Modified Matrix Band Design for Ultra-conservative Posterior Restorations

2008 ◽  
Vol 33 (3) ◽  
pp. 356-360
Author(s):  
S. Deliperi

Clinical Relevance The combination of minimally invasive cavity preparations and adhesive restorations allows clinicians a significantly more conservative approach to proximal carious lesions of teeth adjacent to MO/DO preparations.

10.2341/05-47 ◽  
2006 ◽  
Vol 31 (3) ◽  
pp. 291-296 ◽  
Author(s):  
J. C. Hamilton ◽  
W. A. Gregory ◽  
J. B. Valentine

Clinical Relevance Measurements from DIAGNOdent were not strongly correlated with the depth or volume of cavity preparations that resulted from carious lesions in the pits and fissures of posterior teeth.


2013 ◽  
Vol 38 (1) ◽  
pp. 79-82 ◽  
Author(s):  
Monireh Ahmadi Bani ◽  
Mokhtar Arazpour ◽  
Stephen William Hutchins ◽  
Fereydoun Layeghi ◽  
Mahmood Bahramizadeh ◽  
...  

Background and aim: Patients with mild to moderate first carpometacarpal joint osteoarthritis report pain, a reduction in pinch and grip strength and hand function. The purpose of this study was to analyze the effect of a custom-made neoprene thumb carpometacarpal orthosis with thermoplastic stabilization on pain, function, grip strength, and key pinch in these patients. Technique: A total of 11 volunteer patients participated in this study. All the above-mentioned parameters were evaluated at baseline and also 30, 60, and 90 days after using the splint. Discussion: A decrease in pain was observed after 30 days, and this continued to improve during treatment with the splint. After 90 days of using the splint, grip strength was improved. Function and pinch strength also increased significantly and was maintained during the study period compared to baseline. Clinical relevance A custom-made neoprene thumb carpometacarpal orthosis with thermoplastic stabilization may be a suitable conservative approach for the treatment of first carpometacarpal joint osteoarthritis.


2019 ◽  
Vol 40 (8) ◽  
pp. 978-986 ◽  
Author(s):  
Lena Hirtler ◽  
Katarina Schellander ◽  
Reinhard Schuh

Background: Osteochondral lesions of the talus are frequent pathologies of the ankle joint. Especially through arthroscopy, the treatment is kept as minimally invasive as possible. However, there are some drawbacks as to the reachability because of the high congruency of the ankle joint. Here, either noninvasive distraction or maximal dorsiflexion may be an option for better access to the lesion. The purpose of this study was to evaluate maximal dorsiflexion compared to neutral position or noninvasive distraction of the ankle joint in the arthroscopic reachability of the talar dome. The hypothesis of this study was that maximal dorsiflexion would allow for greater accessibility of the talar dome compared to neutral position or noninvasive distraction of the joint. Methods: Twenty matched pairs (n=40) of anatomical ankle specimens were used. The effects of neutral position, maximal dorsiflexion, and noninvasive distraction of the ankle joint on arthroscopic accessibility of the ankle joint were tested. After disarticulation of the talus, reach was measured and compared between the 3 positions. Results: In neutral position, 13.7±1.2 mm of the talar dome was reached laterally and 14.0±1.0 mm medially. In maximal dorsiflexion, the distance was 19.0±1.1mm laterally and 19.8±1.4 mm medially, and in noninvasive distraction it was 16.1±1.5 mm laterally and 15.7±1.0 mm medially. The statistical comparison showed a significantly better reach in dorsiflexion laterally ( P = .003) and medially ( P = .026). Conclusion: Accessibility of the talar dome in maximal dorsiflexion was superior to that in neutral position or noninvasive distraction. Clinical Relevance: Results of this study may allow for better planning in arthroscopic treatment of osteochondral lesions of the talus.


2015 ◽  
Vol 81 (1) ◽  
pp. 96-100 ◽  
Author(s):  
Ean R. Saberski ◽  
Sean B. Orenstein ◽  
Dale Matheson ◽  
Yuri W. Novitsky

Medical curricula are continually evolving and increasing clinical relevance. Gross anatomy educators have tested innovations to improve the clinical potency of anatomic dissection and found that clinical correlations are an effective method to accomplish this goal. Recently, surgical educators defined a role for laparoscopy in teaching anatomy. We aimed to expand this role by using surgical educators to create clinical correlates between gross anatomy and clinical surgery. We held supplements to traditional anatomy open dissection for medical students, including viewing prerecorded operative footage and live laparoscopic dissection performed on cadavers. The main outcome measures were assessed through pre- and postsession surveys. Greater than 75 per cent of students found the demonstrations highly valuable, and students perceived a significant increase in their understanding of abdominopelvic anatomy ( P < 0.01). Additionally, 62 per cent of students with previous interest in surgery and 10 per cent of students without previous interest in surgery reported increased interest in pursuing surgical careers. Our demonstrations advance the use of minimally invasive surgical technology to teach gross anatomy. Live laparoscopic demonstrations augment traditional anatomic instruction by reinforcing the clinical relevance of abdominopelvic anatomy. Additionally, laparoscopic demonstrations generate interest in surgery that would otherwise be absent in the preclinical years.


2010 ◽  
Vol 35 (5) ◽  
pp. 500-507 ◽  
Author(s):  
A. R. Yazici ◽  
M. Baseren ◽  
J. Gorucu

Clinical Relevance The laser could be a promising alternative for minimally invasive occlusal resin composite cavity preparations, as its clinical performance was similar to bur-prepared composite restorations.


2010 ◽  
Vol 35 (4) ◽  
pp. 397-404 ◽  
Author(s):  
N. Arhun ◽  
C. Celik ◽  
K. Yamanel

Clinical Relevance Nanohybrid and low-shrinkage posterior resin composites, placed with self-etch adhesive systems in posterior teeth, showed satisfactory and similar results after two years.


2018 ◽  
Vol 27 (7) ◽  
pp. 1009-1016 ◽  
Author(s):  
Rodrigo Giacaman ◽  
Cecilia Muñoz-Sandoval ◽  
Klaus Neuhaus ◽  
Margherita Fontana ◽  
Renata Chałas

Dental Update ◽  
2021 ◽  
Vol 48 (8) ◽  
pp. 620-631
Author(s):  
FJ Trevor Burke ◽  
Louis Mackenzie

The ability to successfully bond restorations to dentine is central to minimally invasive restorative dentistry. While dentine bonding agents have gone through a variety of ‘generations’, it is the purpose of this article to describe the latest clinical and laboratory research on universal adhesives. Results from the latest laboratory and clinical research indicates that universal adhesives are a step forward in the quest for the ultimate bond to tooth substance and ease of use of the adhesive. The wide variety of studies that indicates the effectiveness of universal adhesives are discussed, along with research that indicates that selective enamel etching is a beneficial procedure when using these materials. CPD/Clinical Relevance: Universal adhesives appear to hold promise in the quest for a reliable bond to dentine.


2007 ◽  
Vol 32 (5) ◽  
pp. 482-487 ◽  
Author(s):  
P. R. Schmidlin ◽  
R. Seemann ◽  
T. Filli ◽  
T. Attin ◽  
T. Imfeld

Clinical Relevance The sealing of minimally invasive restorations using a prefabricated adhesive patch significantly reduces leakage and caries formation.


2019 ◽  
Vol 21 (4) ◽  
pp. 358
Author(s):  
Jéssica Delazari Ferreira ◽  
Mariana Dias Flor-Ribeiro ◽  
Giselle Maria Marchi ◽  
Flávia Bittencourt Pazinatto

AbstractThe objective of this work was to analyze scientific evidence from a literature review pertaining to the effectiveness of resinous infiltrants for minimally invasive treatment of incipient carious lesions. Studies published between 2002 and 2019 were queried from the following databases: Capes, PubMed, Medline, BBO, Lilacs and SciELO. The search keywords included "Dental Caries", "Tooth Remineralization", "Dental Leakage". Most of the studies found resin-infiltrating treatment to be a viable option for the minimally invasive treatment of incipient carious lesions; this treatment was able to fulfill the primary expected effects: inhibition of carious progression and the lesions esthetic improvement. However, some issues need to be clarified to improve the safety of this treatment because it can be recommended in clinical practice. In conclusion, the use of resinous infiltrants has been reported as promising for the treatment of incipient carious lesions. However, there is a need for long-term studies to confirm the effectiveness of this treatment to determine its applicability for clinical use. Keywords: Dental Caries. Dental Leakage. Tooth Remineralization. ResumoO objetivo desse trabalho foi analisar evidências científicas, por meio de uma revisão de literatura, sobre a eficácia do uso de infiltrantes resinosos para o tratamento minimamente invasivo de lesões cariosas incipientes. A seleção do material literário utilizado foi realizada por pesquisa sobre o tema nas bases de dados: portal de periódicos Capes, PubMed, Medline, BBO, Lilacs e SciELO, abrangendo prioritariamente, o período de 2002 a 2019. Para busca nas bases de dados foram utilizadas palavras-chave como “Cárie Dentária”, “Remineralização Dentária”, “Infiltração Dentária”, assim como suas correspondentes na língua inglesa.  A maioria dos estudos encontrados aponta o tratamento infiltrante resinoso como uma opção viável para o tratamento minimamente invasivo de lesões cariosas incipientes sendo capaz de cumprir os principais efeitos esperados: inibição da progressão cariosa e melhoria estética das lesões. Entretanto, alguns impasses necessitam ser esclarecidos para que o tratamento seja recomendado com mais segurança na prática clínica. Conclui-se que o uso de infiltrantes resinosos tem sido relatado como promissor para o tratamento de lesões cariosas incipientes, contudo há necessidade de novas pesquisas e estudos a longo prazo para confirmar sua eficácia em todos aspectos desejáveis para seu uso clínico. Palavras-chave: Cárie Dentária. Infiltração Dentária. Remineralização Dentária.


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