El material restaurador ideal en la era de la odontología de invasión mínima. Rescatando al oro directo / The ideal restorative material at the minimal invasive dentistry era. Rescuing direct gold

Los logros de los avances obtenidos en el manejo actual de la caries han dado la oportunidad a los odontólogos de detectar lesiones de caries en sus estadios incipientes. A pesar de la existencia de una gran variedad de materiales restauradores directos disponibles en el mercado actual y que pueden utilizarse para restaurar lesiones pequeñas de caries, el material que tiene más posibilidades de éxito para este tipo de lesiones es sin duda alguna el oro cohesivo, también conocido como oro directo (AU)

The goals obtained with the current management of dental caries has given the dentists the opportunity to detect incipient caries lesions in early stages. Although, the current existence of a great variety of direct restorative materials available in the market to restore small caries lesions, the material that may show better success for these type of lesions, is without any doubt: the gold foil or direct gold (AU)

Estudio clínico retrospectivo, de 656 restauraciones de oro colado en dientes posteriores, entre 5 y 44 años: Análisis de los resultados / Retrospective clinical study of 656 cast gold inlays/onlays in posterior teeth, in a 5 to 44-year period: Analysis of results

Objetivos: 1) Evaluar el rendimiento clínico de las restauraciones posteriores de oro, durante 44 años; 2) Analizar su indicación y distribución, en relación con la evolución de la evidencia científica. Materiales y Métodos: En 100 pacientes, se estudiaron 656 restauraciones posteriores de oro colado. De 2552 pacientes registrados, 210 cumplieron los requisitos de inclusión. La muestra estadística representativa fue de 136 pacientes. Se seleccionaron al azar 140 y se estudiaron 138. Doce variables fueron analizadas. El procesamiento de datos se realizó con el software Epidat, versión 3.1 y del software SPSS versión 13.0. Resultados: Estaban en función 536 (81.7%) y 120 (18.3%) fracasaron. Según el Método de Kaplan-Meier, la sobrevida total estimada fue de 77.4% a los 39 años y 10 meses. Conclusiones: La constante actualización del conocimiento, responsabilidad ética del profesional, le permitirá introducir los cambios conceptuales y clínicos a la luz de las nuevas evidencias científicas.

Objective: 1) To assess the clinical performance of 656 cast gold inlay/onlays in a 44-year period; 2) To analyze their indications and distribution regarding the evolution of scientific evidence. Materials and Methods: A total of 656 cast gold inlays/onlays had been placed in 100 patients. Out of 2552 registered patients, 210 fulfilled the inclusion criteria. The statistical representative sample was 136 patients; 140 were randomly selected and 138 were the patients studied. Twelve variables were analyzed. Data processing was done using Epidat 3.1 and SPPS software 13.0. Results: At the clinical examination, 536 (81.7%) were still in function and 120 (18.3%) had failed. According to Kaplan-Meier's method, the estimated mean survival for the whole sample was 77.4% at 39 years and 10 months. Conclusions: Knowledge updating is an ethical responsibility of professionals, which will allow them to introduce conceptual and clinical changes that consider new scientific evidence.

Influence of cryogenic treatment and age-hardening heat treatment on the corrosion behavior of a dental casting Ag-Pd alloy / 华西口腔医学杂志

<p><b>OBJECTIVE</b>The purpose of this study is to investigate the influence of cryogenic treatment and age-hardening heat treatment on the corrosion behavior of a dental casting Ag-Pd alloy.</p><p><b>METHODS</b>A low gold content dental casting alloy composed of Ag-Pd-Cu-Au was prepared for this study. Corrosion test was performed according to ISO 10271:2001 dental metallie-corrosion test methods. Experimental specimens were casted according to a standard dental lost-wax casting procedure, treated with solution by heating the specimens to 900 degrees C, and immediately quenched in ice water. The specimens were then divided into four groups and subjected to heat treatment, cryogenic treatment, and heat treatment combined with cryogenic treatment. The specimens after the solution treatment were taken as control. The metallographic structures of the specimens were observed. The electrochemical parameters and the quantity of non-precious metallic ions released were evaluated via electrochemical and static immersion tests.</p><p><b>RESULTS</b>Metallographic observation revealed that all the treatments resulted in a change in the microstructure of the alloy. The treatments were effective in improving the electrochemical parameters, such as an increase in Eocp and Ecorr and a decrease in Icorr (P < 0.05). The amount of non-noble metal ions released showed no difference compared with the control group (P > 0.05).</p><p><b>CONCLUSION</b>After different treatments, the antierosion properties of the alloy satisfied the ISO requirements. Age-hardening heat treatment and cryogenic treatment improved the corrosion resistance of the alloy.</p>

Effect of silica coating on bond strength between a gold alloy and metal bracket bonded with chemically cured resin / 대한치과교정학회지

OBJECTIVE: The purpose of this study was to evaluate the effects of three different surface conditioning methods on the shear bond strength (SBS) of metal brackets bonded directly to gold alloy with chemically cured resin. METHODS: Two hundred ten type III gold alloy specimens were randomly divided into six groups according to the combination of three different surface conditioning methods (aluminum oxide sandblasting only, application of a metal primer after aluminum oxide sandblasting, silica coating and silanation) and thermocycling (with thermocycling, without thermocycling). After performing surface conditioning of specimens in accordance with each experimental condition, metal brackets were bonded to all specimens using a chemically cured resin. The SBS was measured at the moment of bracket debonding, and the resin remnants on the specimen surface were evaluated using the adhesive remnant index. RESULTS: Application of metal primer after aluminum oxide sandblasting yielded a higher bond strength than that with aluminum oxide sandblasting alone (p < 0.001), and silica coating and silanation yielded a higher bond strength than that with metal primer after aluminum oxide sandblasting (p < 0.001). There was no significant change in SBS after thermocycling in all groups. CONCLUSIONS: With silica coating and silanation, clinically satisfactory bond strength can be attained when metal brackets are directly bonded to gold alloys using a chemically cured resin.

Effect of colouring green stage zirconia on the adhesion of veneering ceramics with different thermal expansion coefficients / 国际口腔科学杂志·英文版

This study evaluated the adhesion of zirconia core ceramics with their corresponding veneering ceramics, having different thermal expansion coefficients (TECs), when zirconia ceramics were coloured at green stage. Zirconia blocks (N=240; 6 mm×7 mm×7 mm) were manufactured from two materials namely, ICE Zirconia (Group 1) and Prettau Zirconia (Group 2). In their green stage, they were randomly divided into two groups. Half of the specimens were coloured with colouring liquid (shade A2). Three different veneering ceramics with different TEC (ICE Ceramic, GC Initial Zr and IPS e.max Ceram) were fired on both coloured and non-coloured zirconia cores. Specimens of high noble alloys (Esteticor Plus) veneered with ceramic (VM 13) (n=16) acted as the control group. Core-veneer interface of the specimens were subjected to shear force in the Universal Testing Machine (0.5 mm⋅min(-1)). Neither the zirconia core material (P=0.318) nor colouring (P=0.188) significantly affected the results (three-way analysis of variance, Tukey's test). But the results were significantly affected by the veneering ceramic (P=0.000). Control group exhibited significantly higher mean bond strength values (45.7±8) MPa than all other tested groups ((27.1±4.1)-(39.7±4.7) and (27.4±5.6)-(35.9±4.7) MPa with and without colouring, respectively) (P<0.001). While in zirconia-veneer test groups, predominantly mixed type of failures were observed with the veneering ceramic covering <1/3 of the substrate surface, in the metal-ceramic group, veneering ceramic was left adhered >1/3 of the metal surface. Colouring zirconia did not impair adhesion of veneering ceramic, but veneering ceramic had a significant influence on the core-veneer adhesion. Metal-ceramic adhesion was more reliable than all zirconia-veneer ceramics tested.

Influence of cryogenic treatment and age-hardening heat treatment on the microhardness of palladium-silver dental alloys / 华西口腔医学杂志

<p><b>OBJECTIVE</b>The purpose of this study was to investigate the influence of cryogenic treatment and age-hardening heat treatment on the micro-Vicker's hardness of palladium-silver dental alloys.</p><p><b>METHODS</b>A low-gold content dental casting alloy composed of Ag-Pd-Cu-Au was prepared for this study. Experimental specimens according to standard requirements were prepared following a standard dental laboratory casting procedure, cast specimens were heated to 900 degrees C and quenched in ice water. The specimens were then divided into 4 groups. They were subsequently subjected to different treatments, including age-hardening heat treatment, cryogenic treatment, heat treatment combined with cryogenic treatment. The non-treated group was used as control. The micro-Vicker's hardness value was examined. The significance of correlation was analyzed.</p><p><b>RESULTS</b>The micro-Vicker's hardness of specimens after age-hardening heat treatment, cryogenic treatment, heat treatment combined with cryogenic treatment increased by 129%, 13% and 141%, respectively, compared with that of the non-treated control group. Conclusion Age-hardening heat treatment and cryogenic treatment were effective in elevating the hardness of Ag-Pd-Cu-Au alloy.</p>

Physical properties of Au-Pt ceramic alloy after recasting / 华西口腔医学杂志

<p><b>OBJECTIVE</b>To investigate the influences of recasting on the mechanical properties of Au-Pt ceramic alloy.</p><p><b>METHODS</b>Au-Pt ceramic alloy samples were prepared and recast for 3 times without adding any new Au-Pt ceramic alloy. The tensile strength, 0.2% yield strength, percentage of elongation, flexural strength, flexural modulus and Vickers hardness of each specimen were measured.</p><p><b>RESULTS</b>Being cast for different times, the Au-Pt ceramic alloy showed no significant differences on their tensile strength, 0.2% yield strength, percentage of elongation, flexural strength or Vickers hardness. The flexural modulus of the Au-Pt alloys being cast for 2 or 3 times was significantly higher than that of the alloys being cast for 1 time (P < 0.05). CONCLUSION Au-Pt ceramic alloy can be recast for 3 times at least, without any decrease in the mechanical properties.</p>

A finite element thermal analysis of various dowel and core materials.

Aim: Thermal analysis of the temperature and stress distribution of parallel sided, threaded and non-threaded dowels and core materials under thermal loading within a maxillary central incisor using a three dimensional finite element study. Materials and Methods: 3D models of endodontically treated maxillary central incisor with parallel sided, threaded and non- threaded post and core materials were simulated using the ANSYS software. Materials simulated were parallel sided cast gold post and core, parallel sided fibre reinforced composite (FRC) post and core, and parallel sided, threaded, prefabricated stainless steel post and amalgam core. Thermal loads simulating hot (60 degree C/ 333K) and cold (15 degree C/288K) liquid were applied for 15 seconds at the incisal edge. The temperature changes at the selected nodes were obtained on the various post and core materials, interface between post and dentin, interface between core and dentin, within the dentin and within the cement layer. Results: Temperature and stress distribution pattern were represented in numerical and color coding and results interpreted. Thermal stresses arises as a result of temperature changes. A decreased temperature gradient of the metallic dowels and core (T1 hot - 0.002K, T3 hot - 1.071K, T1 cold -0.99K, T3 cold - 0K) were obtained than that of the FRC dowel and core of 1.982K(hot) and1.55K(cold) respectively due to the higher thermal conductivity of the metals. Higher thermal stress values of 3.567 Mpa(hot) and 3.092 Mpa(cold) respectively were obtained for the FRC dowels and higher stress values of 39.679 Mpa(hot) and 57.855 Mpa(cold) respectively were also obtained for the FRC cores. These values indicated that thermal stresses of the FRC dowel and core were greater than that of cast gold dowel and core and prefabricated stainless steel dowel and amalgam core due to its high coefficient of thermal expansion. Maximum stress values of the FRC dowel and core of 1.87 Mpa(hot) and 2.57 Mpa(cold) respectively were also generated in the cement layer, core and metal ceramic crown. The junction of the metal ceramic crown and dentin demonstrated the maximum stress. Higher thermal stress values of 59.162 ± 10 Mpa were obtained in the restoration and the coronal portion of the dentin than the stress levels of .0039 ± 10Mpa in the supporting bone due to an increased thermal expansion. Conclusion: Non-metallic dowel and core materials such as fibre reinforced composite dowels (FRC) generate greater stress than metallic dowel and core materials. This emphasized the preferable use of the metallic dowel and core materials in the oral environment.

The effect of urea on the corrosion behavior of different dental alloys.

Objective: Intraoral corrosion of dental alloys has biological, functional, and esthetic consequences. Since it is well known that the salivary urea concentrations undergo changes with various diseases, the present study was undertaken to determine the effect of salivary urea concentrations on the corrosion behavior of commonly used dental casting alloys. Materials and Methods: Three casting alloys were subjected to polarization scans in synthetic saliva with three different urea concentrations. Results: Cyclic polarization clearly showed that urea levels above 20 mg/100 ml decreased corrosion current densities, increased the corrosion potentials and, at much higher urea levels, the breakdown potentials. Conclusion: The data indicate that elevated urea levels reduced the corrosion susceptibility of all alloys, possibly through adsorption of organics onto the metal surface. This study indicates that corrosion testing performed in sterile saline or synthetic saliva without organic components could be misleading.

Effect of four different types of base metal alloy crown on the expression of prostaglandin E2 and cyclo-oxygenase-2 by human gingival fibroblast / 中华口腔医学杂志

<p><b>OBJECTIVE</b>To investigate the effect of alloy leaching liquor of four different types of base metal alloy on the expression of prostaglandin E(2) (PGE(2)) and cyclo-oxygenase-2(COX-2) by human gingival fibroblast(HGF) in vitro.</p><p><b>METHODS</b>Ni-Cr, Co-Cr, pure Ti and Au ceramic alloys were incubated in Dulbecco's modified Eagle's medium (DMEM) to prepare alloy leaching liquor, and then added in HGF medium. DMEM was prepared as negative control. Aliquots were taken from exposed media after 1, 6, 12, 24 h. Assays for PGE(2) were carried out by enzyme-linked immunosorbent assay (ELISA).</p><p><b>RESULTS</b>In 6, 12, 24 h, the expression of PGE(2) in Ni-Cr and Co-Cr alloy groups (Ni-Cr: 45.568 ± 0.926, 60.538 ± 0.988, 73.754 ± 0.507; Co-Cr: 40.496 ± 0.693, 53.216 ± 0.327, 65.470 ± 1.086) were significantly higher than those in other experimental groups (Ti: 31.564 ± 0.719, 31.998 ± 0.856, 32.066 ± 0.513; Au alloy: 31.540 ± 0.821, 31.136 ± 0.518, 31.340 ± 0.443) and control group (31.122 ± 0.642, 31.230 ± 0.634, 30.980 ± 0.746) (P < 0.05). No significant difference were found in the expression of PGE(2) among pure Ti, Au alloy groups and the control group (P > 0.05). Immunofluorescence showed dark and uniform COX-2 stain in Ni-Cr and Co-Cr alloy groups, while in pure Ti group, Au alloy group, and negative control group shallow and uneven distribution of COX-2 stain were observed.</p><p><b>CONCLUSIONS</b>Our findings suggested that pure Ti and Au alloy did not cause elevated PGE(2) and COX-2 release from HGF. However, Ni-Cr and Co-Cr alloy caused increase in PGE(2) and COX-2 levels.</p>

Misfit profile of dental bridges

Ante la evidencia de que los puentes odontológicos (PO) desadaptan más que las restauraciones individuales y que la desadaptación en prótesis fija es un factor determinante del fracaso, se llevóa cabo un estudio comparativo del perfil de desadaptación de los PO más utilizados en rehabilitación bucal: el PO colado en oro y el colado en aleación no preciosa y porcelana fundida.A partir de este, podemos trasladar al clínico las ventajas y debilidades de un tipo de estructura con respecto a la otra. Los resultados obtenidos muestran dos perfiles diferentes, presentandoel PO ceramometálico un comportamiento más desordenado que el colado en oro, la restauración del pilarposterior se separa de la pieza dentaria por distal, se acerca por mesial y mantiene esta separación en distal y mesial del pilar anterior. El PO colado en oro se separa en los extremos, distal del molar y mesial del premolar y se acerca marcadamente en las caras vecinas al tramo, distal del premolar y mesial del molar. Ha quedado también demostrado que el comportamiento adaptativo,a pesar de ser diferente, es menor en las aleaciones no nobles con porcelana fundida con respecto a la aleación de oro, relegadas estas últimas, a un bajo porcentaje en su uso clínico en rehabilitación, debido a la demanda estética y los altos costos. El impacto de este trabajo en la clínica consiste en que el PO ceramometálico ha desadaptado más en las áreas donde su confección en boca es más dificultosa por su visión e inaccesibilidad

Comparison of clinical effects of au-pt based and ni-cr based porcelain crowns / 中国医学科学杂志(英文版)

<p><b>OBJECTIVE</b>To compare the long-term clinical effects of two kinds of crowns and bridges made of porcelain fused to Au-Pt alloy and Ni-Cr alloy.</p><p><b>METHODS</b>A total of 131 teeth (64 patients) were rehabilitated using porcelain-fused-to-metal crowns, among which 59 were rehabilitated with Au-Pt alloy metal ceramic crown and 72 with Ni-Cr alloy metal ceramic crown.The porcelain fracture, shade, marginal adaptation, gingival discoloration, and gingival status after finishing restoration and 36 months of follow-up were evaluated.</p><p><b>RESULTS</b>After 36 months of restoration, porcelain fused to Au-Pt alloy crown showed better clinical effects than porcelain fused to Ni-Cr alloy crown in shade, marginal adaptation, gingival discoloration, as well as gingival status (all P < 0.05).</p><p><b>CONCLUSION</b>The Au-Pt alloy ceramic crown is superior to Ni-Cr alloy ceramic crown in long-term clinical effects.</p>

Restoration of blinking reflex and facial symmetry in a Bell's palsy patient.

Patients afflicted with Bell's palsy are faced with both functional and esthetic impairment. Prominent among these are the inability to close the eyelids and abnormal facial appearance, with concomitant difficulty in eating, drinking and speaking. Rehabilitation of such patients can be achieved by a multispecialty approach, with the prosthodontist functioning as an integral part of the treatment team. This article describes a simple and effective approach to restore the blinking reflex of the upper eyelid with custom gold implant and facial esthetics with cheek support prosthesis.

O efeito do jateamento de Al2O3 na resistência de união de uma cerâmica vítrea a uma liga de ouro e a uma liga de cobalto-cromo / Effect of airborne particle abrasion on the bond strength of glass ceramic fused to gold and cobalt-chromium alloy

Este estudo avaliou o efeito do jateamento de óxido de alumínio (Al2O3) na resistência de união de uma liga de ouro e uma de cobalto-cromo à uma cerâmica, submetidos ao ensaio de flexão de três pontos (ISO 9693). Sessenta barras metálicas (25x3x0,5mm) foram divididas de acordo com a liga: Au e Co-Cr; e o tratamento de superfície do metal: ponta de tungstênio (W), jateamento de Al3O2 (JAT) a 10mm de distância e jateamento de Al3O2 a 20mm de distância, formando 6 grupos: G1.1- Au + W; G1.2 - Au + W + JAT a 10mm; G1.3 - Au + W + JAT a 20mm; G2.1 – Co-Cr + W; G2.2 - Co-Cr + W + JAT a 10mm; G2.3 - Co-Cr + W + JAT a 20mm. A cerâmica de cobertura foi coccionada sobre a área central de acordo com as recomendações do fabricante. Os espécimes foram submetidos ao teste de flexão de três pontos. Foi realizada análise de variância a 2 fatores e teste de Tukey (α=0,05). Os modos de falhas foram analisados, qualitativamente, em lupa estereomicroscópica. Os valores médios de resistência de união e desvio-padrão (em MPa) foram: G1.1: 42,36±6,45; G1.2: 48,75±3,80; G1.3: 50,55±5,49; G2.1: 40,18±8,05; G2.2: 50,51±9,71; G2.3: 49,71±6,53. Observou-se que houve diferença estatisticamente significante para o fator tratamento de superfície (p=0,002), sendo que os grupos tratados com jateamento de Al3O2 a 10mm e 20mm de distância produziram valores de resistência flexural similares entre si e significantemente maiores que aqueles tratados com ponta de tungstênio. O modo de falha predominante foi adesiva na interface metal/cerâmica, sem a presença de cerâmica na superfície do metal para o grupo G1.1 e G2.1 e exclusivamente mista na interface metal/cerâmica, com presença de opaco e cerâmica de corpo na superfície da metal para os demais grupos. Concluiu-se que o tipo de liga não interferiu nos valores de resistência de união e o jateamento com Al3O2 melhorou significantemente os valores de resistência de união entre a cerâmica e as ligas estudadas

The purpose of this study was to evaluate the effect of airborne particle abrasion on the flexural strength of a ceramic fused to commercial cobalt-chromium alloy (Co-Cr) and gold alloy. Sixty metallic frameworks were made (25x3x0.5 mm) according ISO 9693 and were divided according to the alloy (gold alloy and Co-Cr alloy), and the surface treatment (tungsten drill (W), air-particle abrasion with Al3O2 (APA) from a distance of 10mm and air-particle abrasion with Al3O2 from a distance of 20mm), making a total of six groups: G1.1 – Au + W; G1.2 - Au + W + APA; G1.3 - Au + W + APA 20mm; G2.1 – Co-Cr + W; G2.2 - Co-Cr + W + APA 10mm; G2.3 - Co-Cr + W + APA 20mm. At the central area of the frameworks (8x3 mm), the opaque ceramic (Opaque, Vita Zahnfabrick) was applied and the glass ceramic (Vita VM13, Vita Zahnfabrick) was fired onto it (thickness: 1 mm). A flexural strength test was performed in a universal testing machine. The data were analyzed using 2 way-ANOVA and Tukey´s test (α = 0.05). The failure types were analyzed using a stereomicroscope (30X). The means and standard deviations of the flexural bond strength were (MPa): G1.1: 42,36±6,45; G1.2: 48,75±3,80; G1.3: 50,55±5,49; G2.1: 40,18±8,05; G2.2: 50,51±9,71; G2.3: 49,71±6,53. There was a significant difference for surface treatment factor (p=0,002). The mean flexural strength values for APA 10mm and APA 20mm groups were similar and significantly higher than tungsten drill groups. The failure type was most adhesively in the metal/ceramic interface for the groups G1.1 and G2.1, and exclusively mixed in the metal/ceramic interface, presenting opaque and dentin ceramic in the metal surface, for the others groups. It was concluded that the type of alloy did not affect the bond strenght values and the air-paricle abrasion with Al3O2 improved the flexural bond strenght between ceramics and alloys used.

Evaluation of cytotoxicity of accessories used for traction of impacted teeth

Aim: To test the hypothesis that gold-coated orthodontic accessories used for canine traction are less cytotoxic than those made of stainless steel. Methods: Six different orthodontic accessories were evaluated, three of them made from stainless steel (1 – bracket, 2 – button, 3 – mesh pad) and three made from a gold-coated alloy (4 – small mesh pad, 5 button, 6 – big mesh pad). Three control groups were also analyzed: Positive control (C+), consisting of Tween 80 cell detergent;Negative control (C-), consisting of PBS; and Cell control (CC), consisting of cells not exposed to any material. Dye-uptake technique, in which neutral red dye is incorporated into viable cells, was used to assess the cytotoxicity of the accessories. Viable cell counting was performed using a spectrophotometer. Data were analyzed statistically by A NOVA and Tukey’s test. Results:Statistically significant differences (P< 0.05) were found between Groups 1-3 and Groups 4-6. However, no differences were found between Groups 1-3 and Groups C- and CC, and neither between Groups 4-6 and Group C+. Conclusions: The tested hypothesis was not confirmed since gold-coated orthodontic accessories were found to be more cytotoxic than those made of stainless steel.

Effect of retorque on loosening torque of prosthetic screws under two levels of fit of implant-supported dentures

This study evaluated the influence of retorque on loosening torque (Lt) of prosthetic screws in implant-supported dentures with different fit levels. Ten mandibular implant-supported dentures were fabricated and then 20 cast models were then prepared using prosthetic structures to create 2 fit levels: passive fit (Pf) and misfit (Mf). Two tightening techniques were also evaluated: initial torque only (T1); and initial torque and retorque after 10 min (T2). Gold or titanium screws were used, resulting in 4 groups to each one: Pf/T1, Pf/T2, Mf/T1, Mf/T2. The Lt was measured 24 h after the tightening torque using digital torque meter. Data were analyzed statistically by two-way ANOVA and Tukey's test (α=0.05), separately for each screw material. For titanium screws, no significant difference (p>0.05) was found between Pf/T1 and Pf/T2, or between Pf/T2 and Mf/T2. However, statistically significant difference (p<0.05) was found between Pf/T1 and Mf/T1, and between Mf/T1 and Mf/T2. Mf reduced the Lt using T1, while and T2 increased the Lt for Mf. Retorque and fit were shown to have no significant influence on the Lt of the gold screws. Retorque application made insignificant the misfit effect on the Lt of the titanium screws, suggesting that this procedure should be performed routinely during the screw tightening in multi-unit dentures.

Este estudo avaliou a influência do retorque no Ta dos parafusos protéticos em próteses implantossuportadas com diferentes níveis de adaptação. Foram confeccionadas 10 próteses mandibulares implantossuportadas. Vinte modelos de gesso foram fabricados utilizando as estruturas protéticas para criar os 2 níveis de adaptação: adaptação passiva (AP) e desajuste (D). Foram avaliadas 2 técnicas de aperto do parafuso: inicial torque (T1); e inicial torque e retorque após 10 min (T2). Foram usados parafusos de ouro e titânio, resultando em 4 grupos para cada material do parafuso: AP/T1, AP/T2, D/T1, D/T2. O Ta foi mensurado 24 h após o torque de aperto utilizando torquímetro digital. Os resultados foram analisados pela ANOVA (2 fatores) e teste de Tukey (α=0,05), separadamente para cada material dos parafusos. Para os parafusos de titânio, não foi encontrada diferença estatística significante entre AP/T1 e AP/T2, ou AP/T2 e D/T2; porém, diferença significante foi encontrada entre AP/T1 e D/T1, ou D/T1 e D/T2. Onde, D reduziu a Ta utilizando T1; e T2 aumentou o Ta para D. Retorque e adaptação não apresentaram influência significante no Ta dos parafusos de ouro. A aplicação do retorque tornou insignificante o efeito do desajuste no Ta dos parafusos de titânio, sugerindo que este procedimento deveria ser usado rotineiramente durante os parafusos protéticos de titânio em próteses múltiplas.

Comparison of the influences of gold alloy metal crown and ni-cr alloy metal crown on gingival health / 中国医学科学院学报

<p><b>OBJECTIVE</b>To compare the influences of gold alloy metal crown and Ni-Cr alloy metal crown on gingival health.</p><p><b>METHODS</b>Totally 20 patients requiring one metal crown restoration were divided into the gold alloy metal crown group (n=9) and Ni-Cr alloy metal crown group (n=11). The contra-lateral homonymy natural healthy teeth served as controls. Before the tooth preparation and 6 months after crown placement, the weight of gingival crevicular fluid (GCF) of each tooth (included the test teeth and the control teeth) was measured, and the probing depth and the sulcus bleeding index of each tooth were also recorded.</p><p><b>RESULTS</b>In the gold alloy metal crown group, the weight of GCF detected before the tooth preparation was significantly larger than that detected 6 months after restoration (P<0.05). In the Ni-Cr alloy metal crown group, the sulcus bleeding index recorded 6 months after restoration was significantly larger than that recorded before the tooth preparation (P<0.05). The other experimental indicators were not significantly different before and after restoration.</p><p><b>CONCLUSION</b>The gold alloy metal crowns will not cause obvious harm to the periodontal tissues of the abutments shortly after restoration, while the Ni-Cr alloy metal crowns may increase the risk of sulcus bleeding.</p>

Infraestructura de oro para prótesis metal-cerámicas obtenidas mediante técnica de electrodeposición / Infrastructure gold for metal-on-ceramic obtained by electrodeposition technique

La electrodeposición es un proceso químico por el cual se realiza una deposición galvánica de oro del 99% de pureza con el fin de obtener infraestructuras en prótesis metal-cerámicas. Las infraestructuras presentan, en promedio, un espesor de 0,2 mm y un desajuste marginal inferior la 20 µm, posibilitando la utilización de un mayor espesor de cerámica si la comparamos a técnicas convencionales. Esta técnica posibilita la disminución de la citotoxicidad, de las reacciones alérgicas y de la corrosión, determinando una mayor duración de las restauraciones. La coloración dorada del material permite al ceramista conseguir una estética más depurada, favoreciendo las tonalidades en la cerámica aplicada. Sin embargo, la necesidad de mano de obra calificada y de equipos modernos y de alto costo son factores que todavía hacen inviable la utilización de la electrodeposición de oro puro como práctica clínica habitual. El objetivo de este estudio es contribuir, a través de una revisión de la literatura, a la comparación en los siguientes factores: calidad del asentamiento marginal, durabilidad, biocompatibilidad, estética de las restauraciones cuyas estructuras hayan sido obtenidos por la técnica de electrodepoisición frente a restauraciones realizadas con técnicas metal-cerámicas convencionales y sistemas cerámicos

Electrodeposition is the galvanic deposition of 99% pure gold to obtain the framework for metal-ceramic prostheses. The framework is 0.2 mm thick, on average, with marginal maladjustment of less than 20 µm, enabling the use of greater ceramic thickness than that of conventional techniques. This new technique reduces cytotoxicity, allergic reactions and corrosion, resulting in longer restoration longevity. The golden coloration of the material allows the ceramist to develop a more evolved esthetic, favoring the tonality of the ceramic applied. However, the need for qualified labor and modern high-cost equipment are factors that hinder the use of electrodeposited pure gold in everyday clinical practice. The aim of this study is to perform a literature review to compare the quality of the marginal fit, longevity, biocompatibility, and esthetic of restorations whose copings were obtained by the electrodeposition technique using conventional metal-ceramics and ceramic systems

The electrochemical properties of four dental casting suprastructure alloys coupled with titanium implants

OBJECTIVES: As the choice of suprastructure alloy to be combined with titanium for the oral cavity is still a much debated issue, the aim of this study was to investigate the electrochemical interaction of the suprastructure/implant couples under the determined experiment conditions. MATERIAL AND METHODS: The potentiodynamic polarization curves and open-circuit potentials (OCP) of four UCLA type suprastructures coupled with straight Swiss Plus implant fixtures were taken in Afnor type artificial saliva solution at 37°C. The concentration of ions leached into artificial saliva solutions was estimated with ICP-MS. SEM images of the margins of suprastructure/implant couples were obtained before and after the electrochemical tests. RESULTS: The OCP value of titanium became passive at the most negative potential. The lowest difference between the initial and constant OCP value was exhibited by the Au based suprastructure. Suprastructures made greater contributions to the potentiodynamic polarization curves of the implant/suprastructure couples. According to the ICP-MS results, Pd based and Au based couples dissolved less than Co-Ni based and Co-Cr based couples. CONCLUSIONS: Within the conditions this study, it may be concluded that the titanium implant forms a stable passive oxide layer in artificial saliva exposed to open air and does not affect the corrosion properties of the suprastructures. Pd based and Au based couples have been found to be more corrosion-resistant than base alloy couples.

Metal-ceramic dowel crown restorations for severely damaged teeth: a clinical report.

This clinical report describes an alternative prosthodontic treatment of a patient who had severely damaged endodontically-treated first molar teeth in all quadrants of her mouth. The young patient's severely damaged permanent molar teeth were treated with a restoration combining the advantage of the esthetics of dental porcelain, reinforced with the underlying cast gold dowel crown. Using this technique, the remaining sound tooth structure was preserved with function and esthetics accomplished. The described metal-ceramic one piece dowel crown restoration seemed to perform without any problems for the 12 month evaluation time.