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Prof. Dr. Thomas Attin

Switzerland, Zürich

1989: Zahnmedizinisches Staatsexamen. 1989–1999: Angestellter an den Universitäten Heidelberg, Köln, Freiburg. 1997: Habilitation. 1999–2000: Kommissarischer Leiter der Abteilung für Zahnerhaltung und Parodontologie der Freien Universität Berlin. 2000–2006: Direktor der Abteilung für Zahnerhaltung, Präventive Zahnheilkunde und Parodontologie der Georg-August-Universität Göttingen. Seit 03/2006: Direktor der Klinik für Präventivzahnmedizin, Parodontologie und Kariologie der Universität Zürich.
Seit 08/2013: Vorsteher des Zentrums für Zahnmedizin der Universität Zürich sowie Prodekan Zahnmedizin der Medizinischen Fakultät: PUBLIKATIONEN: Autor bzw. Co-Autor von über 430 wissenschaftlichen peer-reviewed Publikationen, 2 Büchern, 17 Buchbeiträgen.

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Raising the bite in the eroded dentition using a direct composite build-up

Thomas Attin

Length: 34 minutes
Production year: 2019
Language: English, German
Series: Dental Video Journal
Category: Prosthodontics
available since: 18. Dec 2019

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Bisshebung im Erosionsgebiss mit direktem Komposit

Thomas Attin

Length: 34 minutes
Production year: 2019
Language: German, English
Series: Dental Video Journal
Category: Prosthodontics
available since: 18. Dec 2019

Events

  
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14. Dental Summer

28. Jun 2023 — 1. Jul 2023Maritim Seehotel, Timmendorfer Strand, Germany
Speakers: M. Oliver Ahlers, Bilal Al-Nawas, Thomas Attin, Ben Baak, Georg Benjamin, Peter Bongard, Frank Brüggen, Till Dammaschke, Maximilian Dobbertin, Daniel H.-J. Edelhoff, Stefan Fickl, Roland Frankenberger, Sylvia Fresmann, Christina Gaede-Thamm, Florian Göttfert, Christian Graetz, Betül Hanisch, Kerstin Herz, Johanna Herzog, Petra Hinz, Franziska Höhne, Peer W. Kämmerer, Adrian Kasaj, Marie Kasperek, Yvonne Kasperek, Matthias Kern, Andreas Kessler, Bernd Klaiber, Jan Klenke, Marko Knauf, Norbert Krämer, Joachim Müller, Robert Nicic, Florian Rathe, Robert Sader, Keyvan Sagheb, Bernhard Saneke, Ralf Schlichting, Patrick R. Schmidlin, Thomas A. Schwenk, Wolf-Dieter Seeher, Ralf Smeets, Markus Striegel, Anette Strunz, Moritz Tellmann, Ansger Volke, János Winkler, Stefan Wolfart, Christoph Zirkel
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Internationale Fortbildungsgesellschaft mbH
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22. Best Day

„Hinter dem Horizont geht’s weiter…“ — wie Herausforderungen unser Leben bestimmen —27. Jan 2023 — 28. Jan 2023Maritim Hotel Düsseldorfalt
Internationale Fortbildungsgesellschaft mbH
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22. Best Day

"Schranken im Kopf" – wie sie entstehen, was sie bewirken, wie wir sie lösen –18. Feb 2022 — 19. Feb 2022Maritim Hotel Düsseldorfalt
Internationale Fortbildungsgesellschaft mbH
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Farewell Symposium Christoph Hämmerle

Contemporary prosthodontics: Where do we stand, where are we heading?22. Jan 2022, 9:00 — 17:30   (CET)University of Zurich Irchel Campus, Zürich, Switzerland
Speakers: Thomas Attin, Beatrice Beck Schimmer, Tord Berglundh, Rino Burkhardt, Lyndon F. Cooper, Christer Dahlin, Stefano Gracis, Christoph Hämmerle, Lisa J. A. Heitz-Mayfield, Markus B. Hürzeler, Ronald Jung, Nadja Nänni, Mutlu Özcan, Marc Quirynen, Irena Sailer, Christian S. Stohler, Daniel Thoma
Veronika Thalmann & Partner GmbH | Verbands- & Kongress-Management
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55. Jahrestagung der NEUEN GRUPPE

ZahnMedizin Hand & Verstand – Aktuelle Trends und Entwicklungen in Diagnostik und Therapie11. Nov 2021 — 13. Nov 2021Hotel nhow Berlin, Berlin, Germany
Speakers: Giuseppe Allais, Thomas Attin, Raphael Borchard, Michael Christgau, Josef Diemer, Gerhard Iglhaut, Christoph Kaaden, Frank Lobbezoo, Gerhard Polzar, Reinhold Rathmer, Babak Saidi, Markus Schlee, Henning Schliephake, Jörg Schröder, Derk Siebers, Marcus Simon, Guido Singer, Jürg Stuck, Thomas von Arx, Peter Wetselaar, Miranda Wetselaar-Glas, Otto Zuhr
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Neue Gruppe
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Ästhetik in der Zahnmedizin von heute – Umsetzung in der Praxis

31. Mar 2021Online
Speakers: M. Oliver Ahlers, Thomas Attin, Goran Benic, Uwe Blunck, Vincent Fehmer, Stefan Fickl, Stefan Neumeyer, Gaetano Paolone, Ralf J. Radlanski, Irena Sailer, Stefan Wolfart, Diana Wolff
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Internationale Fortbildungsgesellschaft mbH
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Deutscher Zahnärztetag 2019

8. Nov 2019 — 9. Nov 2019Congress Center Messe Frankfurt
Speakers: Karl-Ludwig Ackermann, Sarah Al-Maawi, Kurt Werner Alt, Jassin Arnold, Thomas Attin, Mustafa Ayna, Anna Greta Barbe, Ingo Baresel, Jens Baresel, Tobias Bauer, Ursula Becker, Wilfried Beckmann, Christoph Benz, Lisa Bitterich, Dirk Bleiel, Uwe Blunck, Martin Boost, Andreas Braun, Anne Bredel-Geissler, Wolfgang Buchalla, Egon Burian, Sebastian Bürklein, Iain L. C. Chapple, Wolfgang Christian, Fabian Cieplik, Bettina Dannewitz, Monika Daubländer, Sybille David-Hebgen, Isabel Deckwer, James Deschner, Annika Döding, Christof Dörfer, Heike Dyrna, Norbert Engel, Peter Engel, Susanne Fath, Michael Frank, Roland Frankenberger, Rene Franzen, Cornelia Frese, Tobias Fretwurst, Michael Gahlert, Roland Garve, Werner Geurtsen, Shahram Ghanaati, Christiane Gleissner, Ulrike Gonder, Werner Götz, Dominik Groß, Knut A. Grötz, Martin Guffart, Norbert Gutknecht, Cornelius Haffner, Thorsten Halling, Frederic Hermann, Carlos Herrera-Vizcaino, Tim Hilgenfeld, Jürgen Hoffmann, Martin Hoffmann, Fabian Huettig, Alfons Hugger, Christine Hutschenreuter, Bruno Imhoff, Silke Jacker-Guhr, Søren Jepsen, A. Rainer Jordan, Alexander Jürchott, Bärbel Kahl-Nieke, Peer W. Kämmerer, Philipp Kanzow, Nele Kettler, Christian Kirschneck, Lydia Kogler, Bernd Kordaß, Franz-Josef Kramer, Norbert Krämer, Felix Krause, Matthis Krischel, Joachim Krois, Christina Kühne, Conrad Kühnöl, Bernd Lapatki, Silke Lehmann-Binder M.Sc., Christian Leonhardt, Ivona Leventic, Daniel Lindel, Jörg Alexander Lisson, Ulrike Lübbert, Elmar Ludwig, Anne-Katrin Lührs, Michael Lüpke, Frank Georg Mathers, Wibke Merten, Georg Meyer, Wolfram Misselwitz, Karin Mölling, Mhd Said Mourad, Dietmar Friedrich Müller, Moritz Mutschler, Katja Nickel, Nicole Nicklisch, Ina Nitschke, Olaf Oberhofer, Karina Obreja, Dietmar Oesterreich, Rebecca Otto, Simon Peroz, Peter Pospiech, Florian Probst, Monika Probst, Michael Rädel, Sven Reich, Katharina Reichenmiller, Katharina Reinecke, Daniel R. Reißmann, Bernd Reiss, Stefan Ries, Christiane Rinnen, Katharina Röher, Jerome Rotgans, Uwe Rudol, Sebastian Ruge, Michael Rumpf, Heidrun Schaaf, Claudia Schaller, Karina Schick, Ulrich Schiffner, Maximiliane Amelie Schlenz, Alexander Schmidt, Mathias Schmidt, Andrea-Maria Schmidt-Westhausen, Julian Schmoeckel, Wolfgang Schneider, Sigmar Schnutenhaus, Holger Schön, Andreas Schulte, Nelly Schulz-Weidner, Karola Schulze, Ralf Schulze, Falk Schwendicke, Thomas A. Schwenk, Andreas Simka, Ralf Smeets, Önder Solakoglu, David Sonntag, Hansmartin Spatzier, Benedikt Spies, Norbert Staab, Sabine Steding, Angela Stillhart, Marcus Stoetzer, Hendrik Terheyden, Andrea Thumeyer, Marin Vodanovic, Kai Voß, Maximilian Voß, Wolfgang Wahlster, Michael Walter, Sandra Weber, Almut Johanna Weigel, Paul Weigl, Michael Weiss, Hans-Jürgen Wenz, Johannes-Simon Wenzler, Christian Wesemann, Jens Westemeier, Lotta Westphal, Matthias Widbiller, Annette Wiegand, Horst Willeweit, Karl Frederick Wilms, Sandra Windecker, Michael M. Wolf, Anne Wolowski, Bernd Wöstmann, Sylvia Wuttig
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Quintessenz Verlags-GmbH

This author's journal articles

  
Quintessenz Zahnmedizin, 10/2023
ZahnerhaltungPages 764-774, Language: GermanKrastl, Gabriel / Winkler, Alexander / Weiger, Roland / Attin, Thomas

Endodontisch bedingte Zahnverfärbungen – Ursachen und Therapieoptionen

Endodontisch bedingte Zahnverfärbungen gehen vom Wurzelkanalsystem aus und sind Folge von reaktiv-physiologischen (Obliteration) oder pathologischen Vorgängen (traumabedingte Einblutung, Pulpanekrose, intrakoronale Resorptionen). Gleichzeitig können auch endodontische Interventionen (Pulpaüberkappungen, Wurzelkanaleinlagen, Wurzelkanalfüllungen) bei Verwendung nichtfarbstabiler Materialien zu sichtbaren Diskolorationen führen. Häufig besteht eine ästhetisch bedingte Behandlungsindikation. Bei bestehender oder notwendiger Wurzelkanalbehandlung ist das interne Bleaching eine zuverlässige und zugleich minimalinvasive Maßnahme zur Wiederherstellung der ursprünglichen Zahnfarbe. Verfärbte obliterierte Zähne ohne Zeichen einer infizierten Pulpanekrose können zur Farbkorrektur extern gebleicht werden. Manuskripteingang: 23.03.2023, Manuskriptannahme: 04.04.2023 Keywords: Zahntrauma, Zahnverfärbung, Diskoloration, Bleaching, „Walking-bleach“-Technik
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Parodontologie, 1/2023
Pages 71-76, Language: GermanSteffen, Tobias / Attin, Thomas / Tauböck, Tobias T.

Stufenhebung – Minimalinvasiver Zahnerhalt oder Tortur des Parodonts?

Die Versorgung subgingivaler Zahnläsionen stellt eine Herausforderung im klinischen Alltag dar. Neben der Durchführung einer chirurgischen oder kieferorthopädischen Kronenverlängerung existiert die Technik der sogenannten Stufenhebung. Hierbei wird unter relativer Trockenlegung Komposit appliziert und der Rand des Defekts in den supragingivalen Bereich gehoben. Anschlie-ßend wird der supragingivale Anteil mit einer direkten oder indirekten Restauration versorgt. Trotz der Verletzung der biologischen Breite wird der tiefe Füllungsrand bei einer gewissenhaften Überschussentfernung und guten Mundhygiene des Patienten vom Parodont toleriert. Die Durchführung der Stufenhebung ist techniksensitiv und Erfolge sind nur bei einer sorgfältigen Anwendung der Adhäsivtechnik zu erzielen. Unter diesen Voraussetzungen stellt die Stufenhebung eine konservative Behandlungsalternative zur Kronenverlängerung dar. Manuskripteingang: 15.08.2022, Annahme: 14.12.2022 Keywords: Biologische Breite, Stufenhebung, Gingivabreite, Parodont, Komposit
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Oral Health and Preventive Dentistry, 1/2023
Open Access Online OnlyOral HealthDOI: 10.3290/j.ohpd.b4100897, PubMed ID (PMID): 3719533117. May 2023,Pages 153-162, Language: EnglishTanner, Moritz / Singh, Raphael / Svellenti, Leonardo / Hamza, Blend / Attin, Thomas / Wegehaupt, Florian J.

Effect of Toothbrush Bristle Stiffness and Brushing Force on Cleaning Efficacy

Purpose: This study investigated the effect of toothbrush bristle stiffness and brushing force on the cleaning efficacy in vitro. Materials and Methods: Eighty bovine dentin samples were allocated to eight groups (n=10). Two custom-made toothbrushes of different bristle stiffness (soft and medium) were tested at four different brushing forces (1, 2, 3 and 4 N). Dentin samples were stained in black tea and brushed (60 strokes/min) for a total of 25 min in a brushing machine with an abrasive solution (RDA 67). Photographs were taken after 2 and 25 min of brushing time. Cleaning efficacy was measured planimetrically. Results: After 2 min of brushing, the soft-bristle toothbrush did not cause statistically significantly different cleaning efficacy at different brushing forces, while the medium-bristle toothbrush cleaned statistically significantly less efficaceously only at 1 N. Comparing the two different toothbrushes, higher cleaning efficacy was observed only at 1 N for the soft-bristle brush. At 25 min brushing time, the soft-bristle cleaned statistically significantly better at 4 N compared to 1 N and 2 N and at 3 N compared to 1 N. Using the medium-bristle, cleaning efficacy increased with increasing brushing force. After 25 min of brushing, no statistically significant difference was observed between the two different toothbrushes. Conclusion: Irrespective the brushing force, the use of a soft or medium toothbrush results in comparable cleaning efficacy. At 2 min brushing time, increasing the brushing force does not increase the cleaning efficacy. Keywords: bristle stiffness, brushing force, cleaning efficacy, toothbrush
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Oral Health and Preventive Dentistry, 1/2023
Open Access Online OnlyOral MedicineDOI: 10.3290/j.ohpd.b4009553, PubMed ID (PMID): 370142134. Apr 2023,Pages 93-102, Language: EnglishThurnheer, Thomas / Bensland, Sabrina / Eick, Sigrun / Kulik, Eva M. / Attin, Thomas / Karygianni, Lamprini

Antibiotic Resistance among Fusobacterium, Capnocytophaga, and Leptotrichia Species of the Oral Cavity

Purpose: Antibiotics play an important role in treating periodontal diseases. Due to the effectiveness of antibiotic therapies, their usage in dentistry has significantly increased. The aim of this study focused on the in-vitro susceptibility of different gram-negative oral bacteria species – which are associated with periodontal diseases (Fusobacterium spp., Capnocytophaga spp. and Leptotrichia buccalis) and have different geographical origins (Asia and Europe) – against antimicrobials that are clinically relevant in dental therapy. Materials and Methods: A total of 45 strains were tested (29 Fusobacterium spp., 13 Capnocytophaga spp. and 3 L. buccalis) that were either isolated from Chinese patients or were obtained from different strain collections. Their antimicrobial susceptibility to the antimicrobial agents benzylpenicillin, amoxicillin, amoxicillin-clavulanic acid, ciprofloxacin, moxifloxacin, clindamycin, doxycycline, tetracycline and metronidazole was tested using the E-Test. Strains with particular resistance to penicillin, clindamycin and metronidazole were further analysed for resistance genes. Results: All tested bacterial isolates were sensitive to amoxicillin, amoxicillin-clavulanic acid, doxycycline and tetracycline, but showed variable sensitivity towards other antibiotics such as benzylpenicillin, ciprofloxacin, moxifloxacin, clindamycin and metronidazole. Conclusion: The results of the present study suggest that certain periodontal disease-related bacterial strains can be resistant towards antimicrobial agents commonly used in adjuvant periodontal therapy. Keywords: antibiotics, resistance, oral bacteria, clinical isolates, E-test
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Oral Health and Preventive Dentistry, 1/2023
Open Access Online OnlyOral HealthDOI: 10.3290/j.ohpd.b4586835, PubMed ID (PMID): 379165502. Nov 2023,Pages 391-396, Language: EnglishBlatter, Nicolai / Hamza, Blend / Attin, Thomas / Wegehaupt, Florian J

Supplementation of Energy Drinks with Green Tea Extract: Effect on In Vitro Abrasive/Erosive Dentin Wear

Purpose: To investigate the effect of the supplementation of energy drinks with green tea extract on abrasive and erosive dentin wear. Materials and Methods: Six groups, each comprising 15 bovine dentin samples, were prepared, yielding a total of 90 samples. Erosion was performed by immersing the samples in Red Bull and Red Bull light with and without green tea extract. Tap water with and without green tea extract was used as the control groups. The samples were subjected to abrasive/erosive cycling for five days. The following cycling was performed daily: toothbrush abrasion (20 brushstrokes; 2.5 N); eight erosive cycles (2 min storage in the respective solutions); in between the erosive cycles, storage in artificial saliva (60 min) and again toothbrush abrasion (20 brushstrokes; 2.5 N). During the night, samples were again stored in artificial saliva. Abrasive/erosive dentin wear was measured using a stylus profilometer (µm, accuracy = 40 nm). The measured dentin loss results from the vertical position shift on the y-axis from base to final profile after the wear process in 2D. Pairwise comparisons between the groups were carried out using Wilcoxon signed-rank test. Results: The following dentin wear (median [IQR]) was measured: Red Bull: 1.9 µm (0.5); Red Bull Light: 1.3 µm (0.3); Red Bull with green tea extract: 0.8 µm (0.3); Red Bull Light with green tea extract: 0.3 µm (0.5); Tap water with green tea extract: -0.2 µm (0.7); Tap water: -1.0 µm (1.2). The comparison of all tested groups to each other proved to be statistically significant (p < 0.05). Conclusion: The supplementation of energy drinks with green tea extract provide a protective effect against erosive/abrasive wear in vitro. Keywords: abrasive dentin wear, energy drinks, erosive dentin wear, green tea, profilometry
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Oral Health and Preventive Dentistry, 1/2023
Open Access Online OnlyOral HealthDOI: 10.3290/j.ohpd.b3858625, PubMed ID (PMID): 367278372. Feb 2023,Pages 41-48, Language: EnglishDobler, Liana / Hamza, Blend / Attin, Thomas / Wegehaupt, Florian J.

Abrasive Enamel and Dentin Wear Resulting from Brushing with Toothpastes with Highly Discrepant Relative Enamel Abrasivity (REA) and Relative Dentin Abrasivity (RDA) Values

Purpose: To investigate the absolute wear caused by toothpastes with highly discrepant REA (Relative Enamel Abrasivity) and RDA (Relative Dentin Abrasivity) values on both enamel and dentin: Candida Peppermint (CP; REA: 1; RDA: 42), Colgate Total Original (CTO; REA: 4; RDA: 100), Signal White System (SWS; REA: 8; RDA: 143), and Candida White Diamond (CWD; REA 244; RDA: 12). Materials and Methods: Eighty (80) bovine enamel samples and 80 dentin samples were divided into four groups each (n = 20) and investigated after a 6-h brushing procedure (21,600 cycles, 60 cycles/min, load of 2.5 N) with the four toothpastes. The abrasive enamel and dentin wear were registered using a contact profilometer. The median and interquartile range (IQR) of the abrasive enamel and dentin wear were calculated for each group. Pairwise comparisons were conducted using the Wilcoxon signed-rank exact test, and the p-value was adjusted according to Holm (statistical significance set at 0.05). Results: CWD led to the highest abrasive enamel wear (9.86 μm [5.77]). CTO caused the highest abrasive dentin wear (166.70 μm [69.90]), being statistically significantly higher than the wear for CP (54.20 μm [24.00]) and CWD (17.00 μm [7.80]) (p = 0.00001). The abrasive dentin wear for CWD was statistically significantly lower in comparison to all other groups (p = 0.00001). Conclusion: Toothpastes with highly discrepant REA and RDA values presented statistically significantly different absolute wear on enamel and dentin. REA and RDA values should both be declared for every toothpaste. Keywords: abrasive dentin wear, abrasive enamel wear, RDA, REA, toothpaste abrasivity
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The International Journal of Prosthodontics, 1/2023
DOI: 10.11607/ijp.7463, PubMed ID (PMID): 36445221Pages 81-90h, Language: EnglishYang, Hui / Yang, Song / Attin, Thomas / Yu, Hao

Effect of Acidic Solutions on the Surface Roughness and Microhardness of Indirect Restorative Materials: A Systematic Review and Meta-analysis

Purpose: To evaluate the effects of acidic solutions on the surface roughness (SR) and surface microhardness (SMH) of indirect restorative materials by analyzing in vivo and in vitro studies. Materials and Methods: Studies comparing the SR and SMH of indirect restorative materials after erosion were included in the metaanalysis. Meta-analyses were conducted with a random-effects model at a significance level of P < .05 using Review Manager software (Cochrane Collaboration). The literature search was conducted using the Web of Science, MEDLINE (PubMed), and Cochrane Library databases, with no limitations on publication year. Results: Of the 1,097 potentially relevant studies, 32 full-text articles were assessed for eligibility. A total of 16 articles were included in the systematic review, and 15 were included in the meta-analyses. The kappa score between the two reviewers was 0.80. The effects of erosion on ceramics, indirect composites, and hybrid ceramics were evaluated by immersion in or rinsing with acidic solutions (eg, hydrochloric acid [HCl], cola drinks, and juices). An increase in the SR (Ra values) (P < .00001; mean difference [MD] = –0.04; 95% CI = –0.06 to –0.03) and a decrease in the SMH (Vickers microhardness [VHN]) (P < .00001; MD = 13.94; 95% CI = 12.33 to 15.55) were found after erosion. Subgroup analyses revealed that in vitro erosion led to significantly higher Ra values and lower VHN values than in vivo erosion; cola drinks and juices led to more surface degradation than HCl; and the SR and SMH of polymer-infiltrated ceramic network (PICN) materials remained unchanged after erosion. Conclusion: After acidic challenges, significantly increased surface roughness and decreased surface microhardness were found on the surfaces of indirect restorative materials. Among all the indirect restorative materials, PICN showed the best acid resistance. Nevertheless, the changes in the SR and SMH of indirect restorative materials after erosion detected in the present study were minor and may not have any clinical significance.
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DZZ International, 4/2022
Open Access Online OnlyCase ReportDOI: 10.53180/dzz-int.2022.0014Pages 118, Language: EnglishAttin, Thomas / Schmidlin, Patrick R. / Tauböck, Tobias T.

Direct restorative technique in posterior teeth to treat erosion-induced tooth wear

Introduction: The restorative reconstruction of lost tooth structure and the restoration of the original vertical bite position in a dentition that has been severely affected by tooth erosion or abrasion always presents the dentist with problems in implementing the therapy. Traditionally, this therapy is carried out with laboratory-produced restaurations, which usually require preparation of the remaining tooth substance and result in high costs for the patient, so that alternative procedures should be considered. It should be emphasized that any restorative work, even minimally invasive, is only indicated in these patients if the preventive approach of inhibiting further loss of tooth structure is successful at the same time. Treatment method: The following article presents a case study on the use of direct adhesive composite restorations as a possibility for reconstructing an erosively severely altered dentition. Transfer splints, which are fabricated on the basis of individual wax-up models, are used to reconstruct the occlusal surfaces. Conclusion: The procedure described is a well-studied and proven method for restoring teeth with erosion-induced tooth wear. As with all new procedures, there will be a certain learning curve for the practicing dentist, after which high-quality restorations can be implemented using this technique. Keywords: adhesive technique, composite, erosion, occlusal vertical dimension, tooth wear
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Deutsche Zahnärztliche Zeitschrift, 4/2022
PraxisDOI: 10.53180/dzz.2022.0018Pages 231, Language: GermanAttin, Thomas / Schmidlin, Patrick R. / Tauböck, Tobias T.

Direkte Restaurationstechnik im Seitenzahnbereich zur Versorgung von erosionsbedingtem Zahnhartsubstanzverlust*

Einführung: Der restaurative Aufbau verloren gegangener Zahnhartsubstanz und die Wiederherstellung der ursprünglichen vertikalen Bisslage bei einem durch Zahnerosionen oder -abrasionen stark in Mitleidenschaft gezogenen Gebiss stellt den Zahnarzt immer wieder vor Probleme bei der Umsetzung der Therapie. Traditionellerweise erfolgt diese Therapie mit laborgefertigten Werkstücken, die i.d.R. eine Präparation der verbliebenen Zahnsubstanz erfordern und für den Patienten hohe Kosten verursachen, sodass alternative Verfahren in Betracht gezogen werden sollten. Dabei gilt es hervorzuheben, dass jedwede, auch minimalinvasive restaurative Arbeiten bei diesen Patienten nur dann indiziert sind, wenn der präventive Ansatz, weiteren Zahnhartsubstanzverlust zu verhindern, gleichzeitig erfolgreich ist. Behandlungsmethode: Der folgende Beitrag stellt die Verwendung direkter adhäsiver Kompositrestaurationen als eine Möglichkeit zur Rekonstruktion einer erosiv stark veränderten Gebisssituationen anhand eines Falls dar. Zur Rekonstruktion der Okklusalflächen werden dabei Übertragungsschienen eingesetzt, die auf der Basis von individuellen Wax-up-Modellen angefertigt werden. Schlussfolgerung: Das beschriebene Verfahren ist eine gut untersuchte und erprobte Methode zur Versorgung von Zähnen mit erosionsbedingtem Zahnhartsubstanzverlust. Wie bei allen neuen Verfahren wird sich für den praktischen Zahnarzt eine gewisse Lernkurve ergeben, nach der hochwertige Restaurationen mit dieser Technik umgesetzt werden können. Keywords: Adhäsivtechnik, Erosion, Komposit, Zahnhartsubstanzverlust, okklusale vertikale Dimension
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QZ - Quintessenz Zahntechnik, 2/2022
KurzfassungPages 195, Language: GermanZimmermann, Moritz / Ender, Andreas / Attin, Thomas / Mehl, Albert

Bruchbelastung von dreigliedrigen festsitzenden Brücken

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News from this author
3. Nov 2023

Erosiver Zahnhartsubstanzverlust bei Sportlern

Von Reflux und Esstörungen bis hin zu isotonischen Getränken oder dem Schwimmbadwasser sind viele Ursachen möglich