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Biomedical subjects

D B Nuckles

Publications and source records attributed to D B Nuckles.

At least 19 recordsLinked to original sources

Intentional replantation: report of a successful case.

Irreversible iatrogenic damage sometimes occurs during dental treatment. In certain cases, intentional extraction, repair, and replantation can be used to save the damaged tooth. This case report describes the successful replantation of a premolar that had sustained a large root perforation.

Adult

Microhardness of Class II composite resin restorations with different matrices and light positions.

The degree of polymerization, determined by surface hardness, has been related to the gingival marginal adaptation of posterior composite resin restorations. Poor marginal adaptation results from marginal leakage and failure of the restoration. This study compared the degree of polymerization, measured by microhardness, of a microfilled composite resin placed by use of different matrices. The effect on polymerization with the curing light in two positions was also evaluated.

Composite Resins

Stress relaxation techniques for the dental practitioner.

The practice of dentistry can be quite stressful, and dentists need to know how to relieve their own stress. Both psychologic and physiologic stress should be alleviated so as not to become disabling. The stress of life and the stress of dental practice should be understood by practitioners. If used properly, simple relaxation techniques that can be performed several times a day will help relieve these life-threatening stresses.

Dentists

Faculty differences in replacement decisions for amalgam restorations.

During a 15-week period, six full-time faculty members supervised the replacement of amalgam restorations by clinical dental students. The tooth numbers, the amalgam surfaces replaced, the reasons for replacement, and the instructors were compared. The students removed 956 surfaces of amalgam from 436 teeth. The primary reasons cited for replacement were marginal breakdown (69%) and caries (33%).

Adolescent

Close-up photography in the dental office.

Photographs taken by the dentist can be used in his professional contacts, in office administration, and for patient education and motivation. The parts of a camera including viewing systems, lenses, shutters, diaphragm, and film are described. The technique for close-up, intraoral photography requires special lens systems and proper lighting. The correct method for focusing is described.

Dental Assistants

Six-month and one-year clinical evaluation of a composite resin for class II restorations.

This clinical study was undertaken to compare a composite resin, containing a modified filler, with a dental amalgam alloy in Class II restorations. Eight senior dental students placed 98 pairs of restoration in 69 patients. After six months and one-year, 69 pairs of restorations in 49 patients were evaluated by two examiners. No significant differences were found between baseline and one-year evaluations for ratings of anatomic form and marginal adaptation. Color match was found to decrease in time, and marginal discoloration was found to increase in time. Failures of restoration were not attributed to the materials, but more probably were caused by faulty cavity preparations. Although the results for each patient analysis indicated no significant differences in anatomic form and marginal adaptation at one year, the B ratings for these two criteria for both types of restorations in this study indicate the need for continued clinical evaluation. The decreased number of composite restorations with good color match is not unexpected and indicates the need for judgment when selecting composite resin as the restorative material in Class II preparations for esthetic purposes. The significant number of composite restoration in this study with increasing marginal discoloration is reason for concern and continued evaluation of these restorations. Marginal discoloration and poor marginal adaptation are factors related to recurrent caries and replacement of restorations. Thus, continued research and clinical evaluation of new restorative materials is a necessity.

Color