Placement of multiple and different stent types for very long dissections during coronary angioplasty

A coordinate measurement machine with laser probe was used to measure the vertical distortion of the casts produced by use of three types of impression materials (irreversible hydrocolloid, condensation silicone, and addition silicone) and two types of trays (stock and custom trays). Results indicated that all impression groups showed positive vertical distortion (ranging from 0.00566 to 0.30299 mm) at the edentulous ridges and palatal area. The amount of the vertical distortion was greatest at the palatal area and was followed by the high edentulous ridge and the low edentulous ridge. Addition silicone, with either custom tray or stock tray, was the most accurate impression material. Condensation silicone was more accurate than irreversible hydrocolloid in custom tray impression. However, in stock tray impression the irreversible hydrocolloid was more accurate than the condensation silicone. The results suggest that, with careful manipulation, irreversible hydrocolloid with stock tray impression may provide a satisfactory cast for fabricating the framework of a distal extension removable partial denture.     

Influence of various impression procedures for removable partial denture on displacement of soft mucosal tissue

In the impression-taking procedure for the distal extension removable partial denture, the pressure produced at the interface of the soft mucosal tissue and the impression material is the most important factor for the stability of the saddle under functional load. However, a review of the literature revealed little information about the displacement of the soft tissue caused by the impression pressure. In the present study, to investigate the influence of various impression procedures on the magnitude of the soft tissue displacement more precisely, a new three-dimensional deformation measurement system was devised. Compared to the previous studies, the greatest advantage of the system is that the hardened impression material can be surveyed directly without substituting a dental stone. It was found that, in the investigation using a partially edentulous simulated model, the amount of the subsidence in the soft tissue was increased as the thickness of the spacer of the impression tray was reduced or the seating speed of the tray was fast. Especially in the buccal area, a large amount of vertical displacement was present compared to the midridge and lingual area. Thus it was suggested that many factors are associated with the form of soft tissue under impression loading.     

Hyphenated history: Osgood-Schlatter disease

The dental technician must have an accurate impression of gingival contour, in order to apply porcelain correctly to a metal-ceramic restoration. This article describes a technique for making an accurate model of the soft tissues around a restoration. The technique involves taking a transfer impression and making a soft tissue model.     

Relationship between various functional impression techniques and different operators

The purpose of the present investigation was to determine the relationship between the reproducibility of soft tissue contours by three different functional impression techniques and four dentists for mandibular distal-extension removable partial dentures. The selected functional impression methods were Lejoyeux, Rouot and McLean techniques. A mucostatic impression technique was used for the control group. To compare and measure the degree of tissue displacement, a three-dimensional coordinate measuring system was used. The differences in vertical displacement of soft tissue among the operators were statistically determined for each impression technique used. Lejoyeux technique produced the least variation in tissue displacement followed respectively by McLean, mucostatic and Rouot methods.     

Toxicity of metal mixtures to chick embryos

A method of incorporating vertical and horizontal tissues in an obturator impression using an open palate impression tray is presented. The laboratory technique of obturator construction from this impression allows for a definitive (heat-cured) or interim (cold-cured) prosthesis for an edentulous or dentulous patient.     

The influence of the impression tray on the accuracy of impressions for crown and bridge work--an investigation and review

OBJECTIVE: To evaluate the accuracy of working casts for crown and bridge restorations made from twin mix putty/wash silicone elastomeric impression materials using different types of stock tray. DESIGN: A master cast was made from ivorine teeth in a mandibular model. Three teeth were prepared for full crown restorations to simulate a single unit and a three unit bridge. Impressions were taken using four different types of impression tray and two different viscosities of silicone putty, together with a wash. Full metal crowns were constructed and seated on duplicate master casts and measurements made of the marginal discrepancies. SETTING: The work was carried out in a dental technology laboratory in a university department of restorative dentistry in 1995/1996. RESULTS: Metal and rigid plastic impression trays showed the least discrepancy (about 50 microns), the latter slightly greater with the normal putty than the soft one. Impressions taken with flexible plastic trays produced considerable discrepancy with both putties, approximately 210 microns and 180 microns respectively. CONCLUSIONS: Metal and rigid plastic stock trays give greater accuracy in the putty/wash silicone twin mix impression technique compared with flexible plastic ones for crown and bridge work. Those using the latter should be aware of their shortcoming in this respect.     

The custom implant impression coping: technical note

Unsupported soft tissue can collapse around a submerged implant or abutment head during the time interval between removal of the provisional prosthesis and placement of the impression material. A technique is described for accurately recording the implant or abutment position as well as the position of the soft tissue for a single tooth restoration using the provisional prosthesis as a custom implant impression coping.     

Patients with epilepsy who die suddenly have cardiac disease

This paper describes the design and fabrication of a soft liner-retained, implant-supported overdenture used in 10 patients over a period of 1 to 6 years. A final complete denture impression is made of the dental arch, including implant abutments extending 5 mm above the gingival tissue. The master cast is fabricated with actual abutments placed in the impression. After the final wax try-in, the denture is flasked in the usual manner with the metal abutments in place. Before packing with acrylic resin, plastic tubing 1 to 2 mm thick is placed around each abutment. The denture is trial packed and allowed to bench cure over night. The plastic tubing is then removed and a soft denture lining material is placed in these areas only. The flask is closed and cured according to the manufacturer's recommendation. The denture is delivered as a conventional overdenture.     

Pressure control for complete denture impressions

Pressures produced during a final impression have been discussed from the standpoint of where they should be applied and where they should be reduced. Areas of the edentulous mouth requiring little pressure are: the palate, residual ridges, and areas of easily displaced gingiva. More pressure is needed in the border seal, on the buccal shelf, and against the retromylohyoid fossa. A clear processed acrylic resin tray with escape holes has been shown to meet the requirements for selective pressure application. Zinc oxide paste is the final impression material of choice in most instances.     

The use of precision attachments in a lower full arch rehabilitation with osseointegrated implants--a clinical report

A technique for restoration of a case of Kennedy Class V edentulous span was described. This situation is a long edentulous span bounded anteriorly by a weak support and considered as one of the most difficult situations to restore. Two osseointegrated screw implants were inserted in the edentulous span. Together with remaining natural teeth supported a full arch restorations. Three precision attachments were included in the restoration to allow movement of the remaining teeth and to allow broken stresses at where the prosthesis extended along the corners of the mouth.     

Clinical significance of surface activation of silicone impression materials

OBJECTIVES: Surface activation of silicone impression materials enhances impression accuracy as well as the quality of stone casts. This study examined the relation between impression quality and the hydrophilicity of silicone impression materials used in a two-stage putty and wash technique. METHODS: The study included 14 silicone impression materials with and without surface activation. The contact angles of the light body materials were measured using deionised water. Free surface energies were calculated. A total of 140 impressions of wet intact permanent molar teeth were examined for definition of the gingival sulcus reproduction and then classified in a quality ranking. The percentage of the sulcus reproduction ability of each material was calculated from the sulcus depths of cross-sectioned resin casts from the impressions and clinically measured sulcus depths. RESULTS: Free surface energies (mJ/m2) of hydrophobic materials (contact angle > 90 degrees) ranged from 16.8 to 26.8 mJ/m2. Surface activated materials (contact angle < 90 degrees) exhibited free surface energies from 38.1 to 55.7 mJ/m2. Not all materials described as surface activated showed hydrophilic properties. Medians of impression quality ranking ranged from 1.75 (best) to 13.25 (worst), mean sulcus reproduction ranged from 30 to 52%. Significant differences (P < 0.05) in quality ranking and sulcus reproduction were found between certain materials but correlations were found neither between sulcus reproduction and free surface energy nor between quality ranking and free surface energy. CONCLUSIONS: For clinical impression recording, surface activation seems to be of minor relevance, at least in the two-stage putty and wash technique investigated and is superimposed by other material properties.     

Congenital cardiopathies: anatomo-clinical, prognostic, and therapeutic features apropos of 103 cases seen at the Cardiology Clinic of the Dakar University Hospital Center

It has been demonstrated that short-term disinfection can affect the surface properties of impression materials. This study evaluated advancing contact angle, receding contact angle, inhibition and mass loss of a polyether impression materials, and two different viscosities of an addition silicone impression material after long-term immersion disinfection (18 hours). The brand names of the impression materials tested were Impregum F, Extrude Extra, and Extrude Wash, and all were tested by use of the Wilhelmy technique; first, for the nondisinfected state, which served as controls, and then after 1 and 18 hours of disinfection in a full-strength solution of acid glutaraldehyde. Weight changes before and after the disinfection process were also measured to detect weight loss and mass change over time. All materials exhibited some degree of inhibition. Polyether lost 0.4% mass in air, which indicated loss of a volatile component. Polyether and addition silicone were both relatively hydrophobic and could be disinfected with acid glutaraldehyde for up to 18 hours without affecting wettability.     

The effects of metformin on glycemic control and serum lipids in insulin-treated NIDDM patients with suboptimal metabolic control

The edentulous ridge expansion has been introduced in recent years to reestablish an appropriate alveolar ridge width. This technique consists of the placement of implants in the space formed after the dislocation of the buccal plate in a labial direction. In guided bone regeneration, the quantity of bone regenerated under the membranes has been demonstrated to be directly related to the amount of the space under the membranes. This space can diminish as a result of membrane collapse. To avoid this problem, a new technique of edentulous ridge expansion, which involved the use of a titanium mesh barrier to protect the regenerating tissues and to achieve a rigid fixation of the bone segments, was used in association with autologous bone in 25 patients. At second-stage surgery in all patients, it was possible to see tissue, under the mesh, that had the macroscopic characteristics of mature bone and was superficially covered by a thin soft tissue layer. The microscopic examination showed that all autologous bone particles were embedded in newly formed bone. The use of a rigid mesh can assist bone regeneration in non-space-making defects, since it probably does not interfere with the blood flow to the underlying tissues because of the presence of microholes within the mesh.     

Surgical treatment of induced peri-implantitis in the micro pig: clinical and histological analysis

The purpose of this pilot study was to determine if lost osseous support adjacent to root form implants could be regenerated using a guided tissue regeneration technique. Three fixtures were placed in each edentulous mandibular bicuspid region of two micro pigs. A total of 6 fixtures were placed in each pig. Due to the presence of a pathologic condition, which was in no way related to the research, the results of one pig were not evaluated. Following osseointegration, peri-implantitis were induced by the use of ligatures and a soft diet. Three modalities of treatment were performed. Utilizing a surgical flap approach, one third of the fixtures (one per quadrant) were covered with expanded polytetrafluoroethylene (ePTFE) membrane and submerged under the soft tissue complex. The second group of fixtures were submerged under the soft tissue complex with no ePTFE membrane. The control fixtures along with their abutments were debrided and remained non-submerged. All fixtures were debrided using an air-abrasive polishing system. The osseous defects around the fixtures were measured from a fixed reference point at the time of surgery and after obtaining block sections.(ABSTRACT TRUNCATED AT 250 WORDS)     

Angiocentric T-cell lymphoma of the lung mimicking metastatic carcinoma. Case report

Displacement of soft tissue adjacent to an implant abutment is arduous. Currently, gingival retraction cord is used before making an impression for cement-retained implant restoration. This article presents a new impression system for a cementable abutment/implant. The advantages of a cement-retained implant crown are described. This system provides efficient and accurate impressions.     

Usefulness of the quantification of the alpha-1 serous protein band in the screening of alpha-1-antitrypsin deficiency

Dramatic aesthetic results have been obtained with the flexible silicone gingival mask which can be used to correct deformities remaining after destructive periodontal inflammation has been controlled. The silicone mask may also be used as an interim measure to improve the appearance of anterior crowns after initial periodontal therapy to allow time for healing and the establishment of periodontal stability and prognosis. A simple two-stage impression technique is described, enabling a suitably trained dental technician to produce comfortable and accurately fitting masks, which are very stable during use. Virtually no problems have been encountered.     

Titanium screw implants for intermaxillary fixation of partially edentulous jaw

Establishment of the best possible relationship between upper and lower teeth is very important when treating jaw fractures and orthognathic deformities in partially edentulous patients. Many surgeons use arch bars and acrylic splints for intermaxillary fixation (IMF) to obtain the best occlusal relationships after the operation. In patients with sufficient teeth, IMF is not so difficult to realize. However, in partially edentulous patients, the available teeth may not be sufficient to apply arch bars or splints. This paper describes a system for IMF of a partially edentulous jaw. Screws made of medical-grade titanium are implanted into the alveolar ridges where two or more teeth are missing. Arch bars or acrylic splints secured on these implants and available teeth can be used safely for IMF. In vitro axial pull-out tests demonstrated that these implants can withstand the traction forces generated by elastics. Five partially edentulous patients, three with mandibular fractures and two with orthognathic problems, were treated with these implants. All patients healed without any complications and with the best possible occlusal relationships.     

注射成形粘结钕铁硼磁体复合粉研究

磁体的注射成形是一种高效生产的近净成形技术。为了制备出具有较好综合性能的注射成形粘结钕铁硼永磁材料,研究了粘结剂对注射成形磁体的磁性能、加工性能及力学性能的影响;分析了硅烷系列的偶联剂、复合润滑剂和抗氧剂等添加剂对注射成形磁体性能的影响。结果表明,用MQP-B快淬钕铁硼磁粉和尼龙12粘结剂制备出了剩余磁感应强度为0.539 T,磁感矫顽力为345.37 k A/m,内禀矫顽力为681.02 k A/m,最大磁能积为47.37 k J/m3的注射成形钕铁硼磁体。     

Tissue management needs for adhesive dentistry now and in the future

Hemostasis and other tissue control has always been important for proper impression making; however, the need for these procedures has never been more present than in contemporary adhesive dentistry. Bondable restorations demand as contaminant-free a field as possible. This article provides a simple and effective method for addressing hemostasis and sulcular fluid control for soft tissue management in adhesive dentistry.     

The use of silicone dentures for edentulous patients

There are a number of occasions when a soft denture base will be of much more benefit to an edentulous patient than a conventional rigid prosthesis. This article discusses three such cases.