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Biomedical subjects

John S Blalock

Publications and source records attributed to John S Blalock.

6 recordsLinked to original sources

Effect of temperature on unpolymerized composite resin film thickness.

STATEMENT OF PROBLEM: Room temperature (RT) composite resins are viscous, and this condition may affect the ability of the material to flow and adapt to preparation walls. PURPOSE: The purpose of this study was to compare the film thickness of a variety of commercial composite resins heated prior to light polymerization. The film thickness of these heated materials was also compared to those of flowable products at RT. MATERIAL AND METHODS: Five flowable and 7 conventional composite resins were used: 2 microfills, a nanofill hybrid, 2 submicron hybrids, a trimodal hybrid, and a packable. Composite resin (0.05 mL) was pressed between 2 Mylar-covered glass plates (15 kg) for 180 seconds, light polymerized, and the thickness measured using a micrometer. When comparing conventional composite resin heated to 54 degrees C or 60 degrees C, the RT value was control, while the RT flowable values were control when compared to heated composite resin. (n=5/group). Data were analyzed using 1- and 2-way analysis of variance and the Tukey-Kramer post hoc test (alpha=.05). Correlation of filler content to flow potential was evaluated. Scanning electron microscopic analysis of polymerized specimens was characterized by filler size and shape. RESULTS: Room temperature conventional composite resin values varied in film thickness. Not all preheated products reduced in thickness. Thickness of the nanofill did not reduce, and one of the submicron hybrids reduced the greatest. No correlation existed between composite resin classification, filler content or shape, and film thickness. No difference in thickness existed between composite resins preheated to 54 degrees C and 60 degrees C. Room temperature and preheated conventional composite resin provided film thickness greater than that of flowable materials. CONCLUSIONS: Preheating conventional composite resin yields lower film thickness for some products, but flow cannot be attributed to composite resin classification, filler content, or shape. Preheated composite resin thickness was greater than that of all flowables.

Acrylic Resins↗

Student accuracy and evaluation of a computer-based audience response system.

We have incorporated an audience response system into our curriculum to increase student interaction in the teaching process. Classroom Performance System (CPS) is a computer-based audience response system that allows students to answer questions posed to the entire class by entering responses on a keypad. The responses are tallied and displayed on the classroom screen for all students to see. The purpose of our study was to determine student accuracy using the system with three different methods of administering questions. A secondary purpose was to assess students' perceptions about using the system. Our hypothesis for the study was that there should be no difference in volunteer accuracy or questionnaire responses to the three methods of gathering responses. Sixty-two dental students volunteered to participate. Using three methods (projected on a screen, verbal, and written), volunteers were given "responses" to enter into the system using CPS wireless remote answering devices. In the projected and verbal formats, the teacher managed the assessment by controlling the pace of input. In the written format, students were given responses on paper to input into the system at their own pace. At the end of the sessions, volunteers completed an anonymous questionnaire regarding their experiences with the system. The accuracy of responses was similar in the teacher-managed assessments (projected and verbal format). There was a statistical difference in the accuracy of responses in the student-managed assessment (p=<0.000001). Questionnaire responses also showed that students preferred teacher-managed assessments. The hypothesis was disproved. The overall response to this audience response system and its methods of gathering information was very positive.

Analysis of Variance↗

LED curing lights--what's new?

Technological changes to blue light-emitting diode (LED) light-curing units have taken place at an accelerated rate. The lighting industry, however, has not yet improved output levels of blue chip design used in dental LED units as quickly. In fact, the same 5 watt source has been offered since 1992. The next step in technology advancement is the use of conventional, contemporary chips with improved output levels. These levels may arise from supplying greater electrical power to the chip, and must be accompanied by designs that will reduce internal chip heat to avoid permanent damage. A new LED light design uses periodic level shifting (PLS) to intermittently increase chip output levels over those of baseline. In doing so, maximal output from the chip can be achieved, but not at the risk of destroying the source. This article describes the current state of LED light units, discusses the strategy of chip design and limitations, and presents a description of an LED recently introduced that uses PLS technology.

Dental Equipment↗

Safety and efficacy of a nightguard bleaching agent containing sodium fluoride and potassium nitrate.

OBJECTIVES: Transient sensitivity during bleaching is generally reported to affect 67% of patients. While most people tolerate this sensitivity, some find it impossible to continue treatment. The purpose of this study was to determine the safety and efficacy of an experimental, low-sensitivity bleaching agent. METHOD AND MATERIALS: Twenty-two participants bleached for a minimum of 6 hours per night over a 2-week period. The bleaching agent used, Experimental Product E, is a 10% carbamide peroxide gel containing potassium nitrate and sodium fluoride. Evaluations were performed at baseline and 1,2,13, and 26 weeks. Color change was measured using a value-ordered Vita classic shade guide and a colorimeter. Sensitivity of the teeth, gingiva, tongue, and/or throat was measured daily using a patient log. RESULTS: The median color change after 2 weeks was eight tabs. Approximately 36% reported sensitivity during the active whitening phase of the study. As a group, participants reported sensitivity during 13.7% of the total days spent whitening. CONCLUSION: Experimental Product E was shown to be safe. Participants experienced minor sensitivity during the active bleaching phase only. Experimental Product E was shown to be an effective bleaching agent for the subjects tested in this study.

Adult↗

A technique to determine a desired preparation axial inclination.

The guidelines recommended in the literature for the convergence angle of a crown preparation vary from 3 to 24 degrees. There is a lack of guidelines on techniques to achieve a specific axial inclination. The purpose of this article was to present a practical technique, with a diamond rotary cutting instrument of known axial inclination, to determine the diamond rotary cutting instrument angulations required to achieve the desired axial inclination of a preparation.

Crowns↗