An Aesthetic and Economic Approach of Smile Designing for a Patient With Dentinogenesis Imperfecta: A Rare Case Entity.

This is a case report presenting a female patient in her twenties suffering from severely stained, unaesthetic, and worn-out teeth since her childhood. It was a major aesthetic and functional concern for her. This clinical presentation describes the prosthetic rehabilitation of a patient with generalized discolored and worn-out teeth to have enhanced aesthetics and masticatory function of the patient. This is a referred case of dentinogenesis imperfecta- II (DGI-II) from the Department of Oral Medicine and Radiology and Oral Pathology, as diagnosed by them after a thorough clinical, radiographical, and histopathological examination. DGI is a disorder of teeth characterized by discoloration and rapid wear and belongs to a group of disorders of the development of teeth. Due to the rapid wear and generalized intrinsically stained and discolored teeth, there is a loss of vertical dimension of occlusion (VDO) and an unesthetic look of the patient respectively. Therefore, the main objective of the case report is to re-establish the aesthetic and regain the VDO and functionality of the damaged teeth using the Pankey Mann Schuyler philosophy in which the first anterior teeth were rehabilitated with porcelain fused to metal (PFM) crowns based on aesthetics and phonetics of the patient. This was followed by posterior PFM crowns based on Broadrick's flag analysis for posterior occlusal plane determination and centric occlusion.

Full Mouth Rehabilitation for a Patient With Generalized Attrition: The Hobo Technique in Action.

This case report addresses the critical issue of severe tooth wear and its impact on the vertical dimension of occlusion in a 75-year-old patient. The patient presented with worn-down teeth, chewing difficulties, and aesthetic concerns, prompting a comprehensive treatment plan utilizing the Hobo twin-stage technique. The approach involved careful diagnosis, root canal therapy, and the creation of provisional restorations, monitored through an occlusal splint. The prosthetic phase incorporated strategically designed porcelain-fused-to-metal crowns, aiming for optimal tooth alignment and balanced movement. The successful outcome not only restored function and aesthetics but also enhanced the patient's confidence. This case underscores the effectiveness of a systematic approach in managing severe tooth wear, emphasizing the importance of regular follow-ups and good oral hygiene for long-term success.

The Surface Condition of Ni-Cr after SiC Abrasive Blasting for Applications in Ceramic Restorations.

Abrasive blasting is a process widely used in dentistry. One of the uses is the development of metal surfaces for connections with ceramics in fixed prosthetic restorations. The purpose of this paper was to check how the rough surface profile (width, height, and depth on unevenness) impacts the surface's condition, like its wettability and percentage of stuck abrasives. The Ni-Cr alloy surface was abrasive blasted by silicon carbide with the various pressure parameters (0.2, 0.4, and 0.6 MPa) and abrasive particle sizes (50, 110, and 250 µm). Cleaned surfaces were examined for roughness, wettability, and percentage of stuck abrasive particles on the surface. The surface after abrasive blasting using 110 µm of abrasive size and 0.4 MPa pressure has the best wettability results. The width of unevenness may cause it. When the unevenness has too small or too large width and depth, the fluids may not cover the entire cavities because of locking the air. The surface condition of dental alloys directly affects metal-ceramic connection strength. The knowledge about the impact of the abrasive blasting parameters on the bond strength will allow one to create durable dental restorations.