Journal of Dental Medicine

Statement of Problem: Different temperature and moisture around Iran and wide usage of stone type IV in dental laboratories in our country were the reasons for us for doing this study.

Purpose: In this survey the effect of temperature, moisture and time on dimensional change of dental stone type IV (Velmix) were investigated.

Materials and Methods: In this experimental study cube shape Metal models (10×10×10mm) was made for Taking impression. We used special tray, which has ten holes (15×20×25mm) and made impression with condensational silicone in two-step procedure, and poured it with stone type IV. stone cubes were divided to different groups. 3 groups holed in fix moisture and variable tempraure and 5 groups in fix temperature and variable moisture. After 2 hours, 24 hours and one-week dimension of stone cubes were measured. Then analysis was done with ANOVA and dauncan.

Results: The following conclusions were achieved: 1-Time has no effect on dimensional changes. 2-Tempreture and moisture has some effect on dimensional changes in stone IV. Increasing of temperature result in stone contraction and increasing in moisture result in stone expansion.

Conclusion: The best temperature for least dimensional change is 20C and the best moisture for a least dimensional change is 30 %.

Background and Aim: An important criterion for success assessment of implant-supported prostheses is marginal fit. Vertical and horizontal discrepancy can result in loosening of the prosthetic screw, crestal bone resorption, peri-implantitis and loss of osseointegration. Despite careful attention to waxing, investing, and casting, marginal discrepancies are inevitable. The aim of this study was to evaluate the marginal gap and overhang in three casting methods with two different alloys in ITI implants.

Materials and Methods: In this experimental in vitro study 48 analog abutments were randomly divided into six groups as follows: 1) burn out cap + BegoStar, 2) impression cap + BegoStar, 3) conventional wax up + BegoStar, 4) burn out cap + Verabond2, 5) impression cap + Verabond2, 6) conventional wax up + Verabond2. Waxing was done in 0.7 mm thickness verified by a digital gauge and a putty index was made for all groups. Reamer was used for correction of the finish line after casting in all groups. Castings were seated on analog abutments and embedded in acrylic resin. Specimens were sectioned by isomet instrument and polished and cleaned by ultrasonic cleaner for 10 min. The marginal gap and overextended margins of castings were examined under a  Scanning Electron Microscope (SEM) (X200). The mean gap and margin overextension were calculated for each group. Data were analyzed by multivariate analysis and Bonferroni post-hoc test with p<0.05 as the level of significance.

Results: No significant difference in gap size was observed among the three casting methods with two alloys (P=0.056). The marginal gap was not different in the studied casting methods (P=0.092). Gold alloy crowns showed lower marginal gaps compared to base metal alloy crowns (P<0.001). No significant difference in overhang size was observed among casting methods with two alloys (P=0.093). Base metal alloy crowns showed less overhang compared to gold alloy crowns (P<0.001). There was a significant correlation between overhang and use of impression cap in base metal alloys (P<0.001).

Conclusion: Based on the results of this study, vertical discrepancy of frameworks made with gold alloy were less than those made with base metal alloy. Base metal alloy demonstrated less overhang. Conventional wax up or using burn out caps produced less horizontal discrepancy.

Microstomia is defined as an abnormally small oral orifice. Microstomia can occur as a result of trauma from electrical and thermal lesions, chemical burns and trauma from surgeries. Prosthetic rehabilitation of microstomia patients presents difficulties at all stages, from the preliminary impressions to fabrication of prosthesis. For impression procedures different treatment methods have been suggested. Swing hinge and collapsible dentures are used to provide prosthodontic treatment to patients with microstomia. Not only is such a prosthesis difficult to fabricate, but may be expensive. The literature contains reports on the fabrication of sectional denture with the denture pieces connected by different designs. This article describes a simple method of fabricating a 2-pieces denture using removeable partial denture metal framework to connect the sections, for a patient with limited oral opening. Combination of metal framework and sectional complete denture for a patient with limited oral opening is an acceptable, effective and available method.

Fabrication of dental prosthesis for patients with microstomia has long been a problem for dentists. Microstomia is defined as an abnormally small oral orifice. Prosthetic rehabilitation of microstomia patients presents difficulties at all stages, from the preliminary impressions to fabrication of prosthesis. This study described a method for making impressions for patients with limited opening of the oral cavity which the use of a full-size impression tray was not possible.

Background and Aims: Since impression materials usually contact with saliva, blood, and oral soft tissues, their microbial contamination are harmful in immunocompromised patients. The aim of the present study was to determine the bacterial and fungal contamination in common impression materials.

Materials and Methods: In current lab trial study, 5 different samples from each 4 impression materials were homogenized in 1 ml Tween 80 and then 100µl of each sample were cultured onto blood agar, EMB, or sabouraud dextrose agar. Bacterial and fungal cultures were incubated at 37º C and 30º C, respectively. The isolated bacterial and fungal colonies were enumerated and identified using specific diagnostic media and tests. Data were analyzed using Kruskal-Wallis test.

Results: Totally 75% of samples had one or several bacterial contaminations. Iranian alginate and Speedex (putty) were the most contaminated samples. On the other hand, Speedex (light body) and foreign alginate showed lower contamination. Species of Micrococcus, Staphylococcus, Bacilluses, Corynebacteria, gram negative Citrobacter, Actinomycetes and Neisseria were isolated from the analyzed impression materials. Aspergillus, Penicillium, Alternaria, Cladosporium and Sepdonium were the fungi isolated from impression materials. Statistical significant difference was shown between bacterial contamination of Iranian and foreign alginates (P=0.001). There was no statistical significant differences between the bacterial and fungal isolated colonies (CFU/gr) of 4 tested impression materials (P=0.21).

Conclusion: Several opportunistic bacteria and fungi were isolated from impression materials especially from Iranian alginate and Speedex putty which indicated their contamination.

Background and Aims: Accurate recording of implant location is required to achieve passive fit and have the implants without stress concentration. The aim of this in-vitro study was to evaluate the dimensional and angular accuracy of open-tray and closed-tray impression techniques using polyether impression material and also to assess the surface detail reproduction of the tooth while impression making.

Materials and Methods: One reference metal model with 2 implants (Implantium) on the position of the maxillary second premolar and first molar and one molar tooth for evaluation of surface details was prepared. 27 polyether impressions of these models were made (9 using open-tray, 9 using closed-tray techniques and 9 were made just of the surface of the teeth without any implants). Impressions were poured with ADA type IV stone. Coordinate Measuring Machine was used for measuring the dimensional accuracy and video measuring machine for surface detail reproduction. All of these measurements were compared with the measurements on the reference model. Data were analyzed by and compared by T-test and One-way ANOVA.

Results: There was a significant statistical difference between open-tray and closed-tray techniques (P<0.001). There was no significant difference in the surface detail reproduction of open-tray and Closed-tray techniques and impression making with or without the implants (P>0.05).

Conclusion: The accuracy of open-tray impression technique was more than closed-tray technique. The surface detail reproduction of the tooth was not affected by impression technique.

Background and Aims: Passive fit of prosthetic frameworks is a major concern in implant dentistry. Impression technique is one of the several variables that may affect the outcome of dental implants. The purpose of this study was to compare the three dimensional accuracy of direct and indirect abutment level implant impressions of ALL-ON-4 treatment plan.
Materials and Methods: A reference acrylic resin model with four Branemark fixtures was made according to All-On-4 treatment plan. Multiunit abutments were screwed into the fixtures and two special trays were made for direct and indirect impression techniques. Ten direct and ten indirect impression techniques with respective impression transfers were made. Impressions were poured with stone and the positional accuracy of the abutment analogues in each dimension of x, y, and z axes and also angular displacement (Δθ) were evaluated using a Coordinate Measuring Machine (CMM). Data were analyzed using T- test.
Results: The results showed that direct impression technique was significantly more accurate than indirect technique (P<0.001).
Conclusion: The results showed that the accuracy of direct impression technique was significantly more than that of indirect technique in Δθ and Δr coordinate and also Δx, Δy, Δz.

  Background and Aims: Making accurate impressions of prepared teeth when they are adjacent to dental implants is of great importance. In these situations, disregarding the selection of appropriate impression material and technique, not only can affect accuracy of transferring of the 3-dimentional spatial status of implant, but also can jeopardize the accurate recording of tooth. In the present study, the accuracy of two impression materials with taper impression copings for recording implant position and surface details was evaluated.

  Materials and Methods: One metal reference model with 2 implants (Implantium) and a preparation of three grooves on a tooth according to ADA no. 19 standard was fabricated. 10 medium- consistency polyEther (PE) impressions using custom trays and 10 polyVinyl Siloxane (PVS) putty wash impressions using prefabricated trays with conical impression coping were made. Impressions were poured with ADA type IV stone. A Coordinate Measuring Machine (CMM) evaluated x, y and angular displacement of the implant analog heads and also accuracy of groove reproduction were measured using a Video Measuring Machine (VMM). These measurements were compared to the ones from reference model. Data were analyzed using one-way ANOVA and T-test.

  Results: Putty wash PVS had less linear discrepancy compared with reference model (P > 0.001). There was no significant difference in the surface detail reproduction (P = 0.15).

  Conclusion: Putty wash PVS had better results for linear displacement compared with medium consistency PE. There was no significant difference in surface detail reproduction between the two impression materials.