Survey of Impression Materials and Techniques Used in Fixed Prosthodontics among Nepalese Dentists

There is variation in fixed prosthodontics practice and many studies have concluded that clinicians definitely deviate from the recommended clinical protocols. If this happens during treatment with fixed prosthesis, the quality of fixed prostheses is compromised which affects it’s long term survival. Therefore, the aim of this study was to evaluate the use of impression materials and techniques in fixed prosthodontics among Nepalese dentists and to compare the findings on the basis of educational level and years of experience. A cross-sectional, questionnaire-based online survey was done amongst the Nepalese Dentists through google forms. Data from the completed questionnaires were analysed using the SPSS version 16. All statistical analyses were carried out at a significance level of P < 0.05. Out of 129 participants, 68 (52.7%) dentists often made diagnostic impression for fabrication of study cast. 85(65.9%) dentists used Addition silicone, 11(8.5%) used Condensation silicone and 33(25.6%) used Alginate for final impression making. Most commonly used elastomeric impression technique was Putty Wash single stage (56.2%), 40.7% used Putty Wash two stage, 3.1% used Single mix (Monophase) technique. Regarding retraction cord, 63.5% of dentists used Plain gingival retraction cord and 35.7% of dentists used Chemical impregnated retraction cord. Conclusion: The study found that most of the responses on use of impression materials and techniques were significantly associated with the level of education and clinical experience.

A Dynamic Technique of Oral Rehabilization Using Fixed Prosthesis and CSC Telescopic Denture for Severe Advanced Periodontitis with Secondary Occlusal Traumatism – A Long-term Case Report

Clinical reports of many literatures had documented that meticulous non-surgical periodontal therapy (NSPT) and combined with periodontal prosthesis application might not only improve periodontal parameters, but also provide effective reduction of microbiological organisms associated with periodontal pathogen. A 54-year old female individual visited with chief complains of gingival bleeding and mobile teeth, and recurrent periodontal abscess over # 13, # 11, # 21, and # 22. Periapical radiographs disclosed moderate periodontal bone loss on the total remained teeth of maxilla and mandible arches. A diagnosis of generalized severe advanced periodontitis (SAP) with secondary occlusal traumatism (SOT) was established. This present case was to document the treatment of a 6 years longitudinally retrospective evaluation of case affected SAP with SOT using treatment of the combination of periodontal and perio-prosthetic design. Results showed that the remarkable improvement of periodontal tissues, reconstruction of posterior bite occlusion and recovery of esthetic appearance. It can be concluded that the Sandwich’s technique in treating patients affected SAP with SOT is an effective and valuable option.

Radiographic evaluation of a cross-shaped incision technique for thick-gingiva and thin-gingiva patients treated with implant-supported fixed prosthesis

Background To evaluate a cross-shaped incision technique for thick-gingiva and thin-gingiva patients treated with implant-supported fixed prosthesis. Methods Total 55 patients receiving cross-shaped incision were assigned into thick-gingiva group (29 cases) and thin-gingiva group (26 cases). Follow-up was performed at 3 and 12-month after final restoration. Results Mesial and distal papilla height was significantly greater in thick-gingiva group than thin-gingiva group at 3 and 12 months, while periodontal depth and crestal marginal bone level around implant had no significant difference between the two groups during follow-up. No case of recession of buccal marginal gingiva was observed in thick-gingiva group. However, the recession of marginal gingiva of buccal aspect of the crown was found in 5 patients (19.2%) with thin-gingiva. Conclusions The cross-shaped incision may be applied to reconstruct gingival papillae and avoid the gingival recession in patients with thick-gingiva phenotype. Trial registration This study was registered at ClinicalTrials.gov (registration number NCT04706078, date 12 January 2021, Retrospectively registered).

Restoration of the anterior guide with the fixed prosthesis

The anterior guide is a functional entity, which is part of the set of guidance provided by the dento-dental joints to the mandibular kinematics, essential for the establishment of harmonious occlusal relations. The anterior guide is a key to understanding and reconstructing the occlusion, playing both a role of protecting the posterior teeth and guiding the functional movements of the mandible. Currently, it also represents an “exteroceptive feeler” creating a cone of access to the occlusion in intercuspation. The restoration of functional and protective anterior guidance is therefore essential for the balance of the masticatory system. This rehabilitation can only be achieved by examining and accurately diagnosing the occlusion relationships maintained by the anterior teeth, associated with a reasoned therapeutic approach validated by a test phase. After a brief description of the anterior function and its role, this article aims to detail, through a clinical case, the procedure to follow for the restoration of a functional anterior guide.

Risk of Postoperative Sensitivity and Pulpal Complications in Respect of: Amount of Reduction, Temporization, Cement Type

Fixed partial dentures (FPDs) made of metal ceramic are a popular treatment option for missing teeth. Studies have shown that posterior abutments of FPDs had a higher pulp survival rate than anterior abutments. Postoperative sensitivity following the cementation of a fixed prosthesis is a frequent symptom, especially when the abutments include important pulp. Dentinal hypersensitivity affects between 4 and 74 percent of people. Females are found to have a somewhat greater DH incidence than males. While DH can affect individuals of any age, there have been several theories on what causes abutment sensitivity after tooth preparation and cementation. In this review we included some of it. Also, we discussed methods of management of postoperative sensitivity and Management of fractured abutment screw.