Implant supported prosthesis after ridge augmentation procedure by distraction osteogenesis for atrophic mandible.

Rehabilitation of deficient alveolar ridges has long been a challenge. The distraction osteogenesis procedure before placement of dental implants has solved the puzzle and its advantages over block grafting includes simultaneous expansion of soft tissue, high degree of dimensional stability, abbreviated overall treatment time, and no graft required. In this case report distraction osteogenesis of deficient anterior mandibular ridge was performed and then an implant supported fixed prosthesis was fabricated.

Prosthodontic rehabilitation of velopharyngeal disorders-a case series.

Acquired palatal defects results from cancer resection, whereas cleft palate is the main cause of congenital defects. Both these condition leads to impaired speech intelligibility, seepage of nasal secretions into the oral cavity and vice versa while difficulty in swallowing and hyper nasality is also eminent. In this case report three different technique for treating velopharyngeal disorders have been described.

A simple, time-saving chairside device for radiographic diagnosis of vertical bone height and soft tissue thickness for implant placement--clinical report.

A diagnostic radiograph of the posterior regions of the jaws is mandatory if implant placement is considered at these sites. The goal is to avoid damage to important anatomical structures such as the inferior alveolar canal and maxillary sinus. Using radiographs to evaluate the remaining bone height available for implant insertion is a common procedure. Many articles have evaluated the success rates of fixed prostheses supported by osseointegrated implants, indicating high rates of success for prostheses 5-10 years in function. However, if an orthopantomogram machine is not readily available, periapical radiographs can be used for vertical bone height assessment. The familiar procedure of incorporating a metal ball of known diameter into an acrylic template is the method of choice. This is a relatively tedious and expensive procedure involving multiple steps, including impression taking, creation of a study model, and manufacture of a metal ball-bearing acrylic template. A further disadvantage for the patient is that a diagnostic radiograph can be taken only at the next appointment. This paper describes a quick and simple method to obtain a radiographic evaluation of remaining alveolar bone height and soft tissue thickness prior to implant placement with help of a metal ball device to avoid template fabrication and time consumption. Soft tissue thickness is measured nonsurgically.

Indirect resin-bonded fiber-reinforced composite anterior bridge: A case report.

The loss of anterior teeth can be painful for patients, both psychologically and socially. In recent years, fiber-reinforced composite resins (FRCs) have gained increasing acceptance in mainstream prosthodontics as viable alternatives to alloy-based restorations. A combination of good esthetics and fracture toughness validates their use in a diverse range of clinical applications. In this study, a bridge was constructed with hybrid composite resin placed around a resin-impregnated, plasma-etched, polyalkene fiber bonded to the abutment tooth enamel using the acid-etch technique. This method of tooth replacement is viewed as a fast, simple, cost-effective means of replacing anterior teeth. The restoration remained intact, with no discoloration or deterioration at the recall visits. While definitive long-term data about their clinical performance is scarce, FRC prostheses appear to have a worthwhile role in the conservative treatment of short, edentulous spaces.

Magnet retained intraoral-extra oral combination prosthesis: a case report.

Facial prosthesis is generally considered over surgical reconstruction to restore function and appearance in patients with facial defects that resulted from cancer resection. Retention of the prosthesis is challenging due to its size and weight. Retention can be achieved by using medical grade adhesives, resilient attachments, clips and osseointegrated implants. It can also be connected to obturator by magnets. This clinical report highlights the rehabilitation of a lateral midfacial defect with a two piece prosthesis that included an extra oral facial prosthesis and an intraoral obturator with the use of magnets.

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

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.

Non-rigid connector: The wand to allay the stresses on abutment.

The use of rigid connectors in 5-unit fixed dental prosthesis with a pier abutment can result in failure of weaker retainer in the long run as the pier abutment acts as a fulcrum. Non-rigid connector placed on the distal aspect of pier seems to reduce potentially excess stress concentration on the pier abutment.