Adhesión dental

Manual Clínico

by José Luis Padrós and Cols

How can we achieve a good adhesive bond to the scleral dentin, or to the deciduous or to the dentin inside a root canal? How can we adequately promote the adhesion of different products to the surface of materials such as zirconium oxide, titanium, hybrid ceramics or fiber posts? How to act if our cavity has been accidentally contaminated with saliva, blood, silane, or with a hemostatic agent, for example? In this enjoyable and very especially practical book, the reader will find not only a detailed explanation of the normal processes of adhesion to dental tissues and materials for dental use but also the protocols for action in special situations that We find, inevitably, in routine clinical practice. Supported by clinical cases, a multitude of original electron microscopy images, from different studies published by the authors and from more than 300 bibliographic references from a review of 4,000, the steps to follow in each situation are described based on current scientific evidence. Summary tables of materials and the recommended step-by-step in each circumstance, facilitate understanding and updating of the most reliable clinical protocols to achieve clinical success in the short and long term.   Table of Contents: Index Chapter 1: Practical aspects of dental bonding • 23 • How are the dental structures that we can adhere to? • What are the basic principles of enamel bonding? • What are the basic principles of dentin bonding? • What types of dental adhesives are available to us? • What are the advantages and disadvantages of each type of adhesive? • When and why to use a conventional total etch adhesive? • When and why to use a simplified total etch adhesive? • When and why to use a conventional self-adhesive adhesive? • When and why to use a simplified or universal self-adhesive adhesive? • What considerations should we take into account when choosing the adhesive? Chapter 2: Clinical application of dental adhesives • 55 • How should we do the insulation before using our adhesives? • When, how and what should I use for pulp protection? • How should we correctly use each type of adhesive? • What factors can lead to failure in the accession process? • How to perform a correct light curing? • What types of postoperative problems can we encounter? • How to deal with each type of postoperative problem? • How to deproteinize dental tissues and what advantages and disadvantages does it have? Chapter 3: Special situations in dental bonding • 81 • How to act if the surface is contaminated with water? • How to act if the surface is contaminated with saliva? • How to act if the surface is contaminated with blood? • How to react if we realize that we have made a mistake in the technique? • How to act on dental surfaces treated with the different types of lasers? • How to act on dental surfaces treated with microabrasion sandblasting? • Can we reliably adhere to decayed dentin? Can we successfully adhere to caries solvent-treated dentin? • How to act on dental surfaces treated with irrigants used in endodontics? • How to proceed on dental surfaces contaminated with hemostatic agents? • How to act on dental surfaces contaminated with caries detectors? • How to act on dental surfaces contaminated by amalgam metal ions? • How to act on dental surfaces that have just undergone whitening? Chapter 4: Adhesion processes on other surfaces • 103 • What types of dental porcelains are there? • How to achieve good adhesion to conventional feldspathic porcelain or reinforced with leucite or lithium disilicate? • How to achieve good adhesion to alumina or zirconia porcelain? • How to achieve good adhesion to hybrid ceramic and resin ceramic materials? • How to achieve good adhesion to old composite or indirect composite inlays? • How to achieve good adhesion to non-noble metal? • How to get good adhesion to noble metal? • How to get good adhesion to titanium? • How to achieve good adhesion to fiber posts? Chapter 5: Special Applications of Dental Adhesives • 137 • How to use dental adhesives to treat a hypersensitivity problem? • How can we improve the results of fissure sealing? • How to properly seal the access cavity in an internal bleaching? • How to use dental adhesives to protect vital stumps treated for prosthetics? • How to use dental adhesives to improve sealing in endodontic treatments? • Procedure for sealing endodontic treatments. • What is in store for the future of dental bonding? Bibliography • 168 Practical techniques based on adhesive procedures are also described, such as, for example, the protection of carved stumps for prostheses, the use of adhesives in the filling of root canals in endodontics, or the cameral sealing technique in internal bleaching. Really easy to read, the book makes the concepts very clear, very ordered and very easy to understand, in a discipline as complex and fundamental to the good practice of current dentistry as that of dental bonding.   link: https://lisermed.com/tienda/implantologia/adhesion-dental-manual-clinico-2ed-jose-luis-padros/

Atlas clínico de periimplantitis

Nuevo Enfoque diagnóstico clínico y tratamiento

by José Tomás Sánchez Salmerón

With a realistic approach, I intend, after more than 12 years of study and compilation of cases on peri-implantitis, to clarify and organize implant pathology, propose solutions and open a space of study, which I believe necessary, in the training of professionals in implantology and odonto-stomatological research. I would like this book to shed a little light on something that is an indivisible form of implantology and provide some answers to so many questions that we ask ourselves during breaks and meals at conferences and events, where, among colleagues, we discuss implantology from day to day, without spectacular cases, the one we apply immediately and the one that makes the success rate much, much higher than the failure rate. We must face situations that we can control and assume the risks of complications that will undoubtedly arise in our surgical maturing. This book will help us to solve many of the situations that are going to present us, but what will help us the most without having problems will be common sense and prudence. Table of Contents: Prologue I Dra. Dª Araceli Morales Sánchez Prologue II Dr. D. Javier Alández Chamorro Initial Reflection Preface Chapter 1- GeneralWhat do we know about peri-implantitis? As described? What is its cause? Previous concepts about peri-implantitis.New clinical-therapeutic approach.Etiology.Microbiology. Chapter 2- Clinic, ClassificationWhat are the general symptoms of gingival infection? Why a new classification? How is peri-implantitis presented in this new classification? • Symptomatology. • Mucositis stage.• Suppurative stage.• Osteolytic stage. • Classification of Dr. Sánchez Salmerón • Justification. • Contribution. • Description: • 3rd grade• Grade 2 and 2a• Grade 1 and 1a—- Grade 0 —-• Grade 1• Grade 2 Chapter 3- RadiologyWhat does peri-implantitis look like on an x-ray? Chapter 4- Diagnosis and Differential DiagnosisHow is peri-implantitis diagnosed and differentiated from other pathologies? Chapter 5- Treatment of peri-implantitis: GeneralWhat is the general scheme of treatment of peri-implantitis? Chapter 6- Materials and treatment techniqueWhat materials are used and how, in the treatment of peri-implantitis? Chapter 7- Treatment of Periimplantitis Grade 0What is done when there is a slight swelling around an implant? Chapter 8- Treatment of peri-implantitis Grade 1, 1aWhat is done when there is inflammation around an implant or at the apex of the implant? Chapter 9- Treatment of peri-implantitis Grade 2, 2aWhat is done when there is suppuration around an implant or at the apex of the implant? Chapter 10- Treatment of Grade 3 peri-implantitisWhat is done when an implant is moved? Chapter 11- Treatment of Peri-implantitis Grade -1What is done when an implant is lost and / or associated zonal symptoms appear? Chapter 12- Treatment of peri-implantitis Grade -2What is done when a second failure occurs? Chapter 13- Types of bone loss caused by peri-implantitisWhat type of bone loss can occur from peri-implantitis? Dehiscence defect.Apical defect.Circumferential bone loss (crater), or defect with 4 walls.Bone defect with three walls.Bone defect with two walls.Bone defect with a wall.Severe vertical bone loss (with hardly any bone walls). Chapter 14- Situations that can evolve to peri-implantitisWhat non-implant risk situations can affect the next implants? • Necrosis of the mucoperiosteal flap.• Biomaterial infection (graft and membrane).• Gingival fistula.• Surgery close to implant treatments.• Infection of teeth adjacent to implants.• Reactivation of periodontal disease of teeth adjacent to implants. Chapter 15- Non-implant treatment optionsAfter implants, what options do we have? Chapter 16- ConclusionsWhat is there to learn from everything studied? Chapter 17- Quick Guide to Treatment and Vade MecumWhat medication is used in the treatment of peri-implantitis? • Treatment of grade 0 peri-implantitis.• Treatment of grade 1 peri-implantitis.• Treatment of peri-implantitis grade 1a.• Treatment of grade 2 peri-implantitis• Treatment of grade 2a peri-implantitis.• Treatment of grade 3 peri-implantitis.• Treatment of grade -1 peri-implantitis.• Treatment of peri-implantitis grade -2.• Short Vademecum Blibliography  link: https://lisermed.com/tienda/implantologia/atlas-clinico-periimplantitis/

Atlas de implantes cigomáticos

Diagnóstico y tratamiento clínico

by Miguel Peñarrocha / Juan Alberto Fernández / David Peñarrocha

This book is an eminently clinical guide that has been created from the knowledge and experience of years in the authors' profession and a highly qualified multidisciplinary team. Atlas of zygomatic implants, offers the reader a protocol necessary to know the anatomy, diagnosis, classification, treatment plans, anesthetic and surgical techniques, such as regenerations for the placement of zygomatic implants. Current digital techniques in oral surgery and implantology have placed us in a new technological scenario, and this has also reached zygomatic implants. In a large maxillary atrophy we can place zygomatic implants and make immediate loading, something that, in extreme atrophies, without zygomatic implants is practically unthinkable. It is true that zygomatic implants are only indicated in a small number of patients, those with extreme maxillary atrophies, among all those treated with dental implants. Zygomatics were introduced to the scientific world by Brånemark in 1998, and since then changes have been made, both in the implants and in the procedure, which have led to a considerable decrease in their complications, in the short and long term. Two important figures in implantology collaborated with him in Spain: Carlos Aparicio Magallón, who has contributed greatly to the scientific development of zygomatic implants with numerous bibliographical contributions and a book, and Joan Pi Urgell, who for many years worked and learned directly with Brånemark . They taught us, formed a school in Spain, and got many other professionals in our country to be grateful for their contributions to Spanish implantology. It is important that readers who approach this topic know that it is a difficult technique, not without serious complications, and that it should always be performed by an experienced surgeon. It is a procedure reserved for professionals with extensive surgical experience and not carrying out the proper training, with a teacher to guide you, can pose serious problems for the dentist and the patient. Therefore, the first requirement to use zygomatic implants is humility: we must recognize our limitations and train properly before launching into complex treatment like this. To finish we want to say to those who read this book that we have written it with the idea that it helps professionals to better understand this technique and to know when they can apply it to their patients. Zygomatic implant surgery is a delicate procedure and not without complications, which should only be performed when one has learned from the hand of a teacher and as long as one has sufficient training and surgical experience to do so. Table of Contents: Chapter 1: History of zygomatic implants Reginaldo Migliorança • Javier Aizcorbe-Vicente • André Irschlinger • David Peñarrocha-Oltra • Juan Alberto Fernández-Ruíz • Miguel Peñarrocha-Diago Chapter 2: Anatomy applied to zygomatic implants Juan Guarinos-Carbó • María Díaz-Sánchez • Pedro Serrano-Carbó • Miguel Puche-Torres • Francisco Martínez- Soriano • Miguel Peñarrocha-Diago. SummaryMalar boneBone atrophyInfraorbital regionNeurovascular and muscular elementsPreoperative radiological studyconclusionMessage to rememberBibliographyChapter 3: Radiographic examination and guided surgery in zygomatic implants María Peñarrocha-Diago • Juan Carlos Bernabeu-Mira • Xulio Pouso-Rey • Juan Alberto Fernández-Ruíz • David Peñarrocha-Oltra SummaryIntroductionRadiological anatomy of the zygomatic boneTypes of radiographic methodsPreoperative radiological studyPostoperative radiological studyPreoperative and postoperative radiological study procedureGuided surgery on zygomatic implantsMessage to rememberBibliographyChapter 4: Diagnosis, Classifications, and Treatment Plan: A Prosthetic and Surgical Perspective Miguel Peñarrocha-Diago • Javier Aizcorbe-Vicente • Juan Alberto Fernández-Ruíz • David Peñarrocha-Oltra. SummaryIntroductionAnatomical flying buttresses Frontomaxilar or canine flying buttress Fronto-zygomatic flying buttress Pterygomaxillary flying buttressZygomatic implants vs. Bone grafts and conventional implantsProsthetic diagnosis of the maxillary edentulousTypes of prosthesis in atrophic upper jawExtraoral examinationOcclusion vertical dimension (DVO)Lip supportLip length, smile line and transition linePosition of the incisal edge of the central incisorIntraoral examinationOcclusion and antagonistic dentitionResult of the aesthetic and functional analysis of the patient's prosthesisSurgical diagnosis of the maxillary toothlessPatient's medical conditionDegree of atrophy of the upper jawImplant distributionSurgical determination of the prosthetic spaceObtaining primary stabilityMessage to rememberBibliographyChapter 5: Conscious sedation in complex dental surgery Maite Bovaira-Forner • Paula Bovaira-Forner SummaryIntroductionPreoperative evaluationMonitoring: material and equipmentDrugsOral sedationIV sedationInhalation sedationRecovery and dischargeMessage to rememberBibliography Chapter 6: Surgical technique for the placement of zygomatic implantsJuan Alberto Fernández-Ruíz • Miguel Peñarrocha-Diago • David Soto-Peñaloza • David Peñarrocha-Oltra SummaryIntroductionAnesthetic technique for the placement of zygomatic implantsLocal anesthesiaEndovenous sedation accompanied by local anesthesiaGeneral anesthesiaWashing, carving and preparing the operative fieldPre-surgical measuresPreparation of the operative fieldMaterial needed for the surgical approach to the zygomatic processGeneral use materialIncision materialInstruments for detachmentRotary materialOsteoctomy suppliesSurgical technique - incisions, detachment, bed preparation, implant selectionIncisionExposure of the operative fieldPreparation of the implant bedClassic approach or intrasinusal techniqueSinus slot techniqueEstablishment of benchmarksImplant placement sequenceSelection of the type of implant to useClassification according to the angulation of the implant headClassification according to the type of surface treatmentZygomatic implant length and insertionMultiunit abutment placementFlap closureRevision regimeImmediate postoperativePostoperative mediateLate postoperativeDrug guidelinesPatient recoveryInformed consentInformed consent document for zygomatic implantsMessage to rememberBibliographyChapter 7: Bone and soft tissue regeneration in zygomatic implants Miguel Peñarrocha-Diago • Juan Carlos Bernabeu-Mira • Juan Alberto Fernández-Ruíz • David Peñarrocha-Oltra IntroductionBone regeneration around zygomatic implantsPalatal bone regenerationVestibular bone regenerationPalatal and vestibular bone regenerationSoft tissue regeneration around zygomatic implantsPalatal rotation pedicled connective tissue scarf or graft techniqueScarf technique along with Bichat ball replacementConnective tissue graftBone and soft tissue regeneration around zygomatic implantsMessage to rememberBibliographyChapter 8: Zygomatic implants and jaw reconstruction Federico Hernández-Alfaro • Adaia Valls Ontañón SummaryIntroductionIndicationsStep by step procedureSurgical planningSurgical actProsthetic loadConclusionsMessage to rememberBibliography Chapter 9: Biomechanics of Angled and Zygomatic Implants David Soto-Peñaloza • Juan Alberto Fernández-Ruíz • Miguel Peñarrocha-Diago • Blanca Serra Pastor • David Peñarrocha-Oltra SummaryIntroductionBiomechanics of forces in the middle facial skeletonTransmission of forces from the tooth to the boneTransmission of forces from the implant to the boneBiomechanics of implant-supported restorations with zygomatic implantsBiomechanics of angled implantsBiomechanics of zygomatic implantsMessage to rememberBibliographyChapter 10: Immediate loading on zygomatic implants Miguel Peñarrocha-Diago • Javier Aizcorbe-Vicente • Blanca Serra Pastor • Juan Alberto Fernández-Ruíz • David Peñarrocha-Oltra SummaryIntroductionImmediate loading conceptObjectives, requirements and considerations of immediate loading on zygomatic implantsSurgical Considerations: Primary StabilityProsthetic considerationsClinical proceduresDirect techniqueDirect-indirect techniqueIndirect techniqueconclusionMessage to rememberBibliographyChapter 11: Complications in zygomatic implants Miguel Peñarrocha-Diago • María Díaz-Sánchez • Juan Alberto Fernández-Ruíz • Hilario Pellicer-Chover • Miguel Armengot-Carceller • David Peñarrocha Oltra SummaryEarly complicationsLip lacerationOrbital injury or periorbital hematomaInfraorbital nerve injuryNasal bleedingRupture of the maxillary sinus wallPain and edemaAcute maxillary odontogenic sinusitis (early onset)Immediate failure of the zygomatic implantIntracranial penetration of the zygomatic implantPrevention of early complicationsLate complicationsMucositis and peri-implantitisVestibular dehiscence of the zygomatic implantOrosinusal communicationChronic maxillary sinusitis, late onsetImpaired speech and functionalityFailure of the zygomatic implantSurvival in zygomatic implantsConclusionsMessage to rememberChapter 12: Clinical cases of zygomatic implants Miguel Peñarrocha-Diago • María Díaz-Sánchez • David Peñarrocha-Oltra • Juan Alberto Fernández-Ruíz Zygomatic implants with 15 years of evolution (Cawood and Howell grade V atrophy)Zygomatic implants with 14 years of evolution evolution (Cawood and Howell grade VI atrophy)Zygomatic implants with palatal bone regeneration, without immediate loadingZygomatic implants with vestibular and palatal bone regeneration, without immediate loadingFour zygomatic implants without bone regeneration, with soft tissue grafting and without immediate loadingZygomatic implants with bone regeneration, soft tissue grafting and immediate loadingZygomatic implants with bone regeneration and immediate loading   link: https://lisermed.com/tienda/implantologia/atlas-de-implantes-cigomaticos-miguel-penarrocha-alberto-fernandez-david-penarrocha/

Las Claves de la prótesis fija en cerámica

by Ernest Mallat / Juan Cadafalch / Javier de Miguel

Prosthetic treatments have undergone considerable evolution in recent years, mainly through the use of materials. Not only has the consolidation of materials such as lithium disilicate or zirconium oxide been confirmed, but new materials, either ceramic or hybrid, have also appeared to try to compete with them. The constant evolution in this field forces us to update and describe the precise indications of each one of them based on aesthetics and mechanical properties, as well as all the details related to their clinical manipulation, all in order to to be able to handle these materials in a predictable way in our clinical practice. On the other hand, the presence in our consultations of patients with large wear is becoming more frequent, either only at the level of the anterior teeth or also at the level of the posterior teeth. In these patients there are a series of decisions that must be made that are key to the success of our treatment, such as when to restore only the anterior teeth or when it will be convenient to increase the vertical dimension, what is the first step in planning treatment of worn cases, how we will gain space for the restorative material by palatine, when it will be necessary to resort to other disciplines to complement our treatment, what material will be the most suitable to restore functional areas or what type of restorations will be of choice (vestibular veneers, double veneers or crowns). On the other hand, despite the fact that aesthetics is important, function is not less important and it will be essential in cases of short clinical crowns that we must lengthen, provide a harmonious and effective anterior guide, although as a previous step it should be ruled out that it does not there is a constraint on the function envelope. Lastly, it is necessary to have a clear protocol for increasing the vertical dimension of occlusion, a protocol that describes in detail each of the steps sequentially to resolve the most demanding situations both aesthetically and functionally. This book provides an answer to all these questions while addressing other important aspects such as those related to the modeling of pontic spaces both in healed ridges and in post-extraction ridges or the cementing protocol of the different ceramic systems and hybrid materials. In addition, a chapter is dedicated to the treatment with porcelain veneers, another describes in depth the subject related to color and color diagnosis, another deals with photography from a very practical point of view and, finally, a chapter focuses on the digital flow, the present and future of prosthodontic procedures. Table of Contents: Chapter 1. INTRODUCTION TO CERAMICS Ceramic historyCeramic CompositionCeramic classificationClassification based on melting-firing temperatureClassification according to the chemical nature of the materialClassification according to the processing system or ceramic application techniqueClassification based on treatment before cementationClassification based on mechanical resistance Properties of ceramicsPorcelain fracture and reinforcement mechanismsBibliographyChapter 2. LITHIUM DISILICATE, ZIRCONIUM OXIDE AND NEW CERAMICS. CERAMIC SYSTEM SELECTION PROTOCOL Lithium disilicateZirconium oxideStructureTypes of zirconium oxideZirconium oxide generationsProperty of zirconia partially stabilized with yttrium (Y-TZP)Special features in handling zirconium oxide New ceramics and hybrid ceramicsClinical protocol for selecting the type of ceramic restorationBibliographyChapter 3. DIAGNOSTIC PROTOCOL AND PLAN FOR THE TREATMENT OF AESTHETIC PROBLEMS First scenario: patient who does not show gingival margins when smilingSecond scenario. Patient showing gingival margins when smiling and levelThird scenario. Patient showing gingival margins when laughing and unevenBibliographyChapter 4. PILLAR TEETH PREPARATION PROTOCOL Abutment teeth preparation conditionsCarving sequenceMarginal preparationBibliographyChapter 5. PROVISIONAL PROSTHESIS: DIAGNOSTIC FUNCTION AND MATERIALS Provisional fixed prosthesis requirementsDiagnostic function of the provisional fixed prosthesisMaterials for making the provisional prosthesisBibliographyChapter 6. SEQUENCE TO GET AESTHETIC PONTICS IN THE PREVIOUS SECTOR Design of the aesthetic ponticsSequence to achieve aesthetic ponticsModeling of the pontic space from extractionModeling an already healed ridge with sufficient gum thicknessModeling an already healed ridge with insufficient gum thickness or a slight loss of substanceResolution of cases when there is a clear loss of substance BibliographyChapter 7. IMPRESSION TAKING PROTOCOL Astringent substancesExposure of the preparation margins. Gingival retractionPrinting materials. Practical considerationsStandard trays and individual traysDisinfection of prints Particularities of taking impressions in prostheses on implantsBibliographyChapter 8. DESIGN PRINCIPLES IN ZIRCONIUM OXIDE FIXED PROSTHESIS ON TEETH AND IMPLANTS Design of the caps and structures in fixed prosthetics on teethCap thickness and connector dimensionsColor of the caps and structuresZirconium oxide palatal / occlusal facesMonolithic crowns of zirconium oxide and lithium disilicateDesign of the structures in fixed prostheses on implantsZirconium oxide abutments for fixed prosthetics on implantsBibliographyChapter 9. COLOR, COLOR DIAGNOSIS AND COLOR COMMUNICATION Basics of color science in porcelainOptical behavior of teethColor GuidesPreconditions for diagnosing colorTechniques for diagnosing colorLimitations of color guides and problems in color diagnosisNew technologies: spectrophotometersColor communication to the laboratoryBibliographyChapter 10. PORCELAIN SIDES Diagnosis and treatment planningIndications and contraindicationsFirst appointment, diagnostic wax-up and mock-up Choice of ceramic typeCarving teeth for porcelain veneersCarving of the vestibular faceCarving of the incisal edgeCarving of the proximal facesCarving of the cervical marginPreparation polishing Special features in carvingDiastema closureTeeth with previous fillingsTetracilin stains and other stainsPoorly positioned teethLower anterior teethVeneers in premolarsPalatine veneers Impression takingColor takeTemporary veneers Testing and bonding of veneersVeneers testPreparation of the different surfaces to adhereChoice of resin cementFinal details of cementing BibliographyChapter 11. PRACTICAL DENTAL PHOTOGRAPHY IntroductionUtilities of dental photography Basic conceptsOpeningSpeedExposition Advanced conceptsISO valueWhite balancePicture qualityCamera setting Types of camerasCompact camerasHybrid camerasReflex camera Dental photography equipmentAmateur teamProfessional teamEquipment comparison Camera accessoriesClinic accessoriesClinical photographyPractical principlesExtraoral photographyIntraoral photographyAesthetic photographyBasic edition BibliographyChapter 12. DIGITAL FLOW IN ORAL REHABILITATION IntroductionDigitization in dentistryInterviewDocumentationAnalysisCommunicationManufacturingCemented The digital flowPlanningRecord takingDesign (CAD)Processed (CAM)Finish Digital transformation in the dental officeSkyn-CorusClinical caseBibliographyChapter 13. PROTOCOL TO INCREASE THE VERTICAL DIMENSION IN CASES OF SEVERE WEAR Vertical dimension of occlusion, vertical dimension of rest and interocclusal free spaceBasics of increases in occlusion vertical dimensionBased on which parameters do we determine the new vertical dimension of occlusion?What are the consequences of increasing DV?Clinical Phases in Occlusion DV Increases: Steps for Predictably Increasing DVIncreases in the vertical dimension of occlusion with a removable partial dentureStability of the treatment to increase the vertical dimension of the occlusionBibliographyChapter 14. CEMENTING PROTOCOL FOR FULLY CERAMIC RESTORATIONS Evidence of zirconium oxide caps and structuresDental bonding. Dentin bondSpecial features of crown and bridge cementsMetal surface preparationsPreparation of composite surfacesPreparation of feldspathic porcelainsPreparation of lithium disilicate, new ceramics and hybrid ceramicsPreparation of polycrystalline porcelainsBibliography   https://lisermed.com/tienda/protesis/claves-protesis-fija-ceramica/

Restauración del diente endodonciado

Manual Clínico

by Ernest Mallat

This manual shows all those aspects that are relevant when considering the restoration of an endodontic tooth using a prosthesis. It is structured in an agile way around questions and answers that the dentist himself would ask himself when he must treat these teeth. Its reading will allow to find solutions and explanations to all those questions and doubts that occur in the day to day in the consultation, solutions and explanations that can be applied to any other type of tooth. The first chapter is devoted to the restoration of endodontic teeth and provides indications, advice, guidelines for preparing the surface of the posts, details regarding the handling of composites for dies, etc. In the second chapter, the selection of the ceramic material for the final restoration is addressed and clear guidelines are given as to which is the most suitable in each case. The grinding guideline to be followed is described in detail below. The third chapter shows all the details to ensure that the final impressions are truly accurate and, through the correct exposure of margins, to achieve an excellent fit of the prosthesis. Finally, in the fourth chapter the reader will find all the necessary information to make the cementation of any restoration predictable. All this, supported by the most current bibliography that allows making a restoration approach to endodontic teeth based not only on clinical experience but also on scientific evidence. Table of Contents: Chapter 1: Technical aspects in the reconstruction of the endodontic tooth • 15 • Are endodontic teeth more fragile? • When should posts be used? • What other functions do the posts have? • What types of poles are available? • When should fiber posts be used and when should metal posts be used? • Are translucent posts really translucent? • What length, gauge and shape should the pole be? • How to properly handle composites for stumps? • How should teeth with badly destroyed roots be rebuilt? • How can a fiber pole be removed? • How should the root canal be prepared when cementing the posts? • Can endodontic cements with eugenol impair adhesion to the root canal? • How should fiber posts be prepared when cementing them? • How should metal posts be prepared when cementing them? • How should zirconium oxide posts be prepared when cementing them? • Which cement is the most suitable for cementing the posts? • How will the cement be brought into the root canal? • What clinical guideline will be followed to rebuild endodontic teeth? • Is there a predictable treatment for cracked tooth syndrome? • Bibliography Chapter 2: Selection of restorative material and dental preparation • 73 • On what clinical criteria is the ceramic restoration material decided? • Is hardness an important criterion in the selection of restorative material? • What details of clinical manipulation are relevant to zirconium oxide? • What aspects of design should be considered in zirconium oxide prostheses? • What guidelines must be followed in dental preparation for fully ceramic crowns and metal ceramics? • What aspects of marginal preparation are essential for tissue stability soft? • What aspects of root canal preparation are important to your survival? • Bibliography Chapter 3: Taking Final Impressions • 131 • What preconditions are necessary to make the final impressions? • What can be done if the gums bleed slightly after being cut? • What are the goals of gingival retraction? • When will the retractor thread be placed? • What type of retractor thread will be used? • When will one thread be placed and when two? • At what point will the retractor wire be placed? • Retractor thread placement technique • At what point will the thread be removed before taking the final impression? • How do retractor pastes make our work easier? • What is the material of first choice to take final impressions? • How will the different consistencies of the addition silicones be combined? • What is the ideal technique to get the most out of addition silicones? • What precautions should be taken in periodontal patients? • Why is it necessary to use addition silicones for taking impressions in prostheses removable partial? • How long do I have to wait to empty an addition silicone? • How can you make a good impression simultaneously with adjacent teeth and implants? • How should the printing materials be disinfected correctly? • Bibliography Chapter 4: Cementing the prosthesis • 169 • What types of cements are available and what qualities are really important? • When will a resin cement be used with adhesive technique and when can a conventional cement? • How will the dental substrate be prepared correctly? • What details should be retained of the different adhesive systems currently available? • What are the indications for self-etching and self-adhesive cements? • How is the metal prepared for the cemented adhesive on metal porcelain? • How is feldspathic porcelain prepared for adhesive bonding? • How are lithium disilicate porcelain, new ceramics, and hybrid ceramics prepared for adhesive bonding? • How is zirconium oxide prepared for adhesive bonding? • Adhesive cementation protocol of the metal-ceramic and all-ceramic prosthesis • Bibliography link: https://lisermed.com/tienda/estetica-dental/restauracion-del-diente-endodonciado-manual-clinico-2ed-ernest-mallat/