Complete Denture on Gustatory and Olfactory Senses

    PubMed Central

    Ghaffari, Tahereh; Hamedi Rad, Fahimeh; Mosadeg Kahnamoee, Sepideh

    2009-01-01

    Background and aims The majority of complete denture wearers are old. Clinical experience suggests that complete denture wearers have various disorders in their gustatory and olfactory senses due to disturbance of airways between the oral and nasal cavities caused by upper complete denture. The purpose of this study was to evaluate the effect of upper complete denture on gustatory and olfactory senses in denture wearers. Materials and methods In this study, gustatory and olfactory senses in 30 patients (15 men and 15 women with a mean age of 52.93 ± 12.97 years) were evaluated three times: before complete denture insertion, three days after insertion and 1 month after that. Sucrose, citric acid, NaCl solution and distilled water (in two samples) were used to evaluate gustatory evalu-ation while mint- and cinnamon-flavored chewing gums were used for olfactory evaluation. Means and standard deviations were calculated and then compared between the different time intervals. P < 0.05 was considered significant. Results The mean taste identification time was 5.23 ± 3.52 seconds before denture insertion, which decreased three days after insertion of denture and 1 month after use; however, these changes were not significant (P = 0.149). The mean time of flavor recognition increased after three days of insertion compared to the period before denture wear but decreased after 1 month; however, these changes were not significant (P = 0.792). In addition, the results revealed no significant differences in mean error in identification of taste and smell before and after denture insertion (P = 0.294). Conclusion Denture wearing does not influence gustatory and olfactory senses. PMID:23230501

  18. Case report: immediate dentures in an HIV positive patient.

    PubMed

    Singh, Puneeta H; Jones, John D

    2014-07-01

    A 35-year-old patient with a previous history of recreational drug use, mainly cocaine, presented to the UTHSCSA Dental School with grossly carious remaining dentition. The pattern of the wear and caries on the teeth also indicated other recreational drug such as methamphetamine over a long period of time. He was planned for extractions of the remaining teeth and placement of immediate dentures considering the patient's wish for not being edentulous for the healing period. PMID:25265685

  19. Case report: immediate dentures in an HIV positive patient.

    PubMed

    Singh, Puneeta H; Jones, John D

    2014-07-01

    A 35-year-old patient with a previous history of recreational drug use, mainly cocaine, presented to the UTHSCSA Dental School with grossly carious remaining dentition. The pattern of the wear and caries on the teeth also indicated other recreational drug such as methamphetamine over a long period of time. He was planned for extractions of the remaining teeth and placement of immediate dentures considering the patient's wish for not being edentulous for the healing period.

  20. [Adaptation of acrylic resin dentures polymerized using various activation modes].

    PubMed

    Takamata, T; Inoue, Y; Hashimoto, K; Sugitou, S; Arakawa, H; Kurasawa, I

    1989-12-01

    The purpose of this in vitro study was to compare the dimensional accuracy of maxillary dentures made using a conventional heat-activated PMMA resin, a pour resin, a visible light-activated resin, and a microwave-activated acrylic resin. Two simple methods for measuring dimensional accuracy were used: (1) weight of impression material entrapped between the base and master die and (2) measurement of the posterior border gap at five locations. The volume of space between the denture base and the master die was determined by (1) computation and (2) estimation. Statistical analysis (Bartlett, ANOVA and Tukey's Tests) supported the following conclusions: (1) all groups showed a processing contraction, most apparent from buccal flange to buccal flange, (2) the poorest fitting group was processed in a brass flask and a water bath at a temperature which rose from 70 to 100 degrees C, using a heat activated resin (Acron), (3) the visible light activated resin (Triad) produced dentures of intermediate accuracy, as did Acupac 20 when either heat or microwave activated, (4) the two best fitting groups were prepared from a chemically activated resin system using pressure at low heat (PER form), and the resin developed for microwave activation (Acron MC).