Purpose: This case report describes the restoration of a missing lower second premolar using a direct resin-bonded fixed partial denture (RBFPD), employing the composite resin injection technique with a digital workflow and a transparent silicone index. While conventional direct composite RBFPD can be technique-sensitive, this approach simplifies and standardizes the process, making it less dependent on the operator's experience.
Methods: A 50-year-old male patient sought restoration of a missing lower second premolar, preferring to avoid cutting intact teeth or surgical interventions such as dental implants. Thus, a direct composite RBFPD was chosen. The restoration was digitally designed, and a transparent silicone index was fabricated from a 3D-printed dental model, which featured mesial and distal, narrow bucco-lingual extensions to prevent overflow of the composite resin. After the adjacent abutment teeth were bonded with a two-step self-etching adhesive, a highly filled universal-shade flowable composite resin was injected through the opening of the occlusal surface of the silicone index.
Results: The procedure proved to be straightforward, with the success of treatment being less dependent on clinical technique sensitivity. In the laboratory, the need for conventional free-hand wax-up with paraffin wax was eliminated in favor of digital wax-up. The design resulted in less overflow of the flowable composite resin in the cervical area, enhancing cleanability with interdental brushes. A functional and esthetic replacement of the missing premolar was achieved without tooth preparation.
Conclusion: This technique provides a minimally invasive and cost-effective solution with predictable clinical outcomes, establishing it as a potential definitive restorative option.
","ja":"Purpose: This case report describes the restoration of a missing lower second premolar using a direct resin-bonded fixed partial denture (RBFPD), employing the composite resin injection technique with a digital workflow and a transparent silicone index. While conventional direct composite RBFPD can be technique-sensitive, this approach simplifies and standardizes the process, making it less dependent on the operator's experience.
Methods: A 50-year-old male patient sought restoration of a missing lower second premolar, preferring to avoid cutting intact teeth or surgical interventions such as dental implants. Thus, a direct composite RBFPD was chosen. The restoration was digitally designed, and a transparent silicone index was fabricated from a 3D-printed dental model, which featured mesial and distal, narrow bucco-lingual extensions to prevent overflow of the composite resin. After the adjacent abutment teeth were bonded with a two-step self-etching adhesive, a highly filled universal-shade flowable composite resin was injected through the opening of the occlusal surface of the silicone index.
Results: The procedure proved to be straightforward, with the success of treatment being less dependent on clinical technique sensitivity. In the laboratory, the need for conventional free-hand wax-up with paraffin wax was eliminated in favor of digital wax-up. The design resulted in less overflow of the flowable composite resin in the cervical area, enhancing cleanability with interdental brushes. A functional and esthetic replacement of the missing premolar was achieved without tooth preparation.
Conclusion: This technique provides a minimally invasive and cost-effective solution with predictable clinical outcomes, establishing it as a potential definitive restorative option.
"},"publication_date":"2024-12","publication_name":{"en":"Operative Dentistry, Endodontology and Periodontology","ja":"Operative Dentistry, Endodontology and Periodontology"},"volume":"4","number":"1","starting_page":"62","ending_page":"68","languages":["eng"],"referee":true,"identifiers":{"doi":["10.11471/odep.2024-007"],"issn":["2436-4975"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} line:7, {"insert":{"user_id":"R000091807","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://tokushima-u.repo.nii.ac.jp/records/2005142","label":"url"},{"@id":"https://www.ncbi.nlm.nih.gov/pubmed/28450674","label":"url"},{"@id":"https://www.scopus.com/pages/publications/85030149005","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=323603","label":"url"}],"paper_title":{"en":"Effects of powder-to-liquid ratio on properties of β-tricalcium-phosphate cements modified using high-energy ball-milling","ja":"Effects of powder-to-liquid ratio on properties of β-tricalcium-phosphate cements modified using high-energy ball-milling"},"authors":{"en":[{"name":"Ida Yumika"},{"name":"Be Jiyon"},{"name":"Sekine Kazumitsu"},{"name":"Kawano Fumiaki"},{"name":"Hamada Kenichi"}],"ja":[{"name":"伊田 百美香"},{"name":"裵 志英"},{"name":"関根 一光"},{"name":"河野 文昭"},{"name":"浜田 賢一"}]},"description":{"en":"The authors have developed a β-tricalcium-phosphate (β-TCP) powder modified mechano-chemically through the application of a ball-milling process (mβ-TCP). The resulting powder can be used in a calcium-phosphate-cement (CPC). In this study, the effects of the powder-to-liquid ratio (P/L ratio) on the properties of the CPCs were investigated, and an appropriate P/L ratio that would simultaneously improve injectability and strength was clarified. The mβ-TCP cement mixed at a P/L ratio of 2.5 and set in air exhibited sufficient injectability until 20 min after mixing, and strength similar to or higher than that mixed at a P/L ratio of 2.0 and 2.78. Although the mβ-TCP cements set in vivo and in SBF were found to exhibit a lower strength than those set in air, it did have an appropriate setting time and strength for clinical applications. In conclusion, P/L ratio optimization successfully improved the strength of injectable mβ-TCP cement.","ja":"The authors have developed a β-tricalcium-phosphate (β-TCP) powder modified mechano-chemically through the application of a ball-milling process (mβ-TCP). The resulting powder can be used in a calcium-phosphate-cement (CPC). In this study, the effects of the powder-to-liquid ratio (P/L ratio) on the properties of the CPCs were investigated, and an appropriate P/L ratio that would simultaneously improve injectability and strength was clarified. The mβ-TCP cement mixed at a P/L ratio of 2.5 and set in air exhibited sufficient injectability until 20 min after mixing, and strength similar to or higher than that mixed at a P/L ratio of 2.0 and 2.78. Although the mβ-TCP cements set in vivo and in SBF were found to exhibit a lower strength than those set in air, it did have an appropriate setting time and strength for clinical applications. In conclusion, P/L ratio optimization successfully improved the strength of injectable mβ-TCP cement."},"publication_date":"2017-04-26","publication_name":{"en":"Dental Materials Journal","ja":"Dental Materials Journal"},"volume":"36","number":"5","starting_page":"590","ending_page":"599","languages":["eng"],"referee":true,"identifiers":{"doi":["10.4012/dmj.2016-341"],"issn":["1881-1361"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} line:8, {"insert":{"user_id":"R000091807","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://www.ncbi.nlm.nih.gov/pubmed/25855467","label":"url"},{"@id":"https://www.scopus.com/pages/publications/84926341883","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=291870","label":"url"}],"paper_title":{"en":"Effects of high-energy ball-milling on injectability and strength of β-tricalcium-phosphate cement","ja":"Effects of high-energy ball-milling on injectability and strength of β-tricalcium-phosphate cement"},"authors":{"en":[{"name":"Be Jiyon"},{"name":"Ida Yumika"},{"name":"Sekine Kazumitsu"},{"name":"Kawano Fumiaki"},{"name":"Hamada Kenichi"}],"ja":[{"name":"裵 志英"},{"name":"伊田 百美香"},{"name":"関根 一光"},{"name":"河野 文昭"},{"name":"浜田 賢一"}]},"description":{"en":"Calcium phosphate cement (CPC) offers many advantages as a bone-substitution material. The objective of this study is to develop a new CPC that simultaneously exhibits fine injectability, a short setting time, and high strength. β-tricalcium phosphate (β-TCP, control) powder was ball-milled for 24h to produce a new cement powder. The modified β-TCP after 24h milling (mβ-TCP-24h) exhibited excellent injectability even 1h after mixing. The mechanical properties of the set cement (compact) were evaluated using compressive strength (CS) and diametral tensile strength (DTS) testing. The CS and DTS values of the mβ-TCP-24h compacts were 8.02MPa and 2.62MPa, respectively, at 5h after mixing, and were 49.6MPa and 7.9MPa, respectively, at 2 weeks after mixing. All the CS and DTS values of the mβ-TCP-24h compacts were significantly higher than those of the control for the same duration after mixing. These results suggest that the mechano-chemically modified β-TCP powder dissolves rapidly and accelerates hydroxyapatite precipitation, which successfully shortens the cement setting time and enhances the strength. This study supports that mβ-TCP-24h is a promising candidate for use in injectable CPCs with improved strength.","ja":"Calcium phosphate cement (CPC) offers many advantages as a bone-substitution material. The objective of this study is to develop a new CPC that simultaneously exhibits fine injectability, a short setting time, and high strength. β-tricalcium phosphate (β-TCP, control) powder was ball-milled for 24h to produce a new cement powder. The modified β-TCP after 24h milling (mβ-TCP-24h) exhibited excellent injectability even 1h after mixing. The mechanical properties of the set cement (compact) were evaluated using compressive strength (CS) and diametral tensile strength (DTS) testing. The CS and DTS values of the mβ-TCP-24h compacts were 8.02MPa and 2.62MPa, respectively, at 5h after mixing, and were 49.6MPa and 7.9MPa, respectively, at 2 weeks after mixing. All the CS and DTS values of the mβ-TCP-24h compacts were significantly higher than those of the control for the same duration after mixing. These results suggest that the mechano-chemically modified β-TCP powder dissolves rapidly and accelerates hydroxyapatite precipitation, which successfully shortens the cement setting time and enhances the strength. This study supports that mβ-TCP-24h is a promising candidate for use in injectable CPCs with improved strength."},"publication_date":"2015-03-10","publication_name":{"en":"Journal of the Mechanical Behavior of Biomedical Materials","ja":"Journal of the Mechanical Behavior of Biomedical Materials"},"volume":"47","starting_page":"77","ending_page":"86","languages":["eng"],"referee":true,"identifiers":{"doi":["10.1016/j.jmbbm.2015.03.005"],"issn":["1751-6161"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} line:9, {"insert":{"user_id":"R000091807","type":"published_papers","id":"52164770"},"force":{"see_also":[{"@id":"https://www.scopus.com/pages/publications/84939445405","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=428093","label":"url"}],"paper_title":{"en":"Develop of high strength calcium phosphate cement: Effects of planetary ball milling","ja":"Develop of high strength calcium phosphate cement: Effects of planetary ball 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