Digital Commons Network^™

Effect Of Splinting Implant Scan Bodies Intraorally On The Trueness Of Complete Arch Digital Impressions: A Clinical Study, Kawther Mahmoud Ali

Loma Linda University Electronic Theses, Dissertations & Projects

Purpose: The purpose of this study was to investigate the effect of splinting scan bodies intraorally on the trueness and scan time of implant digital impressions of the edentulous arch.

Materials and Methods: Nineteen edentulous jaws undergoing fixed complete denture treatment with a minimum of 4 implants were selected for this study. Verified master casts of the patients’ edentulous jaws were scanned with a desktop laboratory scanner and scan bodies to obtain a reference (control) scan for each patient. Intraoral scan bodies were hand tightened on all the implants in the edentulous arch and an intraoral scan was …

In-Vitro Comparison Of Retention Among Contemporary And Conventional Post-And- Cores, Hatem Alqarni

Loma Linda University Electronic Theses, Dissertations & Projects

Purpose: Computer-aided design/computer-aided manufacturing (CAD/CAM) technology is gaining popularity in dentistry, and more recently, used to fabricate custom post-andcores (PC) for endodontically treated teeth. The purpose of this study was 1) to evaluate the overall retention of conventional cast gold post-and-cores compared to CAD/CAM fabricated printed, milled titanium post-and-core and milled zirconia post-and-cores based on load, time of dislodgement and 2) to evaluate the mode of failure of the post-and-cores.

Materials and Methods: A maxillary central incisor was selected. Root canal treatment was performed, and acrylic resin pattern was used to fabricate post-and-core. A total of 80 post-and-cores (20 …

Complications Associated With Mandibular Fixed Complete Arch Prostheses Based On Implant Distribution, Shivani Karre

Loma Linda University Electronic Theses, Dissertations & Projects

Purpose: The objective of this study is to compare incidence and type of complications associated with mandibular implant supported fixed complete arch prostheses based on implant distribution. Material and Methods: Patient Selection: The retrospective study included data collected from axiUm CE Version 6.05.01.2007 from year July 2007 to July 2018 for all patients treated with mandibular implant supported fixed complete arch prostheses (MISFCPs) at Loma Linda University School of Dentistry (LLUSD). One hundred and twenty seven patient’s charts were reviewed to document implant distribution and incidences of complications associated with each implant distribution groups on MISFCPs. Complications like screw …

In-Vitro Evaluation Of Accuracy Of Conventional And Cad/Cam Removable Partial Denture Frameworks, Pooya Soltanzadeh

Loma Linda University Electronic Theses, Dissertations & Projects

Purpose: Computer-aided design/computer-aided manufacturing (CAD/CAM) technology is gaining popularity in dentistry, and more recently, to fabricate removable partial dentures (RPD). The purpose of this study was 1) to evaluate the overall accuracy and fit of conventional versus CAD/CAM fabricated printed RPD frameworks based on STL data analysis, and 2) to evaluate the accuracy and fit of each component of the RPD framework. Materials and Methods: A maxillary metal framework was designed for a Kennedy class III modification I situation. The master model was scanned and used to compare the fit and accuracy of the RPD frameworks. A total of 40 …

The Wear Of Acrylic Resin And Composite Resin Teeth Against Polished And Glazed Zirconia, Abdulkareem Alshehri

Loma Linda University Electronic Theses, Dissertations & Projects

Background: Excessive wear for the occlusal surfaces of teeth results in decreased masticatory efficiency, poor esthetics and leads to reduced the occlusal vertical dimension which could lead to the development of temporomandibular disorders, consequently, further compromise function. Very few studies have been performed on the wear resistance of zirconia against artificial denture teeth and human enamel. Aim: The purpose of this study was to investigate the influence of polished zirconia (PZ) and glazed zirconia (GZ) on the 2-body wear resistance (vertical substance loss) of seven commercially available denture teeth made of different resins. Material and Method: Eight groups (n=10) of …

Effect Of Image Sharpening On Radiographic Image Quality, Jefferson Lee Clark

Loma Linda University Electronic Theses, Dissertations & Projects

There is evidence that capture and processing of the digital radiographic images may contain artifacts that could reduce the diagnostic value of dental radiographs. This phenomenon has been reported through various case reports. However, its effect on radiographic image quality has not been studied. The purpose of this study is to evaluate the effect of image processing on the quality of dental digital radiographs using the most common type of filter; sharpening. Four imaging modalities (2 CMOS, 1 PSP, 1 conventional film) were used to radiograph a DDQA imaging phantom (Digital Dental Quality Assurance phantom) and to create a flat …

Effects Of Microwave Irradiation On The Dimensional Stability Of Complete Denture Bases, Miguel Pappaterra

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction: Maintenance for complete dentures is a role that must be undertaken by the patient. It has been determined that two minutes of microwave irradiation at 650 Watts provides denture disinfection, and three minutes provide sterilization32,34. There is insufficient data on how this practice affects the long term dimensional stability of commonly used complete denture bases in the United States. Purpose: The purpose of this study was to perform an in-vitro investigation, testing and comparing the effects of microwave irradiation on the dimensional stability of three types of complete denture bases. Materials and Methods: An edentulous master cast with reference …

Comparison Of Retention Between Milled And Conventional Denture Bases: A Clinical Study, Abdulaziz Abdullah Alhelal

Loma Linda University Electronic Theses, Dissertations & Projects

The advancement in dental material technology led to the improvement in the fabrication method of PMMA denture bases. Denture base adaptation can be influenced by the amount of polymerization shrinkage that occurs during the processing method of fabrication. CAD/CAM dentures milled from prepolymerized PMMA acrylic resin blocks theoretically have reduced or no polymerization shrinkage. There have been no clinical studies, to date, that have compared retention values between milled and conventionally processed denture bases. Therefore, the purpose of this study clinical study was to compare the retention values between conventional heat polymerized and digital milled maxillary denture bases.

Twenty patients …

Comparison Of Maxillary Anterior Teeth Width To Facial Dimensions Among Three Races, Ewa Parciak

Loma Linda University Electronic Theses, Dissertations & Projects

Dental esthetics and tooth proportions have become increasingly relevant in dentistry, as the cosmetic demands of patients increase. Determining the appropriate esthetic dimensions of the maxillary anterior teeth is an important aspect in fixed and removable prosthodontics. The proportion of facial structures and the relationship between facial measurements and natural teeth could provide additional guidance in selecting denture teeth as well as in determining ideal teeth size for fixed restorations. There have been many publications on this topic, however, the subjects in these studies have been mostly selected from the Caucasian race. With the increasing diversity of the American population …

Effect Of Diamond Bur And Root Canal Irrigants On Retention Of Fiber Posts, Rami Jekki

Loma Linda University Electronic Theses, Dissertations & Projects

Esthetic glass fiber-reinforced posts are being used more often. The most commonly reported complication associated with these posts is debonding. Dentine conditioning with solutions such as EDTA or MTAD results in removal of smear layer and might improve the retention of posts to root canal dentin. Therefore, the purpose of this study was to investigate the effect of cleansing the post space with MTAD or EDTA on the bond strength of glass fiber-reinforced posts, when a diamond roughening instrument is used prior to cementation with self-adhesive resin cement. Forty-five (n=15) extracted human premolar teeth were sectioned at the cemento-enamel junction …

Are Bone Turnover Markers And Vitamin D Levels Associated With Frequency Of Complete Denture Relines?, Shweta Puri

Loma Linda University Electronic Theses, Dissertations & Projects

PURPOSE: To compare groups of subjects with varying frequencies of complete denture relines in terms of their bone turnover markers; C-terminal Telopeptide (C-Tx), Osteocalcin (OCN) and Vitamin D (25 OH-Vit D) levels to determine the presence of and the degree of association between them.

METHODS: This study was designed as a cross-sectional study wherein a retrospective chart review of three hundred twenty four edentulous subjects with history of complete denture use for at least a year was performed to determine history and frequency of their complete denture relines. A total of 100 patients were enrolled. After consent was obtained, each …

The Effect Of Root Canal Cleansing On The Retention Of Glass Fiber-Reinforced Posts, Faisal Dhaifallah Al-Qarni

Loma Linda University Electronic Theses, Dissertations & Projects

Esthetic glass fiber-reinforced posts are being used more often. The most commonly reported complication associated with these posts is debonding. Dentine conditioning with solutions such as EDTA or MTAD results in removal of smear layer and might improve the retention of posts to root canal dentin. Therefore, the purpose of this study was to investigate the effect of cleansing the post space with MTAD or EDTA on the bond strength of glass fiber-reinforced posts, when cemented with self-adhesive resin cement. Forty-five (n=15) extracted human premolar teeth were sectioned at the cemento-enamel junction to obtain root length of fifteen millimeters. Endodontic …

Comparison Of Occlusal Plane Orientation Obtained Using Five Facebow Systems, Thomas C. Maveli

Loma Linda University Electronic Theses, Dissertations & Projects

PURPOSE: An in vitro investigation analyzing the sagittal and coronal orientation of the occlusal plane using five different facebow transfer systems. MATERIALS AND METHODS: A phantom head containing a maxillary typodont (the control) was oriented so that Frankfort Horizontal Plane (FHP) corresponds with the horizon. The angle between the occlusal plane of the maxillary arch of the phantom head and the FHP was measured along the sagittal and coronal planes using a digital protractor. Fifteen Facebow records using each of 5 facebow transfer systems (the test groups) were made on the phantom head containing the maxillary typodont. Diagnostic casts of …

Evaluation Of Accuracy Of Impression Materials With Different Mixing Techniques, James Ywom

Loma Linda University Electronic Theses, Dissertations & Projects

Purpose: To investigate gypsum compatibility and dimensional stability of irreversible hydrocolloid impression materials with three mixing techniques. A comparison between vacuum-mixed, mechanically-mixed and manually-mixed techniques was evaluated for each impression material. Materials and Methods: Three irreversible hydrocolloid impression materials Kromopan 100® (Lascod™), Identic® (Dux dental™), and Jeltrate Plus® (Dentsply™) were tested gypsum compatibility in accordance with ANSI/ADA Specification No. 18 for alginate impression materials. The test for linear dimensional stability was tested in accordance with ANSI/ADA Specification No. 19 for elastomeric impression materials. A One-way ANOVA test was used to analyze dimensional stability at a significance level of (p < 0.05). Conclusion: The vacuum mixing technique facilitates the mixing of irreversible hydrocolloid impression materials and improves the compatibility with gypsum material and reproduces a more dimensionally accurate cast than the other mixing techniques.

In‐Vitro Comparison Of Tensile Bond Strength Of Denture Adhesives On Denture Bases, Doris Rachel Kore

Loma Linda University Electronic Theses, Dissertations & Projects

PURPOSE: To evaluate the tensile bond strength (TBS) of three cream denture adhesives and one wafer denture adhesive on three denture base materials at five time intervals up to 24 hours. METHODS: Fixodent (Proctor & Gamble™), Super Poligrip (GlaxoSmithKline™), Effergrip (Prestige Brands, Inc.™), and SeaBond (Combe™) were tested with the Instron testing machine on three denture base resin cylinder models fabricated from two heat‐polymerized (Lucitone 199 and SR Ivocap) and one visible lightcured, shade stable (Eclipse) acrylic resins. Laboratory prepared artificial saliva with mucin was used for the control study. In accordance with ADA specifications, the TBS was tested at …

Effect Of Time On Gypsum-Impression Material Compatibility, John Boram Won

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to evaluate the compatibility of dental gypsum with three recently introduced irreversible hydrocolloid (alginate) alternatives. The test materials were Alginot® (Kerr™), Position Penta Quick® (3M ESPE™) and Silgimix® (Sultan Dental™). The irreversible hydrocolloid impression material, Jeltrate Plus antimicrobial® (Dentsply Caulk™) served as the control. Materials and Methods: Testing of materials was conducted in accordance with ANSI/ADA Specification No. 18 for Alginate Impression Materials. Statistical Analysis: The 3-Way ANOVA test was used to analyze measurements between different time points at a significance level of (p < 0.05) Outcome: It was found that there was greater compatibility between gypsum and the alternative materials over time than the traditional irreversible hydrocolloid material that was tested. A statistically significant amount of surface change/incompatibility was found over time with the combination of the dental gypsum products and the control impression material (Jeltrate Plus antimicrobial®).

Immediate Tooth Replacement With Subepithelial Connective Tissue Graft Using Platform Switching Implants, Seunghwan Chung

Loma Linda University Electronic Theses, Dissertations & Projects

This case series evaluated the facial gingival stability following immediate tooth replacement in conjunction with subepithelial connective tissue graft in the esthetic zone. Implant success rate and peri-implant tissue response were also reported.

Ten patients (6 males, 4 females), with a mean age of 52.1 (range = 22.7 to 67.1) years, underwent immediate implant placement and provisionalization with SCTG and were evaluated clinically and radiographically at pre-surgery (T0), immediately after immediate tooth replacement and SCTG (T1), 3-months (T2), 6-months (T3), and 12-months (T4) after surgery. Data was analyzed using the Wilcoxon Signed-Ranks Test and Friedman Test at the significance level …

Effect Of Auxiliary Preparation Elements On Resistance Form Of Complete Crowns, Manuel H. Guevara

Loma Linda University Electronic Theses, Dissertations & Projects

This study compared the effectiveness of six different auxiliary preparation elements on the resistance to lateral dislodgment of complete crown preparation lacking resistance form.

An ivorine mandibular first molar was prepared with the following characteristics: 20° TOC, 360° shoulder finish line of 1.0 mm width and axial wall of reduced height offering no geometric resistance form (Group A: control). Preparation modifications were Group B: MD grooves, Group C: BL groves (sic), Group D: MDBL grooves, Group E: MD small boxes, Group F: MD large boxes and Group G: 8° TOC at the cervical 2 mm of the axial walls. Ten …

The Effect Of Auxiliary Preparation Elements On The Resistance Form Of Complete Metal Crowns, Mostafa Nazari

Loma Linda University Electronic Theses, Dissertations & Projects

This study measured the resistance to dislodgment of complete metal crowns when they were fabricated for tooth preparations lacking resistance form. These preparations were modified with four different auxiliary preparation features.

An Ivorine mandibular first molar was prepared on a milling machine with the following characteristics: 20 degrees of total occlusal convergence (TOC), 360 degrees shoulder finish line of 1.0 mm width, and axial wall of reduced height offering no geometric resistance form. The following tooth preparation modifications were studied:

1. Two proximal grooves (two lingually positioned grooves, one on the mesial and one on the distal surface) (design B) (Figures …

Immediate Loading Of Unsplinted Implants In The Anterior Mandible For Overdentures, Phillip Roe

Loma Linda University Electronic Theses, Dissertations & Projects

In this one-year prospective study, eight completely edentulous patients were selected from the Loma Linda University School of Dentistry (LLUSD) patient population to participate. There were five male and three female patients, between the ages of 58 and 82 (mean age of 69.1 years). All participants received new maxillary and mandibular complete dentures prior to implant placement. Two 4.0 mm x 13 mm threaded implants with a fluoride-modified, micro-roughened, titanium surface were placed mesial to each mandibular canine position. Locator abutments were connected and torqued to 25 Ncm and primary closure was achieved with a nonresorbable suture material. The Locator …

Short-Term Clinical Evaluation Of Nobelreplace® Tapered Groovy Implant, Manouchehr Pouresmail

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this clinical investigation was to make comparisons and to achieve estimates of the short-term implant success, marginal bone resorption, and soft tissue responses around the immediately loaded NobelReplace® Tapered groovy implant (with groove on a rough collar portion) as compared to an implant without a groove on the collar (Replace®Select Tapered). This was a randomized controlled and prospective investigation in which subjects were consecutively included according to strict inclusion/exclusion criteria. Single stage procedure was used with immediate function. Seventeen subjects were recruited, and were randomly divided in two groups. Each group was received the predetermined type of …

An In-Vitro Investigation Of The Physical Properties Of Alginate Alternatives, Rishi Dinesh Patel

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to evaluate the detail reproduction, gypsum compatibility and linear dimensional change of three recently introduced irreversible hydrocolloid (alginate) alternatives. The materials that were tested are Position Penta Quick® (3M ESPE™), Silgimix® (Sultan Dental) and Alginot® (Kerr™). These materials were tested in accordance with ANSI/ADA Specification No. 18 for Alginate Impression Materials and No. 19 for Dental Elastomeric Impression materials. The irreversible hydrocolloid impression material Jeltrate Plus antimicrobial® (Dentsply Caulk™) served as the control.

MATERIALS AND METHODS: The ADA specification die was used to undertake the testing of the new materials. The parameters of detail …

Immediate Provionalization Of Single Threaded Oxidized Implants On Maxillary Premolars Healed Sites: One-Year Study, Kiyotaka Umezu

Loma Linda University Electronic Theses, Dissertations & Projects

Osseointegrated endosseous implants have been widely used and become a predictable treatment option for completely and partially edentulous patients. The viability and predictability of this treatment modality have been supported with the high success rates in numerous studies. Clinical guideline requires a healing period of 3 to 6 months without functional loading to achieve osseointegration with machine surface implants. Therefore, numerous studies on immediately loaded implants have been conducted in an attempt to minimize or eliminate this healing period. The purpose of this study was to evaluate the success rate of the immediately provisionalized oxidized-surface implants in healed sites supporting …

Immediate Provisionalization Of Single 3.0 Mm Diameter Implant In Maxillary And Mandibular Anterior Region, Kotaro Oyama

Loma Linda University Electronic Theses, Dissertations & Projects

Immediate provisionalization of single implants with standard (3.75 - 4.5 mm) and wide diameter (> 4.5 mm) has been well documented. When the space is limited, small diameter implants (3.0 mm) must be used. Although high success rates have been reported, they were limited to healed site and were placed as staged procedures. The purpose of this prospective study was to evaluate the success rate and peri-implant tissue response of small diameter (3.0 mm) implants undergoing immediate provisionalization in the esthetic area.

Eleven patients who had missing maxillary lateral incisor(s) and/or mandibular incisor(s) participated in this study. Thirteen 3.0 mm …

Effect Of Gutta Percha On The Retention Of A Post Using Different Cements, Saeda H. Basta

Loma Linda University Electronic Theses, Dissertations & Projects

This study evaluated the effect of residual gutta percha on the retention strength of prefabricated post cemented with four different cements. Forty intact mandibular single canal canines or premolars were selected for standardized size and quality, endodontically treated, and decoronated to the cementoenamel junction. A post space was prepared to accommodate Para post XP size 4 (Coltene, Whaledent Inc., Cuy Falls, Ohio) to a depth of 8 mm. The Obtura heated gutta percha system was used to inject a very thin line of gutta percha along one lateral wall to the depth of the future post. Forty obturated teeth were …

Immediate Implant Placement In Extraction Sites With Periapical Lesions: A Retrospective Study, Yuan-Lung Hung

Loma Linda University Electronic Theses, Dissertations & Projects

Immediate implant placement into fresh extraction sites has become a relatively routine clinical procedure with a favorable prognosis. However, immediate placement into extraction sockets with lesions has not been extensively documented in humans. Therefore, the purpose of this study was to retrospectively determine the survival rate of implants placed into extraction sockets with visible periapical lesions.

Patient charts of 544 immediately placed implants from Loma Linda University School of Dentistry, Center for Prosthodontics and Implant Dentistry were examined. Eighty-six of the 544 implants had been placed immediately into extraction sockets with periapical lesions and they were included in this study. …

A Comparison Of Cadiax Axiography & Newtom 3g Tomography Condylar Measurements, David Phillip Brock

Loma Linda University Electronic Theses, Dissertations & Projects

This study compared the curves for the mandibular movement obtained from computerized axiography (Cadiax) and NewTom 3G cone beam volumetric tomography.

Fifteen subjects (n=15) from the Loma Linda University School of Dentistry obtained a Cadiax mandibular jaw tracing and a NewTom 3G scan of their condyles and surrounding structures while in centric relation (CR). In addition, three condylar measurements obtained from the Cadiax and the NewTom 3G were compared: sagittal eminential angle (SEA), progressive mandibular lateral translation (PMLT), and early mandibular lateral translation (EMLT).

No differences were noted between the Cadiax and the NewTom 3G mandibular tracings when the gender …

Dental Treatment Options For Snoring - A Pilot Study, Kainaz Khushrooh Byramjee

Loma Linda University Electronic Theses, Dissertations & Projects

This study compared the effectiveness of an anterior repositioning device, the Silent Nite®, to two new treatments in their ability to stop/reduce snoring. Comfort and side effects of each treatment were also evaluated.

Twenty-three subjects, in good medical condition along with their spouse/partner participated in the five-week study. A disposable sleep apnea screener, SleepStrip,™ was used to select only non-sleep apnea patients. The treatments tested were: (1) Silent Nite® (control - Treatment A), (2) Loma Linda Appliance (Treatment B), and (3) Snore Tape (Treatment C). Each participant received all three treatments separated by a one week "wash-out" period of no …

Quantification Of Bone Deposition In Onlay Bone Grafting, Gregory Alan Kammeyer

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to quantitatively evaluate; 1) mandibular posterior mono-cortical block onlay bone graft success rates 2) the amount of grafted bone retained after initial resorption in radiographic projections. Seven consecutive patients with 14 mandibular posterior implant sites requiring bone augmentation for implants of a standard 3.8mm x 10mm dimension were sought. Mono-cortical block bone grafts from the ipsilateral ascending ramus were placed then observed with two standardized CT scans, dividing them into two groups: Group A had the first CT at 4 weeks after graft placement and a second taken before Prosthodontic reconstruction, 36.7 weeks later. …

Evaluation Of Three Bonding Agents In The Repair Of Fractured Veneered Stainless Steel Crowns, Jennifer Liane Hoffer

Loma Linda University Electronic Theses, Dissertations & Projects

Dentists have long been challenged with finding an esthetic yet durable treatment option to restore badly carious anterior teeth. Veneered stainless steel crowns have become one of these options, but these restorations often return with the veneer fractured. To help restore esthetics, the crown may either be replaced or the veneer must be repaired. The purpose of this study was to evaluate the use of three bonding agents (PQ1, C&B Metabond, and Panavia) and one restorative material (Filtek Z250, 3M) in the repair of these fractured stainless steel crown veneers. The clinical significance is to determine the best methods of …