Objectives: This study was conducted to assess appearance, visibility, location and course of anatomical landmarks in mandibular interforaminal region using cone-beam computed tomography (CBCT).
Study design: A total of 96 CBCT examinations was re-evaluated to exploit anatomical landmarks. The examinations used the Promax 3D CBCT unit. A sole examiner carried out all the measurements. Visibilities of the anatomical landmarks were scored using a four-point rating scale.
Results: The mandibular foramen, anterior loop, incisive canal and lingual foramen were observed in 100,84,83,49 % of the images, respectively. The mean size, diameter and width of anterior loop, incisive canal and lingual foramen were obtained 3.54± 1.41, 1.47±0.50 and 0.8 ± 0.09mm, respectively.
Conclusion: It is not safe to recommend any definite distance mesially from the mental foramen. The diameter of the canals and foramens should be determined on a case-by-case basis to exploit the appropriate location for each individual.
Key words:Anatomical landmarks, cone-beam computed tomography, implant surgery, radiographic evaluation, surgical complications.
Severe tooth wear is frequently multifactorial and variable. Successful management is a subject of interest in dentistry. A critical aspect is to determine the occlusal vertical dimension (OVD) and a systematic approach that can lead to a predictable and favorable treatment prognosis. Management of patients with worn dentition is complex and difficult. Accurate clinical and radiographic examinations, a diagnostic wax-up, and determining OVD are crucial. Using mini-implants as orthodontic anchorage may facilitate orthodontic movement of teeth to improve their position, which is necessary for favorable prosthetic treatment. A 46-year-old man was referred for restoration of his worn and missing teeth. After diagnostic work-up, provisional removable prostheses were fabricated for both jaws, evaluated clinically, and adjusted according to esthetic, phonetic, and vertical dimension criteria. Clinical crown lengthening and free gingival graft procedures were performed in appropriate areas. Drifting of the left posterior mandibular teeth was corrected using mini-implants as orthodontic anchorage. Two conventional implants were inserted in the right mandibular edentulous area. After endodontic therapy of worn teeth, custom-cast gold dowels and cores were fabricated, and provisional removable prostheses were replaced with fixed provisional restorations. Metal-ceramic restorations were fabricated, and a removable partial denture with attachments was fabricated for maxillary edentulous areas. An occlusal splint was used to protect the restorations. Full-mouth rehabilitation of the patient with severely worn dentition and an uneven occlusal plane was found to be successful after 3 years of follow-up. This result can encourage clinicians to seek accurate diagnosis and treatment planning to treat such patients.
Background. The aim
of the present study was to evaluate the effect of Corega and 2.5% sodium
hypochlorite cleansing agents on the shear and tensile bond strengths of GC
soft liner to denture base.
Methods.
A total of 144 samples (72 samples for tensile
and 72 for shear bond strength evaluations) were prepared. The samples in
each group were subdivided into three subgroups in terms of the cleansing agent
used (2.5% sodium hypochlorite, Corega and distilled water [control group]).
All the samples were stored in distilled water, during which each sample was
immersed for 15 minutes daily in sodium hypochlorite or Corega solutions.
After 20 days the tensile and shear bond strengths were determined using a
universal testing machine. In addition, a stereomicroscope was used to
evaluate fracture modes. Data were analyzed with one-way ANOVA, using SPSS
16.
Results.
The results of post hoc Tukey tests showed significant
differences in the mean tensile and shear bond strength values between the
sodium hypochlorite group with Corega and control groups (P=0.001 for
comparison of tensile bond strengths between the sodium hypochlorite and
control groups, and P<0.001 for the comparison of tensile bond strengths
between the sodium hypochlorite and Corega groups and the shear bond
strengths between the sodium hypochlorite and Corega groups, and sodium
hypochlorite and control groups).The majority of failures were cohesive in
the control and Corega groups and cohesive/adhesive in the sodium
hypochlorite group.
Conclusion.
Immersion
of soft liners in Corega will result in longevity of soft liners compared to
immersion in sodium hypochlorite solution and sodium hypochlorite solution
significantly decreased the tensile and shear bond strengths compared to the
control and Corega groups.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.