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Author Spotlight: 3D Movement Assessment of Maxillary Posterior Teeth in Clear Aligner Treatment
Published on: February 23, 2024
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Primary Teeth Supported Fixed Prosthesis-A Predictable Treatment Alternative
Sarit Naishlos1, Liat Chaushu2, Oded Ghelfan3
1Department of Pediatric Dentistry, The Faculty of Medicine, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv 69978, Israel.
Children (Basel, Switzerland)
|June 24, 2022
Summary
Restoring tooth agenesis with all-ceramic prostheses supported by primary teeth shows a 100% survival rate. This viable dental treatment option offers long-term functional and esthetic outcomes for patients with missing teeth.
Area of Science:
- Dental Science
- Prosthodontics
- Regenerative Dentistry
Background:
- Tooth agenesis presents significant challenges for dental practitioners.
- This study investigates long-term outcomes of fixed all-ceramic prostheses in patients with tooth agenesis.
- Primary teeth were utilized as support for restorations in cases of missing permanent teeth.
Purpose of the Study:
- To evaluate the clinical and radiological long-term functional and esthetic outcomes of fixed all-ceramic prostheses.
- To assess the viability of using primary teeth to support dental restorations in patients with tooth agenesis.
- To analyze restoration survival, complications, and periodontal health indicators.
Main Methods:
- Retrospective study including patients with tooth agenesis and at least one year follow-up.
- Panoramic X-rays, clinical examinations, and family history were used for assessment.
- All-ceramic fixed restorations supported by primary teeth (without permanent successors) were analyzed.
Main Results:
- 58 restorations in 25 individuals were evaluated with a mean follow-up of 48 months.
- A 100% restoration survival rate was observed, with no instances of replacement or secondary caries.
- Complications included 9% porcelain chipping and 2% detachment; mean gingival and plaque indices were 0.7 and 0.9, respectively.
Conclusions:
- Restoration with primary teeth supporting fixed all-ceramic prostheses is a viable treatment for tooth agenesis.
- This approach demonstrates excellent long-term survival and acceptable complication rates.
- The findings support the use of primary teeth as a stable foundation for all-ceramic restorations in managing tooth agenesis.
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