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    Alternative method for connecting a removable gingival extension and fixed partial denture: A clinical report
    (Mosby-Elsevier, 2002) Cura, C; Saracoglu, A; Cotert, HS
    In terms of esthetics and hygiene, defects in the alveolar ridge can complicate the design and fabrication of fixed partial dentures. When missing anterior teeth are restored, it may be difficult to achieve a satisfactory appearance without the correction of soft tissue and alveolar defects. When surgical intervention is not an option, a removable gingival extension and fixed prosthesis may be considered. This clinical report describes the use of a custom-made pin system (rather than intra- or extra-coronal attachments) to esthetically connect a removable gingival extension to a fixed partial denture.
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    Effect of different bonding agents on shear bond strengths of composite-bonded porcelain to enamel
    (Mosby, Inc, 2003) Cura, C; Saracoglu, A; Cotert, HS
    Statement of problem. The use of bonding agents in the luting procedure for porcelain laminate restorations to enamel is not clear. Purpose. This study evaluated the shear bond strength differences between an enamel-luting composite and a heat-pressed ceramic with 6 different bonding systems. Material and methods. Seventy standardized heat-pressed IPS Empress ceramic discs (4-mm diameter, 3-mm height) were prepared. A vertical planar enamel-bonding surface was prepared on the buccal or lingual enamel of 70 freshly extracted sound human molars and premolars. The teeth were oriented to maintain a parallel relationship between the bonding plane and the shear loading axis of a universal testing machine. Tooth specimens were divided into 7 groups (n = 10) comprising equal numbers of molars and premolars. The enamel surfaces of specimens in groups 1 through 6 were prepared with 1 of 6 bonding agents (Scotchbond Multi Purpose Plus, Heliobond, PQ1, SE Bond, Prime&Bond NT, and Prompt L-Pop). Finally, the specimens were luted to the ceramic discs with the composite cement (Opal Luting Composite). Ceramic discs in the seventh group (Control) were luted to the etched enamel with the composite cement without using bonding material. Enamel-ceramic specimens were kept in distilled water at room temperature for 30 days after cementation. All specimens were shear loaded axially in a universal testing machine with a crosshead speed of 0.05 mm/min until fracture. Shear bond strength was measured and recorded for each group in MPa. To determine the statistical significance of the differences between the mean shear bond strength values, a 1-way analysis of variance was used (alpha=.05). Post-hoc multiple comparisons were made with Duncan's multiple range analysis. Fractured surfaces of each specimen were also inspected with a stereomicroscope to evaluate failure modes. Results. A 1-way analysis of variance revealed significant differences between the test groups (P=.00). Bond strength values (MPa) from the highest to the lowest were as follows: Prompt L-Pop, 25.46 +/- 5.6; Prime&Bond NT, 18.99 +/- 4.93; Heliobond, 17.28 +/- 4.0; SE Bond, 16.21 +/- 2.6; PQ1, 15.60 +/- 2.8; Scotchbond MPP, 14.82 +/- 2.4; and Control, 10.55 +/- 1.6. Duncan's multiple range post hoc analysis exhibited significant differences between the control group and the adhesive bonding agent groups (P<.05). There were also significant differences between the bonding agent groups (P<.05). Prompt L-Pop showed the highest bond strength values. Conclusion. Within the limitations of this study, bonding agents appear to have a strengthening effect on the shear bond strengths of the enamel/composite/porcelain interface of the materials tested. Bonding agents used in this study showed similar bond strength values except for Prompt L-Pop, which demonstrated the highest bond strength values.
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    Effect of different bonding agents on shear bond strengths of composite-bonded porcelain to enamel
    (Mosby, Inc, 2003) Cura, C; Saracoglu, A; Cotert, HS
    Statement of problem. The use of bonding agents in the luting procedure for porcelain laminate restorations to enamel is not clear. Purpose. This study evaluated the shear bond strength differences between an enamel-luting composite and a heat-pressed ceramic with 6 different bonding systems. Material and methods. Seventy standardized heat-pressed IPS Empress ceramic discs (4-mm diameter, 3-mm height) were prepared. A vertical planar enamel-bonding surface was prepared on the buccal or lingual enamel of 70 freshly extracted sound human molars and premolars. The teeth were oriented to maintain a parallel relationship between the bonding plane and the shear loading axis of a universal testing machine. Tooth specimens were divided into 7 groups (n = 10) comprising equal numbers of molars and premolars. The enamel surfaces of specimens in groups 1 through 6 were prepared with 1 of 6 bonding agents (Scotchbond Multi Purpose Plus, Heliobond, PQ1, SE Bond, Prime&Bond NT, and Prompt L-Pop). Finally, the specimens were luted to the ceramic discs with the composite cement (Opal Luting Composite). Ceramic discs in the seventh group (Control) were luted to the etched enamel with the composite cement without using bonding material. Enamel-ceramic specimens were kept in distilled water at room temperature for 30 days after cementation. All specimens were shear loaded axially in a universal testing machine with a crosshead speed of 0.05 mm/min until fracture. Shear bond strength was measured and recorded for each group in MPa. To determine the statistical significance of the differences between the mean shear bond strength values, a 1-way analysis of variance was used (alpha=.05). Post-hoc multiple comparisons were made with Duncan's multiple range analysis. Fractured surfaces of each specimen were also inspected with a stereomicroscope to evaluate failure modes. Results. A 1-way analysis of variance revealed significant differences between the test groups (P=.00). Bond strength values (MPa) from the highest to the lowest were as follows: Prompt L-Pop, 25.46 +/- 5.6; Prime&Bond NT, 18.99 +/- 4.93; Heliobond, 17.28 +/- 4.0; SE Bond, 16.21 +/- 2.6; PQ1, 15.60 +/- 2.8; Scotchbond MPP, 14.82 +/- 2.4; and Control, 10.55 +/- 1.6. Duncan's multiple range post hoc analysis exhibited significant differences between the control group and the adhesive bonding agent groups (P<.05). There were also significant differences between the bonding agent groups (P<.05). Prompt L-Pop showed the highest bond strength values. Conclusion. Within the limitations of this study, bonding agents appear to have a strengthening effect on the shear bond strengths of the enamel/composite/porcelain interface of the materials tested. Bonding agents used in this study showed similar bond strength values except for Prompt L-Pop, which demonstrated the highest bond strength values.
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    Fabrication of a sectional impression tray and sectional complete denture for a patient with microstomia and trismus: A clinical report
    (Mosby, Inc, 2003) Cura, C; Cotert, HS; User, A
    This article describes techniques used to fabricate mandibular and maxillary sectional trays and a folding maxillary complete denture for a patient with limited oral opening caused by scleroderma. For the foldable denture, the anterior teeth had to be arranged on a second base and the hinge fitted at a location higher than the denture base. These 2 factors increased the thickness of the denture and limited the volume of the tongue. Nevertheless, a single-piece denture base provided the patient with ease in placement and removal of the denture.
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    Fabrication of a sectional impression tray and sectional complete denture for a patient with microstomia and trismus: A clinical report
    (Mosby, Inc, 2003) Cura, C; Cotert, HS; User, A
    This article describes techniques used to fabricate mandibular and maxillary sectional trays and a folding maxillary complete denture for a patient with limited oral opening caused by scleroderma. For the foldable denture, the anterior teeth had to be arranged on a second base and the hinge fitted at a location higher than the denture base. These 2 factors increased the thickness of the denture and limited the volume of the tongue. Nevertheless, a single-piece denture base provided the patient with ease in placement and removal of the denture.
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    Modified flasking technique for processing a maxillary resection obturator with continuous pressure injection
    (Mosby, Inc, 2001) Cotert, HS; Cura, C; Kesercioglu, A
    It is not possible for the wax pattern of most large-volume maxillary resection obturators to be placed into a flask for conventional compression molding processing and positioning of the wax pattern. However, these wax patterns and their channel access design often can be modified and aligned in position for processing with the continuous pressure injection technique. This article describes the use of the continuous pressure injection technique to process the perpendicularly aligned wax pattern of a maxillary resection obturator. It also describes a modified channel design and a simple method to pull back the injection funnel to increase the volume of the flask.
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    Prosthetic rehabilitation of extremely worn dentitions: Case reports
    (Quintessence Publishing Co Inc, 2002) Cura, C; Saracoglu, A; Ozturk, B
    The stomatognathic system is a complicated structure, and patients usually adapt to their existing vertical dimension of occlusion. Therefore, prosthetic rehabilitation of decreased vertical dimension of occlusion should be considered only when dictated by esthetic or functional requirements. If the loss of vertical dimension is significant, provisional prostheses should be used before the final prosthesis to prevent tension or pain in the temporomandibular joints and the muscles as the patient adapts to the new dimensions. Acrylic resin provisional prostheses were used for three patients before the final prosthesis was fabricated with the restored vertical dimension of occlusion. The period of use varied, depending on the patient's individual adaptive ability. The important aspect is to find the most comfortable position for the patient.