1,721,478 research outputs found

    Buonocore Memorial Lecture 2023: Changing Operative Mindsets with Universal Adhesives and Cements

    No full text
    Adhesive dentistry has undergone significant advancements since its inception, marked by continuous improvements in material performance and adaptability to various dental and restorative substrates. Initially, the anatomical differences between enamel and dentin made adhesive approaches challenging. Early systems were often complex and operator dependent, leading to the development of multistep protocols. However, advancements have led to the creation of more user-friendly self-etch systems and the emergence of universal adhesives (UAs). These UAs can be applied with equal effectiveness to different substrates, including enamel and dentin, simplifying the clinical workflow and enhancing reliability. The concept of universality has recently been extended to other dental materials, most notably universal resin cements. These cements offer a versatile approach as they are capable of both adhesive and self-adhesive bonding, thereby accommodating a wide range of restorative scenarios. The advent of these materials represents a significant advance toward simplifying procedures, reducing technique sensitivity and the likelihood of operator error and achieving consistently high quality restorations. Current research focuses on further refining these universal materials to enhance their performance, making them a cornerstone of modern adhesive dentistry

    Molar incisor hypomineralization: supplementary, restorative, orthodontic, and esthetic long-term treatment

    No full text
    OBJECTIVE: This article describes the esthetic results in a paradigmatic case of hypomineralized enamel correction on both anterior and posterior teeth to establish a minimal intervention protocol for similar cases. Clinical considerations: The subject was initially provided with casein-calcium-phosphate mineral supplementation. Unpublished laboratory images collected as part of a previously published study depict the results of initial calcium-phosphate supplementation on molar incisor hypomineralization (MIH) molar enamel morphology and indicate that this procedure is mandatory in moderate/severe cases. Prior to defect restoration, in-office bleaching of the anterior segment was conducted with bioactivated Opalescence Boost. Filtek Supreme Ultra Universal Restorative was used as a masking agent, and Filtek A2 enamel was applied as the final layer. CONCLUSION: An 8-year follow-up period is necessary in most moderate/severe MIH cases involving orthodontics and bleaching

    Outdoing best-fit approaches for the manufacturing accuracy evaluation of complete denture bases

    Full text link
    To compare the reference geometry approach to the best-fit (or superimposition) approach in the estimation of geometric accuracy relevant to the digital and the analog workflow to fabricate a complete denture. Starting from a model of an edentulous maxilla, the two measuring methodologies were tested to estimate the geometric accuracy of the intaglio surface of the complete dentures fabricated by CNC milling and injection molding. Eight areas of interest were defined at the intaglio surface of the denture base; a sensitivity analysis determined the minimum number of measuring points to calculate a reliable Δ error value. A repeatability analysis was performed to assess the consistency of this experimental reference geometry approach with respect to the clinic acceptable requirements. For the analog workflow, the comparison of the reference geometry results to the best-fit results showed a − 76 (post-dam) ÷ 169 μm (right flange) range of the Δ mean value for the reference geometry approach, to be compared to − 15 (left crest) ÷ 146 μm (right tuberosity) range for the best-fit approach. For the digital workflow, the same comparison showed a − 21 (left crest) ÷ 51 μm (left flange) range for the reference geometry approach, compared to a − 20 (left crest) ÷ 23 μm (left flange) for the best-fit approach. The best-fit approach results in an underestimation of mean Δ error values and their distribution over the entire prosthesis. The reference geometry approach correctly estimates error values while focusing on the identification of sources of errors in the manufacturing process
    corecore