{"title":"Optimization of the dimension of computer numerical control–milled polyetheretherketone clasps: An in vitro evaluation of accuracy","authors":"","doi":"10.1016/j.prosdent.2022.09.012","DOIUrl":"10.1016/j.prosdent.2022.09.012","url":null,"abstract":"<div><h3>Statement of problem</h3><div><span>The accuracy and optimal dimensions of computer numerical control<span> (CNC)-milled polyetheretherketone (PEEK) </span></span>removable partial denture (RPD) clasps are unclear.</div></div><div><h3>Purpose</h3><div>The purpose of this in vitro study was to investigate the trueness and precision of CNC-milled PEEK clasps with different thicknesses and lengths.</div></div><div><h3>Material and methods</h3><div>Ladder-shaped specimens of 2 thicknesses with 5 lengths of clasps were designed and milled with PEEK and commercially pure titanium (CP Ti) (n=6). All milled specimens were scanned and superimposed onto the design data. Three-dimensional and 2-dimensional deviation analyses were carried out to evaluate the trueness of milled PEEK clasps. The scanning data of each group were superimposed pairwise, and the 3-dimensional deviations were analyzed to evaluate the precision. Nonparametric tests<span><span>, ANOVA, the Pearson correlation, and univariate </span>linear regression were used for statistical analysis (α=.05).</span></div></div><div><h3>Results</h3><div>The deviation of trueness of the PEEK clasps (0.047 to 0.164 mm) was higher than that of the CP Ti clasps (0.037 to 0.060 mm) (<em>P</em><.001). Increasing the length of the clasps increased the deviations (<em>P</em><.001). Deviation in the 2 thicknesses was not significantly different (<em>P</em>=.210). The correlation coefficients of 1.0-mm-thick and 1.5-mm-thick PEEK and CP Ti clasps were 0.843, 0.794, 0.638, and 0.405. The positive correlation coefficients of PEEK were higher than those of CP Ti and those of 1.0-mm-thick clasps was higher than those of 1.5-mm-thick clasps. The deviations were evenly distributed in the 9-mm length of the clasp for CP Ti and in the 6-mm length of the clasp for PEEK. Beyond these lengths, deviations increased with increased length. The increasing amplitude of CP Ti was smaller than that of the PEEK group, and that of the 1.5-mm-thick clasp was smaller than that of the1.0-mm-thick clasp. The measured range of precision of PEEK clasps was 0.079 to 0.152 mm, while that of CP Ti clasps was 0.036 to 0.096 mm. CP Ti clasps tended to have better precision than PEEK clasps, except for the 1.0-mm-thick clasps with a length greater than 9 mm and the 1.5-mm-thick clasp with a 12-mm length. The correlation of the clasp length with precision showed that the lengths of 1.0-mm-thick clasps strongly influenced precision (PEEK, <em>P</em>=.020; CP Ti, <em>P</em><.001); this correlation decreased sharply when the thickness of clasps was 1.5 mm (PEEK, <em>P</em>=.199; CP Ti, <em>P</em>=.107).</div></div><div><h3>Conclusions</h3><div>Greater elasticity increased the deviations of milled clasps. The increased thickness helped the clasp remain stable during the milling process. The 1.5-mm-thick PEEK clasps in the 3-mm and 6-mm lengths were the optimal design tested.</div></div>","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":null,"pages":null},"PeriodicalIF":4.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40458589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Influence of artificial landmarks on the accuracy of complete arch scans in the partially edentulous maxilla: An in vitro study","authors":"","doi":"10.1016/j.prosdent.2022.08.011","DOIUrl":"10.1016/j.prosdent.2022.08.011","url":null,"abstract":"<div><h3>Statement of problem</h3><div>Scan path length and the presence of edentulous alveolar ridge sections have a negative influence on scanning accuracy. How different artificial landmarks combined with an adapted scanning method affect accuracy is unclear.</div></div><div><h3>Purpose</h3><div>The purpose of this in vitro study was to determine the influence of 2 different artificial landmarks combined with an adapted scanning method on the scanning accuracy of a partially edentulous maxillary model.</div></div><div><h3>Material and methods</h3><div><span>The model simulated a maxilla with 6 prepared teeth to accommodate a complete arch fixed partial denture. Five ceramic precision balls (ball center P</span><sub>1</sub>–P<sub>5</sub><span><span><span>), distributed buccally to the dental arch, were used to detect the dimensional and angular changes between the reference model and the intraoral scans. One intraoral scanner (Primescan) was used to make 30 scans each with either the scanning strategy recommended by the manufacturer (M) or with an adapted scanning strategy and the use of a bar (B) or 4 plates (P) as artificial landmarks in the dorsal </span>palate. Data were statistically analyzed using a generalized </span>least squares regression model (α=.05).</span></div></div><div><h3>Results</h3><div>Scanning with artificial landmarks reduced the maximum absolute distance deviations (M: 249 μm, B: 190 μm, P: 238 μm) and the maximum angle deviations (M: 0.31 degrees, B: 0.28 degrees, P: 0.26 degrees). Vertical distance deviations were improved by 10 to 50% with the use of artificial landmarks. Absolute mean distance deviations were significantly lower for group M (<em>P</em><.001). In contrast, with artificial landmarks, mean angle (<em>P</em><.001) and mean vertical distance deviations (<em>P</em><.014) improved significantly.</div></div><div><h3>Conclusions</h3><div>Scanning with artificial landmarks in the dorsal palate combined with an adapted scanning method improved the scanning accuracy and reliability of vertical distance deviations.</div></div>","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":null,"pages":null},"PeriodicalIF":4.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40707905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Efficacy of laser biostimulation for mandibular narrow ridges treated with one-stage ridge splitting and two-implant overdentures: A one-year preliminary study","authors":"","doi":"10.1016/j.prosdent.2024.03.045","DOIUrl":"10.1016/j.prosdent.2024.03.045","url":null,"abstract":"<div><h3>Statement of problem</h3><div>The management of patients with narrow-mandibular ridges who seek prosthetic rehabilitation is challenging.</div></div><div><h3>Purpose</h3><div><span>The purpose of this one-year preliminary clinical study was to compare the effects of laser biostimulation<span> and a placebo on peri-implant tissues for a 2-implant-retained mandibular polyetheretherketone (PEEK) </span></span>overdenture on expanded narrow mandibular ridges.</div></div><div><h3>Material and methods</h3><div><span>Eighteen completely edentulous participants were enrolled for mandibular ridge splitting in the canine regions, followed by expansion, the placement of implants, and the application of a bone graft<span>. In the test group, laser therapy was applied labially and lingually at the surgical sites, while a placebo laser was used in the control group. PEEK overdentures retained by LOCATOR attachments were provided after 6 months. Clinical evaluations were performed using probing depth, plaque, bleeding, and </span></span>gingival indices<span><span> at insertion and 3, 6, and 12 months after insertion. Vertical bone loss (VBL) was evaluated with periapical radiograph at insertion and 6 and 12 months later. The Mann-Whitney test was used to test the difference between the 2 different groups at each evaluation time (α=.05). The Friedman-test was used, followed by </span>Wilcoxon signed rank test, to test the change over time in the same group, and the Bonferroni adjusted significance level was used for multiple comparisons.</span></div></div><div><h3>Results</h3><div>Some clinical and radiographic parameters significantly increased with time in both groups (<em>P</em><.001). Significant differences between the 2 groups were revealed in bleeding scores at 3 months (<em>P</em>=.006) and 6 months (<em>P</em>=.018). Also, significant differences between the 2 groups were observed in gingival scores at 3 months (<em>P</em>=.002), 6 months (<em>P</em>=.015), and 12 months (<em>P</em>=.019) after overdenture insertion in favor of the laser group. Peri-implant VBL was significantly higher in the non-laser group at 6 months (<em>P</em>=.015), and 12 months (<em>P</em>=.001).</div></div><div><h3>Conclusions</h3><div>Within the limitations of this clinical study, respecting the small sample size and the short follow-up period, laser bio-stimulation after 1-stage ridge splitting in narrow mandibular ridges enhanced the soft and hard peri implant tissues when used with LOCATOR attachments and PEEK overdentures.</div></div>","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":null,"pages":null},"PeriodicalIF":4.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140861542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Influence of splinting scan bodies or incorporating three-dimensionally printed scan aids on the trueness of complete arch digital scans","authors":"","doi":"10.1016/j.prosdent.2024.07.001","DOIUrl":"10.1016/j.prosdent.2024.07.001","url":null,"abstract":"<div><h3>Statement of problem</h3><div>Studies are sparse on how splinting scan bodies or incorporating 3-dimensionally (3D) printed scan aids influence the trueness of complete arch digital scans.</div></div><div><h3>Purpose</h3><div>The purpose of this in vitro study was to compare the trueness of multisite implant recordings obtained using 6 different methods on an edentulous mandible.</div></div><div><h3>Material and methods</h3><div>A definitive cast of an edentulous mandible with 4 multi-unit analogs placed at different angles and interanalog distances was extraorally scanned, and the resulting data were saved as a reference file. To obtain experimental files, 6 distinct methods were used: conventional impression with splinted open-tray impression copings (IC), intraoral scanning (IOS) without splinting scan bodies or using any scan aids (SB), IOS with pattern resin-splinted scan bodies (PR), IOS with composite resin-splinted scan bodies (CR), IOS with 3D printed custom scan bodies (CSB), and IOS with 3D printed auxiliary apparatus (AA). The experimental files were aligned to the reference file in a metrology software program. The 3D comparison algorithm was run to quantify the root mean square estimate error (RMS). Scan bodies in the files were converted to hollow virtual cylinders, and the Cartesian coordinates of the lines passing through the centers of these cylinders were recorded to analyze angular (AD) and linear distortion (LD). LD was further analyzed along the x (∆X), y (∆Y), and z axes (∆Z). One-way ANOVAs with the Tukey HSD test were used for statistical analysis (α=.05).</div></div><div><h3>Results</h3><div>AD at all sites, LD at all sites, and the RMS error showed significant differences (<em>P</em><.05). The IC group showed the lowest AD values across all sites, followed by the AA, CSB, PR, CR, and SB groups. The SB group had the greatest LD values at all sites, while the IC group indicated the lowest LD values at all sites except the left anterior site. In terms of 3D distortions, the SB group had the largest RMS value, whereas the IC group showed the lowest RMS value. ∆X, ∆Y, and ∆Z values also showed significant differences at all sites (<em>P</em><.001) except for the ∆Z values at the right anterior site (<em>P</em>=.194). The highest mean ∆X, ∆Y, and ∆Z values were recorded in the SB group except for the ∆Z measurement of the left posterior site.</div></div><div><h3>Conclusions</h3><div>The IC group outperformed the other groups. The AA group exhibited distortion comparable with that of the IC group. Splinting scan bodies or using scan aids enhanced the trueness.</div></div>","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":null,"pages":null},"PeriodicalIF":4.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141788384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Calibrated splinting framework for complete arch intraoral implant digital scans manufactured by combining milled and additively manufacturing technologies: A dental technique","authors":"","doi":"10.1016/j.prosdent.2022.08.031","DOIUrl":"10.1016/j.prosdent.2022.08.031","url":null,"abstract":"<div><div>Splinting frameworks are intended to increase the accuracy of complete arch intraoral digital implant scans. This article describes a technique that uses a calibrated splinting framework manufactured by combining milled and additively manufacturing technologies (IOSRing) for assisting with complete arch intraoral digital implant scanning. The splinting framework contains milled truncated cone-shape markers whose position in the metal framework is measured during the manufacturing process with a coordinate measurement machine. This framework splints the modified implant scan bodies and assists in the complete arch intraoral implant digital scanning. Computer-aided design procedures are then used to calculate the implant position on the virtual definitive implant cast by using the position of the calibrated markers as a reference.</div></div>","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":null,"pages":null},"PeriodicalIF":4.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10445465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Correlation of implant position and crestal bone loss in 2-implant mandibular overdentures with immediate loading protocols: A prospective clinical study","authors":"","doi":"10.1016/j.prosdent.2022.09.007","DOIUrl":"10.1016/j.prosdent.2022.09.007","url":null,"abstract":"<div><h3>Statement of problem</h3><div><span>The 2-implant mandibular overdenture (2IMO) is a popular treatment for patients with an </span>edentulous mandible, but information on the effect of the optimum implant position on the peri-implant crestal bone level with immediate loading protocols is lacking.</div></div><div><h3>Purpose</h3><div>The purpose of this prospective clinical study was to evaluate correlations between different implant positions and crestal bone loss and between interimplant distance and the crestal bone loss in patients with 2IMOs with immediate loading protocols at 1-year follow-up.</div></div><div><h3>Material and methods</h3><div>A total of 24 participants (13 men, 11 women, mean ±standard deviation age 63.25 ±10.76 years) were treated with 2IMOs (48 Ti-Zr implants) by a single operator between August 2015 and October 2020. The implant diameters (3.3 mm or 4.1 mm) and lengths (10 mm or 12 mm) were selected based on the crestal bone width, and the implants were placed, if possible, in the canine regions. Implant positions and interimplant distance (mm) were measured intraorally with dividers. Prefabricated mandibular dentures were immediately loaded with the LOCATOR-attachments by using a direct intraoral pickup procedure. Crestal bone-level changes were measured with a software program on the mesial and distal sides of each implant from periapical radiographs made with a paralleling technique (at baseline and 1-year follow-up). The measurement values were normalized. The Spearman rho correlation test and paired samples <em>t</em> tests were used for data analysis (α=.05).</div></div><div><h3>Results</h3><div>The mean ±standard deviation position of the implants from the midline was 8.78 ±2.25 mm (9.00 ±2.22 mm right side, 8.56 ±2.31 mm left side), and the mean interimplant distance was 16.94 ±4.03 mm. At 1-year follow-up, the mean ±standard deviation crestal bone loss was 0.50 ±0.47 mm (n=48) (0.57 ±0.65 mm mesial, 0.43 ±0.53 mm distal). The mean ±standard deviation crestal bone loss was 0.46 ±0.4 mm with Ø3.3-mm implants (n=42) and 0.9 ±0.8 mm with Ø4.1-mm implants (n=6) (<em>P</em>=.005). Implant positions were negatively correlated (rs=-0.37) with the crestal bone loss, and the correlation was significant (<em>P</em>=.009). Interimplant distances were also negatively correlated with crestal bone loss (rs=-0.60; <em>P</em>=.002). Bone loss on the mesial side was positively correlated with that on the distal side rs=0.20; however, the correlation was not significant (<em>P</em>=.16).</div></div><div><h3>Conclusions</h3><div>A weak and negative correlation was found between the implant position from the midline and the crestal bone loss and also between the interimplant distance and crestal bone loss in patients provided with 2IMOs with immediate loading protocols.</div></div>","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":null,"pages":null},"PeriodicalIF":4.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40718970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clinical evaluation of tooth angle and peripheral bone thickness considering sex and age for implant placement in the maxillary anterior region","authors":"","doi":"10.1016/j.prosdent.2024.04.018","DOIUrl":"10.1016/j.prosdent.2024.04.018","url":null,"abstract":"<div><h3>Statement of problem</h3><div><span>Consideration of the thickness of alveolar bone on both the palatal and labial sides and the inclination angle of teeth is important for immediate </span>implant placement in the maxillary anterior region. However, comprehensive research exploring how sex and age influence the thickness of bone and tooth angle in the maxillary anterior region is lacking.</div></div><div><h3>Purpose</h3><div>The purpose of this clinical study was to investigate the effect of sex and age on the thickness of labial and palatal bone and on the tooth inclination angle of maxillary central and lateral incisors using cone beam computed tomography (CBCT) images in an Asian population.</div></div><div><h3>Material and methods</h3><div>The labial and palatal bone thickness and the inclination angle of maxillary central and lateral incisors were measured from the CBCT images of 149 participants aged between 20 and 65 years. The correlation between the angles of the maxillary central and lateral incisors and sex and age on the tooth angles and thicknesses of labial and palatal bone was determined statistically.</div></div><div><h3>Results</h3><div>A high correlation (R=0.73) was found between the angle of maxillary central and lateral incisors. Men had higher angles of the maxillary central and lateral incisors and thicker palatal bone at the middle and root of the teeth compared with women. In both sexes, the angle and palatal bone thickness of maxillary central incisors<span> were significantly higher than those of maxillary lateral incisors. The angle of both maxillary central and lateral incisors decreased gradually with age, with a difference in angle of over 10 degrees.</span></div></div><div><h3>Conclusions</h3><div>The study revealed that women exhibited relatively thinner palatal bone compared with men. Additionally, participants aged between 40 and 65 years exhibited significantly thicker palatal bone compared with younger age groups, potentially providing a larger site for implant placement. Furthermore, tooth angle gradually decreases with age in the maxillary anterior region.</div></div>","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":null,"pages":null},"PeriodicalIF":4.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141186680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comparison of mechanical and surface properties of two 3D printed composite resins for definitive restoration","authors":"","doi":"10.1016/j.prosdent.2024.07.003","DOIUrl":"10.1016/j.prosdent.2024.07.003","url":null,"abstract":"<div><h3>Statement of problem</h3><div>Additive manufacturing (AM) technology is emerging as an innovative approach in the dental field. In recent years, manufacturers have introduced 3-dimensionally printed composite resins (3D-CRs) that are specifically designed for the AM of definitive prostheses; however, the mechanical and surface properties of these materials require investigation.</div></div><div><h3>Purpose</h3><div>The purpose of this in vitro study was to assess and compare the mechanical and surface properties of 2 commercially available 3D-CRs for definitive restoration after artificial aging.</div></div><div><h3>Material and methods</h3><div>Saremco print Crowntec; Saremco Dental AG and Varseo Smile Crown Plus; Bego GmbH were printed with a layer thickness of 50 µm at a 90-degree angle. A total of 20 bar-shaped specimens (25×2×2 mm) were produced from each material to measure the flexural strength (σf) and elastic modulus (E) using a 3-point bend test, and 5 disk-shaped specimens (Ø15×3 mm) from each material were used to measure the surface microhardness using a microhardness test. Half of the specimens were tested under dry conditions, while the other half were immersed in distilled water for 30 days. Five disk-shaped specimens (Ø15×3 mm) from each material were used to evaluate surface roughness before and after undergoing toothbrushing simulations. Additionally, 5 disk-shaped specimens (Ø15×1 mm) were used to assess water sorption (w<sub>sp</sub>) and solubility (w<sub>sl</sub>) over 28 days. Statistical analyses were conducted using the Wilcoxon matched-pairs signed-rank test (1-tailed) with 90% power (α=.05).</div></div><div><h3>Results</h3><div>The mean ±standard deviation flexural strength values were 123.4 ±8.7 MPa for Saremco print Crowntec and 109.9 ±15.8 MPa for Varseo Smile Crown Plus. After aging, these values were 97.5 ±15.2 MPa for Saremco print Crowntec and 94.2 ±11.7 MPa for Varseo Smile Crown Plus. The mean Vickers hardness values were 33.2 ±0.8 N/mm<sup>2</sup> for Saremco print Crowntec and 31.5 ±0.6 N/mm<sup>2</sup> for Varseo Smile Crown Plus. After aging, the mean values were 31.7 ±0.9 N/mm<sup>2</sup> for Saremco print Crowntec and 29.6 ±1.0 N/mm<sup>2</sup> for Varseo Smile Crown Plus. The mean modulus of elasticity was 4.2 ±0.3 GPa for Saremco print Crowntec and 3.82 ±0.2 GPa for Varseo Smile Crown Plus. After 21 days, the mean sorption values were 11.52 ±0.6 mg/mm<sup>3</sup> for Saremco print Crowntec and 12.43 ±0.4 mg/mm<sup>3</sup> for Varseo Smile Crown Plus. After 28 days, the mean solubility values were 1.36 ±0.4 mg/mm<sup>3</sup> for Saremco print Crowntec and 0.98 ±0.3 mg/mm<sup>3</sup> for Varseo Smile Crown Plus. Significant differences were found between the 2 3D-CRs in flexural strength in the dry state (<em>P</em>=.03), in Young modulus after 30 days of water immersion (<em>P</em>=.023), and in Vickers hardness in the dry state (<em>P</em>=.01) and after 30 days of water immersion (<em>P</em>=","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":null,"pages":null},"PeriodicalIF":4.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141788383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Response to the Letter to the Editor regarding, “Using a smartphone three dimensional scanning application (Polycam) to three dimensionally print an ear cast: A technique”","authors":"","doi":"10.1016/j.prosdent.2024.07.007","DOIUrl":"10.1016/j.prosdent.2024.07.007","url":null,"abstract":"","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":null,"pages":null},"PeriodicalIF":4.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141855829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Rotational path removable partial mandibular resection prostheses: A case series of patients with mandibular symphyseal defects","authors":"","doi":"10.1016/j.prosdent.2024.03.047","DOIUrl":"10.1016/j.prosdent.2024.03.047","url":null,"abstract":"<div><div>Rotational path removable partial mandibular resection<span><span> prostheses (MRPs) offer advantages in the management of patients with acquired symphyseal defects of the mandible, including enhanced esthetics achieved through a reduced number of clasps, the provision of rigid retainers less prone to distortion compared with flexible alternatives, and the ability to engage prominent proximal undercuts in patients lacking buccal undercuts. Additionally, removable partial MRPs represent a suitable treatment option in scenarios where the cost of implant-retained prostheses is prohibitive or in patients where implant therapy is contraindicated, such as those with a history of head and neck radiation. While the use of rotational path removable prostheses has been well documented in conventional </span>prosthodontics, its application in maxillofacial prosthetics remains less explored. This case series describes 3 patients, all of whom underwent mandibular resections involving the mandibular symphysis and subsequently received prosthetic rehabilitation incorporating rotational path removable partial MRPs.</span></div></div>","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":null,"pages":null},"PeriodicalIF":4.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140776944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}