Functional and esthetic rehabilitation of a patient with amelogenesis imperfecta.

Amelogenesis imperfecta (AI) is a hereditary disorder that causes developmental alterations in the structure of enamel. In addition, tooth sensitivity, missing or impacted teeth, taurodontism, altered dental esthetics and anterior open bite can also be associated with AI. This clinical report presents the diagnosis, treatment planning and prosthetic rehabilitation of a 19-year-old female patient with AI associated with a group of dental anomalies. Following clinical and radiographic examination, histologic evaluation of the teeth confirmed the diagnosis of rough pattern hypoplastic AI. The patient was rehabilitated with full-mouth zirconium oxide ceramic fixed bridges. Adaptation of the temporomandibular joints and masticatory muscles to the bridges was carefully observed over 3 years. At the end of this follow-up period, the patient was satisfied with the esthetics, function and phonation of her prostheses.

Light transmittance of zirconia as a function of thickness and microhardness of resin cements under different thicknesses of zirconia

Objective: The objective of this study was to compare microhardness of resin cements under different thicknesses of zirconia and the light transmittance of zirconia as a function of thickness. Study design: A total of 126 disc-shaped specimens (2 mm in height and 5 mm in diameter) were prepared from dual-cured resin cements (RelyX Unicem, Panavia F and Clearfil SA cement). Photoactivation was performed by using quartz tungsten halogen and light emitting diode light curing units under different thicknesses of zirconia. Then the specimens (n=7/per group) were stored in dry conditions in total dark at 37°C for 24 h. The Vicker’s hardness test was performed on the resin cement layer with a microhardness tester. Statistical significance was determined using multifactorial analysis of variance (ANOVA) (alpha=.05). Light transmittance of different thicknesses of zirconia (0.3, 0.5 and 0.8 mm) was measured using a hand-held radiometer (Demetron, Kerr). Data were analyzed using one-way ANOVA test (alpha=.05).Results: ANOVA revealed that resin cement and light curing unit had significant effects on microhardness (p < 0.001). Additionally, greater zirconia thickness resulted in lower transmittance. There was no correlation between the amount of light transmitted and microhardness of dual-cured resin cements (r = 0.073, p = 0.295).Conclusion: Although different zirconia thicknesses might result in insufficient light transmission, dual-cured resin cements under zirconia restorations could have adequate microhardness (AU)

Light transmittance of zirconia as a function of thickness and microhardness of resin cements under different thicknesses of zirconia.

OBJECTIVE: The objective of this study was to compare microhardness of resin cements under different thicknesses of zirconia and the light transmittance of zirconia as a function of thickness. STUDY DESIGN: A total of 126 disc-shaped specimens (2 mm in height and 5 mm in diameter) were prepared from dual-cured resin cements (RelyX Unicem, Panavia F and Clearfil SA cement). Photoactivation was performed by using quartz tungsten halogen and light emitting diode light curing units under different thicknesses of zirconia. Then the specimens (n=7/per group) were stored in dry conditions in total dark at 37°C for 24 h. The Vicker's hardness test was performed on the resin cement layer with a microhardness tester. Statistical significance was determined using multifactorial analysis of variance (ANOVA) (alpha=.05). Light transmittance of different thicknesses of zirconia (0.3, 0.5 and 0.8 mm) was measured using a hand-held radiometer (Demetron, Kerr). Data were analyzed using one-way ANOVA test (alpha=.05). RESULTS: ANOVA revealed that resin cement and light curing unit had significant effects on microhardness (p < 0.001). Additionally, greater zirconia thickness resulted in lower transmittance. There was no correlation between the amount of light transmitted and microhardness of dual-cured resin cements (r = 0.073, p = 0.295). CONCLUSION: Although different zirconia thicknesses might result in insufficient light transmission, dual-cured resin cements under zirconia restorations could have adequate microhardness.

The effect of post length and core material on root fracture with respect to different post materials.

OBJECTIVE: The aim of this study was to evaluate the effect of different core materials and post length on the fracture strength of different posts (CAD/CAM zirconia post (ZR post)) and an individually formed glass fiber reinforced composite post (FRC post). MATERIALS AND METHODS: One hundred maxillary central incisors received endodontic treatment and were divided into two groups according to the post length: (1) 10 mm in length and (2) 15 mm in length (n = 50/per group). Then the specimens were randomly assigned into five sub-groups (n = 10/per group) as follows: One-piece milled zirconia post and core (group Zr), zirconia post with resin core (Biscore, Bisco) (group Zr/R), zirconia post with resin composite core (Admira, Voco) (group Zr/RC), FRC post with resin core (group F/R) and FRC post with resin composite core (group F/RC). The posts were cemented with a self-adhesive luting agent according to the manufacturer's instructions by using endo tips and light-cured for 40 s using a halogen light curing unit. Metal crowns were made for each specimen, cemented and loaded to failure. Fracture loads (N) and modes of failure were recorded. The data were analyzed using three-way analysis of variance (ANOVA) followed by Tukey's post-hoc test (p < 0.001). RESULTS: Fracture strength of roots was significantly affected by the type of post material (p < 0.05) and post length (p < 0.05), but not by the type of core materials used (p = 0.078). CONCLUSION: Longer zirconia posts with zirconia- or resin-based cores can be recommended as an alternative to FRC posts with resin-based cores. The fracture patterns observed in teeth restored with fiber posts were more favorable than teeth restored with zirconia posts. Clinical significance. A higher restoring success rate can be achieved by fiber posts rather than zirconia posts, since the failure mode for these posts would be restorable. Additionally, post length is a more critical factor in teeth restored with one-piece milled zirconia posts than in those restored with fiber posts.