This document describes an alternative technique for making impressions of mobile teeth. The technique involves using a combination of low viscosity polyvinyl siloxane (PVS), polyether (PE), and irreversible hydrocolloid impression materials. PVS is injected onto the buccal surfaces of mobile teeth while PE is injected onto the lingual surfaces. A stock tray is then filled with irreversible hydrocolloid. The impression is separated into three pieces and reassembled extraorally before pouring a stone cast, minimizing the risk of mobile teeth moving during the impression procedure.
Impression procedures for compromised ridges/cosmetic dentistry coursesIndian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Impression procedures for compromised ridges/cosmetic dentistry coursesIndian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Indian Dental Academy: will be one of the most relevant and exciting training
center with best faculty and flexible training programs for dental
professionals who wish to advance in their dental practice,Offers certified
courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry,
Prosthetic Dentistry, Periodontics and General Dentistry.
Presented by
NAVEEN GOKUL R,
CRI (2023) CARNAZZIANZ,
DEPARTMENT OF PROSTHODONTICS,
PRIYADARSHINI DENTAL COLLEGE - TN
Stents GPT 9th ed - Any supplementary device used in conjunction with a surgical procedure to keep a skin graft in place, often modified with acrylic resin or dental modeling plastic impression compound .
Splints - GPT 9th ed
A rigid or flexible device that maintains in position of a displaced or movable part; also used to protect and assists in stabilization and immobilization of an injured part.
CONTENTS:
INTRODUCTION
DEFINITION –STENTS
MATERIALS USED FOR STENTS
FUNCTIONS OF STENTS
TYPES OF STENTS
DEFINITION –SPLINTS
MATERIALS USED FOR SPLINTS
FUNCTIONS OF SPLINTS
TYPES OF SPLINTS
RECENT ADVANCEMENTS IN STENTS AND SPLINT THERAPIES
Strip Crowns Technique for Restoration of Primary Anterior Teeth: Case ReportAbu-Hussein Muhamad
Dental caries is the single most common chronic childhood disease affecting worldwide. In early childhood caries, there is early pulp involvement and gross destruction of maxillary anterior teeth as well as posterior teeth. Treatment of such caries represents a challenge to pediatric dentists especially, when teeth are badly destroyed. By the time the dentist sees the child, most of the coronal structure is lost. This case report describes challenging task of a Case of early childhood caries patients with mutilated maxillary incisors restored with a strip form composite restorations.
Autogenous tooth fragment reattachment ; a 12 years follow-upAbu-Hussein Muhamad
The fractures of the anterior teeth are a common form of dental trauma that mainly affects children and adolescents. One of the therapeutic options for managing coronal tooth fractures when the tooth fragment is available and there is no or minimal violation of the biological width is the Autogenous reattachment of the dental fragment.. Reattachment of fractured fragment can provide good and long lasting esthetics. This is a report of a 12 -year follow-up of a coronal fracture case successfully treated using tooth fragment reattachment.
Keywords: Composite resins, coronal fracture, fragment reattachment
Indian Dental Academy: will be one of the most relevant and exciting training
center with best faculty and flexible training programs for dental
professionals who wish to advance in their dental practice,Offers certified
courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry,
Prosthetic Dentistry, Periodontics and General Dentistry.
Presented by
NAVEEN GOKUL R,
CRI (2023) CARNAZZIANZ,
DEPARTMENT OF PROSTHODONTICS,
PRIYADARSHINI DENTAL COLLEGE - TN
Stents GPT 9th ed - Any supplementary device used in conjunction with a surgical procedure to keep a skin graft in place, often modified with acrylic resin or dental modeling plastic impression compound .
Splints - GPT 9th ed
A rigid or flexible device that maintains in position of a displaced or movable part; also used to protect and assists in stabilization and immobilization of an injured part.
CONTENTS:
INTRODUCTION
DEFINITION –STENTS
MATERIALS USED FOR STENTS
FUNCTIONS OF STENTS
TYPES OF STENTS
DEFINITION –SPLINTS
MATERIALS USED FOR SPLINTS
FUNCTIONS OF SPLINTS
TYPES OF SPLINTS
RECENT ADVANCEMENTS IN STENTS AND SPLINT THERAPIES
Strip Crowns Technique for Restoration of Primary Anterior Teeth: Case ReportAbu-Hussein Muhamad
Dental caries is the single most common chronic childhood disease affecting worldwide. In early childhood caries, there is early pulp involvement and gross destruction of maxillary anterior teeth as well as posterior teeth. Treatment of such caries represents a challenge to pediatric dentists especially, when teeth are badly destroyed. By the time the dentist sees the child, most of the coronal structure is lost. This case report describes challenging task of a Case of early childhood caries patients with mutilated maxillary incisors restored with a strip form composite restorations.
Autogenous tooth fragment reattachment ; a 12 years follow-upAbu-Hussein Muhamad
The fractures of the anterior teeth are a common form of dental trauma that mainly affects children and adolescents. One of the therapeutic options for managing coronal tooth fractures when the tooth fragment is available and there is no or minimal violation of the biological width is the Autogenous reattachment of the dental fragment.. Reattachment of fractured fragment can provide good and long lasting esthetics. This is a report of a 12 -year follow-up of a coronal fracture case successfully treated using tooth fragment reattachment.
Keywords: Composite resins, coronal fracture, fragment reattachment
Prosthodontic-Orthodontic Treatment Plan with Two-Unit Cantilevered Resin-Bon...iosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
Prosthodontic-Orthodontic Treatment Plan with Two-Unit Cantilevered Resin-Bon...Abu-Hussein Muhamad
Abstract: Congenitally missing lateral incisors create an esthetic problem with specific orthodontic and prosthetic considerations. Selecting the appropriate treatment option depends on many factors, such us the malocclusion, the anterior relationship, specific space requirements, bone volume, root proximity, the condition of the adjacent teeth, and esthetic prediction mainly when the canine must be reshaped.Resin bonded bridges were considered to be doomed owing to their very high decementation rate, have come alive once again because of newer resin based cements. This article will discuss the variety of treatment managements in case of space opening and treated with two 2-unit cantilevered resin-bonded fixed partial dentures supported by the cuspids. This conservative treatment plan was cost-effective without having any significant biological cost. Keywords: Agenesis, Resin- bonded fixed partial denture, interim prosthesis.
Treatment of Patients With Congenitally Missing Lateral Incisors: Is an Inter...Abu-Hussein Muhamad
Congenitally missing teeth are frequently presented to the dentist. Interdisciplinary approach may be needed for the proper treatment plan. The available treatment modalities to replace congenitally missing teeth include prosthodontic fixed and removable prostheses, resin bonded retainers, orthodontic movement of maxillary canine to the lateral incisor site and single tooth implants. Dental implants offer a promising treatment option for placement of congenitally missing teeth. Interdisciplinary approach may be needed in these cases. This article aims to present a case report of replacement of bilaterally congenitally missing maxillary lateral incisors with dental implants.
Immediate Implant Placement And Restoration With Natural Tooth In The Maxilla...Abu-Hussein Muhamad
Anterior tooth loss and restoration in the esthetic zone is a common challenge in dentistry today. The prominent visibility of the area can be especially distressing to the patient and requires a timely and esthetically pleasing solution. Immediate single-tooth implantation followed by immediate provisionalization is becoming an increasingly desirable treatment that offers numerous benefits over conventional delayed loading. Provisionalization for immediately-placed implants using the patient’s existing tooth can enhance the final aesthetic outcome if certain steps are
followed. If the natural tooth is intact and can be used as a provisional, the emergence profile can be very similar to the preoperative condition. This article outlines a technique to use the patient’s natural tooth after extraction to provisionalize an implant.
Clinical Replacement Therapy and the Immediate Post-extraction Dental ImplantAbu-Hussein Muhamad
Immediate dental implants have greatly reduced the treatment time and the number of surgical intervene tions. Recently it has been noted that this treatment modality can be used in aesthetically demanding cases especially the anterior maxilla. The aim of this article is to describe a clinical case in which a fractured maxillary canine was replaced by an osseointegrated implant using a simplified technique in a patient who was a smoker and presented poor oral hygiene. The technique adopted permits a reduction of the number of implant components and consequently a lower cost of treatment, while at the same time maintaining acceptable aesthetic and functional outcomes.
Overdentures can be either tooth or implant supported. Completely edentulous patients whose economic condition Thwarts them to invest in the expensive implant (number based) treatments should be motivated to have at least a two implant-supported overdenture since the prosthesis offers most of the advantages of conventional tooth-supported overdenture. We report a case of an elderly female patient who was reluctant toward surgery, but with moderate education was treated successfully with a two staged, two implant-supported overdenture using a ball abutment with o ring attachment.
DENTAL AVULSION- IMMEDIATE REPLANTATION: 8- YEAR FOLLOW UP CASEAbu-Hussein Muhamad
Avulsion of permanent front teeth is a rare accident , mostly affecting children between seven and nine year s of age.
Replanted and splinted, these teeth often develop inflammat ion, severe resorption or ankylosis affect ing alveolar bone
development and have to be extracted sooner or later . This repor t proposes a discussion on the var ious pecul iar ities of a
tooth avulsion case with immediate replantation, such as a long retent ion per iod, root canal fil ling with MTA, or thodontic
treatment.
Vonlay; A paradigm shift in post endodontic restoration: A case report.komalicarol
Porcelain veneers have long been a popular restorative option that
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An alternative impression technique for mobile teeth
1. AN ALTERNATIVE IMPRESSION TECHNIQUE
FOR MOBILE TEETH
Evangelia Lampraki, DDS, A Konstantinos M. Chochlidakis,
DDS, B Evangelos Rossopoulos, DDS, & Carlo Ercoli, DDS
Presented by:
Mujtaba Ashraf
MDS 2nd
Department of Prosthodontics
§ JPD § Vol. 116 § Issue 2 § August 2016 §
12/22/2016Mujtaba Ashraf
1
3. Introduction
Patients presenting for immediate denture therapy might
have remaining teeth that are extremely mobile and/or
misaligned.
Challenges during immediate denture impression
procedures in such patients include preventing accidental
exfoliation of mobile teeth during the impression
procedure and capturing in detail the teeth and buccal
tissues adjacent to remaining teeth, which frequently have
very different long axes.
12/22/2016Mujtaba Ashraf
3
4. Numerous immediate denture
impression techniques have
been described.
The sectional impression
technique involves the use of
custom sectional trays,
custom trays in combination
with stock trays, or custom
trays with open buccal areas
adjacent to the remaining
teeth.
Gardner LK, Parr GR, Rahn AO. Modification of immediate denture sectional impression technique
using vinyl polysiloxane. J Prosthet Dent 1990;64: 182-4.
12/22/2016Mujtaba Ashraf
4
5. The custom trays are fabricated on casts obtained after a
preliminary impression has been made.
A combination of impression materials, including modeling
plastic impression compound, zinc oxide and eugenol paste,
plaster, baseplate wax, irreversible hydrocolloid, and
polyvinyl siloxane (PVS) have been used to make
impressions of all hard and soft tissues.
12/22/2016Mujtaba Ashraf
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6. The use of stock and custom trays with holes to fit an
amalgam condenser to prevent movement of mobile teeth
while removing the impression from the patient’s mouth
has been described.
Similar methods involve the use of copper bands placed
over the mobile teeth and blocking the undercuts with wax
before impression making.
Soni A. Use of loose fitting copper bands over extremely mobile teeth while making impressions for immediate
dentures. J Prosthet Dent 1999.
12/22/2016Mujtaba Ashraf
6
7. Recently, an impression technique for mobile teeth has
been described, Irreversible hydrocolloid on a modified
plastic stock tray that leaves exposed the labial or buccal
surfaces of the mobile teeth was used.
Lee H, Park C. A method to make a preliminary impression of mobile teeth. J Prosthet Dent 2009;102:52-3.12/22/2016Mujtaba Ashraf
7
8. With this technique, the irreversible hydrocolloid
material captures the nonmobile teeth, the lingual
surfaces of the mobile teeth, and the edentulous areas
while PVS recording material is used to capture the
labial surfaces of the teeth at risk.
Lee H, Park C. A method to make a preliminary impression of mobile teeth.J Prosthet Dent 2009;102:52-3.
12/22/2016Mujtaba Ashraf
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9. Materials Used
The impression is made with a stock tray and a
combination of
• Low viscosity Polyvinyl Siloxane (PVS) and
• Polyether(PE)
• Irreversible hydrocolloid impression materials.
These materials quickly polymerize and do not adhere to
each other intraorally.
The impression is then separated in 3 different directions to
prevent any movement of the mobile teeth and reassembled
extraorally before pouring.
12/22/2016Mujtaba Ashraf
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10. TECHNIQUE
1. Select a stock tray and evaluate for proper fit in the patient’s
mouth. Modify with utility wax if needed until appropriate
extensions are achieved.
2. Inject low viscosity PVS impression material (Imprint 3M
ESPE) on the buccal aspects of mobile teeth
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11. 3. Inject low viscosity PE impression material
(Impregum; 3M ESPE) on the lingual aspects of the
mobile teeth
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12. 12/22/2016
4. After the polymerization of the elastomeric materials,
mix irreversible hydrocolloid (Jeltrate; Dentsply Caulk)
and load it into the tray. Place the tray intraorally and
maintain it in position until the material sets.
Mujtaba Ashraf
12
13. 5. Remove the tray from the mouth in a vertical direction.
After removing the tray, the 2 pieces of PVS and PE
materials will still be present intraorally, generally
engaged in the proximal areas and/or undercuts.
6. Remove the polymerized PE impression material in a
lingual direction.
7. Remove the polymerized PVS impression material in a
buccal direction.
12/22/2016Mujtaba Ashraf
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14. 8. Assemble these 2 pieces in an appropriate relationship
(buccal or lingual) in the tray with the irreversible
hydrocolloid.
9. Pour dental stone into the tray.
12/22/2016Mujtaba Ashraf
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15. 10. After the dental stone sets, separate the cast from the
tray. The 2 pieces of PVS and polyether materials will still
be engaged on the cast in the proximal areas and/or
undercuts.
12/22/2016Mujtaba Ashraf
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16. 11. Remove the polyether and PVS impression
materials in 2 different horizontal directions.
12/22/2016Mujtaba Ashraf
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18. DISCUSSION
This technique addresses some of the limitations of
previously described methods for obtaining an
accurate impression of mobile and/or misaligned
teeth.
Although the sectional tray technique described in the
literature captures the edentulous and dentate areas
accurately, its use is limited in patients with
hypermobile periodontally involved teeth where the
risk of extraction during separation of either the
preliminary or the secondary impression is significant.
12/22/2016Mujtaba Ashraf
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19. The techniques described by Goldstein and Soni
eliminate the risk of extraction of the mobile teeth
during the impression procedures. However,
inaccurate capturing of the teeth and anatomic
structures around the teeth and patient discomfort
are problems related to these methods.
12/22/2016Mujtaba Ashraf
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20. Lee and Park described a technique that was modified
by Çomut, in which the impression of mobile anterior
teeth can be easily, accurately, and comfortably made
for the patient. This technique, though, can become
challenging when capturing posterior hypermobile and
misaligned teeth or soft tissues under fixed dental
prostheses.
12/22/2016Mujtaba Ashraf
20
21. 1. Minimal risk of accidental tooth extraction
during the impression procedure.
2. Patient discomfort due to gag reflex is
minimal.
3. After the production of the stone cast, the
stock tray can be easily separated without the
risk of fracturing the stone.
Advantages
12/22/2016Mujtaba Ashraf
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22. Disadvantages
This technique is the use of 3 different impression
materials and their total setting time. Thus the total
time of this impression procedure is more than when a
single impression material is used.
The potential error caused by reassembling the PE and
PVS pieces in the tray with the irreversible
hydrocolloid material or by dislodging those 2 pieces
while pouring stone using a vibrator.
12/22/2016Mujtaba Ashraf
22
23. This article presents a technique for making an accurate
stone cast of mobile and/or misaligned teeth combining
elastomers and irreversible hydrocolloid impression
materials.
This technique provides an alternative, easy, accurate,
and safe way to make a preliminary impression of
mobile, periodontally involved teeth.
Conclusion
12/22/2016Mujtaba Ashraf
23
24. 1. Lee H, Park C. A method to make a preliminary impression of mobile teeth. J
Prosthet Dent 2009;102:52-3.
2. Çomut AA. Tray modification for making impressions of mobile teeth. J
Prosthet Dent 2013;109:341-2.
3. Cupero HM. Impression technique for complete maxillary immediate denture.
J Prosthet Dent 1978;39:108-9.
4. Goldstein GR. An alternative immediate complete denture impression
technique. J Prosthet Dent 1992;67:892-3.
5. Gardner LK, Parr GR, Rahn AO. Modification of immediate denture sectional
impression technique using vinyl polysiloxane. J Prosthet Dent 1990;64:182-4.
6. Soni A. Use of loose fitting copper bands over extremely mobile teeth while
making impressions for immediate dentures. J Prosthet Dent 1999;81:638-9.
References
12/22/2016Mujtaba Ashraf
24
. Because they do not adhere together, the 3 different impression materials can be safely removed in 3 different directions and then assembled extraorally to provide an accurate cast.
the tray with irreversible hydrocolloid is inserted in the mouth at the final step of the procedure.
The elastomeric materials need approximately 4 to 5 minutes to polymerize, and the irreversible hydrocolloid 2 to 3 minutes.