ABSTRACT
One of the primary causes of endodontic failure is the presence of untreated canals. Although the maxillary first molar has been described as the most endodontically treated tooth, the canal configuration has been the least understood. The purpose of this article is to present, with the aid of several clinical cases, a review of the literature regarding the frequency, the location, and the incidence of the second mesiobuccal canal in relation to the maxillary first molar, both for conventional and surgical approach.
Subject(s)
Dental Pulp Cavity/anatomy & histology , Molar/anatomy & histology , Root Canal Obturation/methods , Humans , MaxillaABSTRACT
It has been reported that for implants to become osseointegrated, they must heal in the absence of functional loads for 4 to 6 months. To address the need for undisturbed healing and patient demand for uninterrupted immediate function and esthetics, the Modular Transitional Implant and Prosthetic System has been developed. This case report describes the use of transitional implants to support a removable maxillary overdenture, including methodology and the advantages and disadvantages of the system. The histomorphometric analysis of one of these transitional implants and its surrounding osseous tissue showed a 45% bone-to-implant interface after 6 months of functional loading. The transitional implant system is a sound and economical method of immediate patient restoration that allows for the protected healing of submerged implants.
Subject(s)
Dental Implantation, Endosseous/methods , Dental Implants , Denture, Overlay , Denture, Partial, Immediate , Bite Force , Dental Prosthesis Design , Device Removal , Female , Humans , Maxilla , Middle Aged , OsseointegrationABSTRACT
The purpose of this study was to compare, in vitro, the sealing ability of Super EBA and a compomer, Dyract, as root-end filling materials. Forty-eight single-rooted human teeth were cleaned, shaped and obturated with gutta-percha. The root apices were resected and root-end cavities were prepared. Twenty teeth were retrofilled with Super EBA and Dyract; eight teeth served as positive and negative controls. Half of the teeth in each group were immersed in basic fuschin for 4 weeks, the other half for 12 weeks. The teeth were then embedded in resin, sectioned, and the maximum extent of dye penetration measured. Statistical analysis (ANOVA) did not reveal a significant difference between the two materials at 4 weeks. At 12 weeks, the extent of dye penetration was statistically significant with Super EBA leaking more than Dyract (P = 0.002). Moreover, the extent of the dye penetration was statistically significantly different for Super EBA between the 4- and 12-week groups (P = 0), whereas no such difference was found for Dyract. Thus, the sealing ability of Dyract was found to be better than Super EBA at 12 weeks.
Subject(s)
Compomers , Dental Leakage , Retrograde Obturation , Root Canal Filling Materials , Dentin-Bonding Agents , Evaluation Studies as Topic , Humans , Methacrylates , SilicatesABSTRACT
STATEMENT OF PROBLEM: Passive fit of implant-supported-prosthesis frameworks has been suggested as a prerequisite for successful long-term osseointegration. However, there are no scientific guidelines as to what is passive fit and how to achieve and measure it. PURPOSE: The purpose of this article is to discuss passive fit and to review the various clinical methods that have been suggested for evaluating implant framework fit.Methods. The dental literature was reviewed to identify the clinical methods that have been used to evaluate implant framework fit. CONCLUSIONS: The suggested levels of passive fit are empirical. Numerous techniques have been advocated to evaluate the prosthesis-implant interface, but none individually provides objective results. It is suggested that clinicians use a combination of the available methods to minimize misfits.