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Biomedical subjects

B S Chong

Publications and source records attributed to B S Chong.

26 records · Page 2Linked to original sources

Cytotoxicity of potential retrograde root-filling materials.

The cytotoxicity of potential retrograde root-filling materials was assessed using the Millipore filter method. A light-cured glass ionomer cement, Vitrebond (VB), and three reinforced zinc oxide-eugenol cements, Kalzinol, IRM and ethoxybenzoic acid (EBA) cement, were compared with amalgam. Twenty standardized pellets of each material, 10 fresh and 10 aged by storage in sterile distilled water for 72 h were produced. Ten filters were included as controls: five filters with a cell monolayer, but without test specimens, and another five without cells but with test specimens. Fresh IRM exhibited the most pronounced cytotoxic effect and the difference was statistically significant compared with all the other materials. There was no statistically significant difference between fresh VB, Kalzinol, EBA cement and amalgam. When aged, Kalzinol was the most cytotoxic and the difference was statistically significant compared with the other materials. Aged IRM was the second most cytotoxic material and this too was statistically different. The cytotoxicity of VB, EBA, and amalgam did not differ significantly from one another.

3T3 Cells↗

Apex locators in endodontics: which, when and how?

To ensure that root canal treatment is successful the clinician must accurately determine the working length of the root canal. Traditionally this has been determined using radiography, but electronic apex locators are increasingly being used. This article describes the locators available, the principles behind their use and gives guidelines on how and where to use them.

Dental Pulp Cavity↗

Light-cured glass ionomer cement as a retrograde root seal.

A light-cured ionomer cement was investigated as a retrograde root seal, without a retrograde cavity. This was compared with the material used in a retrograde cavity, and with a conventional glass ionomer cement, as a seal. The adaptation and sealing ability of the test materials were assessed using a confocal optical microscope with a fluorescent dye. The root canals of 40 extracted human single-rooted teeth were prepared and filled with gutta-percha and sealer. All the teeth were subsequently apicected, then divided into four equal groups. In one group, a retrograde cavity was prepared, and the light-cured glass ionomer cement was placed as a retrograde root filling. No retrograde cavities were prepared in the three remaining groups. The light-cured glass ionomer cement was applied directly onto the apicected root face. Two different thicknesses of light-cured glass ionomer cement were tested, a thin layer (approximately 1 mm) in one group, and a thicker layer (> 1 mm) in another group. A conventional glass ionomer cement was used in the last group, and applied directly onto the root face in a single thickness (approximately 1 mm). In the group where the light-cured glass ionomer cement was used in a retrograde cavity, the material was often well adapted to one cavity wall, but gaps were found on the opposite wall. The light-cured and conventional glass ionomer cement retrograde root seals were well adapted to the root face, regardless of the thickness of material used. The thinly applied (approximately 1 mm) light-cured glass ionomer cement retrograde root seals permitted the least leakage.(ABSTRACT TRUNCATED AT 250 WORDS)

Analysis of Variance↗

The role of intracanal medication in root canal treatment.

The role of intracanal medication as a root canal dressing is re-examined. In pulpectomy and some root canal treatments, where the root canal contains vital pulp tissue, it is doubtful whether a routine intracanal medicament is needed. In infected root canals, intracanal medication has been advocated for many purposes. An intracanal medicament is used to: (i) eliminate any remaining bacteria after canal instrumentation; (ii) reduce inflammation of periapical tissues and pulp remnants; (iii) render canal contents inert and neutralize tissue debris; (iv) act as a barrier against leakage from the temporary filling; (v) help to dry persistently wet canals. However, most of the indications for intracanal medicaments are questionable. Intracanal medicaments should only be used for root canal disinfection as part of controlled asepsis in infected root canals, and their role is secondary to cleaning and shaping of the root canal. Thorough canal debridement and adequate canal preparation are more pertinent, and their importance is emphasized. Bacteriological sampling may be necessary if a tooth does not respond to treatment, to help in the choice of intracanal medicament.

Adrenal Cortex Hormones↗

The adaptation and sealing ability of light-cured glass ionomer retrograde root fillings.

The adaptation and sealing ability of a light-cured glass ionomer cement when used as a retrograde root filling was assessed using a confocal optical microscope with and without a fluorescent dye. This material was compared with a conventional glass ionomer cement and amalgam. The root canals of 60 extracted human single-rooted teeth were prepared and filled with gutta-percha and sealer. All the teeth were apicected, retrograde cavities were prepared, and then divided into three groups of 20 teeth each and filled with the test materials. The light-cured glass ionomer cement was well adapted to the retrograde cavity and apicected root surface. Within the retrograde cavity the cement was often well adapted to one wall, but gaps were found on the opposite cavity wall. This was probably caused by the polymerization contraction of the material. In contrast, the amalgam retrograde root fillings were poorly adapted to the cavities, with gaps between the cavity walls and amalgam. This group exhibited the poorest sealing ability as measured by the extent of dye penetration. The conventional glass ionomer cement was often found smeared over the root face, and there were unfilled voids at the base of some retrograde cavities. The results of the dye leakage study were analysed statistically. The sealing ability of the light-cured glass ionomer cement was significantly better than that of amalgam (P less than 0.001). The dye penetration around the light-cured glass ionomer cement and the conventional glass ionomer cement was not significantly different (P greater than 0.05). However, the sealing ability of the conventional glass ionomer cement was significantly better than that of amalgam (P less than 0.05).

Analysis of Variance↗

Bilateral cracked teeth: a case report.

This report presents a case of undiagnosed, cracked, bilateral, maxillary molars. Both teeth were non-carious and unrestored. Failure to diagnose the initial cracks resulted in further splitting, and finally complete vertical fractures. The problem of diagnosis is highlighted and the treatment of the cracked tooth to prevent its fracture is discussed.

Cracked Tooth Syndrome↗

Dentistry in Britain--a lesson for the future?

Modern dentistry is a relatively young profession in Malaysia. The development of dentistry in Britain has a major influence on dentistry in Malaysia. Not only does it offer a historical perspective, it serves as a crystal ball to provide an insight into what dentistry will be like in the future. A brief review of dentistry in Britain follows.

History of Dentistry↗