Preorthodontic functional long-term trial restoration of a worn dentition for optimizing outcomes: A clinical report.

Orthodontic tooth movement is often required before restorative treatment to maximize the esthetic and functional outcomes. Diagnostic waxing is a crucial step before active treatment to validate the optimal tooth position for future restorations. In this clinical report, a bonded prototype of the diagnostic waxing was used to guide and facilitate orthodontic treatment with the definitive restorations mind. The orthodontic treatment created the required space between the teeth for the ceramic restorations, improved dental and facial features, and restored appropriate incisal guidance.

Complete-Arch Implant Rehabilitation with the Aid of Computer-Assisted Implant Surgery and Transitional Implants: A New Digital Approach

This case report describes a new digital workflow for computer-assisted implant surgery in an edentulous patient using transitional implants to support a fixed surgical template and interim prosthesis. The accuracy of the final implant position using the described protocol was evaluated and compared to the outcomes obtained using other types of surgical templates. This novel digital approach appears to enhance the accuracy of implant positioning for edentulous patients and seems to be comparable to a tooth-supported surgical template.

Shear bond strength of provisional repair materials bonded to 3D printed resin.

BACKGROUND/PURPOSE: There is limited literature on the materials of choice and their properties when repairing 3-D printed resin-based restorations. The objective of this in-vitro study is to determine the shear bond strength of various repair materials to 3D printed SLA (stereolithography) resin. MATERIALS AND METHODS: For Group A (control), fifteen cylinders of 3-D printing SLA resin were printed as one unit of a Ø6.8 × 8 mm (diameter and height) cylindrical block with a Ø3 × 5 mm cylindrical block at the center. For the test groups, forty-five specimen cylinders of 3-D printing SLA resin (Ø6.8 × 8 mm) were fabricated and the surfaces were treated with 3 different test materials: Group B: Poly-Methyl Methacrylate (PMMA); Group C: Bis-acrylic composite resin, and Group D: Bis-GMA composite All specimens were tested using an Instron machine at a crosshead speed of 0.5 mm/min. A Shapiro-Wilk test was used to assess normality within the data, then the data was statistically analyzed by a Mann-Whitney test. RESULTS: There were no statistically significant differences between testing groups, except Group A. Group B displayed mixed (87%) and adhesive (13%) failure at the fractured surface. Group C showed both mixed (60%) and adhesive failure at the fractured surface (40%). All Group D showed mixed fracture patterns, partly cohesive fractured surface within the base cylinder area and partly adhesive fractured surface at the bonded interface. CONCLUSION: No statistically significant differences in the shear bond strength of the different repair materials to 3D printed cylinders were observed. The 3D printed cylinder repaired with Bis-GMA composite demonstrated the most predictability from the fractography analysis.