A microgap between implant and abutment can lead to mechanical and biological problems such as abutment screw fracture and peri-implantitis. The aim of this study was to evaluate microgap size and microbial leakage in the connection area of 4 different abutments to ITI implants. In this experimental study, 36 abutments in 4 groups (including Cast On, Castable, Solid, and Synocta abutments) connected to Straumann fixtures (with their inner part inoculated with bacterial suspension) and microbial leakage were assessed at different times. The size of the microgap in 4 randomized locations was then measured by scanning electron microscope. The data were analyzed by SPSS software and by 1-way variance statistical test, Kruskal-Wallis, and their supplementary tests (Mann-Whitney HSD and Tukey's; α = .05) at the next step. The effect of using different types of abutments was significant on the mean microgap size (P < .001) and on the mean number of leaked colonies (CFU/mL) through the connection area of the implant and abutment within the first 5 hours of the experiment (P = .012); however, it did not significantly influence microleakage at 24 hours, 48 hours, and 14 days (P = .145). Using Synocta abutments compared with Solid abutments will not provide us with more accommodation, and vice versa. Using Solid and Synocta abutments can significantly decrease the microgap size; however, Cast On abutments do not show a significant difference in terms of microgap compared with Castable abutments. Microleakage in the connection area is comparable for these 4 abutments.

Prosthetic rehabilitation of the midfacial defects has always perplexed prosthodontists. These defects lead to functional and esthetic deficiencies. The purpose of this clinical case report was the presentation of the prosthetic rehabilitation of an extraoral-intraoral defect using two-piece prosthesis magnetically connected. This prosthesis has dramatically improved the patient's speech, mastication, swallowing, and esthetic.

The management of tooth wear has been a subject of increasing interest from both preventive and restorative points of view. This paper describes the full mouth rehabilitation of a 63-year-old bruxer man with a severely worn dentition and other dental problems including unsuitable restorations and several missing teeth. The treatment entailed using cast posts and cores, metal-ceramic restorations, and a removable partial denture. As with the treatment procedure of such cases, equal-intensity centric occlusal contacts on all teeth and an anterior guidance in harmony with functional jaw movements were especially taken into account.

Introduction: According to the need to know about patient satisfaction in Shahid Sadoughi Dentistry School of Yazd, this study was conducted to evaluate the satisfaction of patients referred to the Department of Restorative, Endodontics, Periodontology, Prosthodontics and Comprehensive Therapy in 2018. Methods: In this descriptive cross-sectional study, the satisfaction rate of 267 patients referred to the School of Dentistry in 5 sections (Periodontics, Endodontics, Restorative, Prosthodontics, and Comprehensive Therapy) at the end of treatment was evaluated using a Dental Satisfaction Questionnaire (DSQ). The questionnaire contained 19 questions in 3 areas: pain, access, and quality of treatment. Data were analyzed by SPSS software version 17 and also t-test and ANOVA. The significance level in this study was considered 0.05. Results: The mean age of patients in this study was 31. 9 ± 11.4 that 63.7% of them were female. According to the results, the mean total score of satisfaction in the studied patients was 68.8 ± 9.2 from 100, and the mean score in area of pain, access, and quality of treatment was 63.9, 65.9 and 71.7, respectively. There was no significant relationship between patients' satisfaction and age, sex, place of residence and different departments of the faculty (P≥0.05), there was only a significant increase in the field of pain satisfaction with increasing age (P = 0.014). Conclusion: The average satisfaction score of patients referring to Shahid Sadoughi Dentistry School of Yazd in the five sections was 68.8 and was desirable. Considering the degree of satisfaction, more effort is needed to increase the satisfaction of patients.

Background: Several techniques such as sand blast, silicoating, and laser irradiation have been introduced for reliable bond between zirconia and resin cement. This study aimed to assess and compare the effect of three types of lasers on the shear bond strength (SBS) of zirconia to resin cement. Materials and Methods: In this in vitro study, 55 zirconia disks (6 mm diameter × 3 mm thickness) were randomly divided into five groups: control (1), sandblast (2), carbon dioxide (CO2) (3), erbium-doped yttrium aluminum garnet (Er: YAG) (4), and neodymium-doped yttrium aluminum garnet (Nd: YAG) (5) laser irradiation. The surface morphology of one specimen from each group was evaluated by a scanning electron microscope. Zirconia disks were cemented to composite using Panavia F2. SBS test was performed at a crosshead speed of 1 mm/min after 24 h storage in distilled water and thermocycling. The data were analyzed by one-way analysis of variance and post hoc Tukey's HSD tests (α = 0.05). Results: The mean SBS values of the groups such as sandblast, Er: YAG, Nd: YAG, and CO2 lasers and control were 6.64 MPa, 6.63 MPa, 4.98 MPa, 4.39 MPa, and 2.32 MPa, respectively. No significant difference was observed between sandblast and Er: YAG laser and between Nd: YAG and CO2 lasers. Conclusion: All lasers increased SBS values of zirconia to resin cement in comparison to the untreated surface. Er: YAG laser was the most effective laser treatment on the bond strength equal to that of sandblast.