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Mauro Fradeani, MD, DDS, is the founder and director of ACE Institute and Fradeani Education. He serves on the editorial board for the Journal of Esthetic and Restorative Dentistry and is an associate editor of The International Journal of Esthetic Dentistry. He is the author of Esthetic Rehabilitation in Fixed Prosthodontics, Volume 1: Esthetic Analysis: A Systematic Approach to Prosthetic Treatment (Quintessence, 2004) and Volume 2: Prosthetic Treatment: A Systematic Approach to Esthetic, Biologic, and Functional Integration (Quintessence, 2008). Dr Fradeani maintains a private practice limited to prosthetics on natural dentition and on implants in Pesaro, Italy.
Length: 32 minutes Production year: 2009 Language: English Source: 60 Jahre Quintessenz Categories: Dental Technology, Esthetic Dentistry available since: February 8, 2010
Events
3rd International SIPRO Congress
Prosthesis or Oral Rehabilitation? Sustainable solutionsMay 23, 2024 — May 25, 2024Palazzo dei Congressi, Firenze, Italy
Speakers: Alessandro Agnini, Wael Att, Leonardo Bacherini, Leonello Biscaro, Alessio Casucci, Paola Ceruti, Mauro Cozzani, Marco Ferrari, Mauro Fradeani, Anna Franchini, Henriette Terezia Lerner, Lucio Lo Russo, Daniele Manfredini, Costanza Micarelli, Eitan Mijiritsky, Carlo E. Poggio, Paola M. Poggio, Michele Rossini, Nicola M. Sforza
Italian Society of Prosthodontic and Oral Rehabilitation (SIPRO)
The 14th International Symposium on Periodontics and Restorative Dentistry (ISPRD)
June 9, 2022 — June 12, 2022Boston Marriott Copley Place, Boston, MA, United States of America
Speakers: Tara Aghaloo, Edward P. Allen, Evanthia Anadioti, Wael Att, Vinay Bhide, Markus Blatz, Scotty Bolding, Lorenzo Breschi, Jeff Brucia, Daniel Buser, Luigi Canullo, Daniele Cardaropoli, Stephen J. Chu, Donald Clem, Christian Coachman, Lyndon F. Cooper, Daniel Cullum, Lee Culp, José Carlos Martins da Rosa, Sergio De Paoli, Marco Degidi, Nicholas Dello Russo, Serge Dibart, Joseph P. Fiorellini, Mauro Fradeani, Stuart J. Froum, David Garber, Maria L. Geisinger, William Giannobile, Luca Gobbato, Ueli Grunder, Galip Gürel, Chad Gwaltney, Christoph Hämmerle, Robert A. Horowitz, Marc Hürzeler, David Kim, Gregg Kinzer, Christopher Köttgen, Ina Köttgen, Purnima S. Kumar, Burton Langer, Lydia Legg, Pascal Magne, Kenneth A. Malament, Jay Malmquist, George Mandelaris, Pamela K. McClain, Michael K. McGuire, Mauro Merli, Konrad H. Meyenberg, Craig M. Misch, Julie A. Mitchell, Marc L. Nevins, Myron Nevins, Michael G. Newman, Miguel A. Ortiz, Jacinthe M. Paquette, Stefano Parma-Benfenati, Michael A. Pikos, Giulio Rasperini, Pamela S. Ray, Christopher R. Richardson, Isabella Rocchietta, Marisa Roncati, Marco Ronda, Paul S. Rosen, Maria Emanuel Ryan, Irena Sailer, Maurice Salama, David M. Sarver, Takeshi Sasaki, Todd Scheyer, Massimo Simion, Michael Sonick, Sergio Spinato, Dennis P. Tarnow, Lorenzo Tavelli, Douglas A. Terry, Tiziano Testori, Carlo Tinti, Istvan Urban, Hom-Lay Wang, Robert Winter, Giovanni Zucchelli
Quintessence Publishing Co., Inc. USA
This author's journal articles
International Journal of Periodontics & Restorative Dentistry, 6/2021
Minimally invasive prosthetic procedures (MIPPs) have been suggested and utilized for the esthetic rehabilitation of severely worn dentition. Minimizing the reduction of tooth structure and the use of additional adhesive techniques are key elements to ensure long-term results. This article presents the long-term result of this restorative technique. A total of 1,040 lithium disilicate restorations were adhesively luted, and 45 patients and 87 arches were treated. The cumulative survival rate recorded was 99.15%, with a 10-year survival probability of 96.5%. These remarkable results strongly support the use of MIPP as a restorative option for severely worn dentition.
Klassischer und digitaler Workflow bei der Herstellung von Prothetik mit der GETApp
Der Beitrag beschreibt das konkrete Vorgehen bei einer Restauration mithilfe einer Applikation für die geführte ästhetische Behandlung (GETApp) nach Abschluss der Behandlungsplanung. Diese assistiert dem Zahnarzt bei allen Schritten der Datenerfassung und -weiterverarbeitung und kann mit verschiedenen technischen Hilfsmitteln interagieren, die für die einzelnen prothetischen Arbeitsschritte zur Verfügung stehen. Alle zusammen bilden einen vollständig digitalen, restaurativen Workflow. Die gewonnenen Daten werden anschließend von der App weiterverarbeitet, sodass ein idealer prothetischer Behandlungsplan vorgeschlagen werden kann.
Keywords: Ästhetik, Fallplanung, Vollkeramik, Veneers, App
Der Beitrag beschreibt das Vorgehen bei einer Restauration mithilfe einer Applikation für die geführte ästhetische Behandlung (GETApp). Diese assistiert dem Zahnarzt bei allen Schritten der Datenerfassung und -weiterverarbeitung und kann mit verschiedenen technischen Hilfsmitteln interagieren, die für die einzelnen prothetischen Arbeitsschritte zur Verfügung stehen. Alle zusammen bilden einen vollständig digitalen, restaurativen Workflow. Die gewonnenen Daten werden anschließend von der App weiterverarbeitet, sodass ein idealer prothetischer Behandlungsplan vorgeschlagen werden kann.
Keywords: Ästhetik, Fallplanung, Vollkeramik, Veneers, App
This multicenter retrospective clinical study was aimed at comparing the effects of an increase in vertical dimension of occlusion (VDO) in patients with fixed rehabilitations. Expert clinicians retrospectively evaluated 100 patients treated with an increase of the VDO and fixed dental prostheses (FDPs) supported by teeth, implants, or both. The patients were divided into three study groups according to the type of support of restorations in posterior areas, as follows: partially edentulous patients with posterior teeth-supported rehabilitations and no implants in posterior segments (group A), partially edentulous patients with posterior mixed rehabilitations and at least one osseointegrated implant in posterior segments (group B), and completely edentulous patients with posterior implant-supported rehabilitations (group C). The new VDO was tested with mock-ups, temporary restorations, or removable appliances. The patients were followed up for at least 1 year after the delivery of final restorations. Clinical variables were collected retrospectively, such as presence of referred self-reported bruxism and temporomandibular joint or muscle symptoms before treatment, extension of the dental arches, increase in VDO, restorative materials, and functional complications. Descriptive statistics were analyzed; the three experimental groups were compared with one-way analysis of variance (ANOVA) followed by Tukey post hoc test for the quantitative variables and with logistic regression using the likelihood ratio test for the qualitative variables. Statistically significant differences were reported among the experimental groups for functional complications. Functional and prosthetic complications after the VDO increase were not frequent. Functional complications were mainly noticed in group C but usually were no longer evident after 2 weeks. No significant differences were found between groups in terms of prosthetic complications and self-reported bruxism.
The restoration of teeth that have been compromised by loss of crown and radicular structure due to caries, fractures, root resorption or iatrogenic lesions could result in the violation of the biologic width, with consequent gingival inflammation, loss of attachment, and alveolar bone loss. It is essential in these cases to obtain an adequate enough portion of the tooth structure to allow for a restoration that respects the biologic width. This can be achieved using a procedure that allows for the extrusion of the root in a single step, thereby shifting the compromised site from subgingival to supragingival. This allows adequate space to reestablish the biologic width while simplifying and speeding up the restorative procedures. The combination of this fast and reliable procedure with modern tooth preparation, current adhesive techniques, and the latest generation of restorative materials aligns perfectly with the philosophy of minimally invasive procedures, with undeniable advantages for patients.
This multicenter retrospective clinical study aimed to evaluate the clinical performance of zirconia abutments in anterior and posterior regions, focusing on implant-abutment connections and restoration vertical height (RVH). Six experienced prosthodontists used 965 computer-aided design/computer-assisted manufacture zirconia abutments in 601 patients. Different surgical approaches were taken according to the needs of each patient. The final restorations were all-ceramic single crowns and short-span fixed dental prostheses. Screw-retained restorations were mainly used in anterior areas, whereas cemented prostheses were chosen in cases where the implant position was not ideal. Different types of implant-abutment connections were compared: external, internal with metal components, and internal full-zirconia conical connection. All the restorations were followed up for 4 to 10 years. Technical and biologic complications were assessed in relation to several biomechanical variables, such as RVH. Differences between groups were statistically analyzed, and longevity of abutments was evaluated according to Kaplan-Meier survival analysis. Zirconia abutments resulted in overall survival and success rates of 98.9% and 94.8%, respectively. External connections reported survival and success rates of 99.7% and 94.5%, internal metal connections 99.8% and 95.5%, and internal zirconia connections 93.1% and 93.1%, respectively. Overall complication rates of 1.14%, 3.42%, and 0.62% were reported for fractures, chipping, and unscrewing, respectively. The external connection showed the longest survival while the internal zirconia connection showed the highest fracture incidence over the observation period. The clinical risk limit of RVH was identified as 14 mm. Zirconia abutments showed satisfactory clinical performance in anterior and posterior regions after 4 to 10 years. RVH and connection type influenced the clinical longevity of restorations; in particular, internal connections with secondary metallic components reduced the incidence of complications.
In den letzten Jahren gab es einen enormen Zuwachs bei konservativen zahnmedizinischen Behandlungen, die die Zahnhartsubstanz schonen und das Potenzial der aktuellsten Keramikmaterialien voll ausnutzen. Die Kombination aus Adhäsivtechniken und Hochleistungskeramiken ermöglicht ästhetisch wie funktionell überzeugende Restaurationen. Hier gibt es seit einiger Zeit die sogenannten Non-Prep-Veneers, d. h. sehr dünne Veneers, die einfach auf die vorhandene Zahnhartsubstanz geklebt werden, ohne diese vorher zu präparieren. Aber selbst wenn keine Präparation notwendig ist, erfordert die Umsetzung des Non-Prep-Konzeptes doch umfassende Kenntnisse auf dem Gebiet der Keramikmaterialien und der aktuellen Adhäsivtechniken. Dies gilt nicht zuletzt auch hinsichtlich der optischen Eigenschaften und der möglichen Materialstärken in Abhängigkeit von der Farbe des Zahnes, der Zahnstellung sowie der Quantität und Qualität der Restzahnsubstanz. Auch die verschiedenen Gründe für den Verlust an Zahnhartsubstanz spielen eine Rolle.
Keywords: Zahnpräparation, Non-Prep-Veneers, Lithiumdisilikat, adhäsive Befestigung, Ästhetik
In den letzten Jahren gab es einen enormen Zuwachs bei konservativen zahnmedizinischen Behandlungen, die die Zahnhartsubstanz schonen und das Potenzial der aktuellsten Keramikmaterialien voll ausnutzen. Die Kombination aus Adhäsivtechniken und Hochleistungskeramiken ermöglicht ästhetisch wie funktionell überzeugende Restaurationen. Hier gibt es seit einiger Zeit die sogenannten Non-Prep-Veneers, d. h. sehr dünne Veneers, die einfach auf die vorhandene Zahnhartsubstanz geklebt werden, ohne diese vorher zu präparieren. Aber selbst wenn keine Präparation notwendig ist, erfordert die Umsetzung des Non-Prep-Konzeptes doch umfassende Kenntnisse auf dem Gebiet der Keramikmaterialien und der aktuellen Adhäsivtechniken. Dies gilt nicht zuletzt auch hinsichtlich der optischen Eigenschaften und der möglichen Materialstärken in Abhängigkeit von der Farbe des Zahnes, der Zahnstellung sowie der Quantität und Qualität der Restzahnsubstanz. Auch die verschiedenen Gründe für den Verlust an Zahnhartsubstanz spielen eine Rolle.
Keywords: Ätzbare Keramiken, Non-Prep-Veneers, Feldspatkeramik, Adhäsion, Haftung, Ästhetik