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Biomedical subjects

D L Dixon

Publications and source records attributed to D L Dixon.

At least 37 records · Page 2Linked to original sources

Custom impression trays: Part I--Mechanical properties.

Dimensional stability of custom impression trays is an important factor in determining the degree of accuracy achieved in forming a master cast. Such trays must remain stable over time and must not exhibit permanent deformation when a completed impression is removed from the oral cavity. Measurement of the mechanical properties allows comparison between various tray materials and is useful in interpreting data on stresses incurred during removal of the completed impression. In Part I of this three-part series, the various mechanical properties of five tray resins: one autopolymerizing polymethyl methacrylate, one light-polymerizing, and three brands of thermoplastic resins were recorded and compared. The thermoplastic resins studied in this investigation exhibited lower measured values for the strength and elastic modulus properties than the light-polymerizing resin and the autopolymerizing polymethyl methacrylate resin studied.

Dental Impression Technique↗

Use of light-polymerizing restorative materials in diagnostic cast modification procedures.

During the treatment-planning phase and before provisional restorations are made for the partially edentulous patient, it is often necessary to complete diagnostic cast modification procedures. Traditionally wax has been used for this purpose; therefore, it is necessary to duplicate the modified cast before fabrication of a vacuum-formed matrix. The cast duplication procedure can be eliminated by the use of light-polymerizing provisional restorative materials for cast modification instead of wax. Diagnostic casts for two patients are presented in this article, where techniques for using such a light-polymerizing material are described.

Acrylic Resins↗

Accuracy of three interocclusal recording materials used to mount a working cast.

When remaining occlusal contacts of a dental posterior quadrant have been prepared to receive complete or partial coverage restorations, it is necessary to use an interocclusal recording material to approximate the casts for laboratory mounting procedures. Inaccuracy in working cast approximation leads to occlusal discrepancies in the fabricated restorations that require correction by the dentist at the time of insertion. Traditionally waxes, impression compounds, plasters, and zinc oxide-eugenol pastes have been used intraorally to record maxillomandibular relationships. Elastomeric materials have also been advocated. Manufacturers of thermoplastic resins have recently suggested that these materials may be used with ease and accuracy for interocclusal records. This investigation measured and compared the accuracies of a thermoplastic resin, an acrylic resin, and a vinyl polysiloxane interocclusal recording material. A measuring method was developed in which a computerized axiograph was used to record positional errors in three planes, next to the posterior teeth, with the interocclusal recording materials listed.

Acrylic Resins↗

Custom impression trays. Part II: Removal forces.

When choosing a material for making custom impression trays, it is important to understand the forces to which the tray will be subjected during removal of the completed impression from the oral cavity. Such forces have not been recorded in the dental literature. The purpose of Part II of this three-part series was to record these forces in vitro, using two different tray-removal methods. A polymethyl methacrylate custom tray was used during this study. Results from this investigation indicated that it is easier to remove a completed impression, made with a custom tray, by a single point of anterior force application (224 N) than by force application evenly around the tray (514 N). The recorded force values from this investigation will be used in Part III of this series.

Acrylic Resins↗

Pulpal response to adhesive resin systems applied to acid-etched vital dentin: damp versus dry primer application.

A number of studies have reported that acid etching of dentin is toxic to the cells of the odontoblastic layer and dental pulp. Other studies report that pulpal inflammation is a consequence of bacterial microleakage. The purpose of this study was to observe the degree of pulpal healing after pretreatment of vital dentin prior to placement of All-Bond and Scotch-bond 2 composite resin adhesives. Zinc oxide-eugenol cement and an acidic cement were employed as controls. One hundred twelve Class V nonexposed cavity preparations were placed throughout the dentitions of five healthy adult rhesus monkeys and observed at 3, 25, and 80 days. Various dentinal pretreatment procedures were employed. The All-Bond Universal primer system was placed on air-dried vital dentin in 23 cavities and on damp vital dentin in 27 cavities. Scotchbond 2 was placed as per manufacturer's instructions. All treatment procedures, materials, and times were represented in all animals. Placement of silicate cement resulted in the most severe pulpal responses at all time periods. Stained bacterial profiles in the remaining dentin on the axial walls of inflamed control pulps were associated with severe pulpal inflammation. These results indicate that acid etching of vital dentin does not impair pulpal healing in deep Class V cavities.

Acid Etching, Dental↗

Linear dimensional variability and tensile strengths of three solder index materials.

This study compared the linear dimensional change and tensile strengths of three indexing materials used for aligning joints to be soldered. Sixty rods 6 mm in diameter and 18 mm in length were made from base metal. The rods were divided into three groups of 10 pairs each, and a simulated solder gap was created between the rods in each pair. Ten simulated gaps were indexed with Duralay resin, 10 were indexed with Relate resin, and 10 were indexed with ZAPIT cyanoacrylate material. Measurements were made of each pair, before and after indexing, and the tensile strength of each indexed pair was measured and recorded. Linear measurements showed no significant difference between any of the groups. However, significant differences in tensile strength were found among all the materials tested.

Acrylic Resins↗

Use of luting agents with an implant system: Part I.

When removal of the provisionally cemented superstructure from a cemented abutment becomes necessary, the retentive strengths of the abutment/fixture and superstructure/abutment luting agents become important considerations. This study compared the retentive strengths of castings cemented to machined titanium implant abutments and to a human premolar with three provisional luting agents. Also tested were the retentive strengths of cast noble metal implant abutments cemented into titanium fixtures with three permanent luting agents both dry and after storage in 0.9% physiologic saline for 30 days at 37 degrees C. No significant differences (alpha < 0.05) were noted in retentive values between the cemented castings on the titanium abutments and the natural tooth. The Temp Bond zinc oxide-eugenol luting agent exhibited a lower mean retentive strength than the IRM reinforced zinc oxide-eugenol and Life calcium hydroxide luting agents. Ketac Cem glass-ionomer cemented abutments that were stored in saline exhibited a significantly higher mean retentive strength than abutments cemented with either Core Paste or Resiment resin luting agents. On the basis of results from this study, it may be concluded that superstructures provisionally cemented with Temp Bond, IRM, or Life luting agents may be removed from implant abutments without disturbing the abutment/fixture or implant bond.

Analysis of Variance↗

The transverse strengths of three denture base resins reinforced with polyethylene fibers.

This investigation compared the transverse strengths of three denture base resins with and without polyethylene reinforcement fibers. These fibers were incorporated in 10 specimens each of a high-impact strength resin, a rapid heat-polymerized resin, and a light-activated resin. Each specimen was broken on an Instron universal testing machine using a three-point load after processing and air drying. The values obtained were then compared with values previously recorded for the same type of specimens without incorporated fibers. Only the light-activated denture base resin specimens exhibited a significantly higher mean transverse strength after polyethylene fiber reinforcement.

Acrylic Resins↗

Linear dimensional variability of three denture base resins after processing and in water storage.

It has been shown that denture base resins shrink during curing and expand during storage in water. This investigation measured and compared linear dimensional changes of three denture base resins that occurred during processing and after storage in water for 30, 60, and 90 days. Triad, Accelar 20, and Lucitone 199 long- and short-cured resins were studied, and it was found that Accelar 20 resin exhibited the least curing shrinkage and Lucitone 199 resin short-cured exhibited the most. However, no significant differences occurred between the groups. After 90 days of water storage, the only resin that exhibited a shrinkage from the processed state was Accelar 20. All of the expansion or shrinkage changes were so small that they were not statistically significant and should not be clinically detectable.

Acrylic Resins↗

Prosthetic restoration of the anterior edentulous space.

The dentition of partially edentulous patients with an anterior modification space may be restored in several ways. If a removable partial denture is selected as the treatment of choice, denture tooth selection, direct retainer display, and anterior-posterior rotation may be sources of concern for the patient and dentist. A way to overcome the treatment problems associated with these partially edentulous patients is use of a Hader bar and clip-retained removable partial denture with the attachment of an anterior porcelain-fused-to-metal facade. This article describes this treatment option and the technique for fabrication.

Dental Abutments↗

Compression resistance of four interocclusal recording materials.

Elastomeric impression materials are popular for making interocclusal records to mount casts on dental articulators. The resistance of these materials to compressive forces is critical, because any deformation during the recording or mounting process could result in inaccurate articulation of casts and faulty fabrication of restorations. This investigation compared the deformation of designated thicknesses (2 mm, 5 mm, 10 mm, and 20 mm) for four elastomeric interocclusal recording materials (Blu-Mousse, Stat BR, Ramitec, and Regisil) when subjected to a 25 N compressive load. Compressive distortions of clinical significance were recorded for all of the materials with various thicknesses. The Blu-Mousse vinyl polysiloxane registration material exhibited the greatest resistance to compression for the designated thicknesses, and these resistance values were significantly lower than those of the other recording materials with thicknesses of 5, 10, and 20 mm (alpha < 0.05).

Analysis of Variance↗

Use of luting agents with an implant system: Part II.

The purposes of this study were to determine the amount of die space necessary to reduce seating discrepancies of castings cemented onto implant abutments and to determine the effect that this space created for the luting-agent has on crown retention. Noble metal castings were made with 0.000 inch, 0.001 inch, 0.002 inch, and 0.003 inch spacing for premanufactured titanium implant abutments. The castings were cemented onto the abutments with three permanent luting agents. Seating discrepancies of each casting/abutment combination were measured, and the castings were pulled from the abutments by use of tensile force. The results of this study indicate that the use of die spacing decreased seating discrepancies and increased retentive values under the test conditions.

Cementation↗

The curing potential of light-activated composite resin luting agents.

This study determined the effect of different light exposure times on the polymerization of three composite resins used as cements (Heliosit, Visio-Fil, and Dual) through various thicknesses and shades of two preprocessed composite resins (Isosit and Visio-Gem). The Knoop hardness of the surface of the luting resin was measured after polymerization and selected samples were remeasured at 24 hours to evaluate continued cure. Results indicated that polymerization of light-activated composite resin luting agents cannot predictably be accomplished through a restoration exceeding 2 mm in thickness using a light exposure of 90 seconds or less. The combined chemical and light-activated cure of Dual cement recorded the highest percentage of acceptable hardness values.

Acrylic Resins↗

The effect of carbon graphite fiber reinforcement on the strength of provisional crown and fixed partial denture resins.

This study compared the moduli of elasticity of three provisional crown and fixed partial denture resins. Eighteen specimens of each resin were reinforced with carbon graphite fibers and 18 resin specimens from each group contained no fibers. Six specimens of each resin, with and without fibers, were tested within 6 hours of fabrication, after 30 days, and after 60 days of water storage. The mean moduli of elasticity of all the resins increased significantly with fiber incorporation. Water storage did not have a significant effect on the moduli of elasticity of the resins tested.

Acrylic Resins↗

Dimensional changes of processed denture bases after relining with three resins.

This study compared the dimensional change of simulated processed denture bases after relining with three resins. Thirty simulated denture bases 1.5 to 2 mm thick were processed from Lucitone 199 resin following the manufacturer's instructions using the long-cure method. Ten bases were relined with Lucitone 199 (long-cure), 10 were relined with Triad resin, and 10 were relined with Accelar 20 resin. The relined bases were processed on a metal die using a reline jig, and three measurements (from distobuccal flange to distobuccal flange) were made with a traveling microscope immediately before and after relining. Each relined simulated denture base showed a significant dimensional shrinkage after processing. The mean dimensional change values of the Triad resin relined bases were significantly greater than those of the other two resin relined bases. All of the dimensional change values, however, would probably be insignificant in a clinical situation.

Acrylic Resins↗

The transverse strengths of three denture base resins.

Ten specimens each of (1) Lucitone 199, short- and long-cured, (2) Accelar 20, and (3) Triad materials were broken using a 3-point load on an Instron Universal testing machine after processing and air drying. Five specimens of each resin also were broken after storage in deionized distilled water at 37 degrees C for 30, 60, and 90 days. Triad material demonstrated the lowest transverse strengths of all three materials overall. However, Triad material was unaffected by water storage. The other resins all showed decreased strengths with water storage.

Acrylic Resins↗

The effect of connector design on cement retention in an implant and natural tooth-supported fixed partial denture.

This study investigated the effect of connector design, rigid or nonrigid, on cement retention in a combined implant and natural tooth-supported fixed partial denture. A prepared natural tooth was placed in a Plexiglas block in a manner that it could move approximately the same as a healthy premolar. An endosseous implant was placed in the block so that it was immobile. Joining the prepared tooth and implant was a fixed partial denture that could be made rigid or nonrigid. The natural tooth retainer was cemented to the prepared tooth, and the implant retainer was affixed to the implant fixture with a gold screw. One year of stress was applied to the fixed partial denture by a force simulation machine. Twenty randomly ordered tests were completed, 10 of each connector design. Retentive values for the cemented retainers were recorded and statistically compared by use of Student's independent t test. No significant difference in cement retentive strength between designs was found (p less than 0.05).

Bicuspid↗