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Roig-Vanaclocha A, Revilla-León M, Gómez-Polo M, Agustín-Panadero R. Polytetrafluoroethylene relative isolation for adhesive cementation of dental restorations. J Prosthet Dent 2024; 132:26-30. [PMID: 35934570 DOI: 10.1016/j.prosdent.2022.06.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2022] [Revised: 06/21/2022] [Accepted: 06/21/2022] [Indexed: 11/20/2022]
Abstract
Tooth isolation is essential to isolate a prepared tooth from saliva, oral humidity, and gingival fluids and facilitate the removal of excess subgingival cement in adhesive cementation procedures. However, the isolation of prepared teeth can be challenging, especially with vertical preparations. A technique for achieving relative isolation by using polytetrafluoroethylene tape is described for adhesive cementation with vertical tooth preparations.
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Affiliation(s)
- Ana Roig-Vanaclocha
- Adjunct Professor of Prosthodontic and Occlusion Unit, Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, Valencia, Spain
| | - Marta Revilla-León
- Affiliate Assistant Professor, Graduate Prosthodontics, Department of Restorative Dentistry, School of Dentistry, University of Washington, Seattle, Wash; Director of Research and Digital Dentistry, Kois Center, Seattle, Wash; Adjunct Professor, Department of Prosthodontics, Tufts University, Boston, Mass
| | - Miguel Gómez-Polo
- Associate Professor, Department of Conservative Dentistry and Prosthodontics, School of Dentistry, Complutense University of Madrid, Madrid, Spain; Director of Specialist in Advanced Implant-Prosthesis Postgraduate Program, Complutense University of Madrid, Madrid, Spain.
| | - Rubén Agustín-Panadero
- Associate Professor, Prosthodontic and Occlusion Unit, Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, Valencia, Spain
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2
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Gonzalez-Bonilla M, Berrendero S, Moron-Conejo B, Martinez-Rus F, Salido MP. Clinical evaluation of posterior zirconia-based and porcelain-fused-to-metal crowns with a vertical preparation technique: an up to 5-year retrospective cohort study. J Dent 2024; 148:104953. [PMID: 38554803 DOI: 10.1016/j.jdent.2024.104953] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2024] [Revised: 03/09/2024] [Accepted: 03/17/2024] [Indexed: 04/02/2024] Open
Abstract
OBJECTIVE To evaluate the clinical conditions of single-unit posterior restorations on teeth prepared without finishing line, after 5.6 years of clinical service. MATERIALS AND METHODS 50 crowns (25 zirconia-based (Zr) and 25 porcelain-fused-to-metal (PFM)) were selected from 34 patients. The restorations were evaluated according to the California Dental Association (CDA) Quality Criteria, and periodontal variables were studied in the abutment teeth compared with the unrestored contralateral teeth. Variables were examined using Mann-Whitney and Pearson´s Chi-Square tests (α = 0.05). The success of the prosthesis was calculated using Kaplan-Meier test. RESULTS CDA Quality Criteria was considered satisfactory-excellent in all restorations except for one of them, due to chipping on a PFM crown. At, 66 months, the success rates for PFM and Zr crowns were 85.7 % and 100 %, respectively. The plaque index (PI) showed that the restored abutment teeth accumulated significantly less plaque than the control teeth, but the gingival index (GI) was statistically higher in the abutment teeth. In 80 % of cases the probing depth (PB) was ≤3 mm. In addition, in 21 % of the cases, gingival recession was less than 2 mm. The restoration material had a statistically significant effect on GI and PB, with Zr crowns showing less inflammation and less deep pockets than PFM restorations. On the contrary, greater gingival recession was found at the margins of the Zr crowns when compared to the PFM. No statistical differences were found between the two materials in the GI. CONCLUSIONS Cemented crowns on vertical preparations show good clinical behavior after 5 years. The periodontal parameters (PI, GI, PD) of the Zr restorations are significantly better than those of PFM, with the exception of gingival recession. CLINICAL RELEVANCE The use of restorations on vertically prepared teeth is a suitable alternative to classical horizontal preparations.
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Affiliation(s)
| | - S Berrendero
- Department of Conservative and Prosthetic Dentistry, Faculty of Dentistry, Complutense University of Madrid, Plaza Ramón y Cajal, s/n. Madrid, 28040, Spain.
| | - B Moron-Conejo
- Department of Conservative and Prosthetic Dentistry, Faculty of Dentistry, Complutense University of Madrid, Plaza Ramón y Cajal, s/n. Madrid, 28040, Spain
| | - F Martinez-Rus
- Department of Conservative and Prosthetic Dentistry, Faculty of Dentistry, Complutense University of Madrid, Plaza Ramón y Cajal, s/n. Madrid, 28040, Spain
| | - M P Salido
- Department of Conservative and Prosthetic Dentistry, Faculty of Dentistry, Complutense University of Madrid, Plaza Ramón y Cajal, s/n. Madrid, 28040, Spain.
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3
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Al-Haddad A, Arsheed NAA, Yee A, Kohli S. Biological oriented preparation technique (BOPT) for tooth preparation: A systematic review and meta-analysis. Saudi Dent J 2024; 36:11-19. [PMID: 38375394 PMCID: PMC10874799 DOI: 10.1016/j.sdentj.2023.10.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2023] [Revised: 10/07/2023] [Accepted: 10/09/2023] [Indexed: 02/21/2024] Open
Abstract
Purpose This systematic review is aimed to evaluate in fixed prosthodontics treated teeth, the effect of the BOPT on periodontal health compared to the horizontal preparation technique using a chamfer finishing line or to the baseline. Methods The electronic databases Cochrane Central Library, PubMed, Scopus, and ScienceDirect were searched based on specific MeSH keywords. The Randomized controlled clinical trials (RCTs) and prospective clinical trials on BOPT printed in English up to July 2022 were selected. Screening, selection, and data extraction were done. The studies were assessed for risk of bias, and descriptive and meta-analyses were performed. Results Eight studies were included in the systematic review and only three RCTs were involved in the meta-analysis. Two RCTs were assessed as low risk while one has some concerns. were grouped as good, fair, and poor based on NOS. Three of the prospective studies were considered to be of good quality and one study was fair. The meta-analysis revealed no statistically significant difference in the effect of BOPT and chamfer preparation on periodontal health status and success rate (P > 0.05). Conclusions Considering the limitation of this review, the BOPT is comparable to chamfer preparation and it resulted in an acceptable effect to maintain periodontal health with a high success rate. However, more evidence is required to support these findings.
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Affiliation(s)
- Afaf Al-Haddad
- Department of Restorative Dentistry, Faculty of Dentistry, Mahsa University, Malaysia
| | | | - Ang Yee
- Department of Restorative Dentistry, Faculty of Dentistry, Mahsa University, Malaysia
| | - Shivani Kohli
- Division of Restorative Dentistry, International Medical University, Malaysia
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Jeong CW, Kim H, Kim OS. Esthetic reconstruction of a localized severely resorbed anterior maxilla associated with peri-implantitis: A clinical report. J Prosthet Dent 2023:S0022-3913(23)00760-6. [PMID: 38103970 DOI: 10.1016/j.prosdent.2023.11.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2023] [Revised: 11/03/2023] [Accepted: 11/03/2023] [Indexed: 12/19/2023]
Abstract
This clinical report described the esthetic reconstruction of a localized severely resorbed right anterior maxilla associated with peri-implantitis. For vertical bone augmentation, guided bone regeneration surgery was performed by raising a flap with the remote incision technique, followed by soft tissue grafting and vestibuloplasty. The biologically oriented preparation technique was used to improve the health and stability of the peri-implant tissues. The surgical treatment and a novel method of prosthetic rehabilitation provided excellent esthetic and functional outcomes.
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Affiliation(s)
- Cheol-Woong Jeong
- Private practice, Gwangju, Republic of Korea; and Adjunct Professor, Department of Periodontology, Hard-tissue Biointerface Research Center, School of Dentistry, Chonnam National University, Gwangju, Republic of Korea
| | - Hyeon Kim
- Graduate student, Department of Periodontology, Hard-tissue Biointerface Research Center, School of Dentistry, Chonnam National University, Gwangju, Republic of Korea
| | - Ok-Su Kim
- Professor, Department of Periodontology, Hard-tissue Biointerface Research Center, School of Dentistry, Chonnam National University, Gwangju, Republic of Korea.
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5
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Gracis S, Llobell A, Chu SJ. Contemporary concepts on periodontal complications from prosthetic and restorative therapies. Periodontol 2000 2023; 92:159-196. [PMID: 37466152 DOI: 10.1111/prd.12505] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2022] [Revised: 06/01/2023] [Accepted: 06/05/2023] [Indexed: 07/20/2023]
Abstract
The clinical outcome of every prosthetic and restorative procedure depends on the maintenance of a healthy periodontium. It is, therefore, important that the prosthodontist and restorative dentist cause no harm or permanent damage to the underlying hard and soft tissues when performing clinical procedures necessary to carry out the planned treatment. Several factors involved in these procedures have been described to have an impact on gingival health. For the present article, a selection of four of these factors are presented with the goal of evaluating the current trends and their influence on periodontal structures: (1) tooth preparation configuration and apical extension, (2) gingival tissue sulcular expansion/retraction, (3) prosthetic contours, and (4) prosthesis marginal adaptation and the consequences of excess cement remnants. Based on the available scientific evidence and clinical experience, recommendations for the practitioner are given.
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Affiliation(s)
| | - Arturo Llobell
- Private Practice, Valencia, Spain
- Division of Restorative Dentistry, University of Pennsylvania, School of Dental Medicine, Philadelphia, Pennsylvania, USA
| | - Stephen J Chu
- Ashman Department of Periodontology and Implant Dentistry, Department of Prosthodontics, New York University College of Dentistry, New York, New York, USA
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Morón-Conejo B, Sanz-Sánchez I, Salido MP, Martínez-Rus F, Pradíes G. The effect of a convergent transmucosal neck on soft tissues and radiographic outcomes: a 1-year follow-up randomized controlled trial. Clin Oral Investig 2023; 27:2923-2933. [PMID: 36749412 PMCID: PMC10264266 DOI: 10.1007/s00784-023-04892-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2022] [Accepted: 02/01/2023] [Indexed: 02/08/2023]
Abstract
PURPOSE The aim of this randomized controlled clinical trial was to evaluate peri-implant marginal bone levels (MBLs) and soft tissue dimension changes 1 year after loading. Patients in the control group received bone-level implants, whereas in the test group, tissue-level implants with a convergent transmucosal neck were used. MATERIAL AND METHODS MBLs were calculated by measuring the distance from the implant shoulder to the first visible bone-to-implant contact using standardized periapical digital radiographs. Baseline (day of loading) and follow-up digital models obtained with an intraoral scanner were used to quantify the changes in the peri-implant soft tissue dimensions with a best-fit algorithm. RESULTS The difference between final and baseline MBLs showed a mean bone loss of 0.16 ± 0.01 mm in the test group (n = 15) and 0.45 ± 0.09 mm in the control group (n = 14) (p > 0.05). Soft tissue contour at the level of the gingival margin (GM) increased by 1.96 ± 2.69 mm in the test group and 0.65 ± 0.42 mm in the control group (p = 0.167). Both groups showed a coronal displacement of the gingival margin with no significant differences among them. CONCLUSIONS The present study demonstrated peri-implant hard and soft tissues stability at both implant designs with no significant differences 12 months after loading. CLINICAL RELEVANCE There is still insufficient scientific evidence to demonstrate the role and advantages of the convergent transmucosal neck on the behavior of the peri-implant soft and hard tissues stability compared to a straight neck in bone-level implants 12 months after loading.
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Affiliation(s)
- Belén Morón-Conejo
- Analysis of Techniques, Material and Instruments Applied to Digital Dentistry and CAD/CAM Procedures Research Group, University Complutense, Madrid, Spain
| | - Ignacio Sanz-Sánchez
- ETEP (Etiology and Therapy of Periodontal and Peri-Implant Diseases) Research Group, University Complutense, Madrid, Spain
| | - Maria Paz Salido
- Analysis of Techniques, Material and Instruments Applied to Digital Dentistry and CAD/CAM Procedures Research Group, University Complutense, Madrid, Spain.
- Department of Conservative and Prosthetic Dentistry, Faculty of Dentistry, University Complutense of Madrid, Plaza Ramón Y Cajal S/N. 28040, Madrid, Spain.
| | - Francisco Martínez-Rus
- Analysis of Techniques, Material and Instruments Applied to Digital Dentistry and CAD/CAM Procedures Research Group, University Complutense, Madrid, Spain
| | - Guillermo Pradíes
- Analysis of Techniques, Material and Instruments Applied to Digital Dentistry and CAD/CAM Procedures Research Group, University Complutense, Madrid, Spain
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Rinaldi T, Santamaría-Laorden A, Orejas Pérez J, Godoy Ruíz L, Serrano Granger C, Gómez Cogolludo P. Periodontal Healing with Fixed Restorations Using the Biologically Oriented Preparation Technique Combined with a Full Digital Workflow: A Clinical Case Report. Healthcare (Basel) 2023; 11:healthcare11081144. [PMID: 37107978 PMCID: PMC10137619 DOI: 10.3390/healthcare11081144] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2023] [Revised: 04/13/2023] [Accepted: 04/14/2023] [Indexed: 04/29/2023] Open
Abstract
(1) Gingival inflammation is an ongoing challenge in tooth-supported fixed restorations, especially when the prosthetic margin does not consider the supracrestal tissues of patients. This case report aimed to present the case of a patient who was periodontally compromised due to a previous invasion of the supracrestal tissue attachment with fixed restorations and evaluate the healing response of periodontal tissues to a vertical edgeless preparation technique: bleeding upon probing (BOP), periodontal probing depth (PPD) and clinical attachment level (CAL). (2) After tooth preparation, the new restorations were adapted, this time without invading the supracrestal space of the patient, and CAD/CAM monolithic zirconia crowns were fabricated. (3) Optimal maturation of the soft tissue was observed, achieving correction of the marginal contour of periodontal tissues and improvement of periodontal indexes. (4) It can be concluded that the BOPT technique combined with a full digital workflow is a valid option for the correction and remodeling of gingival architecture.
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Affiliation(s)
- Tommaso Rinaldi
- Department of Clinical Dentistry, Faculty of Biomedical and Health Sciences, European University of Madrid, 28670 Madrid, Spain
| | - Andrea Santamaría-Laorden
- Department of Clinical Dentistry, Faculty of Biomedical and Health Sciences, European University of Madrid, 28670 Madrid, Spain
| | - Jaime Orejas Pérez
- Department of Clinical Dentistry, Faculty of Biomedical and Health Sciences, European University of Madrid, 28670 Madrid, Spain
| | - Laura Godoy Ruíz
- Department of Clinical Dentistry, Faculty of Biomedical and Health Sciences, European University of Madrid, 28670 Madrid, Spain
| | - Carlos Serrano Granger
- Department of Clinical Dentistry, Faculty of Biomedical and Health Sciences, European University of Madrid, 28670 Madrid, Spain
| | - Pablo Gómez Cogolludo
- Department of Clinical Dentistry, Faculty of Biomedical and Health Sciences, European University of Madrid, 28670 Madrid, Spain
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The Use of Polyetheretherketone (PEEK) as an Alternative Post and Core Material: Five-Year Follow-Up Report. Dent J (Basel) 2022; 10:dj10120237. [PMID: 36547053 PMCID: PMC9776542 DOI: 10.3390/dj10120237] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2022] [Revised: 12/05/2022] [Accepted: 12/07/2022] [Indexed: 12/14/2022] Open
Abstract
This clinical report demonstrated the use of polyetheretherketone (PEEK) for manufacturing of custom-made post and core in weakened endodontically treated central incisors. The PEEK structure was manufactured using computer-aided design/computer-aided manufacturing (CAD/CAM). The optimal fit of this custom-made endodontic post allowed a thinner cement layer; and removed the need to manufacture a core build-up. While supplementary clinical trials and in vitro studies are needed to totally elucidate the advantages and limitations of PEEK as an option for post and core manufacturing, this case report showed that it can be promising for a predictable and simplified treatment with five years of success.
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9
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Three-year clinical evaluation of zirconia and zirconia-reinforced lithium silicate crowns with minimally invasive vertical preparation technique. Clin Oral Investig 2022; 27:1577-1588. [PMID: 36383297 PMCID: PMC10102102 DOI: 10.1007/s00784-022-04779-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2022] [Accepted: 11/06/2022] [Indexed: 11/17/2022]
Abstract
Abstract
Objectives
Large part of the tooth is required to be removed during crown preparation. A minimally invasive method for preparing single crowns is required to increase the durability of teeth. The aim of this study was to evaluate the clinical performance of two ceramic systems fabricated with minimally invasive vertical preparation.
Materials and methods
Forty endodontically treated maxillary premolars were prepared with vertical preparation and received temporary crowns for a period of 21 days. Twenty zirconia-reinforced lithium silicate (Celtra Duo HT, Dentsply Sirona, Germany) and 20 monolithic high translucency zirconia (Katana HT, Kuarary Noritake, Japan) crowns were fabricated by CAD/CAM and cemented with dual-polymerizing luting resin. The crowns were evaluated clinically and radiographically for 36 months following modified FDI criteria. Statistical analysis was conducted with t Student test (Cochran Q).
Results
Over the follow-up period, there was no need to replace any of the study’s crowns. The overall survival rate of the 40 crowns was 100% according to the Kaplan–Meier survival method. The clinical quality of all crowns and the patient’s satisfaction were high. No caries was detected and no adverse soft tissue reactions around the crowns were observed. Periodontal probing depth was reported to be increased at mesial and distal sites more than the facial one in the 36-month follow-up with no statistically significant difference between both materials (P = 0.186).
Conclusions
Zirconia and zirconia-reinforced lithium silicate could be used as a material for restoration of teeth prepared with vertical preparation technique. Both ceramic materials achieved good esthetic results, promotes healthy and stable soft tissues with no mechanical complications after 3 years of clinical evaluation.
Clinical relevance
Monolithic high translucency zirconia and zirconia-reinforced lithium silicate ceramics can be used for the restorations of minimal invasive vertical preparation in premolar area with 0.5 mm margin thickness.
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Abad-Coronel C, Villacís Manosalvas J, Palacio Sarmiento C, Esquivel J, Loi I, Pradíes G. Clinical outcomes of the biologically oriented preparation technique (BOPT) in fixed dental prostheses: A systematic review. J Prosthet Dent 2022:S0022-3913(22)00488-7. [PMID: 36192194 DOI: 10.1016/j.prosdent.2022.07.010] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2021] [Revised: 07/17/2022] [Accepted: 07/18/2022] [Indexed: 12/01/2022]
Abstract
STATEMENT OF PROBLEM The biologically oriented preparation technique is a concept with a vertical tooth preparation, gingitage, an immediate interim restoration preserving the clot, and a specific laboratory technique aiming to adapt the marginal periodontal tissue to a remodeled emergence profile of the crown. However, the published scientific evidence on this subject is limited. PURPOSE The purpose of this systematic review was to analyze whether using the biologically oriented preparation technique leads to improved clinical outcomes in terms of probing depth, gingival inflammation index, gingival marginal stability, and fewer mechanical and biological complications. MATERIAL AND METHODS Recommendations from the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines were used in this systematic review. An electronic search of the MEDLINE/PubMed, EMBASE, Science Direct, Wiley Online Library, Cochrane, and ProQuest databases was made for articles published between March 2010 and July 2021 using keywords. Three reviewers selected and analyzed all articles that mentioned the biologically oriented preparation technique and met the inclusion criteria. RESULTS A total of 6 articles met the inclusion criteria: 1 prospective randomized clinical study, 1 randomized clinical study, 1 prospective clinical study, and 3 case series. According to these studies, of all the teeth treated with the biologically oriented preparation technique, probing depth (greater than 3 mm) increased in only 2.3%, gingival inflammation was present in 22.8%, gingival recession occurred in 1.7% (decreased gingival stability), and mechanical and biological failures occurred in 4.4% of the teeth. CONCLUSIONS Fixed dental prosthesis treatments performed following the concept of the biologically oriented preparation technique did not increase probing depth and showed a moderate rate of gingival inflammation, lower recession rates, and lower mechanical and biological failures at the 5-year follow-up. The biologically oriented preparation technique appears to be a viable alternative technique for obtaining satisfactory and stable clinical results up to 5 years. Long-term randomized clinical trials are recommended to reach more conclusions about this protocol.
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Affiliation(s)
- Cristian Abad-Coronel
- Associate Professor, Faculty of Dentistry, Universidad de Cuenca, Cuenca, Ecuador; Professor, Faculty of Dentistry, Universidad San Francisco de Quito, Quito, Ecuador.
| | | | | | - Jonathan Esquivel
- Associate Professor, Faculty of Dentistry, Louisiana State University, Baton Rouge, La
| | | | - Guillermo Pradíes
- Chairman, Restorative and Conservative Department, Faculty of Dentistry, Universidad Complutense de Madrid, Madrid, Spain
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Punset M, Brizuela A, Pérez-Pevida E, Herrero-Climent M, Manero JM, Gil J. Mechanical Characterization of Dental Prostheses Manufactured with PMMA-Graphene Composites. MATERIALS (BASEL, SWITZERLAND) 2022; 15:ma15155391. [PMID: 35955326 PMCID: PMC9369515 DOI: 10.3390/ma15155391] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/03/2022] [Revised: 07/28/2022] [Accepted: 08/02/2022] [Indexed: 06/12/2023]
Abstract
The use of a PMMA composite with graphene is being commercialized for application as dental prostheses. The different proportions of fibers provide a wide range of colors that favors dental esthetics in prostheses. However, there are no studies that have explained the influence that graphene has on the mechanical properties. In this contribution, we studied the PMMA and PMMA material with graphene fibers (PMMA-G) in the form of discs as supplied for machining. The presence of graphene fibers has been studied by Raman spectroscopy and the Shore hardness and Vickers micro hardness were determined. Mechanical compression tests were carried out to obtain the values of maximum strength and Young’s modulus (E) and by means of pin-on-disc wear tests, the specific wear rate and the friction coefficients were determined following the established international standards. Finally, the samples were characterized by field emission scanning electron microscopy (FESEM) to characterize the graphene’s morphology inside the PMMA. The results showed the presence of graphene in PMMA and was estimated in an amount of 0.1027% by weight in G-PMMA. The Shore hardness and Vickers microhardness values did not show statistically significant differences. Differences were observed in the compression maximum strength (129.43 MPa for PMMA and 140.23 for PMMA-G) and E values (2.01 for PMMA and 2.89 GPa for PMMA-G) as well as in the lower wear rate for the G-PMMA samples (1.93 × 10−7 for PMMA and 1.33 × 10−7 mm3/N·m) with a p < 0.005. The coefficients of friction for PMMA-G decreased from 0.4032 for PMMA to 0.4001 for PMMA-G. From the results obtained, a slight content in graphene produced a significant improvement in the mechanical properties that could be observed in the prosthesis material. Therefore, we can state that the main attraction of this material for dental prosthesis is its esthetics.
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Affiliation(s)
- Miquel Punset
- Biomaterials, Biomechanics and Tissue Engineering Group (BBT), Department of Materials Science and Engineering, Universitat Politècnica de Catalunya (UPC), Av. Eduard Maristany 16, 08019 Barcelona, Spain
- Barcelona Research Center in Multiscale Science and Engineering, Technical University of Catalonia (UPC), Av. Eduard Maristany 10-14, 08019 Barcelona, Spain
- UPC Innovation and Technology Center (CIT-UPC), Technical University of Catalonia (UPC), C. Jordi Girona 3-1, 08034 Barcelona, Spain
| | - Aritza Brizuela
- Facultad de Odontología, Universidad Europea Miguel de Cervantes, C/del Padre Julio Chevalier 2., 47012 Valladolid, Spain
| | - Esteban Pérez-Pevida
- Facultad de Odontología, Universidad Europea Miguel de Cervantes, C/del Padre Julio Chevalier 2., 47012 Valladolid, Spain
| | | | - José Maria Manero
- Biomaterials, Biomechanics and Tissue Engineering Group (BBT), Department of Materials Science and Engineering, Universitat Politècnica de Catalunya (UPC), Av. Eduard Maristany 16, 08019 Barcelona, Spain
- Barcelona Research Center in Multiscale Science and Engineering, Technical University of Catalonia (UPC), Av. Eduard Maristany 10-14, 08019 Barcelona, Spain
| | - Javier Gil
- Bioengineering Institute of Technology, International University of Catalonia, Josep Trueta s/n., 08195 Barcelona, Spain
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Mihali SG, Lolos D, Popa G, Tudor A, Bratu DC. Retrospective Long-Term Clinical Outcome of Feldspathic Ceramic Veneers. MATERIALS 2022; 15:ma15062150. [PMID: 35329602 PMCID: PMC8954582 DOI: 10.3390/ma15062150] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/06/2022] [Revised: 03/07/2022] [Accepted: 03/09/2022] [Indexed: 12/04/2022]
Abstract
The purpose of this study was to evaluate the clinical outcome of feldspathic ceramic laminate veneers over a 7-year period using minimally invasive techniques, such as vertical preparation (without prosthetic finish line), or no preparation (no-prep). A total of 170 feldspathic ceramic veneers were cemented in the anterior region, including 70 maxillary and 100 mandibular veneers, after special conditioning of the teeth and restorations. The veneers were evaluated using the FDI World Dental Federation criteria evaluation kit after recalling all the patients between February and June 2021. In total, 14 feldspathic veneers failed and were replaced with lithium disilicate because of core fracture, and 10 cases of chipping occurred on the ceramic surface and were polished. The overall survival rate was 91.77% for up to 7 years of function, with a failure rate of 8.23%. In this retrospective survival analysis, the failures, including the fracture of veneers and dental hard tissue, occurred both in prep and no-prep teeth. No failures were observed in veneers with a maximum thickness of 0.5 mm compared to those with a maximum thickness of 1 mm, 1.5 mm, 2 mm, and 2.5 mm.
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Affiliation(s)
- Sorin Gheorghe Mihali
- Department of Prosthodontics, Faculty of Dentistry, “Vasile Goldis” Western University of Arad, 94 Revolutiei Blvd., 310025 Arad, Romania;
| | - Dan Lolos
- Department of Prosthodontics, Faculty of Dentistry, “Vasile Goldis” Western University of Arad, 94 Revolutiei Blvd., 310025 Arad, Romania;
- Correspondence: (D.L.); (G.P.)
| | - George Popa
- Department of Orthodontics and Dento-Facial Orthopedics, Orthodontic Research Center, Faculty of Dental Medicine, “Victor Babes” University of Medicine and Pharmacy, 2 Eftimie Murgu Square, 300041 Timisoara, Romania;
- Correspondence: (D.L.); (G.P.)
| | - Anca Tudor
- Medical Informatics and Biostatistics, Research Center in Dental Medicine Using Conventional and Alternative Technologies, Faculty of Dental Medicine, “Victor Babes” University of Medicine and Pharmacy, 9 Revolutiei 1989 Ave., 300070 Timisoara, Romania;
| | - Dana Cristina Bratu
- Department of Orthodontics and Dento-Facial Orthopedics, Orthodontic Research Center, Faculty of Dental Medicine, “Victor Babes” University of Medicine and Pharmacy, 2 Eftimie Murgu Square, 300041 Timisoara, Romania;
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Serra-Pastor B, Bustamante-Hernández N, Fons-Font A, Solá-Ruíz MF, Revilla-León M, Agustín-Panadero R. Periodontal outcomes of anterior fixed partial dentures on teeth treated with the biologically oriented preparation technique: A 6-year prospective clinical trial. J Prosthet Dent 2021; 129:703-709. [PMID: 34702586 DOI: 10.1016/j.prosdent.2021.07.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2021] [Revised: 07/14/2021] [Accepted: 07/14/2021] [Indexed: 11/24/2022]
Abstract
STATEMENT OF PROBLEM One of the most frequent complications in participants with fixed partial dentures (FPDs) is the apical migration of the gingival margin, which may be associated with factors such as fit, gingival margin location, or tooth preparation type. The prevalence of the complication in participants restored with FPDs prepared by using the biologically oriented preparation technique (BOPT) is unclear. PURPOSE The purpose of this prospective clinical trial was to evaluate the clinical and biologic outcomes of FPDs on teeth prepared by using the BOPT, over a 6-year follow-up period. MATERIAL AND METHODS Tooth-supported zirconia FPDs in the anterior region prepared by using the BOPT were evaluated. Each participant was monitored annually for 6 years by evaluating plaque index, probing depth, vestibular gingival thickness, and gingival margin stability. Biologic and/or mechanical complications were also recorded. Patient satisfaction was measured by using a visual analog scale (VAS). RESULTS A total of 25 FPDs supported by 70 teeth in 24 participants were analyzed. Low plaque index values and stable probing depths were observed, whereas the gingival index was 0 for most of the teeth. Teeth treated by using the BOPT presented significant increase in gingival thickness, and the gingival margin was found to be stable in 100% of the treatments. FPD survival was 100%. CONCLUSION Tooth supporting FPDs prepared by using the BOPT presented good periodontal health and gingival margin stability, without recession and with a 100% survival rate during a 6-year follow-up.
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Affiliation(s)
- Blanca Serra-Pastor
- Associate Professor, Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, Valencia, Spain
| | - Naia Bustamante-Hernández
- Post-graduated student, Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, Valencia, Spain
| | - Antonio Fons-Font
- Adjunct Professor, Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, Valencia, Spain
| | - María Fernanda Solá-Ruíz
- Adjunct Professor, Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, Valencia, Spain.
| | - Marta Revilla-León
- Assistant Professor and Assistant Program Director AEGD Residency, College of Dentistry, Texas A&M University, Dallas, Texas; Affiliate Faculty Graduate Prosthodontics University of Washington, Seattle, Wash; Researcher, Revilla Research Center, Madrid, Spain
| | - Rubén Agustín-Panadero
- Adjunct Professor, Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, Valencia, Spain
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Serra-Pastor B, Bustamante-Hernández N, Fons-Font A, Fernanda Solá-Ruíz M, Revilla-León M, Agustín-Panadero R. Periodontal Behavior and Patient Satisfaction of Anterior Teeth Restored with Single Zirconia Crowns Using a Biologically Oriented Preparation Technique: A 6-Year Prospective Clinical Study. J Clin Med 2021; 10:jcm10163482. [PMID: 34441778 PMCID: PMC8396819 DOI: 10.3390/jcm10163482] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2021] [Revised: 08/02/2021] [Accepted: 08/05/2021] [Indexed: 01/02/2023] Open
Abstract
Objectives. The aim of this study was to analyze the behavior of the periodontal tissues around teeth in the anterior region when restored with zirconia single crowns, using a biologically oriented preparation technique (BOPT), over a 6-year follow-up. Methods. The study investigated tooth-supported single crowns in the anterior region that were fabricated with a zirconia core and feldspathic ceramic covering, in 34 patients. Follow-up analysis took place annually for 6 years, assessing periodontal responses by evaluating the following variables: plaque index (PI); probing depth (PD); gingival index (GI); gingival thickness adjacent to the restoration; and stability of the gingival margin (MS). Any (biological and mechanical) complications were also recorded, as well as the patients’ satisfaction with the treatment. Results. After 6 years’ follow-up, a low mean plaque index was obtained, probing depth was stable, and gingival thickness and margin stability had increased. Complications (biological and mechanical) did not present a statistically significant incidence and a crown survival rate of 97.2% was achieved. Patients’ satisfaction obtained a mean VAS score of 9.04 under 10. Conclusion. Teeth that are prepared with BOPT in the anterior region present good periodontal behavior around the restored teeth, particularly in terms of the stability of the gingival margin and increased gingival thickness. Single crowns prepared with BOPT obtain an excellent clinical survival rate, as well as a high score in patients’ satisfaction after 6 years.
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Affiliation(s)
- Blanca Serra-Pastor
- Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, 46010 Valencia, Spain; (B.S.-P.); (N.B.-H.); (A.F.-F.); (R.A.-P.)
| | - Naia Bustamante-Hernández
- Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, 46010 Valencia, Spain; (B.S.-P.); (N.B.-H.); (A.F.-F.); (R.A.-P.)
| | - Antonio Fons-Font
- Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, 46010 Valencia, Spain; (B.S.-P.); (N.B.-H.); (A.F.-F.); (R.A.-P.)
| | - María Fernanda Solá-Ruíz
- Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, 46010 Valencia, Spain; (B.S.-P.); (N.B.-H.); (A.F.-F.); (R.A.-P.)
- Correspondence:
| | | | - Rubén Agustín-Panadero
- Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, 46010 Valencia, Spain; (B.S.-P.); (N.B.-H.); (A.F.-F.); (R.A.-P.)
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The "Prosthetic Orthodontic Approach": An Application of the Biologically Oriented Preparation Technique Protocol. Case Rep Dent 2021; 2021:5533160. [PMID: 33981461 PMCID: PMC8088386 DOI: 10.1155/2021/5533160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2021] [Revised: 03/27/2021] [Accepted: 03/31/2021] [Indexed: 11/17/2022] Open
Abstract
In this study, three cases involving patients who required multidisciplinary treatment for the aesthetic and functional rehabilitation of the maxillary or mandibular arch are described. In particular, an indication for preprosthetic orthodontic treatment, such as orthodontic extrusion, tooth realignment, correction of malocclusion, and diastemata closure, was present in all cases. Preprosthetic orthodontic treatment to resolve these issues before the restorative procedures was proposed; however, all patients refused preprosthetic orthodontic treatment. Thus, to restore aesthetics and function, solely a feather-edge prosthetic protocol has been used. The biologically oriented preparation technique was used to prepare the teeth that were moved in the established direction by preparing the abutment more on one side than the opposite. This so called “prosthetic orthodontic approach” allowed resolving clinical issues that would typically require preprosthetic orthodontic treatment, such as complete clinical crown loss, occlusal vertical dimension loss, tooth misalignment, malocclusion, tooth agenesis, and severe multiple diastemata. The degree of reciprocal movement of the prepared teeth achievable through this approach was minor and not comparable to a traditional wide-range orthodontic movement. Besides, the technique resulted in a modification of the gingival tissues and improvement of their thickness although it is unclear what effect this technique has on the gingival biotype. None of the patients had prosthetic or periodontal complications for at least 12 months following the procedure. Gingival health was excellent, and the prosthetic procedure did not affect the pulp survival of the vital teeth. The biologically oriented preparation technique used with a prosthetic orthodontic approach can effectively manage complicated cases without the need for preprosthetic orthodontics.
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Peri-Implant Tissue Adaptation after Implant Rehabilitation with Shoulderless Abutments with 24 Months of Follow-Up. Case Rep Dent 2021; 2021:6689446. [PMID: 33505732 PMCID: PMC7810531 DOI: 10.1155/2021/6689446] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2020] [Revised: 12/13/2020] [Accepted: 12/28/2020] [Indexed: 12/13/2022] Open
Abstract
An 11-year-old girl presented with agenesis of the maxillary lateral incisors. Orthodontic treatment was performed to close the midline diastema and create adequate space between the central incisors and canines to replace the missing maxillary lateral incisors on both sides. Two-piece implants were placed, and shoulderless abutments were prepared following the "biologically oriented preparation technique" (BOPT) protocol. The soft tissues were allowed to heal directly on the prosthetic emergence profile of the interim crown restorations after implant exposure. Two months later, the gingival tissue adapted to the prosthetic components in a specular manner. No complications were noted at 24 months. The BOPT protocol, originally described for natural teeth, may be applied to dental implants with shoulderless abutments.
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Casula L, Gillone A, Musu D. Correction of Gingival Architecture Using the Biologically Oriented Preparation Technique in Two Patients with Human Immunodeficiency Virus. Case Rep Dent 2020; 2020:8830949. [PMID: 33457020 PMCID: PMC7787835 DOI: 10.1155/2020/8830949] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2020] [Revised: 11/28/2020] [Accepted: 12/04/2020] [Indexed: 12/24/2022] Open
Abstract
Two female patients positive for human immunodeficiency virus and receiving antiretroviral treatment presented with esthetic concerns due to fixed dental prostheses in the anterior region. The patients had gingival recession and short clinical crowns in the esthetic zone. In both cases, the biologically oriented preparation technique was used to recreate ideal proportions between the teeth and gingivae. Since patients with human immunodeficiency virus experience a progressive deterioration of their immune systems and other significant comorbidities, a reduction in the number of traumatic clinical procedures is recommended. The use of this minimally invasive prosthetic protocol has not been previously reported in patients with human immunodeficiency virus. These cases demonstrate how short clinical crowns and gingival recession in the esthetic zone can be successfully treated with the biologically oriented preparation technique to avoid surgical procedures in patients with human immunodeficiency virus.
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Affiliation(s)
| | | | - Davide Musu
- Department of Endodontology, Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, Netherlands
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Ercoli C, Tarnow D, Poggio CE, Tsigarida A, Ferrari M, Caton JG, Chochlidakis K. The Relationships Between Tooth-Supported Fixed Dental Prostheses and Restorations and the Periodontium. J Prosthodont 2020; 30:305-317. [PMID: 33210761 DOI: 10.1111/jopr.13292] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/16/2020] [Indexed: 12/19/2022] Open
Abstract
PURPOSE To search the literature and to critically evaluate the findings on the periodontal outcomes of restorations and tooth-supported fixed prostheses. MATERIALS AND METHODS PubMed was searched according to a systematic methodology, previously reported, but updated to include a larger database. Filters applied were: Case reports, clinical trial, review, guideline, randomized controlled trial, meta-analysis, systematic reviews, and English. A narrative review was then synthesized to discuss periodontal outcomes related to restorations and tooth-supported fixed prostheses. Relevant data was organized into four sections: Direct restorations, indirect restorations, biologic width or supracrestal tissue attachment and tooth preparation/finish line design. RESULTS While increased gingival index, bleeding on probing, probing depth and clinical attachment loss have been associated with subgingival restorations, intracrevicular margins do not cause periodontal diseases. Inflammation and bone loss occur, for both direct and indirect restorations, only with large overhangs. Different restorative materials are associated with different clinical responses when placed in the gingival sulcus or within the epithelial and connective tissue attachments. When the connective tissue attachment is removed, histological changes occur causing its apical shift and subsequent re-establishment. Gingival displacement during impression procedures can cause gingival recession. Emergence profile can have a range of values, not associated with periodontal diseases. Periodontal response appears to be clinically not different when compared among different finish line designs. CONCLUSIONS Contemporary procedures and materials used for the placement and fabrication of tooth-supported restorations and fixed prostheses are compatible with periodontal health when adequate patient education and motivation in self-performed oral hygiene are present. Periodontal diagnostic criteria should be thoroughly reviewed before fixed restorative treatments are planned and executed.
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Affiliation(s)
- Carlo Ercoli
- Departments of Prosthodontics and Periodontics, Eastman Institute for Oral Health, University of Rochester, Rochester, NY
| | - Dennis Tarnow
- Department of Periodontics, Columbia University College of Dentistry, New York, NY
| | - Carlo E Poggio
- Departments of Prosthodontics and Periodontics, Eastman Institute for Oral Health, University of Rochester, Rochester, NY
| | - Alexandra Tsigarida
- Departments of Prosthodontics and Periodontics, Eastman Institute for Oral Health, University of Rochester, Rochester, NY
| | - Marco Ferrari
- Department of Medical Biotechnologies, Division of Fixed Prosthodontics, Dean, University of Siena, Siena, Italy
| | - Jack G Caton
- Departments of Prosthodontics and Periodontics, Eastman Institute for Oral Health, University of Rochester, Rochester, NY
| | - Konstantinos Chochlidakis
- Departments of Prosthodontics and Periodontics, Eastman Institute for Oral Health, University of Rochester, Rochester, NY
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Agustín-Panadero R, Serra-Pastor B, Loi I, Suárez MJ, Pelaez J, Solá-Ruíz F. Clinical behavior of posterior fixed partial dentures with a biologically oriented preparation technique: A 5-year randomized controlled clinical trial. J Prosthet Dent 2020; 125:870-876. [PMID: 32580920 DOI: 10.1016/j.prosdent.2020.03.031] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2019] [Revised: 03/27/2020] [Accepted: 03/27/2020] [Indexed: 12/12/2022]
Abstract
STATEMENT OF PROBLEM Evidence of the behavior of the periodontal tissues around anterior teeth restored with the biologically oriented preparation technique (BOPT) is available. However, outcomes of this technique in posterior teeth restored with fixed partial dentures (FPDs) are lacking. PURPOSE The purpose of this randomized controlled clinical trial was to evaluate the clinical, mechanical, and biological behavior of posterior 3-unit FPDs placed on teeth prepared with BOPT. MATERIAL AND METHODS Forty participants received a 3-unit zirconia FPD in the posterior region of the mandible or maxilla. Twenty FPDs were placed on teeth prepared with BOPT (study group) and 20 on teeth with a horizontal chamfer finishing line (control group). Follow-up examinations were performed 1, 3, and 5 years after treatment to evaluate periodontal responses around the prepared teeth by means of the following parameters: plaque index, gingival index, probing depth, and marginal stability (MS). Mechanical behavior was also assessed, as were any complications. RESULTS After the 5-year follow-up, 57.9% of the control group and 35% of the BOPT group presented a plaque index of 1. The gingival index was 1 in 68.4% of the control group and 30% of the BOPT group after the follow-up period. In the analysis of probing depth, 26.3% of teeth in the control group had pockets of more than 3 mm in depth, whereas the BOPT group had only 10%. Marginal stability appeared in 100% of the BOPT group, whereas only 10.5% of the control group exhibited gingival stability. Complications during the follow-up period were similar, 20% in the control group and 15% in the BOPT group. CONCLUSIONS Posterior FPDs prepared by using BOPT had a good clinical response over a 5-year follow-up, with a low gingival index, a small increase in pocket depth, and a 100% marginal stability of the surrounding tissues. High survival rates after 5 years indicated that the technique produced predictable outcomes.
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Affiliation(s)
- Rubén Agustín-Panadero
- Adjunct Professor, Department of Stomatology, Faculty of Medicine and Dentistry, Valencia University, Spain
| | - Blanca Serra-Pastor
- Associate Professor, Department of Stomatology, Faculty of Medicine and Dentistry, Valencia University, Spain.
| | | | - M Jesús Suárez
- Adjunct Professor, Department of Dental Prosthesis, Faculty of Dentistry, Complutense University, Madrid, Spain
| | - Jesús Pelaez
- Associate Professor, Department of Dental Prosthesis, Faculty of Dentistry, Complutense University, Madrid, Spain
| | - Fernanda Solá-Ruíz
- Adjunct Professor, Department of Stomatology, Faculty of Medicine and Dentistry, Valencia University, Spain
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20
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Influence of Angulation in Cervical Prosthetic Emergences Relative to the Gingival Tissue of Teeth Treated under the Biologically Oriented Preparation Technique (BOPT). APPLIED SCIENCES-BASEL 2020. [DOI: 10.3390/app10124108] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Background: The objective of this study was to digitally evaluate the effect of the cervical emergence of restorations in terms of gingival tissue volume. Materials and methods: In this study, 31 upper front teeth (from canine to canine) were selected and prepared using the biologically oriented preparation technique (BOPT). Each tooth had undergone a change in its provisional process with different emergence profile angles: 30° and 60°. Each sample was digitalised (STL file) using an intraoral scanner. By using various pieces of manipulation software for STL files, a volumetric analysis protocol was carried out. Changes in gingival thickness and position were measured at the buccal and the lingual positions. Results: By increasing the angulation of the emergence profile to 60°, the gingival thickness increased by 0.255 ± 0.381 mm (p = 0.001; t-test) at buccal and by 0.038 ± 0.381 mm at lingual (p = 0.600; t-test). In relation to the gingival height, at buccal, there is an apical displacement of 0.262 ± 0.246 mm (p = 0.001; t-test), and at lingual, there is an apical displacement of 0.390 ± 0.279 mm (p = 0.001; t-test). It was shown that an increase in the provisional emergence profile angle significantly diminishes the gingival height while significantly increasing gingival thickness. The Pearson’s correlation coefficient, r = 0.636, was moderately high and significant (p = 0.001; Pearson). Conclusions: The soft tissue surrounding the BOPT restored tooth evolved according to the prosthetic emergence angle of the provisional restoration, enabling us to plan for an apico-coronal and bucco-lingual displacement of the gingival tissue prior to the definitive restoration.
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Agustín-Panadero R, Martín-de Llano JJ, Fons-Font A, Carda C. Histological study of human periodontal tissue following biologically oriented preparation technique (BOPT). J Clin Exp Dent 2020; 12:e597-e602. [PMID: 32665820 PMCID: PMC7335606 DOI: 10.4317/jced.56290] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2019] [Accepted: 10/07/2020] [Indexed: 11/05/2022] Open
Abstract
Background The aim of this study was to conduct histological analysis of a human tooth resected with the periodontal insertion apparatus intact following treatment using biologically oriented preparation technique (BOPT). Material and Methods This descriptive histological dento-periodontal study used an anterior tooth extracted with the surrounding periodontal tissues intact, following prosthetic restoration with BOPT. The sample patient was recruited from among those attending the Department of Dental Medicine at the Faculty of Medicine and Dentistry, University of Valencia (Spain). Eight serial sections of the restored tooth were processed. The relative location and histological characteristics of the cemented prosthetic crown, the dental tissues of the tooth prepared by BOPT technique, and the periodontal tissues were analyzed. Results Structural analysis of the neoformed junctional epithelium showed that the number of layers decrease apically until there was a single row of cells perfectly adhered to the acellular cementum, and beneath the epithelium a connective tissue evidently free from inflammation. The tissues of the neoformed periodontium (gingival ligament, sulcular epithelium, junctional epithelium) presented histologic normality. Conclusions Biologically oriented preparation technique is a reliable alternative to conventional horizontal finish lines. Key words:Vertical preparation, prosthetic cementoenamel junction (PCEJ), finish line, BOPT, crown.
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Affiliation(s)
- Rubén Agustín-Panadero
- DDS, PhD. Adjunct Professor, Department of Oral Medicine, Faculty of Medicine and Dentistry, University of Valencia, Spain
| | - José-Javier Martín-de Llano
- BSc, PhD. Professor, Department of Pathology and Health Research Institute of the Hospital Clínico (INCLIVA), Faculty of Medicine and Dentistry, University of Valencia, Spain
| | - Antonio Fons-Font
- DMD, PhD. Professor, Department of Oral Medicine, Faculty of Medicine and Dentistry, University of Valencia, Spain
| | - Carmen Carda
- DMD, PhD. Chairman, Department of Pathology and Health Research Institute of the Hospital Clínico (INCLIVA), Faculty of Medicine and Dentistry, University of Valencia, Spain
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Agustín-Panadero R, Loi I, Fernández-Estevan L, Chust C, Rech-Ortega C, Pérez-Barquero JA. Digital protocol for creating a virtual gingiva adjacent to teeth with subgingival dental preparations. J Prosthodont Res 2019; 64:506-514. [PMID: 31787577 DOI: 10.1016/j.jpor.2019.10.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2019] [Revised: 09/25/2019] [Accepted: 10/18/2019] [Indexed: 10/25/2022]
Abstract
PURPOSE This article describes a digital technique used to record gingival emergence profiles modeled for the prosthetic restoration of teeth prepared using biologically oriented preparation technique (BOPT). MATERIALS AND METHODS The description of the technique of intraoral recording, manipulation of digital files, and chairside protocol of prosthetic restorations is developed in the present manuscript on two anterior teeth treated with vertical and subgingival dental preparations for restoration with ceramic crowns. The manipulation of the digital files registered with an intraoral scanner with software that allows its alignment (best-fit) and the performance boolean of operation manages to create a virtual gingival emergency like the one it presents when it is adapted on the cervical part of the interim prosthesis. CONCLUSIONS The technique allows the dentist and laboratory technician to obtain a digital reproduction of the subgingival soft tissues around the prosthetic crown, unaffected by the collapse of the gingival sulcus when the provisional crown is removed, as well as an exact copy of the provisional restoration, making it possible to fabricate a definitive prosthesis that ensures precise anatomy, and so good compatibility with periodontal tissues.
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Affiliation(s)
- Rubén Agustín-Panadero
- Department of Oral Medicine, Faculty of Medicine and Dentistry, University of Valencia, Spain
| | | | - Lucía Fernández-Estevan
- Department of Oral Medicine, Faculty of Medicine and Dentistry, University of Valencia, Spain.
| | | | - Cristina Rech-Ortega
- Department of Oral Medicine, Faculty of Medicine and Dentistry, University of Valencia, Spain
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Letter to the Editor. Oper Dent 2019; 44:E263-E270. [PMID: 31714873 DOI: 10.2341/1559-2863-44.6.e263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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24
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Serra-Pastor B, Loi I, Fons-Font A, Solá-Ruíz MF, Agustín-Panadero R. Periodontal and prosthetic outcomes on teeth prepared with biologically oriented preparation technique: a 4-year follow-up prospective clinical study. J Prosthodont Res 2019; 63:415-420. [DOI: 10.1016/j.jpor.2019.03.006] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2018] [Revised: 03/15/2019] [Accepted: 03/18/2019] [Indexed: 11/30/2022]
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25
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Azevedo L, Antonaya-Martin JL, Molinero-Mourelle P, Del Río-Highsmith J. Improving PMMA resin using graphene oxide for a definitive prosthodontic rehabilitation - A clinical report. J Clin Exp Dent 2019; 11:e670-e674. [PMID: 31516667 PMCID: PMC6730997 DOI: 10.4317/jced.55883] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2019] [Accepted: 06/12/2019] [Indexed: 11/06/2022] Open
Abstract
The use of acrylic resins as a definitive material has shown some advantages comparing to other definitive materials. However, their poor mechanical properties remain a major drawback. In this case report, graphene oxide (GO) was incorporated into polymethyl methacrylate (PMMA) resin for a definitive maxillary rehabilitation, combined with an intraoral digital impression and a three-dimensional facial scan. After 8 months of the placement of the definitive prosthesis, no mechanical, aesthetic, or biologic complications were reported, and the soft tissues showed excellent health and stability. The incorporation of GO in PMMA resins seems to be a suitable option for prosthetic rehabilitation. However, further studies are needed to ensure rigorous scientific support of these techniques and materials.
Key words:Computer-aided design, computer-aided manufacturing, dental impression technique, dental prosthesis; graphene oxide.
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Affiliation(s)
- Luís Azevedo
- DDS. Postgraduate student, Department of Conservative Dentistry and Orofacial Prosthodontics. School of Dentistry. Complutense University of Madrid, Madrid, Spain
| | - José L Antonaya-Martin
- DDS, PhD. Clinical Assistant Professor, Department of Conservative Dentistry and Orofacial Prosthodontics. School of Dentistry. Complutense University of Madrid, Madrid, Spain
| | - Pedro Molinero-Mourelle
- DDS, MDS. PhD student, Department of Conservative Dentistry and Orofacial Prosthodontics. School of Dentistry. Complutense University of Madrid, Madrid, Spain
| | - Jaime Del Río-Highsmith
- MD, DDS, PhD. Professor, Department of Conservative Dentistry and Orofacial Prosthodontics. School of Dentistry. Complutense University of Madrid, Madrid, Spain
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Peris H, Godoy L, Cogolludo PG, Ferreiroa A. Ceramic veneers on central incisors without finish line using bopt in a case with gingival asymmetry. J Clin Exp Dent 2019; 11:e577-e581. [PMID: 31346381 PMCID: PMC6645259 DOI: 10.4317/jced.55688] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2019] [Accepted: 04/13/2019] [Indexed: 11/19/2022] Open
Abstract
Objectives This clinical case report describes the rehabilitation of central incisors with veneers in a patient with gingival asymmetry. The teeth were prepared without finish line, applying BOPT concepts to correct asymmetry, and obtained a harmoniously integrated restoration with optimal periodontal health. Clinical implications Biologically oriented preparation technique (vertical or “feather edge” preparation) was used to obtain gingival symmetry. Teeth were prepared without horizontal finish line to achieve correct emergence, soft tissue adaptation and stabilization, while maintaining biological space, both at the provisional restoration stage and later when definitive restorations were placed. To perform the technique correctly, it is essential to perform adequate periodontal diagnosis to verify the space available between the bone crest and the future margin of the restoration. Conclusions It is possible to correct gingival asymmetry by performing dental preparation without finish line providing a correct periodontal analysis is first performed, which will contribute to successful soft tissue stabilization. Clinical Significance Beyond of all the prosthodontic preparation techniques, knowledge of B.O.P.T. (Biological Oriented Preparation Technique) allows us to achieve predictable and consistent results in terms of periodontal health and gingiva architecture surrounding ceramic veneers. Nevertheless long term studies are necessary to ensure the benefits of this techniques. Key words:Gingival margin, emergence profile, biologically oriented preparation technique.
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Affiliation(s)
- Helia Peris
- Professors of the master of prosthesis, implant prosthesis and aesthetics of the European University of Madrid
| | - Laura Godoy
- Professors of the master of prosthesis, implant prosthesis and aesthetics of the European University of Madrid
| | - Pablo G Cogolludo
- Professors of the master of prosthesis, implant prosthesis and aesthetics of the European University of Madrid
| | - Alberto Ferreiroa
- Professors of the master of prosthesis, implant prosthesis and aesthetics of the European University of Madrid
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Agustín-Panadero R, Serra-Pastor B, Fons-Font A, Solá-Ruíz MF. Prospective Clinical Study of Zirconia Full-coverage Restorations on Teeth Prepared With Biologically Oriented Preparation Technique on Gingival Health: Results After Two-year Follow-up. Oper Dent 2018. [DOI: 10.2341/17-124-c] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
SUMMARY
Objectives:
To evaluate the clinical behavior of one-piece complete-coverage crowns and fixed partial dentures (FPDs) on teeth with vertical preparation without finish line biologically oriented preparation technique (BOPT).
Methods and Materials:
This prospective study included 52 patients requiring treatment with restorations in the esthetic region: 74 crowns and 27 FPDs. The sample included a total of 149 teeth that were prepared vertically without finish line. The sample was divided into two groups: one-piece crowns and FPDs, all with zirconia cores, feldspathic ceramic veneer, and a 0.5-mm prosthetic finish line of zirconia. All procedures were carried out at the University of Valencia from 2013 to 2014. The following parameters were evaluated over a two-year follow-up: oral hygiene, periodontal state, gingival thickening, gingival margin stability, the presence of complications, and restoration survival rate. Patient satisfaction with treatment was assessed by means of a visual analogue scale (VAS).
Results:
Two years after treatment, 80.5% of treated teeth remained free of gingival inflammation and bleeding. Mean gingival thickening was 0.41 ± 0.28 mm for one-piece crowns and 0.38 ± 0.36 mm for FPDs. Gingival margin stability was 100%, but 2% of the sample presented biological complications. The VAS patient satisfaction scores were eight out of a maximum score of 10.
Conclusions:
Two years after treatment, vertical preparation without finish line produces gingival thickening, margin stability, and optimal esthetics. Neither crowns nor FPDs presented any mechanical complications.
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Affiliation(s)
- R Agustín-Panadero
- Rubén Agustín-Panadero, DDS, MSc, PhD, associate professor, Faculty of Medicine and Dentistry, Valencia University, Department of Stomatology, Clínicas Odontológicas, Valencia, Spain
| | - B Serra-Pastor
- Blanca Serra Pastor, DDS, assistant professor, Faculty of Medicine and Dentistry, Valencia University, Department of Stomatology, Clínicas Odontológicas, Valencia, Spain
| | - A Fons-Font
- Antonio Fons-Font, DDS, PhD, MD, adjunct professor, Faculty of Medicine and Dentistry, Valencia University, Department of Stomatology, Clínicas Odontológicas, Valencia, Spain
| | - MF Solá-Ruíz
- Mª Fernanda Solá-Ruíz, DDS, PhD, MD, adjunct professor, Faculty of Medicine and Dentistry, Valencia University, Department of Stomatology, Clínicas Odontológicas, Valencia, Spain
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Agustín-Panadero R, Ausina-Escrihuela D, Fernández-Estevan L, Román-Rodríguez JL, Faus-López J, Solá-Ruíz MF. Dental-gingival remodeling with BOPT no-prep veneers. J Clin Exp Dent 2017; 9:e1496-e1500. [PMID: 29410769 PMCID: PMC5794131 DOI: 10.4317/jced.54463] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2017] [Accepted: 11/05/2017] [Indexed: 11/25/2022] Open
Abstract
Recent years have seen increasing demand for treatments aimed at improving dental esthetics. In this context, both patients and dentists prefer to preserve dental structures as far as possible; thanks to technological advances, especially in adhesive dentistry, new materials and minimally invasive techniques such as "no-prep" (no preparation) veneers have made this possible. Nevertheless, no-prep veneers have specific indications and suffer certain disadvantages. OBJECTIVES This clinical case describes the rehabilitation of the upper anterior region by means of no-prep veneers, with BOPT (Biologically Oriented Preparation Technique) cervical margins. The patient had requested an aesthetic treatment to improve irregularities of the gingival margins associated with the presence of diastemata resulting from microdontia. Key words:BOPT, micro-veneers, hybrid ceramic, ultra-fine veneers, diastemata, without prosthetic finish line, no-prep.
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Affiliation(s)
- Rubén Agustín-Panadero
- DMD, PhD, Associate Professor, Department of Dental Medicine, Faculty of Medicine and Dentistry, University of Valencia, Spain
| | | | - Lucía Fernández-Estevan
- DMD, PhD, Associate Professor, Department of Dental Medicine, Faculty of Medicine and Dentistry, University of Valencia, Spain
| | - Juan-Luis Román-Rodríguez
- DMD, PhD, Associate Professor, Department of Dental Medicine, Faculty of Medicine and Dentistry, University of Valencia, Spain
| | - Joan Faus-López
- DMD, PhD, Director of Valencia Dental Research Institute (IVIO), Valencia, Spain
| | - María-Fernanda Solá-Ruíz
- DMD, PhD, MD, Adjunct Professor, Department of Dental Medicine, Faculty of Medicine and Dentistry, University of Valencia, Spain
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29
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Solá-Ruiz MF, Del Rio Highsmith J, Labaig-Rueda C, Agustín-Panadero R. Biologically oriented preparation technique (BOPT) for implant-supported fixed prostheses. J Clin Exp Dent 2017; 9:e603-e607. [PMID: 28469832 PMCID: PMC5410687 DOI: 10.4317/jced.53703] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2017] [Accepted: 02/01/2017] [Indexed: 11/05/2022] Open
Abstract
A patient of 58 years of age without medical problems came to the clinic due to missing teeth in the upper posterior region and to change the partial fixed prosthesis in the upper anterior area. Proposed treatment: surgical phase of three conical shape tapering implants with prosthetic platform in occlusal direction with mechanize collar tissue level with fixtures to place implant-supported metal-ceramic restorations. In the anterior area, a zirconium oxide fixed partial prosthesis was vertical preparation of the tooth's. When preparing teeth to receive fixed prostheses, the definition and shape of finish lines has been a subject of endless discussion, modification, and change ever since the beginnings of restorative prosthetic dentistry. The BOPT technique (biologically oriented preparation technique) was first described in the context of tooth-supported restorations but has recently been applied to dental implants with the aim of ensuring healthy peri-implant tissue and creating the possibility of modeling the peri-implant sulcus by modifying prosthetic emergence profiles. Vertical preparation of teeth and abutments without finish line on implants is a technique which was found to be adequate for ensuring the remodeling and stability of peri-implant tissues. Key words:Peri-implant tissue health, shoulderless abutments.
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Affiliation(s)
- Mª Fernanda Solá-Ruiz
- DMD, PhD, MD, Adjunct Professor, Department of Oral Medicine, Faculty of Medicine and Dentistry, Valencia University, Spain
| | - Jaime Del Rio Highsmith
- DDS, Chairman of prosthodontics, Departament of Buccofacial Prosthetics, Faculty of Dentistry, Complutense, Madrid University, Spain
| | - Carlos Labaig-Rueda
- DMD, PhD, MD, Adjunct Professor, Department of Oral Medicine, Faculty of Medicine and Dentistry, Valencia University , Spain
| | - Rubén Agustín-Panadero
- DMD, PhD, Associate Professor, Department of Oral Medicine, Faculty of Medicine and Dentistry, Valencia University, Spain
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