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OBJECTIVE: The proposed study aimed to evaluate and compare the bone regeneration between commercially available hydroxyapatite-ß-tricalcium phosphate (Ossifi; Equinox, the Netherlands), powdered polylactic acid (powdered PLA; Sigma-Aldrich, United States), and three-dimensionally printed PLA (3D-printed PLA; Cubex, SC, United States) using 3D printer (Cube X trio) in an animal model. MATERIALS AND METHODS: Eighteen New Zealand rabbits were divided into three groups with six animals each. Platelet-rich fibrin (PRF) was collected from the venous blood and preserved. Bone defect (4 mm × 2 mm) without disturbing the bone marrow was created and filled with bone graft material (group 1-Ossifi, group 2-powdered PLA, and group 3-3D-printed PLA), over which PRF membranes were placed. The graft material and the barrier were stabilized using resorbable sutures, and all the animals were maintained for 4, 8, and 12 weeks, after which they were euthanized, and bone samples were retrieved. Retrieved bone samples were subjected to radiological and histological analysis. RESULTS: The radiographic and histological changes of 3D-printed PLA in comparison with other two materials (Ossifi and powdered PLA) seemed to have a significant difference. CONCLUSION: 3D-printed PLA scaffolds showed positive signs of bone regeneration around the material in continuity defects. PLA material can be a promising alternative bone regenerative material.
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OBJECTIVE: To evaluate and compare the effect of 0.5% chlorhexidine gluconate, 1% sodium hypochlorite, and 2% glutaraldehyde by immersion and spray atomization technique on the linear dimensional stability of Jet bite, Aluwax and Ramitec interocclusal recording materials. MATERIALS AND METHODS: Three representative materials: Jet bite (addition silicone), Aluwax and Ramitec (polyether) were mixed according to manufacturer's instructions and then specimens were prepared according to the specifications of ISO 4823. All the specimens except the control (distilled water) were treated with disinfectant solutions (0.5% chlorhexidine gluconate, 1% sodium hypochlorite, and 2% glutaraldehyde) for 30 and 60 min (n = 10) by spray and immersion technique. Once removed from the solutions, the test samples were washed in water for 15 s, dried and measured after 24 h 3 times using a measuring microscope with an accuracy of 0.0001 mm. Two-way ANOVA and Tukey's test with significance level of 5% were used to assess the statistical data (α = 0.05). RESULT: All groups showed no significant difference statistically, in linear dimension when disinfected for 30 min by spray or immersion technique. Polyether had significantly higher dimensional variation when immersed in sodium hypochlorite for 60 min. Addition silicone showed the least dimensional change which ranged from 0.024% to 0.05%, followed by polyether from 0.004% to 0.171% and Aluwax from 0.146% to 0.228%. CONCLUSION: To preserve the dimensions and surface of the recording materials and effective microbial elimination, restrictions should be applied in the method of disinfection and time duration. However, using the disinfectants either by spray or immersion technique, the dimensional change was <0.5% which was not clinically significant according to the American Dental Association specification no. 19 criteria within the first 24 h.
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The minimal invasive nature of lasers, with quick tissue response and healing has made them a very attractive technology in various fields of dentistry which serves as a tool to create a better result than ever before. The rapid development of lasers and their wavelengths with variety of applications on soft and hard tissues may continue to have major impact on the scope and practice in prosthetic dentistry. The purpose of this article is to make every clinician familiar with the fundamentals of lasers and different laser systems to incorporate into their clinical practices.
RESUMEN
The management of tooth wear is complex and challenging as it involves multidisciplinary approach. Proper diagnosis and elaborative treatment protocol is necessary to obtain successful and predictable outcome. The objective of full mouth rehabilitation includes identification of the cause, prevention and preservation of the remaining tooth structure. This case report presents the management of the remaining teeth by endodontic and periodontic intervention which was followed by porcelain fused to metal fixed prosthesis, telescopic denture for the upper missing teeth and extra-coronal attachments for the lower missing teeth. Segmental arch technique was utilized for the rehabilitation where anterior teeth were restored first followed by the posterior teeth. Patient had a satisfactory functional and aesthetic results.
