Sheldon Winkler

Sheldon Winkler
American Academy of Implant Prosthodontics

Doctor of Dental Surgery

About

130
Publications
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2,612
Citations

Publications

Publications (130)
Article
Full-text available
The goal of implant therapy is to restore the mouth as closely as possible to a natural situation with a protocol that provides less challenges to the patient during therapy. The treatment phase must allow the patient a normal life situation and overall expectation of success. The fixed interim prosthesis fulfills a great need for business and soci...
Article
Full-text available
Principles and advantages of surgical protocol based on full arch implant insertion, immediate retention by means of a bar welded in mouth, immediate loading in proper occlusion. Case report on 10 screws, including pterygoid implants (Auriga protocol)
Article
Full-text available
The Origin of the Blade Implant The blade was originally designed due to the need for an implant for knife-edge and extremely shallow ridges, which presented problems for root-form implants and tripodal pins. Linkow1-5 recognized that the time had come to move completely from trying to duplicate or simulate the roots of teeth with implant designs....
Article
Full-text available
The edentulous maxilla can be reconstructed by one-piece implants welded together intraorally and immediately loaded with a provisional restoration. The technique described must follow a strict surgical and prosthodontic protocol which includes using a number of implants as close as possible to the number of teeth to be replaced, achieving primary...
Article
This in vitro study evaluated agreement among 10 trained evaluators when assessing implant stability with the Wired/Classic and Wireless/Periotest "M." A difference of 1 Periotest value (PTV) between the wired (-7) and wireless (-8) instruments was observed for the pretest calibration ring. No significant differences were found between the instrume...
Article
Full-text available
Four short root form implants were inserted in an atrophic mandible and the case restored with a lower connecting bar and an overdenture, opposing a complete maxillary denture. Root form implants were selected, as opposed to a subperiosteal implant in this case. The patient had a favorable medical history, appeared healthy, did not smoke, drink, or...
Article
Every attempt must be made to keep implant failures to a minimum. Dental implant failure can roughly be divided into 3 broad categories: bacterial factors, occlusal (mechanical factors), and systemic and psychologic factors. All failures should be carefully analyzed and evaluated to identify their causes in order to prevent future reoccurrence. Fai...
Article
Full-text available
Reinforcement of implant overdenture bases with chromium alloys offers a number of advantages that offset the initial greater cost. These bases offer increased strength, the ability to detect thermal changes, and the option for use when space is at a minimum. Both acrylic resin and chromium alloy have long (approximately 80 years), successful histo...
Article
In vitro and in vivo testing suggest that fiber posts may reduce the incidence of root fractures of endodontically treated teeth. The purpose of this in vitro study was to compare the effect of fiber post height in resin composite cores on the fracture resistance of endodontically treated teeth. Forty maxillary central incisors were randomly divide...
Article
Implants can readily be placed and restored in congenitally missing maxillary lateral incisor sites with predictable results if surgical, periodontal, and prosthodontic conditions are favorable. A case report using dental implants to replace bilateral congenitally absent maxillary lateral incisors for teenage female identical twins is presented.
Article
Evaluate the bond strengths of denture base-repair materials to minimize recurrent failure rate. Use microtensile bond strength (muTBS) testing to evaluate the interfacial bonding strength of 6 commercial denture repair materials after 24-hour and 12-month soaking. Blocks of poly(methyl metacrylate) (PMMA) and Triad were fabricated, fractured, and...
Article
Dental students achieved a high identification rate for darker shades (P14 and P24) on the Portrait IPN shade guide, which represent the highest chroma and lowest value in the grayish and reddish yellow hue groups. A high identification rate was also obtained for P32, representing the lowest chroma and highest value in the reddish gray hue group. T...
Article
A case history is presented of a patient who fabricated 3 prostheses from autopolymerizing acrylic resin intended for fingernail augmentation and then cemented them into her mouth with super glue. Patients must be warned not to attempt self-treatment for esthetics with self-fabricated prostheses because severe adverse and irreversible hard and soft...
Article
A procedure is described for conversion of an existing removable partial denture into a complete denture using autopolymerizing tooth-colored acrylic resin, acrylic resin denture repair material, and a clear matrix template. The shape, color, and position of the lost natural teeth may be duplicated in the transitional denture, minimizing the psycho...
Article
Although Dr Milus M. House is credited with devising a method to describe the mental classification of complete denture patients, a review of the literature raises questions regarding the origin of the system. Dr Ewell Neil should have received credit for developing the classification system attributed to Dr House. The contribution of Dr House appe...
Article
Full-text available
Masticatory forces cause fatigue to cement-retained crowns and abutments and may adversely effect retention. The relation between the number of load cycles and the retentive forces is important. This study evaluated the effect of compressive cyclic loading on the retentive forces of a temporary cement used to retain implant crowns and the relations...
Article
An interim denture technique is presented describing the fabrication of an esthetic prosthesis that is used for short periods of time. The prosthesis conditions the patient for the acceptance of an artificial substitute for missing natural teeth until more definitive prosthodontic therapy can be provided. All the teeth in the arch are extracted sim...
Article
Repetitive microstrains, which occur at the bone-implant interface during function, can lead to implant loss. In an attempt to improve survival by directing the stresses during function away from the dense cortical bone and toward the resilient trabecular bone, the Ankylos implant was developed with a roughened, progressive thread and a smooth cerv...
Article
PROBLEM: Repetitive microstrains, which occur at the bone-implant interface during function, can lead to implant loss. In an attempt to improve survival by directing the stresses during function away from the dense cortical bone and toward the resilient trabecular bone, the Ankylos implant was developed with a roughened, progressive thread and a sm...
Article
The lower labial bar is rarely indicated as a major connector for a removable partial denture. It can be used satisfactorily when large mandibular tori interfere with conventional lingual bar placement or when the lower teeth are severely lingually tipped and placement of a lingual bar is not possible.
Article
This article describes how a man attempted to repair damage to his maxillary teeth with super glue. Such action is discouraged, however, because of possible adverse reactions in the hard and soft tissues.
Article
One of the most serious and prevalent problems associated with the restorative aspect of dental implants is loosening and fracturing of screws. Implant screws should be retightened 10 minutes after the initial torque application as a routine clinical procedure to help compensate for the settling effect. Mechanical torque gauges should be used inste...
Article
The introduction of intraoral endosseous implants was inevitably followed by their external use in maxillofacial prosthodontics. Bar and clip attachments provide satisfactory retention for auricular prostheses, although the bar may inhibit patient hygiene by limiting access to the defect area. A simple clinical and laboratory technique to enhance t...
Article
The purpose of this study was to determine whether varying the preload on the implant-abutment complex would affect screw loosening under simulated loading conditions. Abutment screws in sample models were tightened to 25, 30, 35, and 40 N-cm. One group of samples was allowed to stand for 3 hours after being torqued and then loosened. Another group...
Article
Full-text available
The O-ring is used to increase retention of implant complete and partial overdenture prostheses. They possess a number of advantages, including ease of use and maintenance, low cost, and possible elimination of a superstructure bar. O-rings wear over time, gradually lose retention, and must be replaced periodically. It is essential that O-ring abut...
Article
Resorption of the alveolar ridges after tooth extraction can mandate site development (preparation) by augmentation, grafting, or both before implants can be placed. The fabrication of successful implant prostheses generally can be accomplished only if the artificial teeth are placed in the same position as was occupied by the natural teeth they ar...
Article
A roughened, commercially pure titanium (CP-Ti) implant design has been developed that features a different length and pitch for each screw thread to direct functional stresses away from cortical bone and to the more resilient trabecular bone. Abutment-implant connection is made using a conical taper to provide a seal against invasion by microorgan...
Article
This report is based on a total of 2,955 implants of 6 different designs, randomized and placed in 829 patients and followed for 48 months. Implant failure was defined as nonintegration at uncovering or removal due to mobility, persistent pain, infection, and evidence of radiographic bone loss. Failures were reported for 3 phases of treatment: impl...
Article
Various methods for evaluating tooth mobility have been developed throughout the years, but their acceptance has been limited because of the subjectivity associated with their use. In recent years, the Periotest has been studied and used to evaluate the mobility of natural teeth and is claimed to b e potentially reliable in assessing the stability...
Article
The purpose of this study was to (1) determine in vitro the effect of narrowing the buccolingual width of the occlusal table on the untightening torque required to loosen gold prosthetic screws after subjecting implants and implant-supported restorations to occlusal loads, and (2) to compare the incidence of screw loosening and values of untighteni...
Article
Full-text available
Although the Lew attachment was originally developed to provide retention for overdentures fabricated in conjunction with subperiosteal implants, these attachments can also be used with other types of implants. Two cases are presented to describe the use of Lew attachments, one with a conventional subperiosteal implant, and the other with 4 endoste...
Article
Because the life expectancy of individuals continues to increase, dentists providing dental implant treatment can expect to see an increasing number of patients with diabetes mellitus. Today, there are little data available concerning the clinical outcomes involving the use of implant treatment for patients with diabetes mellitus. There are three t...
Article
It is generally accepted that diameter and length of an endosseous dental implant and its stability at placement are critical factors in achieving and maintaining osseointegration. In the event of slight implant mobility at placement, the conventional or accepted treatment is to place a longer implant and/or one of wider diameter. This manuscript p...
Article
A case of congenital lingual angiodysplasia with macroglossia in a 5-year-old girl is presented. A diffusely enlarged tongue was present at birth and continued to grow as the child aged. It was accompanied by impaired speech, difficulty in eating and breathing, and sleep apnea, necessitating surgical intervention. The fundamental lesion represents...
Article
Full-text available
A case of congenital lingual angiodysplasia with macroglossia in a 5-year-old girl is presented. A diffusely enlarged tongue was present at birth and continued to grow as the child aged. It was accompanied by impaired speech, difficulty in eating and breathing, and sleep apnea, necessitating surgical intervention. The fundamental lesion represents...
Article
Osseointegration is an ongoing histometric process that may vary during clinical function. The implant must be stable at uncovering, which reflects the status of bone-implant interface. The physiology of bone healing associated with endosseous implants suggests that this process occurs between 8 and 12 months, and Periotest values (PTVs) tend to re...
Article
Geriatric patients have a number of dental care problems that younger patients do not encounter. The oral changes associated with aging can have a significant effect on the efficacy of dental treatment. The authors reviewed studies dealing with the causes of depressed sense of taste and smell; the causes included aging, disease, medications and den...
Article
Mouth guards worn during contact sports have been shown to provide considerable protection against traumatic injuries to the teeth and supporting structures. Of the 3 types available, the custom-made mouth guard is considered superior to stock and mouth-formed mouth guards. The procedure for making a special mouth guard designed for protection and...
Article
Wettability may be one of the surface factors to be considered when selecting dental implant biomaterials. Contact angles of dental implant surface preparations influence wettability and tissue adhesion. The contact angles of eight implant surface preparations were determined in this study. Contact angles were measured by a tele-microscope equipped...
Article
The use of gypsum- and phosphate-bonded casting investments for soldering gold implant bars was investigated. Eighteen gold implant bars were sectioned and divided into two groups of nine specimens each. One group of bars was invested with gypsum-bonded investment and the other group invested with phosphatebonded investment. The accuracy of fit of...
Article
The clinician must be cognizant of nutritional factors and deficiencies that can adversely affect implant surgery and subsequent prosthodontic rehabilitation for the geriatric patient. There are many nutrients, vitamins, and minerals that may be useful and even necessary for the geriatric implant patient. Dental implants and implant-retained and/or...
Article
Dental care of the aging patient presents a number of problems not encountered in younger patients. Most of these problems result from tissue changes that occur during aging. Dental implants and implant-retained and/or implant-supported prostheses are viable treatment options for older patients. The majority of elderly patients in their younger ret...
Article
The effect of three different connecting procedures on the accuracy of fit of cast implant bars over their supporting abutments was investigated. Thirty Hader implant bars were waxed on a master cast over two abutment analogs and cast in a type IV gold alloy. The bars were sectioned and divided into three groups of ten implant bars according to the...
Article
An accurate technique that simplifies measurements of two- and three-dimensional specimens is presented. Photomicrographs of a microruler and of the specimens of a research project were made at the same magnification. A ruler with the exact dimensions of the photographic prints of the microruler was generated through computer graphics and printed a...
Article
The use of gypsum- and phosphate-bonded casting investments for soldering gold implant bars was investigated. Eighteen gold implant bars were sectioned and divided into two groups of nine specimens each. One group of bars was invested with gypsum-bonded investment and the other group invested with phosphate-bonded investment. The accuracy of fit of...
Article
Unsupported soft tissue can collapse around a submerged implant or abutment head during the time interval between removal of the provisional prosthesis and placement of the impression material. A technique is described for accurately recording the implant or abutment position as well as the position of the soft tissue for a single tooth restoration...
Article
Indexing and soldering an implant bar can be a troublesome procedure. The expansion of the soldering investment may result in an inaccurate fit of the implant framework over the abutments or the implant heads. To overcome the distortion of the implant framework during soldering, a simple procedure for connecting the implant framework parts is descr...
Article
Accurately recording implant positions and the edentulous areas during the fabrication of implant-retained overdentures can be a difficult task. A modification of the dual or split-tray technique is suggested for implant-retained overdentures. This procedure permits the construction of the prosthesis on one master cast and the use of two impression...
Article
Smoking has been reported to have a deleterious effect on the oral cavity. Research has associated smoking with oral cancer, periodontal disease, leukoplakia, stomatitis nicotina, and impaired gingival bleeding. In 1991 the Dental Implant Clinical Research Group initiated a prospective, randomized clinical study in cooperation with the Department o...
Article
Many of the presently used methods of evaluating osseointegration at implant uncovering are highly subjective. The Periotest is claimed to offer a more objective means to assess osseointegration by means of microcomputer-controlled percussion. Investigators involved in a long-term clinical study of dental implants being conducted by the Dental Impl...
Article
Many of the presently used methods of evaluating osseointegration at second-stage surgery are highly subjective. The Periotest is claimed to offer a more objective means to assess osseointegration by means of microcomputer-controlled percussion. In 1991 the Dental Implant Clinical Research Group initiated a long-term clinical study in cooperation w...
Article
Implant prognoses for healthy elderly patients have been found to be comparable with those reported for younger patients. In 1991, the Dental Implant Clinical Research Group initiated a prospective, randomized clinical study in cooperation with the Department of Veterans Affairs to investigate the influence of implant design, application, and site...
Article
The quality of bone plays an important role in the long-term clinical success of dental implant treatment. An interim evaluation of the relationship between bone quality and the incidence of failure at second-stage surgery is presented. The data include 2,131 root form implants placed by the Dental Implant Clinical Research Group over the past thre...
Article
The quality of bone plays an important role in the long-term clinical success of dental implant treatment. An interim evaluation of the relationship between bone quality and the incidence of failure at second-stage surgery is presented. The data include 2,131 root form implants placed by the Dental Implant Clinical Research Group over the past thre...
Article
Smoking has been reported to have a deleterious effect on the oral cavity. Research has associated smoking with oral cancer, periodontal disease, leukoplakia, stomatitis nicotina, and impaired gingival bleeding. In 1991 the Dental Implant Clinical Research Group initiated a prospective, randomized clinical study in cooperation with the Department o...
Article
Many of the presently used methods of evaluating osseointegration at implant uncovering are highly subjective. The Periotest is claimed to offer a more objective means to assess osseointegration by means of microcomputer-controlled percussion. Investigators involved in a long-term clinical study of dental implants being conducted by the Dental Impl...
Article
Many of the presently used methods of evaluating osseointegration at second-stage surgery are highly subjective. The Periotest is claimed to offer a more objective means to assess osseointegration by means of microcomputer-controlled percussion. In 1991 the Dental Implant Clinical Research Group initiated a long-term clinical study in cooperation w...
Article
Viele der heute gebrauchlichen Methoden, um die Osseointegration bei der Implantatfreilegung zu beurteilen, sind hochst subjektiv. Der Periotest soll angeblich eine objektivere Methode, um Osseointegration zu beurteilen, durch mikrocom-puter-kontrollierte Perkussion bieten. Im Jahr 1991 begann die Dental Implant Clinical Research Group eine klinisc...
Article
Implant prognoses for healthy elderly patients have been found to be comparable with those reported for younger patients. In 1991, the Dental Implant Clinical Research Group initiated a prospective, randomized clinical study in cooperation with the Department of Veterans Affairs to investigate the influence of implant design, application, and site...
Article
The restoration of the edentulous mandible opposing all or part of the maxillary natural dentition with implant overdentures is described. There are many situations in which the maxillary teeth opposing an edentulous mandible can and should be retained. Mandibular implant overdentures can be utilized as long as health considerations, morphologic fe...
Article
The restoration of the edentulous mandible opposing all or part of the maxillary natural dentition with implant overdentures is described. There are many situations in which the maxillary teeth opposing an edentulous mandible can and should be retained. Mandibular implant overdentures can be utilized as long as health considerations, morphologic fe...
Article
This investigation compared the wear resistance of three "improved" resin posterior denture tooth formulations with two conventional products on a mechanical toothbrush abrasion machine. The ability of the teeth to resist this type of abrasion was evaluated by determination of the weight loss during 339 hours of brushing with firm nylon bristle too...
Article
The primary objective of Veterans Administration Cooperative Studies Program No. 242 was to evaluate, in vitro and in vivo, the suitability of new dental materials and techniques used in making crowns and fixed partial dentures. Because inaccurate margins can lead to changes in the periodontal tissues and/or to recurrent caries, it is important to...
Article
The clinical success of endosseous dental implants is related to the extent of osseointegration. Many of the presently used methods of evaluating osseointegration are highly subjective. The Periotest is claimed to offer a more objective means to assess osseointegration and supporting bone stability of implants by means of microcomputer-controlled p...
Article
Treatment of a patient who requires a mandibular complete prosthesis opposing a natural maxillary dentition presents a unique set of problems for the clinician. Proper prosthodontic care can not only result in a functional and comfortable prosthesis, but may reduce the rate of resorption of the remaining mandibular ridge.
Article
Denture failures in the elderly are multifactorial. Such failures are rarely the result of technical or mechanical faults alone and are seldom corrected by remaking the denture. The dentist is in a position to reduce the number of prosthetic failures through the application of knowledge of the physical, metabolic, and endocrine changes associated w...
Article
The combination of sandblasting, ultrasonics, and radio frequency glow discharge is suggested to effectively eliminate contaminants and improve the metal-ceramic bond for base metal alloys.
Article
Regardless of what type of retainer is used, it must be thoroughly planned in advance using diagnostic casts, radiographs, a surveyor and knowledge gleaned from previous experience and continuous study. The time spent in diagnosis and treatment planning will save untold hours of chair-time doing adjustments and placating unhappy patients. It is our...
Article
Heat treatment of a nickel-chromium base metal alloy produced changes (percent elongation, ultimate tensile strength, modulus of elasticity, yield strength, and hardness) that simulated properties of various types of noble metal alloys. Further research is indicated to determine if the properties of a base metal alloy can be altered by heat treatme...
Article
Numerous investigations have concluded that the conventional acrylic resins, processed with the usual technique of compression molding, produce dentures that are just as stable in dimension and as satisfactory as dentures produced with special resins and elaborate processing equipment. The physical properties of injection molded dentures are not su...
Article
A technique for the construction of split dentures with a cast framework to hold the denture segments together has been described. The advantages of this technique to the patient were noted. Patients are carefully instructed first on how to insert the sections and then on how to insert the casting after the individual segments of each arch are in p...