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PURPOSE: This pilot clinical trial evaluated the clinical behavior of 3-unit inlay fixed partial dentures (IFPDs) made of the glass-fiber composite system SR Adoro/Vectris and luted with 2 different bonding systems over an observation period of 2 years. MATERIALS AND METHODS: Thirty-nine glass-fiber-reinforced composite IFPDs were made to replace 1 missing maxillary or mandibular tooth. Nineteen IFPDs were randomly assigned to group A and luted with a 2-step bonding system (Excite DSC), while the other 20 IFPDs of group B were cemented with a 3-step adhesive (Syntac). Events such as partial or total debonding of the IFPDs, fracture of the framework, or veneer and fiber exposures were considered failures. Color match, marginal discoloration, secondary caries, marginal adaptation, postoperative sensitivity, and surface texture were evaluated according to the United States Public Health Service modified criteria. RESULTS: Two debondings and 2 fiber exposures occurred during the observation period. All failures occurred in group A. Some fatigue microcracks in the pontic area of the 2 detached IFPDs were observed under scanning electron microscopy. The postoperative sensitivity of group A was much higher than that of group B, and the abutments luted with Excite DCS showed postoperative sensitivity during the first month in 42.2% of cases. The sensitivity disappeared completely after 6 months. Statistical analysis indicated significant differences in postoperative sensitivity (P < .05) between the 2 groups. CONCLUSION: The IFPDs bonded with a 3-step adhesive demonstrated good clinical service in the short observation period. The microfractures of the layering material observed on the debonded IFPDs may suggest excessive flexibility of the fiber structures, which occurs if the framework is fabricated without observing the recommended dimensions. [ABSTRACT FROM AUTHOR]

Dens invaginatus is a dental malformation that may give rise to several complications. Caries of the invagination can severely weaken the whole tooth, making it susceptible to fracture. Subgingival fractures are major complications threatening tooth survival and usually require periodontal/orthodontic/prosthetic treatment if long-term viability is to be ensured. This article describes a case of single-session restoration of a fractured invaginated tooth by means of endodontic treatment followed by fragment reattachment. [ABSTRACT FROM AUTHOR]

Objective: The purpose of this case report is to provide a simple forced eruption technique to recover a decayed canine that was a primary abutment for a fixed partial denture (FPD). After an analysis of casts on an articulator, a forced eruption technique was applied, using the old FPD as a bracket to apply the extrusion force on the root of the canine. After 6 weeks, the desired 5-mm extrusion was achieved, maintaining the old FPD in its original position. This simple procedure has many advantages compared with the traditional root extrusion techniques. The use of the old FPD allowed preservation of esthetics and function, better application of the eruption force, guided extrusion of the tooth, and reasonable stabilization time. [ABSTRACT FROM AUTHOR]

Purpose: The aim of this retrospective cohort study was to evaluate the clinical performance of zirconia-based implant-supported single crowns and fixed dental prostheses (FDPs) made by 15 members of the Italian Academy of Prosthetic Dentistry (AIOP) over a time period of up to 5 years., Materials and Methods: One hundred thirty-one patients were treated with a total of 210 zirconia-based single crowns and FDPs on implants in anterior and posterior regions. A cohort group with parafunctional habits was compared with patients without parafunctional habits according to the esthetic, functional, and biologic United States Public Health Service criteria modified by the FDI World Dental Federation., Results: The estimated cumulative survival (ECS) and standard error (SE) of all restorations on implants was 91.95% ± 1.39%, and the estimated cumulative success (ECSs) and SE was 88.37% ± 1.72%. The ECS of single crowns and FDPs was 91.25% ± 3.69% and 95.23% ± 2.28%, respectively, and the estimated cumulative success rates were 88.84% ± 2.05% and 87.96% ± 3.16%, respectively. Mechanical failures, including four zirconia core fractures, three hairline cracks, four chippings, and five delaminations of the ceramic veneering material, were recorded during a 1- to 5-year observation period. The odds ratio of 3.39 (95% confidence interval: 1.18 to 9.73) showed a moderate association between parafunction and failure., Conclusions: Zirconiabased implant-supported restorations showed encouraging clinical results over a period of up to 5 years, but more clinical data are needed before these restorations can be considered a viable treatment alternative. Mechanical failures were primarily observed in patients with parafunctions.

Purpose: The aim of this retrospective cohort study was to evaluate the clinical performance of tooth-supported zirconia-based fixed dental prostheses (FDPs) made by 15 members of the Italian Academy of Prosthetic Dentistry over a time period of up to 5 years., Materials and Methods: Ninety-eight patients were treated with a total of 137 zirconia-based FDPs in anterior and posterior regions using primarily chamfer or knife-edge tooth preparations. The cohort group with parafunctional habits was compared with patients without parafunctional habits according to the esthetic, functional, and biologic United States Public Health Service criteria modified by the FDI World Dental Federation., Results: The estimated cumulative survival of all restorations was 94.70% ± 1.25% standard error (SE), whereas the estimated cumulative success decreased to 89.78% ± 2.58 SE. Mechanical failures, including three zirconia framework fractures, two hairline cracks, nine chippings, and one delamination of the ceramic veneering, were recorded during the 1- to 5-year observation period. An odds ratio of 2.02 (95% confidence interval: 0.67 to 6.12) showed a moderate association between parafunction and failure., Conclusions: Zirconia-based tooth-supported FDPs showed promising clinical results over a period of up to 5 years. Technical complications were more commonly detected in patients with parafunctional habits.

Purpose: The aim of this retrospective cohort study was to gather the outcomes of zirconia single crowns made by 16 members of the Italian Academy of Prosthetic Dentistry (AIOP) over a time period of up to 5 years., Materials and Methods: A total of 398 patients treated in private practices with 1,132 zirconia-based single-crown restorations made on natural teeth from January 2005 to July 2010 were included. Three hundred forty-three anterior restorations (30.3%) and 789 posterior crowns (69.7%) were made with 16 types of zirconia, using primarily chamfer or knife-edge tooth preparation, and examined according to the esthetic, functional, and biologic criteria. To evaluate the relationship of parafunction with mechanical failure, patients with clenching or bruxism were not excluded from the study group., Results: The cumulative survival rate of all restorations was 98.1%, while the cumulative success rate was 94.3%. Functional criteria had the highest number of failures. The odds ratio (OR) for all restorations was calculated to clarify the relationship between patients who were subject/not subject to parafunctions and technical complications; the OR was 2.60. An association between parafunction and mechanical failure was found in patients with severe parafunction., Conclusions: Porcelain-veneered zirconia single crowns with chamfer and knife-edge preparations showed good clinical results over a period of up to 5 years. Technical complications were few and were limited primarily to patients with parafunction.

The rehabilitation of the mandible after ablation cancer surgery is a challenge. Furthermore, osteodistraction in the microvascular fibula flap makes it difficult to predict adequate bone lengthening. The aim of this article is to evaluate a protocol used to manufacture templates for measuring osteodistraction, in terms of force vectors and definitive height. An accurate prosthetic wax-up with guide pins measuring the quantity of bone lengthening must be performed to manufacture the template. This device may be used to establish the end of the osteo-distraction in respect to the vertical dimension of the definitive occlusion.