{"title":"On long-term maintenance of the osseointegrated response.","authors":"T Albrektsson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Every oral implant system must be backed up by controlled reporting of the clinical outcome. Look-alike implants do not necessarily show similar long-term clinical results. Osseointegration of an implant is not the same as clinical success, as secondary loss of osseointegration may be a frequent problem with respect to certain biomaterials as well as implant designs. For instance, with respect to solid cylinders, there is no published report documenting that such implants ever establish a steady state with respect to bone height. A continuous bone loss of half a millimetre or more will inevitably jeopardise the outcome of the implant over follow-up times of five to ten years. The author suggests a new way of reporting the outcome of oral implants in a four field table with Success, Survival, Unaccounted for and Failure categories. Success applies to those implants that meet with specific Success criteria. Survival are those implants that are still in the jaw of the patient but where criteria for success or failure are not met. Unaccounted for are implants in patients who dropped out from the study for one reason or the other including patient death. Failures are those implants which have been removed from the jaw or where absolute failure criteria such as implant mobility or therapy-resistant pain apply.</p>","PeriodicalId":77024,"journal":{"name":"Australian prosthodontic journal","volume":"7 Suppl ","pages":"15-24"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19048209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"New surgical procedures of the osseointegration technique A.M. Brånemark.","authors":"U Lekholm","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper aims to give a few personal comments on some new surgical procedures, which have during later years been introduced for use in severely resorbed jaws, treated with the osseointegration technique a.m. Brånemark. The methods presented are: (a) the use of 5 mm diameter implants, (b) the bone tissue regeneration technique, (c) the local onlay grafting procedure, (d) the sinus lift procedure, (e) the pterygoid implant technique, and (f) the nerve transposition procedure. The paper was originally presented at the Nobelpharma Team Day Conference in Sydney, November 1992.</p>","PeriodicalId":77024,"journal":{"name":"Australian prosthodontic journal","volume":"7 Suppl ","pages":"25-32"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19048210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Denture-induced fibrous inflammatory hyperplasia (epulis fissuratum): research aspects.","authors":"G A Thomas","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Denture-induced fibrous inflammatory hyperplasia (FIH) is a common lesion of the oral mucosa which can be treated by either surgical excision, conservative methods or both combined. Clinical aspects are briefly reviewed and a newer conservative approach to treatment is suggested. This is based on the observation that light pressure using soft lining materials may facilitate shrinkage of the fibrous mass. The histopathogenesis is discussed from the view point of the modern technologies of immunocytochemistry, and digital image analysis. The recent development of a microwave instrument with sophisticated control of power and temperature is discussed and its use in the field of histotechnology outlined.</p>","PeriodicalId":77024,"journal":{"name":"Australian prosthodontic journal","volume":"7 ","pages":"49-53"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19669209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Teaching complete dentures.","authors":"S K Lechner","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Success in wearing complete denture depends, in order of importance, on motivation, neuromuscular control and technical considerations. To address the two aspects of motivation and neuromuscular control, fourth year students at Sydney University are taught a protocol which encompasses duplication of the patient's existing denture and modification of this duplicate to satisfy the patient's needs and wants. This modified duplicate denture acts as a diagnostic prototype which is used as a guide during construction of the new denture.</p>","PeriodicalId":77024,"journal":{"name":"Australian prosthodontic journal","volume":"7 ","pages":"23-6"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19670009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Resilient lining materials for dentures.","authors":"C J Thomas, T Mori","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Modern resilient liners may be broadly classed as plasticized resins, silicone rubbers and fluoropolymers. Desirable properties would be pronounced softness and resiliency, or visco elasticity. Compression tests of Molloplast B (a silicone rubber), Kurepeet (a fluoropolymer), Visco-gel (a tissue conditioner) and Xantopren ( a silicon impression material) (as control) showed a displacement of 4% and recovery to 0.4% permanent deformation after 15s of loading for Molloplast and Xantopren, and up to 32% and 13% displacement respectively for Visco-gel and Kurepeet followed by considerable permanent deformation. Recovery of the latter showed a typical curve for visco-elasticity. The small amount of initial deformation of the elastic materials on the other hand indicated unyielding and consequently unsatisfactory properties. The deformation of Kurepeet was not as great as Visco-gel but the fact that it was visco-elastic meant that it was likely to be a suitable long-term lining material. It therefore complied with requirements that a resilient denture liner should be soft and visco-elastic.</p>","PeriodicalId":77024,"journal":{"name":"Australian prosthodontic journal","volume":"7 ","pages":"45-7"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19669208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mechanical and biomechanical guidelines for the use of Brånemark System--general principles.","authors":"B Rangert","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The understanding of biomechanical principles increases in importance as the number of potential indications for implant treatment increases. Recognising these principles as they relate to specific treatment indications helps to prevent conditions leading to overload. One consequence of recent findings shows that prosthetic loading conditions could significantly differ in the partially edentulous or single tooth cases as opposed to full arch bridges. It is reasonable to imagine that if you can make a full arch bridge on 4 to 6 fixtures, then two fixtures would be more than enough support for the traditional three-unit bridge. However, full arch restorations are based on multiple fixtures spread in an arch form which allows the masticatory forces to load the implants generally in an axial direction. Axial forces, whether compressive or tensile in nature, provide favourable loading throughout the entire cross-sectional area of the implants, and the forces are distributed through a maximum bone/implant interface. On the other hand, in partial restorations, the implants are placed more along a straight line. Any straight line arrangement increases the possibility for bending forces on the implants around an axis of rotation. Bending has much poorer stress distribution patterns on both the components and the supporting bone than axial load.</p>","PeriodicalId":77024,"journal":{"name":"Australian prosthodontic journal","volume":"7 Suppl ","pages":"39-44"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19048211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An update on developments at Nobelpharma.","authors":"C Holmberg","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>At Nobelpharma there is a strong belief in clinical trials; the way products function should always be documented before those products are introduced to the market. The safety of the patient must not be jeopardised. Now, Nobelpharma introduces a new system on documentation of new products, similar to the one used in the pharmaceutical industry. In its clinical studies, Nobelpharma collaborates with some 175 clinics all over the world. At present, some 40 scientific studies are in progress, involving around 1500 patients and 40,000 fixtures. The current R&D plan of Nobelpharma consists of, among others, the following four areas: 1. Improved technique and function including research on improved fit and methods for measuring fit. 2. Simplified surgery, where the self-tapping fixture and a new surgical kit are important products. 3. Reduced contra-indications, mainly concentrating on the upper jaw, with contra-indications caused by resorbed bone or poor bone quality. 4. Obtaining increased understanding of biomechanical aspects. Further research to increase biomechanical understanding and, in the longer term, to adapt components and forms of treatment to produce the optimum biomechanical system.</p>","PeriodicalId":77024,"journal":{"name":"Australian prosthodontic journal","volume":"7 Suppl ","pages":"7-14"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19048215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The In-Ceram metal free ceramic system for fixed prosthodontics.","authors":"J G Ironside","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The recent return of interest to Porcelain Jacket Crowns has been accompanied by the development of improved ceramic systems for their fabrication. One such system, In-Ceram, uses an interesting variation of the aluminous porcelain (Vitadur Alpha). It is important to realise the requirements for tooth preparation so that long lasting restorations may be produced. This article endeavours to present a method for preparation which is both efficient clinically and satisfies the physical requirements for this type of metal-free ceramic procedure.</p>","PeriodicalId":77024,"journal":{"name":"Australian prosthodontic journal","volume":"7 ","pages":"55-61"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19669210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Determination of occlusal facial height in oral reconstructive procedures.","authors":"P R L'Estrange, J Rowell","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A review is provided of the methods that have been employed for the determination of occlusal facial height in oral reconstructive procedures. Details are provided in relation to a modified form of the patient's own assessment of a preferred vertical dimension of occlusion (PVDO) in dentate subjects exhibiting overclosure, edentulous subjects and in those patients requiring full mouth oral rehabilitation.</p>","PeriodicalId":77024,"journal":{"name":"Australian prosthodontic journal","volume":"6 ","pages":"31-7"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12474564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Erosion.","authors":"J M McIntyre","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>With the current substantial decline in dental caries in adults, and increasing retention of teeth into old age, dental erosion is now being recognised as a major cause of tooth damage. It is easily recognised in its more advanced form, though more difficult to detect in its initial stages. Its mechanisms of action is generally not well understood. In this paper, current concepts of the chemistry of demineralisation of the mineral components of teeth are examined, with view to their providing a better understanding of some of the clinical characteristics of dental erosion of enamel. Categories and properties of potential erosive substances are reviewed. Speculation as to the potential effects of erosive substances on exposed root surfaces leads to consideration of the possible relationship between erosion and rapid caries development. The more commonly recommended mechanisms of control or prevention of erosion are described, and the rationale of their use analysed.</p>","PeriodicalId":77024,"journal":{"name":"Australian prosthodontic journal","volume":"6 ","pages":"17-25"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12474562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}