Serveur d'exploration sur le patient édenté (maquette)

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Inlay-Retained Fixed Dental Prosthesis: A Clinical Option Using Monolithic Zirconia

Identifieur interne : 000483 ( Pmc/Curation ); précédent : 000482; suivant : 000484

Inlay-Retained Fixed Dental Prosthesis: A Clinical Option Using Monolithic Zirconia

Auteurs : Davide Augusti [Italie] ; Gabriele Augusti [Italie] ; Andrea Borgonovo [Italie] ; Massimo Amato [Italie] ; Dino Re [Italie]

Source :

RBID : PMC:4055644

Abstract

Different indirect restorations to replace a single missing tooth in the posterior region are available in dentistry: traditional full-coverage fixed dental prostheses (FDPs), implant-supported crowns (ISC), and inlay-retained FDPs (IRFDP). Resin bonded FDPs represent a minimally invasive procedure; preexisting fillings can minimize tooth structure removal and give retention to the IRFDP, transforming it into an ultraconservative option. New high strength zirconia ceramics, with their stiffness and high mechanical properties, could be considered a right choice for an IRFDP rehabilitation. The case report presented describes an IRFDP treatment using a CAD/CAM monolithic zirconia IRFDP; clinical and laboratory steps are illustrated, according to the most recent scientific protocols. Adhesive procedures are focused on the Y-TZP and tooth substrate conditioning methods. Nice esthetic and functional integration of indirect restoration at two-year follow-up confirmed the success of this conservative approach.


Url:
DOI: 10.1155/2014/629786
PubMed: 24963420
PubMed Central: 4055644

Links toward previous steps (curation, corpus...)


Links to Exploration step

PMC:4055644

Le document en format XML

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<journal-id journal-id-type="nlm-ta">Case Rep Dent</journal-id>
<journal-id journal-id-type="iso-abbrev">Case Rep Dent</journal-id>
<journal-id journal-id-type="publisher-id">CRID</journal-id>
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<issn pub-type="ppub">2090-6447</issn>
<issn pub-type="epub">2090-6455</issn>
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<publisher-name>Hindawi Publishing Corporation</publisher-name>
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<article-id pub-id-type="pmc">4055644</article-id>
<article-id pub-id-type="doi">10.1155/2014/629786</article-id>
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<subject>Case Report</subject>
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<title-group>
<article-title>Inlay-Retained Fixed Dental Prosthesis: A Clinical Option Using Monolithic Zirconia</article-title>
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<contrib-group>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0003-3022-2950</contrib-id>
<name>
<surname>Augusti</surname>
<given-names>Davide</given-names>
</name>
<xref ref-type="aff" rid="I1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0002-8843-1299</contrib-id>
<name>
<surname>Augusti</surname>
<given-names>Gabriele</given-names>
</name>
<xref ref-type="aff" rid="I1">
<sup>1</sup>
</xref>
<xref ref-type="corresp" rid="cor1">*</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Borgonovo</surname>
<given-names>Andrea</given-names>
</name>
<xref ref-type="aff" rid="I2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0002-9485-0078</contrib-id>
<name>
<surname>Amato</surname>
<given-names>Massimo</given-names>
</name>
<xref ref-type="aff" rid="I3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0001-8642-5007</contrib-id>
<name>
<surname>Re</surname>
<given-names>Dino</given-names>
</name>
<xref ref-type="aff" rid="I1">
<sup>1</sup>
</xref>
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<aff id="I1">
<sup>1</sup>
Department of Oral Rehabilitation, Istituto Stomatologico Italiano, University of Milan, Milan, Italy</aff>
<aff id="I2">
<sup>2</sup>
Department of Oral Surgery, Dental Clinic, Ospedale maggiore Policlinico, Fondazione IRCCS Ca' Granda, Milan, Italy</aff>
<aff id="I3">
<sup>3</sup>
Department of Medicine and Surgery, University of Salerno, Salerno, Italy</aff>
<author-notes>
<corresp id="cor1">*Gabriele Augusti:
<email>g.augusti@libero.it</email>
</corresp>
<fn fn-type="other">
<p>Academic Editor: Mine Dündar</p>
</fn>
</author-notes>
<pub-date pub-type="ppub">
<year>2014</year>
</pub-date>
<pub-date pub-type="epub">
<day>21</day>
<month>5</month>
<year>2014</year>
</pub-date>
<volume>2014</volume>
<elocation-id>629786</elocation-id>
<history>
<date date-type="received">
<day>21</day>
<month>2</month>
<year>2014</year>
</date>
<date date-type="accepted">
<day>5</day>
<month>5</month>
<year>2014</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright © 2014 Davide Augusti et al.</copyright-statement>
<copyright-year>2014</copyright-year>
<license xlink:href="https://creativecommons.org/licenses/by/3.0/">
<license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract>
<p>Different indirect restorations to replace a single missing tooth in the posterior region are available in dentistry: traditional full-coverage fixed dental prostheses (FDPs), implant-supported crowns (ISC), and inlay-retained FDPs (IRFDP). Resin bonded FDPs represent a minimally invasive procedure; preexisting fillings can minimize tooth structure removal and give retention to the IRFDP, transforming it into an ultraconservative option. New high strength zirconia ceramics, with their stiffness and high mechanical properties, could be considered a right choice for an IRFDP rehabilitation. The case report presented describes an IRFDP treatment using a CAD/CAM monolithic zirconia IRFDP; clinical and laboratory steps are illustrated, according to the most recent scientific protocols. Adhesive procedures are focused on the Y-TZP and tooth substrate conditioning methods. Nice esthetic and functional integration of indirect restoration at two-year follow-up confirmed the success of this conservative approach.</p>
</abstract>
</article-meta>
</front>
<floats-group>
<fig id="fig1" orientation="portrait" position="float">
<label>Figure 1</label>
<caption>
<p>(a) Intraoral occlusal view of edentulous area before treatment. (b) Intraoral lateral view of tooth gap; the interabutment distance measured was 11 mm.</p>
</caption>
<graphic xlink:href="CRID2014-629786.001"></graphic>
</fig>
<fig id="fig2" orientation="portrait" position="float">
<label>Figure 2</label>
<caption>
<p>Standardized inlay preparations; previous composite fillings were removed.</p>
</caption>
<graphic xlink:href="CRID2014-629786.002"></graphic>
</fig>
<fig id="fig3" orientation="portrait" position="float">
<label>Figure 3</label>
<caption>
<p>(a) Occlusal view of the final elastomeric impression. (b) Close-up of silicon impression; light body material reproduced every preparation fine details.</p>
</caption>
<graphic xlink:href="CRID2014-629786.003"></graphic>
</fig>
<fig id="fig4" orientation="portrait" position="float">
<label>Figure 4</label>
<caption>
<p>(a) Type IV gypsum master cast with the composite resin try-in of the IRFDP. (b) Close-up of the mock-up; the occlusal contacts were verified by the technician using the articulator.</p>
</caption>
<graphic xlink:href="CRID2014-629786.004"></graphic>
</fig>
<fig id="fig5" orientation="portrait" position="float">
<label>Figure 5</label>
<caption>
<p>Occlusal view of the try-in seated in the oral cavity.</p>
</caption>
<graphic xlink:href="CRID2014-629786.005"></graphic>
</fig>
<fig id="fig6" orientation="portrait" position="float">
<label>Figure 6</label>
<caption>
<p>(a) Interarch relationships were highlighted with a 40 
<italic>μ</italic>
occlusal paper. (b) Details of the contacts area; excessive occlusal pressure at the margins of the restoration will be corrected in the laboratory.</p>
</caption>
<graphic xlink:href="CRID2014-629786.006"></graphic>
</fig>
<fig id="fig7" orientation="portrait" position="float">
<label>Figure 7</label>
<caption>
<p>(a) Monolithic zirconia restoration on master cast: occlusal view. (b) Lateral close-up; brown stains were used in the cervical area.</p>
</caption>
<graphic xlink:href="CRID2014-629786.007"></graphic>
</fig>
<fig id="fig8" orientation="portrait" position="float">
<label>Figure 8</label>
<caption>
<p>IRFDP conditioned for final adhesive cementation.</p>
</caption>
<graphic xlink:href="CRID2014-629786.008"></graphic>
</fig>
<fig id="fig9" orientation="portrait" position="float">
<label>Figure 9</label>
<caption>
<p>(a) Operative field isolation with dental dam. (b) Selective phosphoric acid etching. (c) Etched enamel and dentin surfaces. (d) A resin composite dual-curing cement was used.</p>
</caption>
<graphic xlink:href="CRID2014-629786.009"></graphic>
</fig>
<fig id="fig10" orientation="portrait" position="float">
<label>Figure 10</label>
<caption>
<p>(a) Occlusal view of the luted IRFDP just after rubber dam removal. (b) Lateral view of the rehabilitation: function and esthetic were restored.</p>
</caption>
<graphic xlink:href="CRID2014-629786.010"></graphic>
</fig>
<fig id="fig11" orientation="portrait" position="float">
<label>Figure 11</label>
<caption>
<p>(a) 10-day follow-up: occlusal view. (b) 10-day follow-up: lateral view.</p>
</caption>
<graphic xlink:href="CRID2014-629786.011"></graphic>
</fig>
<fig id="fig12" orientation="portrait" position="float">
<label>Figure 12</label>
<caption>
<p>2-year follow-up: occlusal view.</p>
</caption>
<graphic xlink:href="CRID2014-629786.012"></graphic>
</fig>
</floats-group>
</pmc>
</record>

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