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Aramany's classification of postsurgical maxillectomy defects was introduced for partially edentulous situations, and has been widely used for education and effective communication among practitioners. Numerous classifications of maxillofacial defects, based on surgical procedure, resultant defects, or prosthodontist's perspective after rehabilitation, exist in the literature. However, no single classification has incorporated all these factors. The purpose of this review was to highlight the classification systems and describe a pragmatic classification series for edentulous maxillary arch defects (maxillectomy) by applying the Aramany classification criteria, to enhance treatment outcomes and communication among practitioners.An electronic search of the literature published in English was conducted using the PubMed/MEDLINE and Google Scholar database. Keywords used were "maxillectomy classification" AND "surgical resection," "maxillectomy classification" AND "complete edentulous." In addition, a manual search was also performed followed the same criteria in the following journals: Journal of Prosthetic Dentistry and Journal of Prosthodontics.Several classification systems for partial dentition were found in terms of size, location, dentition, and extension of the defect (isolated or communication defects). The findings revealed a variety of maxillectomy defect classifications for partially dentate, considering surgical factors and rehabilitation. However, no study or classification system exist for the edentulous arch defects.Different classification systems for maxillectomy defects exist in the literature, only for partially dentate patients. To the authors best knowledge, no classification system for completely edentulous maxillary arch defects have been proposed till date. A simple classification system with clear characteristics for edentulous maxillectomy dental arch defects has been proposed. This classification was modeled after Aramany classification for easier memorization and application.

This study aimed to investigate the difference between senior dental students and prosthodontic faculty members regarding their opinions, attitudes and adoption of six split-cast techniques for remounting complete dentures. The accuracy of each technique for measurements of the vertical and the anteroposterior dimensions was assessed.Six split-cast techniques to remove the casts were compared. A total of 115 participants removed a set of casts on six different articulators, and a questionnaire survey was administered. A digital Vernier caliper was used to measure the linear dimensional changes between the laterally pindexed references on each cast. The data were statistically analysed at α = 0.05.There were significant differences between senior dental students and prosthodontic faculty members in their responses regarding adoption of daily practice and techniques requiring more skill (p = .001). To adopt a specific technique in daily practice, most students and faculty members chose long round die pins (36.4%) and central groove indexing (CGI; 40.7%), respectively. For techniques requiring more skills, most students and faculty members chose long rectangular die pins (30.7%) and short round dowel pins (33.3%), respectively.Dental students preferred ShRP, whilst faculty members preferred LReP. All participants considered CGI to be the easiest amongst the techniques. For comparison with baseline measurements, both senior dental students and prosthodontic faculty members considered side notch indexing and double dowel pins to be the most accurate techniques for vertical measurements, and CGI for anteroposterior measurements.

Purpose The purpose of this study is to systematically map all the factors that influence the fit and adaptation of zirconia crowns and/or copings. Materials and methods The investigational strategy involved carrying out an electronic search between December 1, 2009 and September 1, 2019 through the Embase and Medline databases using Boolean operators to locate appropriate articles. Results A total of 637 articles were discovered after the removal of duplicates, and 46 of these were selected for evaluation. Further, a quality assessment was performed using GRADE evaluation criteria. Conclusions Shoulder finish line preparations had slightly better marginal fit compared to chamfer finish lines. Crowns obtained from digital impressions had comparable to superior marginal adaptation compared to conventional impressions. Increasing cement space showed to improve zirconia crown adaptation. Cementation and veneering zirconia frameworks found to increase the marginal and internal gaps. Limited information is available on the effect of the alteration of sintering time/Temperature and/or sintering techniques on the adaptation of zirconia crowns. Most of the selected studies had a moderate quality assessment evaluation. Future studies could investigate the chair‐side, ultra‐fast sintering effect on the marginal gap of zirconia crowns.

Objective As a result of advancements in chairside technology and speed sintering techniques and increased esthetic demands of patients, efforts have been made to produce monolithic zirconia restorations that are highly translucent, strong, and dense. While methods for processing zirconia are well known, there is a tendency to modify the process parameters with the aim of decreasing the overall processing time and, in particular, the sintering time. This review provides clinicians with scientific evidence of the effects of altering sintering parameters used for dental zirconia on its microstructure, phase transformation, and mechanical and optical properties. Materials and methods A systematic search of Embase and Medline using Boolean operators was performed to locate relevant articles. Results Eleven articles were selected for this review. The following characteristics of monolithic zirconia have been confirmed to be affected by alterations in sintering: the microstructure, mechanical properties, optical properties, wear behavior, and low thermal degradation. Conclusions The alteration of sintering parameters has been found to alter the grain size, wear behavior, and translucency of zirconia. There is a lack of clinical studies that investigate the influence of altering sintering parameters or methods on the clinical performance of monolithic zirconia restorations. Clinical significance Alteration of sintering parameters alters the microstructural, mechanical, and optical properties of zirconia. This will consequently impact the clinical performance of zirconia prostheses. Future clinical investigations are encouraged to support these in vitro findings.

Objective: The study aims to evaluate the emotional, behavioural, and social effects of single or multiple anterior tooth loss. It also compares the effectiveness of the removable and fixed prosthesis to address the impact of anterior tooth loss. Material and Methods: The study was carried out on 70 subjects who presented to the Department of Prosthetic Dental Sciences. A questionnaire was distributed and the data were statistically analyzed using SPSS version 18.0 and values less than 0.05 % were considered statistically significant. Results: The participant’s difficulty to accept loss of their anterior tooth, embarrassment and confidence were changed significantly after wearing the prosthesis (P< 0.05). Moreover, fixed partial denture had more effect than removal partial denture. It was claimed by 62.9% of the participants that they were not prepared for the effect of tooth loss and 47.1% of them thought that a prior explanation from the dentist would have helped them overcome their fear of losing their teeth. Conclusion: The maximum impact of anterior tooth loss was felt on confidence followed by embarrassment. The participants felt more comfortable after wearing their prosthesis. Fixed partial denture had more effect than removable partial denture. Keywords Emotional; Behavioral; Social; Anterior tooth loss. Keywords Emotional; Behavioral; Social; Anterior tooth loss.

PURPOSE The marginal fit is an essential component for the clinical success of prosthodontic restorations. The aim of this study was to investigate the influence of different abutment finish line widths and crown thicknesses on the marginal fit of zirconia crowns fabricated using either standard or fast sintering protocols. MATERIALS AND METHODS Six titanium abutments were fabricated for receiving zirconia molar crowns. Crowns were designed virtually and milled from partially sintered zirconia blanks and divided into 12 groups (n = 10/group). Crowns in groups 1 to 6 were sintered by standard sintering, while those in groups 7 to 12 were sintered by fast sintering. Groups were further categorized according to abutment finish line and crown thickness: G1/G7 (0.5 mm chamfer, 0.8 mm thick); G2/G8 (0.5 mm chamfer, 1.5 mm thick); G3/G9 (1.0 mm chamfer, 0.8 mm thick); G4/10 (1.0 mm chamfer, 1.5 mm thick); G5/G11 (1.2 mm chamfer, 0.8 mm thick); G6/G12 (1.2 mm chamfer, 1.5 mm thick). The marginal gaps were assessed at 8 locations using digital microscopy. The linear mixed effect model analysis was performed at a significance level of 0.05. RESULTS All vertical marginal gaps were within the clinically acceptable range (∼11-52 μm). G8 (FS, 0.5 mm chamfer, 1.5 mm thick) demonstrated the largest gaps (47.95 μm, 95% CI: 44.57-51.23), whereas G3 (SS, 1.0 mm chamfer, 0.8 thick) had the smallest marginal gap (14.43 μm, 95% CI: 11.15-17.71). A linear mixed effect models showed significant differences for the interaction between finish line × crown thickness × sintering (F = 18.96, p < 0.001). The lingual surfaces showed the largest gaps in both sintering protocols, while the mesial and mesiobuccal surfaces demonstrated the smallest gaps. CONCLUSIONS There was a significant interaction between finish line widths, crown thickness, and sintering protocol on the marginal gaps in both sintering protocols; 1.0 mm finish line preparations with either 0.8 mm or 1.5 mm occlusal reduction had better marginal fit in both sintering protocols compared to 0.5 mm or 1.2 mm finish lines. Smaller marginal discrepancies were observed for standard sintering crowns with a 0.5 mm finish line and 1.5 mm occlusal reduction. Conservative occlusal reduction should be accompanied with a 1.2 mm finish line to obtain better marginal fit for full-contoured zirconia crowns.

This technique article describes an approach to managing excessive gingival display by lengthening of the clinical crowns using a digital workflow. An intraoral scanner was used to obtain a template to be used for the crown lengthening surgical procedure considering the patient-desired diagnostic setups while fully seating the template on the patient's teeth during surgery. Using a digital approach for lengthening the clinical crowns decreased the likelihood of the need for postsurgical modifications, thus shortening the treatment duration. After the crown lengthening healed for 12 weeks, full-mouth reconstruction proceeded. Maxillary and mandibular preparation reduction guides were digitally designed and printed to facilitate conservative crown preparations. An intraoral scanner was used to make full-arch scans and interocclusal records for the fabrication of provisional and final crowns. Fully guided implant planning and placement were also executed.